ERS Annual Congress 2011, Amsterdam
Dr Christopher Zammit
Mater Dei Hospital, Malta
5 years of Medical School,
Mater Dei Hospital, Malta
• 2 pre-clinical years
Anatomy and Physiology
• 3 clinical years at Mater Dei hospital
Structured training with experienced clinicians / academics
Recently constructed
Single General State
Hospital in Malta
Recognized teaching centre
Full range of laboratory /
imaging centre
Adequate library
IT facilities
Numerous sub-specialities centred
in the same location
Good exposure to numerous
medical / surgical cases
First 2 years as Foundation years
• 6 months of general medicine
• 6 months of general surgery
Choice of medical / surgical specialities depending on
preference, as well as on academic placement
• UK-based foundation program with structured training
Introduced recently
On-line portfolio and regular appraisals, DOPs, Mini-CEX
• Acquisition of warrant and licence to practise
• Name placed in the EU list of the Medical Council of Malta
2 years full-time Medical BST:
• Following the Foundation years
• General professional basic training
• Prior to period of higher specialist trainee (HST)
• Application by interview basis / CV presentation
4-month rotations in medical specialities
Ward rounds and medical out-patients
Diverse bed-side procedures as recommended by UEMS
-European union of medical specialists
On-call duties outside normal working hours
Unselected acute medical admissions
Emergency ward cover
4-hours per week protected time
Weekly teaching “Grand Rounds”
Weekly teaching academic lectures
E-learning management system with online lectures
Speciality journal clubs
Radiology multi-disciplinary team meetings (MDTs)
• Local and foreign conferences /courses
• Involved in audits, studies, publications and local
protocol guidelines
• Completion of MRCP post-graduate examination
as evidence of completion of training.
Weekly tutorials
“Mock examination”
• BLS / ALS certification
• Clinical and academic log-book
• Satisfactory consultant appraisals
4 years as Respiratory HST
Application by interview basis / CV presentation
Not an automatic progression
Competitive
Requires certificate of completion BST (CCBST)
Full registration with the EU medical council of Malta
4 years as Respiratory HST
:
Respiratory and General Medicine
General and respiratory ward rounds / out-patients
1 year rotations between respiratory consultants
Yearly appraisals by consultant / clinical supervisor
Introduction of a separate mentor, changed every 2 years
Minimum requirement of on-call duties performed
Sub-speciality clinics
• Asthma clinic
• Sleep clinic
• Rapid-access lung cancer clinic
• TB clinic
Opportunities for inter-speciality consultations
Cardiothoracic surgery, oncology / radiotherapy
Weekly Flexible Bronchoscopy sessions
Thoracocentesis / Intercostal chest drain insertion
Introducing Thoracic ultrasound
Spirometry
Ventilatory support / NIV
4 month ICU rotations Exposure to critical care respiratory medicine
Minimum of 4 hours per week protected time
Twice monthly respiratory journal clubs
Weekly Medical Grand Rounds
Monthly tutorials by respiratory consultants
Monthly respiratory meetings
Monthly radiology MDT meetings
Encouraged to teach
Medical students, Foundation year, BST doctors
•
Expected to publish and present
• Minimum of 2 audits and 1 publication per trainee
•
Encouraged to attend local / international
educational courses / conferences
•
Opportunities to travel abroad
for research / work experience
•
Prospects for M Phil, Ph D, MSc
Funding / Financial Aid
•
•
•
Study leave
CME funding
Post-graduate funding
•
•
support for educational courses
presentation of posters abroad
Certificate of completion Specialist Trainee (CCST)
Satisfactory yearly appraisals
Full academic / clinical log-book
Theoretical / Exit examination (MRCP college exam
/ HERMES) at the end of the specialization
Specialist Accreditation Committee (SAC)
Regulatory board for specialist training program
0
