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Specialty Training in Medicine in Leicestershire, Northamptonshire and 2010 Application Round – updates in progress |
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This document provides an overview of training in the specialty and sub-specialities of Medicine in the Specialty School of Medicine, East Midlands Deanery (South) from August 2010.
It contains hyperlinks to more detailed information in individual programmes and posts at CT1 and CT2 level, and to descriptions of the sub-specialty training programmes at ST3 and above.
Contents:
Overall Structure of Training in
Medicine
Leicester Core Medical Training:
Northampton Core Medical Training
Kettering Core Medical Training
ACCS or Core Medical Training?
Opportunities for Sub-Specialty
Training at ST3+
Individual Sub-Specialty Training
Programmes at ST3+
Endocrinology and Diabetes Mellitus
National Person Specifications and
Training Guides
Structure of the Specialty School of
Medicine
Overall Structure of Training in Medicine
This has been extensively described elsewhere – and continues to be updated on a regular basis on MMC, Royal College of Physicians and JRCPTB web sites. All involved would be well advised to continue to consult these sites on a regular basis.
Broadly, after Foundation, trainees who wish to be trained as Physicians will spend 2 years (CT1 and CT2) in one of 2 ‘core programmes’:
- Core Medical Training – the majority of trainees
- Acute Care Common Stem (Acute Medicine) – aimed
particularly at future acute physicians or medical intensivists
·
The
original third ‘core’ programme ‘Basic Neuroscience Training’ – aimed
particularly at future neurologists and associated specialities – is now
incorporated into Core Medical Training rotations
Trainees achieve competencies in the General Medicine 2009 curriculum in both core programmes (previously Acute Medicine Level 1 Curriculum and Generic Curriculum for 2007 and 2008 entry), and it remains technically possible for trainees to enter any physicianly sub-specialty from any of these core programmes
From ST3 onwards, training focuses on one of the sub-specialities of Medicine, although most trainees will also continue to achieve Acute Medicine competencies by following dual training for a dual-CCT in General Medicine (the General Medicine 2009 Curriculum - previously the 2007 Acute Medicine Level 2 Curriculum).
Following the report of the Tooke Review, Medicine is now an ‘uncoupled’ training programme and trainees appointed at CT1 (or CT2) from 2008 onwards will apply for ST3+ training opportunities in open national competition at the end of their core training. From 2011 onwards attainment of the full MRCP qualification will once again be required to enter ST3+ training (prior to this only Part 1 MRCP is essential although full MRCP is highly desirable)
The number of opportunities for sub-specialty training from ST3+ will ultimately be governed by the number of current SpR’s who get their CCT and vacate their posts in the relevant timescale (some new posts at this level may be created, but the vast majority will be continuation of the current established SpR posts). A small number of ST3+ posts available for August 2010 entry will be allocated to current ST2 ‘run-through’ trainees, but most will be advertised for national competitive application.
The length of sub-specialty training is based on achieving the relevant specialist competencies, but is normally 4-5 years from ST3 appointment.
Core Medical Training
All 3 major NHS Trusts in East Midlands Deanery (South) [University Hospitals of Leicester - UHL, Northampton General Hospital and Kettering General Hospital] established successful CMT Training Programmes in 2007.
In 2007
and 2008 all rotations were based on posts in one of the Trusts throughout the
2 year programme. However since August 2009 a majority of rotations spend 1
year in
Details of Core Medical Training rotations are in a
linked document on this website
The descriptions of posts in individual hospitals are detailed from links below.
In each Trust a majority of individual trainees rotating through particular programmes of posts to be trainees in Medicine at CT1 or CT2 level, and the remainder filled by GP-NTN postholders. Thus each particular clinical post involved in the programmes will have trainees of all both types in rotation. Medicine locum training posts may be appointed if short term training opportunities arise, but all appointments in the first round of application for 2010 will be CT1 posts.
We
expect to appoint approximately 35 new CT1 trainees in CMT from August 2010.
Allocation of successful candidates at CT1 to these programmes of rotation for August 2010 will take place via a ranked matching process (taking into account both trainee preference and future career intentions, and performance in application and interview). Rotations will only be allocated after successful appointment to the CMT programme and candidates will not be permitted to apply exclusively for one programme.
Leicester
Core Medical Training:
In 2007 Leicester combined all its SHO-level posts in Medicine (including Trust Grade posts) and previous GP-VTS SHO levels posts into a single programme of Core Medical Training rotations (except for the small number of posts included in ACCS rotations).
Leicester Core Medical Training
Posts
Working patterns and on-call arrangements
University Hospitals of Leicester NHS Trust
General Descriptions of Hospitals
Northampton
In 2007
Northampton Core Medical Training Posts
General Descriptions of Hospitals
Kettering
In 2007
Kettering Core Medical Training Posts
Working patterns and on-call arrangements
General Descriptions of Hospitals
Acute Care Common Stem
ACCS or Core Medical Training?
