City Hospital

City Hospital

CITY HOSPITAL

(3 STR TRAINING POSTS)

 

 

 

Trainer and Educational Supervisor Information

Lead Trainer Dr Sarb Clare sclare@nhs.net
Educational Supervisors Dr B Lee brianlee@nhs.net
Other Trainers Dr N Langford  Nigellangford@nhs.net
Dr S Hutchinson  Stuarthutchinson2@nhs.net


AVAILABILITY OF MANDATORY TRAINING

Requirement Delivery possible with additional Information where necessary
Basic level AMU work (i.e. ability to work on an AMU whoever is doing the hands on supervision) Yes
Higher level AMU (must involve supervision via a dedicated acute physician with experience in developing and managing an AMU) Yes
Provision of a 4 month critical care block (minimum of 80% of the working week) with ability to obtain basic level ICM competencies – NB Provided as an essential OOPE in programme anyway if required Yes at Sandwell Site
Dr Bellin at Sandwell Critical Care
Provision of a 4 month elderly care block exposure (minimum of 80% of the working week) – NB this does not include stroke which is viewed separately No
Provision of a 4 month elderly care sessional exposure (minimum of 60% of the working week) – NB this does not include stroke which is viewed separately Yes
Dr Hutchinson Consultant in Intermediate Care will supervise sessions in community
 Provision of a 4 month respiratory block (minimum of 80% of the working week) No
 Provision of sessional respiratory training (minimum of 4 sessions per week for 4 months with exposure to Asthma,COPD,Lung cancer and TB along with NIV) Yes
NIV on MAU
Sessions for bronchoscopy available after discussion
Provision of a 4 month cardiology block (minimum of 80% of the working week) No
Provision of sessional cardiology training (minimum of 4 sessions per week for 4 months with exposure to heart failure, CCU and chest pain clinics) Yes
Provision of training in ambulatory care
 In development

AVAILABILITY OF MANDATORY SPECIAL INTEREST TRAINING

All AIM trainees need to develop a single special interest over their 4-5 years of their training. The following are the current curriculum recommended special interests (NB ICM is a common SIS dealt with elsewhere on this form and needs to be to diploma or CCT level). Other potential interests may be followed but these must be approved in advance by JRCPTB.

Special Interest Delivery possible with additional Information where necessary
Echocardiography (to cardiology curriculum standards) Yes BSE standard- 1 trainee for 2 years training to achieve BSE
Dr Clare supervises and does focused echo and runs Acute Echo clinic to expedite discharge
Upper endoscopy (to JAG standards) No
Bronchoscopy (to respiratory curriculum standards) Possible
Ultrasound (to RCR standards)
 Focused/chest/veins/abdo
Dr Clare supervises
Medical education (to diploma / masters level) Support will be provided
Dr Clare has MSc Med Ed
Management (to diploma / masters level) Support will be provided
Leadership (to diploma / masters level)
 Support will be provided
Toxicology (to diploma / masters level) Support will be provided
Dr Langford works on the West Mids Posions Unit and DTC
Infectious diseases and tropical medicine (to diploma/masters level)
 No
Remote and rural medicine (following a defined training pathway with appropriate competence acquisition. Such a training and assessment pathway must be approved prospectively by the JRCPTB)
 No
Inpatient diabetes care (Training should follow a training and assessment pathway agreed by both endocrine & DM SAC and AIM SAC.
Trainees should be assessed in the competencies by specialists in that field.)
 Yes, Dr Lee is a Diabetologist and lead for the TRUST for “Think Glucose”.
Research (Demonstrates extensive involvement in research including
the acquisition of research grants and over five research publications in peer reviewed journals during their training period)		 Yes, Dr Langford is an academic and will provide support.
 Stroke Medicine (Stroke curriculum has 3 areas – acute stroke, stroke rehabilitation, and prevention of stroke – need all 3 for CCT but 2 (i.e. not rehab) enough for AIM specialist skill) Yes
The SpR is on the acute stroke thrombolysis rota
Can have sessions on stroke unit


OPTIONAL SPECIALTY ATTACHMENTS AVAILABLE AS A SECONDMENT BLOCK
(8 SESSIONS MINIMUM) OR SESSIONAL TRAINING (4 SESSIONS MINIMUM)

