Stafford Hospital

Stafford Hospital

Stafford Hospital

(1 StR Training Post)

Trainer and Educational Supervisor Information

 

Lead Trainer Dr Shaun Nakash shaun.nakash@midstaffs.nhs.uk
Educational Supervisors

 Dr Suranjan Mukherjee suranjan.mukherjee@midstaffs.nhs.uk
Dr Saleh Hussein Saleh.hussein@midstaffs.nhs.uk

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. (3.5 Acute Physicians to move to 6 WTE by April 2011). Clinical Director for Emergency Care is the Lead Consultant
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 Already have additional Out Off Program trainee on our ITU – may be an opportunity to have an additional trainee with this as part of a formal training program
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 Yes. Can accommodate needs of individual trainees
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. Can accommodate needs of individual trainees
Provision of a 4 month respiratory block (minimum of 80% of the working week) Yes. Can accommodate needs of individual trainees
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. Can accommodate needs of individual trainees. Bronchoscopy, NIV and respiratory procedures and MDT meetings/ Chest Consultant physicians very supportive
Provision of a 4 month cardiology block (minimum of 80% of the working week) Not at present but easily negotiable dependant on needs of trainee
Provision of sessional cardiology training (minimum of 4 sessions per week for 4 months with exposure to heart failure, CCU and chest pain clinics) Not at present but easily negotiable
Provision of training in ambulatory care Not at present

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) Not at present but could be a possibility
Upper endoscopy (to JAG standards) Not at present but could be negotiated
Bronchoscopy (to respiratory curriculum standards) Yes. Can accommodate needs of individual trainees
Ultrasound (to RCR standards) Focused USS would be available if required
Medical education (to diploma / masters level) Not at present
Management (to diploma / masters level) Not at present
Leadership (to diploma / masters level) Not at present
Toxicology (to diploma / masters level) NO
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.) Not at present but could be negotiated. We will be recruiting to 2 50/50 posts in Acute Medicine and Diabetes and Endocrinology and therefore this would be an option
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) Not at present
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) Not at present

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 Not at present
Gastroenterology Yes block or sessional if required
Renal NO
Infectious Diseases NO
Neurology NO
Diabetes and Endocrinology Yes block or sessional if required
Critical Outreach Team Yes sessional if required
Any other training opportunities (specify)

 

Additional Information

The hospital has a longstanding Out of Program ITU regional placement trainee program but this is not linked to the Acute Medicine department within Stafford Hospital. We would be keen to formalise this arrangement and link this trainee to a Year of activity that would provide GIM curriculum requirements and possibly AIM, However at this time we do not receive acute patients for thrombolysis.

Year 1 - we would focus on pure acute medicine with AMU assessment and short stay ward exposure which will provide GIM curriculum requirements whilst encouraging a special interest session. A 4-month sessional placement would be organised.

Year 2 and 3 - trainees we would expect to be released for a 4-month block (gastro/cardiology/respiratory/diabetes and endocrinology/elderly care/ possibly ITU whilst concentrating on acute medicine for the other 8 months. One sessional placement will be arranged if required as well.

Typical timetable whilst doing “acute medicine”

2 days per week AMU

1 outpatient clinic

3 special interest session

2 audit/admin/study/research session

On Call

1 in 10 on call

1 week of 4 nights Mon to Thursday 2100 – 0915 then off 3 days

1 week when Friday to Sat nights.

Then 1 in 10 day shifts 0900 – 2115.

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).

Other opportunities Available

Teaching opportunities

  • ALERT
  • Surviving sepsis
  • ALS if IC/Instructor
  • Keele and Grenada Medical Student mentor/teaching opportunities