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Acute Care Common Stem Training in |
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UNIVERSITY HOSPITALS OF
NHS TRUST
TITLE
OF POST: ACUTE CARE COMMON STEM
SPECIALTY TRAINEE
The post is aimed at developing common competencies for a trainee with an interest in an acute medical specialty i.e. Acute Medicine, Emergency Medicine or Anaesthesia.
LNR deanery has confirmed that this post is expected to progress into run-through specialist SpR training without further interview.
Continuation in post is subject to satisfactory assessments/appraisals/RITA’s and achievement of competencies by the successful applicant.
The posts consists of:-
The successful applicant will be expected to indicate their preferred future parent specialty at the interview i.e. Anaesthesia, Acute Medicine or Emergency Medicine.
There will be regular appraisals, assessments and ARCP during the post. Failure to make satisfactory progress may result in termination of contract.
All appointments are made to the Leicester
groups of hospitals, which are the Leicester Royal Infirmary,
The trainee will be based mainly at the Leicester Royal Infirmary but may be required to work as allocated to any of the above hospitals.
Remuneration will be at the SHO level and band according to the relevant rota worked. Note there is no banding payment during the initial 3-month totally supervised novice anaesthetic component as there is no on-call commitment.
Applicants are encouraged to contact the programme directors, leads or Heads of School below if they require any further information regarding this post.
Programme Leads:- Anaesthesia Dr JMC Greiff
Acute Medicine Dr Trevor Howlett
Emergency Medicine Dr Pro Mukherjee
Basic Specialist Trainee in
Anaesthesia - 6 months
Trainees with no previous anaesthetic experience will work for three months under the direct supervision of a Consultant or until such time as they have achieved their initial test of competencies and assessments. Failure to achieve the required level will delay progression onto the on-call rota. Persistent failure will lead performance review.
They will be introduced to emergency work by taking part in the emergency rota as supernumeraries.
Preoperative assessment of all elective
cases on your allocated list is mandatory at all the
Competencies
The trainee will be expected to gain competencies in pre-operative assessment, basic airway management, fluid management, acute pain management and management of the immediate post-surgical patient in the Post-Anaesthesia Care Unit (PACU). It is also expected that by the end of the post, the trainee should be able to administer an anaesthetic to ASA I and II patients.
A training folder with full details of the required competencies, appraisals and assessments will be issued at the commencement of duty.
There will be a regular post-graduate teaching programme for which the trainee will be released from clinical commitments. There are regular bi-monthly audit meetings in the department. The trainee will be expected to participate in audit and complete one audit project during the post.
This will take place in the anaesthetic department at the Leicester Royal Infirmary. All enquiries should be directed to Mrs Sarah Turner, Anaesthetic Secretary. Telephone: 01162586174.
Basic Specialist Trainee in
Critical Care Medicine - 6 months
Prior to
commencing this attachment the successful applicant will be given a CD with the
relevant information regarding the Intensive Care Unit at Leicester Royal
infirmary. It contains all the basic information required re:core skills and
competencies required. A formal
induction will be given together with a test on the information contained in
the CD. Competency assessment, an education plan and appraisal will form part
of this attachment. It is expected that the trainee will obtain competencies
relevant to a six month attachment at SHO level as set out by the
Intercollegiate Board of Intensive Care Medicine.
Skills
Generic
Specific
Attitudes and behaviour
An awareness
of the importance of communication skills and interpersonal relationships will
be expected
Obtaining
consent / assent for procedures in the critical care unit
Breaking bad
news
Requesting
post mortem investigation
Explaining
need for unexpected / early discharge
Introducing
the concept of organ donation
Workplace training objectives:
There will be
variation in the experience and degree of competence that individual trainees
will achieve in this initial period of ICM training. However, for example, they
should be able to admit and manage a patient who has undergone major emergency
for instance in vascular surgery or to admit and organise the early management
of a patient suffering from severe respiratory failure complicated by acute
renal failure.
The post will be based at the adult Intensive Care Unit at the LRI which has 15 beds.
There will be a regular post-graduate teaching programme for which the trainee will be released from clinical commitments. This includes regular tutorials on the ICU. There is a weekly journal club which takes place on Tuesday afternoons in the anaesthetic department.