Optional Attachment Deliverable and specify as whether as block or sessional
Stroke Yes - sessional
Gastroenterology Yes - sessional
Renal Yes - sessional
Infectious Diseases
 No
Neurology Clinics will need prior negotiation
Diabetes and Endocrinology Yes - sessional
Critical Outreach Team
 Yes - sessional
Any other training opportunities (specify)
- Our SSU has a LOS of 2.1 days
Dr Hutchinson is lead for Intermediate Care and Care In the Community. he has close links with GP’s and Nursing homes
     - Tilt Table
     - Memory Clinics
     - Poisons
     - Dermatology clinics
     - Opthalmology clinics (eye centre at City)


ADDITIONAL INFORMATION

We provide a 4 month block of Intensive Care medicine for 1 trainee at year 2, 3 or 4.

Typical timetable doing Acute medicine

  • Monthly blocks of MAU or SSU (5 sessions)
  • 1 session MAU clinic
  • 1 session of special interest
  • 1 session of audit/admin/research/teaching
On call rota is 1 in 15
Please see attached rota for general medical on call rota.


 Mon Tues Wed Thurs Fri Sat Sun
1 NWD
0900-1700		 NWD
0900-1700		 NWD
0900-1700		 NWD
0900-1700		 Night
2100-0930		 Night
2100-0930		 Night
2100-0930
2 OFF OFF  OFF Day O/C
0900-2130		 NWD
0900-1700

3 Day O/C
0900-2130 		NWD
0900-1700		 NWD
0900-1700		 NWD
0900-1700		 NWD
0900-1700		  
4 NWD
0900-1700 		Day O/C
0900-2130		 NWD
0900-1700		 NWD
0900-1700		 NWD
0900-1700 

5 Twilight
1400-2200 		NWD
0900-1700		 NWD
0900-1700		 NWD
0900-1700		 NWD
0900-1700

6 NWD
0900-1700 		NWD
0900-1700		 NWD
0900-1700		 NWD
0900-1700		 Twilight
1400-2200		 Day O/C
0900-1600		 Day O/C
0900-2130
7 NWD
0900-1700 		NWD
0900-1700		 NWD
0900-1700		 NWD
0900-1700		 NWD
0900-1700

8 NWD
0900-1700 		NWD
0900-1700		 NWD
0900-1700		 NWD
0900-1700		 NWD
0900-1700

9 NWD
0900-1700 		NWD
0900-1700		 Day O/C
0900-2130		 NWD
0900-1700		 NWD
0900-1700

10
 NWD
0900-1700 		NWD
0900-1700		 NWD
0900-1700		 NWD
0900-1700		 Day O/C
0900-2130		 Day O/C
0900-2130		 Day O/C
0900-2130
11 NWD
0900-1700		 NWD
0900-1700		 NWD
0900-1700		 NWD
0900-1700		 NWD
0900-1700

12 Night
2100-0930		 Night
2100-0930		 Night
2100-0930		 Night
2100-0930		 OFF

13 NWD
0900-1700		 NWD
0900-1700		 NWD
0900-1700		 NWD
0900-1700		 NWD
0900-1700

14 NWD
0900-1700		 NWD
0900-1700		 NWD
0900-1700		 NWD
0900-1700		 NWD
0900-1700

15 NWD
0900-1700		 NWD
0900-1700		 NWD
0900-1700		 NWD
0900-1700		 NWD
0900-1700


The SpR/StR in General Medicine work a Full Shift system as above. Please note that the above table only depicts what they would do over a 13 week period.

There is prospective cover in the junior doctors contract so that if a colleague is away, more hours will be worked by the remaining doctors to cover the absence. These additional hours are not shown on the above table but a prospective cover allowance has been calculated in the contracted hours (see below).

The rota is 46.42 hours average per doctor per week with prospective cover.

OUTPATIENT EXPOSURE

A trainee in AIM based in this unit can realistically expect to meet the outpatient numbers required for GIM training - i.e. in any one year seeing 90 New outpatients (which can include ambulatory care and new ward referrals) and 300 review outpatients (which can include ambulatory care and review ward referrals).


TEACHING OPPORTUNITIES

Teaching opportunities
  • ALERT
  • IMPACT
  • D22 teaching weekly clinical teaching
  • Weekly 3rd year teaching