Trainees planning a career in Medicine sometimes seem uncertain whether to apply for ACCS or CMT for core training. The Head of School offers the following advice:
Most physicianly trainees will join the Core Medical Training programme which aims to provide broad experience across a range of specialities as well as providing extensive experience in acute general medicine. It is certainly the most appropriate training for individuals planning a career in any medical subspecialty other than Acute Medicine, and many physicians find it preferable even for future acute medicine specialists in view of the wider experience it provides of relevant medicine subspecialties relevant to acute care. Some rotations include experience in ITU and A&E (but most do not) and none include experience in Anaesthetics. CMT is recruited via the national application process and you are currently guaranteed an interview in your first choice Deanery (which we hope will be East Midlands South!).
The ACCS programme provides only 6 months in Acute Medicine during the first 2 years of core training – with the remainder of the time in Anaesthetics, ITU and Emergency Medicine (A&E). We feel this is unlikely to be sufficient to achieve all relevant competencies or enough experience to make you competitive for entry to ST3+ training within medicine (or indeed to pass full MRCP) and have therefore offered a 3rd year in Core Medical Training to all trainees who wished it (and we suspect that this 3rd year will become a standard part of ACCS in the revised 2010/11 curriculum). If you are certain that you wish to train in Acute Medicine as your specialty from ST3 onwards and/or if you plan to dual-train in Intensive Care Medicine then ACCS may well be your best choice for core training (due to the unrivalled experience it provides of anaesthetics and ITU) – if you are not certain then you are probably better applying for CMT. ACCS is recruited via a local deanery process by competitive application with conventional shortlisting prior to interview by representatives from all the ACCS disciplines. You must apply to train in one of the 3 Schools (Medicine, Anaesthetics or Emergency Medicine) but there is limited flexibility to transfer to another School in the early part of training but the necessity to get started with relevant College exams means that we don’t encourage this later on.
Technically, you are eligible to enter any ST3+ Medicine training programme from either CMT or ACCS as long as you have passed MRCP and achieved all the relevant Core curriculum competencies.
The ACCS Programme
A pilot ACCS scheme commenced in
Northampton also had an ‘ACCS-type’ SHO programme established prior to MMC. This was modified to form a new ACCS programme along similar lines in 2007 which appoints 1 physician/year as CT1 ACCS – Acute Medicine trainee.
An ACCS programme centred on
At the end of 2 years in the ACCS rotation the School is now committed to offering a 3rd year in Core Training in appropriate medical specialties (posts taken from the Core Medical Training rotations) to those trainees who are otherwise making satisfactory progress at ARCP but who need additional clinical experience to achieve all the Core Medical Training (General Medicine / Acute Medicine Level 1) competencies and achieve the full MRCP qualification.
Appointment to the ACCS rotations will be a joint process with other ACCS Specialties (Anaesthetics and Emergency Medicine) and will not form part of the CMT National application process. It is highly likely that ACCS interviews will be complete and offers made and accepted before the CMT interview and offer process begins.
Academic Clinical Fellowships
There will be the possibility of an Academic
Clinical Fellowship in Medicine in
Recruitment to ACF posts opens 2 November 2009 with a deadline for applications on 4 December 2009. Interviews and offers will take place in January 2010 – at least one ACF post will be available linked to clinical training in Core Medical Training from August 2010.
The precise academic programme of an ACF depends on their future research interests and career aspirations – but training includes regular seminars with leading academics and research groups during CT1 (including appointment of an academic mentor for the ACF) leading to a period out of the clinical programme in research or other academic activity during CT2 (sometimes overlapping into CT1 or ST3 if more appropriate for the project). Approximately 25% of the trainees’ time over the 3 year programme should be able to be devoted to their academic activities (although trainees will need to achieve the same Acute Medicine competencies as other CMT trainees). This means that we expect ACFs will undertake an 8 month block out of programme in research (to coincide with 2x4 month clinical blocks in the CMT programme) – which might occasionally be separated into 2x4 month blocks if more appropriate for a specific research project. We expect that this project will produce data which will form the basis of an application for funding to undertake research for a PhD from August 2013.
Further details of these Academic Clinical Fellowships and the ongoing Academic Medicine training pathway are on the Leicester University web site
Opportunities for Sub-Specialty Training at ST3+
We have carefully established the predicted CCT dates for all current SpR trainees in East Midlands Deanery (South), which has therefore allowed us to predict when NTN posts at ST3+ are guaranteed to be vacant (i.e. broadly 6 months after the CCT date to allow for the standard ‘period of grace’). Run through appointments at ST1 and ST2 in 2007 were then made to broadly match the expected ST3+ opportunities.
