WEST MIDLANDS POSTGRADUATE SCHOOL OF MEDICINE REHABILITATION MEDICINE Training Programme West Midlands Anticipated Duration of Programme 4 years Trust: Locations of Training Posts Standard Rotation South Birmingham Community Trust University Hospital of North Staffordshire University Hospitals Coventry & Warwick NHS Trust NHS South Birmingham University Hospital North Staffordshire University Hospital Coventry & Warwickshire Royal Leamington Spa Hospital Robert Jones and Agnes Hunt Orthopaedic Hospital The Royal Wolverhampton Hospitals Modular programme starting in host units, as per specialty’s curriculum NHS South Birmingham NHS South Birmingham is the host trust for both Moseley Hall Hospital (MHH) and the regional unit at the Oak Tree Lane Centre (OTLC). MHH provide opportunity to acquire experience in both in-patient neurological rehabilitation facility as well as community based regional rehabilitation service for adults with acquired brain injury within the purpose-built Moor Green Unit. The OTLC in Selly Oak gives opportunity for trainees to be exposed to out-patient management of people with physical disabilities; access to various clinics including: amputee and prosthetics rehabilitation, orthotics, wheelchairs, gait and functional electrical stimulation. OTLC also run weekly specialist clinics for young adults, MS, spinal injuries, intrathecal baclofen and spasticity. Musculoskeletal rehabilitation is provided at the nearby Royal Orthopaedic Hospital. There is a regional Disability Information Service within the OTLC and trainees at all levels of training benefit from the wide exposure that this rotation richly provides. There are seven consultants in RM, and 1- 2 other trainees in rotation. University Hospital of North Staffordshire University Hospital of North Staffordshire is affiliated to the Haywood Hospital, Stoke on Trent which provides the following services for people with physical disability: rheumatologic /musculoskeletal rehabilitation (inpatient ward and outpatients), neurological rehabilitation (inpatient ward and outpatients), limb fitting services and wheelchair services. Haywood Hospital is European lead for training clinicians in the management of spasticity using Botulinum Toxin injection and provide trainees opportunity to experience how intermediate care and older people services work. There is also specialist physiotherapy, occupational therapy, onsite bone densitometry and imaging, podiatry, out-reach clinics for ENT, pharmacy and walk-in-centre. Trainees benefit enormously from the strong link with the University Hospital and the two consultants and Associate Specialists have a great deal of research and teaching experience. There is often a second trainee in rotation. University Hospitals Coventry and Warwickshire University Hospitals Coventry and Warwickshire (UHCW) through its Neurosciences Department has strong affiliation with the Royal Leamington Spa Rehabilitation Hospital (RLSRH). Specialist neurological rehabilitation service in the Coventry and Warwickshire area is provided across these two sites specialising in the neurological rehabilitation of people who have suffered brain injury resulting from strokes, serious trauma or have long-term progressive conditions such as MS. The RLSRH is nationally renowned for management of patients in state of disordered consciousness (Vegetative and Minimally Conscious). There is a busy Hitchman Day Unit which treats up to 20-30 patients per day and within the grounds of the hospital, is the Community Neuro-Rehabilitation team, a multidisciplinary service providing on-going assessment, therapy and support to persons with MS. There is also the opportunity for trainees to have experience at the Coventry Community Neurological Rehabilitation treating people with acquired brain and spinal cord injuries. UHCW is the principal teaching hospital for Warwick Medical School with which it works in close partnership to develop innovative medical education programmes and clinical research. There is an active weekly Neurology/ Stroke CME meetings that gives trainees the opportunity to present their audits and research topics. There is a very strong link with neurosurgeons, neurologists, neurophysiologists and neuroradiologists. There are three consultants in RM (plus one vacant post), one Associate Specialist, and one Staff Grade doctor at the RLSRH site as well as one CMT trainee at the UHCW site. Trainees have huge opportunity to be involved in teaching medical students.