There are regular bi-monthly audit meetings in the department. The trainee will be expected to participate in audit and complete one audit project during the post.
This will take place in the anaesthetic
department at the Leicester Royal Infirmary.
All enquiries should be directed to Mrs Sarah Turner, Anaesthetic
Secretary. Telephone: 01162586174.
Basic Specialist Trainee in Emergency
Medicine - 6 months
The post will be based at the Emergency
Department at the LRI,
which incorporates:
The Leicester Royal Infirmary has the only
Emergency Department serving the
The trainee will be expected to gain
competencies in line with the
An induction course consisting the fundamentals of emergency care is delivered daily for two hours a day during the first three weeks. Thereafter teaching is provided by regular lunchtime meetings. Appointees will have full access to the departmental library in our purpose built seminar room.
Participation in audit is expected of all appointees
The standard working week will be on a full shift system. The duties will be those normally expected in a busy Emergency Department, and closely supervised by the Middle Grades and Consultants. The department benefits from 24-hour middle grade cover.
These appointments are confined to The Leicester Royal Infirmary, but may occasionally involve visits to any of the Wards and departments including Intensive Care.
5 days of study leave is incorporated in the base rota. Further study leave will be granted on a case-by-case basis.
Annual leave is allocated in advance and any special requests need to be notified to the department well in advance. Subsequently periods of leave may be swapped by mutual consent. Leave is not permitted during the induction period.
Basic Specialist Trainee in
Acute Medicine - 6 months
The post will be based for 3 months on the Acute Medical Unit at the LRI or LGH, which is a dedicated and progressive unit that provides comprehensive experience in the assessment and clinical management of Acute Medical Emergencies. The remaining 3 months is in acute cardiology or respiratory medicine at GGH.
During the six months attachment the trainee will work based as part of a clinical team comprising of Foundation Doctors, Core Trainees, Specialist Registrars and Consultants and will participate in the on call rota with direct supervision being provided by members of the Consultant AMU team.
Duties will include; assessment of patients, clerking, day-to-day care of Adult Emergency medical admissions and ward rounds.
The trainee will be expected to gain competencies in procedures relevant to the assessment and clinical management of acute medical emergencies consistent with ACCS Curriculum.
A training folder with details of the required competencies and expectations will be issued upon commencement of post and a Consultant mentor from the AMU core team will be allocated for formal appraisal during the post.
There is an active post-graduate teaching
programme in
There is a regular AMU Case Presentation meeting, which takes place on Monday’s and a weekly journal club, which takes place on Thursday’s.
The trainee will be expected to participate in an AMU-based audit project whilst working on the unit.
Administration duties will include discharge summaries, and other duties as and when required
About University Hospitals
of
University Hospitals of Leicester NHS Trust
comprises of three acute hospitals based in
The three hospitals joined together to form
the Trust on 1st April 2000 to meet the increasing demands for providing better
healthcare. The Trust is one of the largest acute teaching hospitals in the
The importance of working with patients and the public is paramount to the strategy of continuing to improve healthcare services.
Within Cardiac Services the Rapid Access Chest Pain Clinic, providing specialist cardiological assessment for suspected cardiac pain, has been awarded ‘Beacon Site’ status by the National Health Service (NHS).
Leicester
General Hospital is situated approximately three
miles east of Leicester city centre and offers a range of in-patient, day case
and outpatient services across the specialties of Medicine, Nephrology,
Obstetrics and Gynaecology, Surgery, Anaesthesia and Clinical Support Services.
Leicester
Royal Infirmary is located close to
The Hearing Services Department (Surgical Directorate) at Leicester Royal Infirmary has been awarded two Charter Marks in 1996 and 1999, for delivering excellence in public service.
University Hospitals of Leicester NHS Trust
is one of the largest acute teaching hospitals in the NHS and the largest
provider of acute healthcare in Leicestershire, with close relationships with
the
Investment into the state of the art clinical equipment and major initiatives to improve quality of service ensure that services are more accessible and convenient to patients.
further information can be obtained via our website at: www.uhl-tr.nhs.uk
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