In August 2008 and August 2009 most ST3+ posts will be allocated to run-through of trainees appointed at ST2 and ST1 in 2007. Any remaining or additional posts will be available for open competition.
August 2010 – very few run-through trainees remain in core training – most posts will be available for open competition.
Individual Sub-Specialty Training Programmes at ST3+
All Sub-Specialty Training Programmes at ST3 and above are be based on the posts and rotations of previous SpR Training Programmes in the same specialities.
For a number of years from August 2007 onwards, these subspecialty programmes will be filled with a variable combination of SpRs on the previous contracts and curricula, and StR ST3-ST7 trainees on the new curricula. Therefore the training and experience provided to, and the assessments performed on, individuals within each programme will depend on the curriculum requirements for each individuals.
These sub-specialty programme descriptions are therefore still somewhat hybrid at this stage, but give an overall impression of the posts, rotations and training opportunities which will be provided within each programme. The terms SpR, StR and ST3+ specialist trainee should be treated as synonyms in the interpretation of these programme descriptions. Any details of shifts and rotas which remain in these documents should be regarded as historical and not definitive or binding to new appointments since the situation has changed significantly with the introduction of EWTD(see below).
Most sub-specialty programmes also include training and experience in Acute and General Medicine to achieve a dual CCT in General Medicine or achievement of the Level 2 Acute Medicine competencies for those who chose to remain on the 2007 curriculum.
Acute Medicine
A specialist training programme in Acute
Medicine has been established for several years in Leicester and commenced in
The Acute Medicine Specialty Training Committee of the School has agreed that close links will be developed between these 3 programmes with a single overall Acute Medicine Training Programme Director and that future trainees will rotate between all 3 sites (although probably attached primarily to one site for a majority of their training).
These trainees will be working towards a CCT in Acute Medicine and become future lead clinicians for Acute Medical Units.
Training Programme Director: Dr Mark Ardron
Training Programme Site Leads: Prof Bryan Williams, Dr Anwar Hussain and Dr David Sprigings
Acute Medicine Programme Description
Allergy
There is one run-specialty training post in
Allergy – which is therefore likely to become available for run-through about
once every 4 years. This is an Inter-Deanery programme including
Training Programme Director: Dr Mike Duddridge
Cardiology
The Cardiology sub-specialty training programme is based around the Regional Cardiology referral centre at Glenfield Hospital, Leicester and involves clinical posts in Glenfield Hospital, Leicester Royal Infirmary, Kettering General Hospital, Northampton General Hospital, Pilgrim Hospital Boston, Grantham District Hospital and Derbyshire Royal Infirmary
This programme may also include ST3+ training in Acute and General Medicine
Training Programme Director: Dr Andre Ng
Cardiology Programme Description
Clinical Genetics
Higher training in Clinical Genetics is based at Leicester Royal Infirmary. This training may be appropriate for trainees from the Schools of Medicine or Paediatrics
Training Programme Director: Dr Margaret Barrow
Clinical Genetics Programme Description
Clinical Oncology
The Clinical Oncology training programme forms
part of the
Training Programme Director: Dr Pat Lawton
(Head of
Clinical Oncology Programme Description
Clinical Pharmacology
The Clinical Pharmacology training programme is based in the Leicester Royal Infirmary and University of Leicester
This programme includes ST3+ training in Acute and General Medicine
Training Programme Director: Prof Leong Ng
Clinical Pharmacology Programme Description
Dermatology
The Dermatology training programme is based at Leicester Royal Infirmary and Kettering General Hospital.
Training Programme Director: Dr Karen Harman
Dermatology Programme Description
Endocrinology and Diabetes Mellitus
Endocrinology and Diabetes Mellitus training and
experience is obtained in a programme which rotates through posts in Leicester
Royal Infirmary and
This programme includes ST3+ training in Acute and General Medicine
Training Programme Director: Dr Marie-France Kong
Endocrinology and Diabetes Mellitus Programme Description
Gastroenterology
The Gastroenterology training programme involves all 3 Leicester Hospitals, Kettering, Peterborough and Derby
This programme includes ST3+ training in Acute and General Medicine
Training Programme Director: Dr Toby Delahooke
Gastroenterology Programme Description
Geriatrics
The Geriatrics training programme involves all 3 Leicester Hospitals, Kettering, Northampton and Pilgrim Hospital, Boston.
