5th year
We are delighted to have you here and hope your time with us is educational and fun.
You may even decide to pursue Respiratory Medicine as a career (clearly the best speciality).
Who coordinates our teaching?
Where am I based for teaching?
Mainly in Ward 107 and Clinic C
General information
Please contact Dr Kuo via his secretary in your first week so he can meet you.
You should be ready on Ward 107 just before 9am Monday -Friday, and leave between 4 and 5pm.
Please introduce yourself to the medical and nursing team on the ward.
Have your name badge clearly visible at all times.
Please let Dr Kuo know if you are ill and are unable to attend the ward.
What are some of your key learning objectives?
You should revise the Respiratory system chapter in MacLeods textbook of clinical examination, in addition to the Respiratory chapter in which textbook you use.
You should make yourself aware of the clinical features, investigations and management of all the common respiratory disorders (such as asthma, COPD, lung cancer, pulmonary embolism, pleural disorders, interstitial lung disease, bronchiectasis, cystic fibrosis etc).
Familiarise yourself with arterial blood gas analysis.
Familiarise yourself with chest X-ray interpretation (consider borrowing the book "Chest x-rays made easy" from the library).
Make sure you can examine the respiratory system correctly.
What learning opportunities are there?
Lots!
Ward rounds by on call consultant (every morning, 0900 onwards)
Ward work (shadowing medical staff and colleagues in professions allied to medicine) including physician associates.
Seeing pleural procedures and attending pleural clinic.
Seeing bronchoscopy and following the team.
Attending multiple multi-disciplinary meetings including lung cancer, interstitial lung disease, cystic fibrosis, morbidity and mortality,
Attending multiple clinics (general, interstitial lung disease, cancer, asthma, bronchiectasis, cystic fibrosis, TB)
Regular departmental meetings, notably on a Thursday lunchtime.
Daily routine
You should be part of the Consultant ward round most mornings (which start at 9am); try to take an active role.
In the afternoons, you should help the FY1 and other medical staff with ward work (including clerking in patients).
You should practice completing drug Kardexes and writing up fluid administration charts.
Please note you may be scheduled to do peer teaching (2nd or 3rd years)
Practical procedures
There should be plenty opportunity to take bloods, insert venflons and take arterial blood gases.
Assessment
Please ask ward doctors to complete your various log book assessments.
Dr Kuo may take you for a tutorial during your attachment and he will meet you in you last week to sign off your log book - ask him about both of these.