This programme includes ST3+ training in Acute and General Medicine
Training Programme Director: Dr Nelson Lo
Geriatrics Programme Description
GU Medicine
The GU Medicine training programme is based at Leicester Royal Infirmary
Training Programme Director: Dr Jyoti Dhar
GU Medicine Programme Description
Haematology
Haematology programme provides training in clinical and laboratory aspects of haematology at Leicester Royal Infirmary, Kettering General Hospital and Northampton General Hospital
Training Programme Director: Dr Ann Hunter
Haematology Programme Description
Immunology
The Immunology training programme is based in
the 3 hospitals of University Hospitals of
Training Programme Director: Dr Mike Duddridge
Immunology Programme Description
Infectious diseases
The Infectious Diseases programme is based at Leicester Royal Infirmary
This programme includes ST3+ training in Acute and General Medicine
Training Programme Director: Dr Martin Wiselka
Infectious Diseases Programme Description
Medical Oncology
Medical Oncology training is based at Leicester Royal Infirmary
Training Programme Director: (to be appointed)
Head of
Medical Oncology Programme Description
Neurology
Sub-specialty Training in Neurology is a joint
programme with the West Midlands and East Midlands South trainees receive
training in the Department of Neurology at
Training Programme Director: Dr David Nicholl (West Midlands Programme)
Neurology Programme Description
Palliative Medicine
Palliative Medicine training is provided in the Hospices and Acute Hospitals of Leicester, Kettering and Northampton.
Training Programme Director: Dr Nicky Rudd
Palliative Medicine Programme Description
Renal Medicine
Renal Medicine sub-specialty training is centred on the large Department of Renal Medicine at Leicester General Hospital, but may rotate to many other hospitals including Leicester Royal Infirmary, Kettering, Northampton and Peterborough
This programme may also include ST3+ training in Acute and General Medicine
Training Programme Lead (South): Dr Pete Topham
Renal Medicine Programme Description
Rheumatology
Rheumatology training programme rotates between Leicester, Kettering and Northampton
This programme may also include ST3+ training in Acute and General Medicine
Training Programme Director: Dr Ash Samanta
Rheumatology Programme Description
Rehabilitation Medicine
Rehabilitation Medicine Training is based mainly at Leicester General Hospital
Training Programme Director: Dr Peter Critchley
Rehabilitation Medicine Programme Description
Respiratory Medicine
The Respiratory Medicine training programme is
based in the large department of Respiratory Medicine at
This programme includes ST3+ training in Acute and General Medicine
Training Programme Director: Dr
Respiratory Medicine Programme Description
Stroke Medicine
The Stroke Medicine training programme is a
sub-specialty programme based in the Stroke Unit, currently based at
This programme of training in Stroke Medicine is undertaken as an additional year of sub-specialty training in the final year/ 2 years for trainees in the parent specialities of Acute and General Medicine, Geriatric Medicine, Clinical Pharmacology, Neurology and Rehabilitation Medicine. In current SpR programmes this follows a competitive interview process.
Training Programme Director: Dr Tom Robinson
Stroke Medicine Programme Description (no old version currently available)
Associated Institutions
NHS Hospitals and Trusts involved in LNR Training Programmes
University of Leicester and Undergraduate School of Medicine
University of Leicester Faculty of Medicine and Biological Sciences
About the Local Areas
Video Introductions to Leicester, its University and Faculty of Medicine (on le.ac.uk)
This is Leicestershire (Leicester Mercury) website
General Conditions of Service
The
following Terms and Conditions of Service apply to all posts in the East Midlands
(South) Deanery,
Terms and Conditions of Service
Important
information on rotas, shift patterns and bandings which must be taken to
over-ride any other descriptions found elsewhere in all the Medicine Programme
Descriptions on this site:
Rotas, Shift patterns and Banding
Training Curricula
Links to relevant curricula on the JRCPTB web site (or other sources) are provided here:
2009 General Medicine Curriculum
2007 Generic Curriculum for Medical
Specialities
2007 Acute and General Medicine Curriculum
National Person Specifications and Training Guides
Link to MMC Web Site for
current national person specifications
Gold Guide to Specialty Training
Structure of the Specialty School
The Specialty School of Medicine in East Midlands Deanery (South) was formally established in December 2007 with the appointment of Dr Trevor Howlett (Consultant Physician and Endocrinologist at Leicester Royal Infirmary) as the Head of School. Dr Howlett led the specialty appointment process in 2007, 2008 and 2009 and has prepared this document.
The Board of the School includes RCP College
Tutors from all the
Specialty Education Committees oversee the training in each specialty and subspecialty area
The Specialty School of Medicine plans to work in close collaboration with the Directorates of Education and Clinical Education Centres in all hospital sites involved in its programmes to ensure appropriate clinical and educational supervision of all trainees, and to ensure that all assessments demanded by the national curricula are carried out and documented.
Last Updated: 21 October 2009