WEST MIDLANDS POSTGRADUATE SCHOOL OF
MEDICINE
ACUTE INTERNAL MEDICINE
MANDATORY TRAINING REQUIREMENTS FOR AIM TRAINEES:

All AIM trainees must do an audit each year and complete at least 1 full audit cycle
during their training programme

All trainees must meet the requisite curriculum competencies as per the ARCP
decision aid

All trainees must have passed MRCP by end of ST3 (now an entry requirement)

ALS certification must be up to date throughout training

SCE in AIM completed by end of ST5

100 hours of external AIM teaching throughout programme

Attendance of 70% regional acute medicine training days

Evidence of teaching others*
*Not on 2009 curriculum but felt to be necessary local minimum standards and likely to be necessary to meet
common competencies The following Trust currently provide Acute Medicine ST3+ training:
Sandwell & West Birmingham Hospitals (City Hospital and Sandwell Hospital)
Heart of England NHS Foundation Trust (Heartlands, Solihull and Good Hope)
Walsall Hospitals NHS Trust
Royal Wolverhampton Hospitals (New Cross)
Dudley Group of Hospitals (Russells Hall)
University Hospital Birmingham NHS Foundation Trust
University Hospital North Staffordshire
Univeristy Hospital Coventry & Warwickshire
Mid Staffordshire NHS Foundation Trust
Worcestershire Acute Hospitals NHS Trust
Burton Hospitals NHS Foundation Trust
South Warwickshire NHS Foundation Trust
Below is some information on the training which can be provided at some of the training
units. Please note the information provided is correct as of March 2011 but may be subject to change (for example
timetable information / rota information) so should be used as a guide only.
HEARTLANDS HOSPITAL (2 STR TRAINING POSTS)
TRAINER AND EDUCATIONAL SUPERVISOR INFORMATION
Lead Trainer
Educational
Supervisors
Other Trainers
Dr Philip Dyer
Philip.Dyer@heartofengland.nhs.uk
Raj Chandrappa
raj.chandrappa@heartofengland.nhs.uk
Ali Kamal
ali.kamal@heartofengland.nhs.uk
Sumeet Chadha
sumeet.chadha@heartofengland.nhs.uk
Trishna
Chakravorty
Hatim Ali
trishna.chakravorty@heartofengland.nhs.uk
Sanjay Saraf
sanjay.saraf@heartofengland.nhs.uk
hatim.ali@heartofengland.nhs.uk
AVAILABILITY OF MANDATORY TRAINING
Delivery possible with additional
Information where necessary
Requirement
Basic level AMU work (i.e. ability to work on an AMU
whoever is doing the hands on supervision)
Higher level AMU (must involve supervision via a
dedicated acute physician with experience in
developing and managing an AMU)
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
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
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
Provision of a 4 month respiratory block (minimum of
80% of the working week)
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 (well developed AMU)
Yes (6 acute physicians, two of whom have
medical management experience)
Yes
No
Yes
No
Yes, definitely with opportunities for
exposure to NIV, bronchoscopy,
thoracoscopy along with respiratory
essentials
Provision of a 4 month cardiology block (minimum of
Only if cardiology registrar post not filled
80% of the working week)
Provision of sessional cardiology training (minimum of 4
sessions per week for 4 months with exposure to heart Yes with negotiation before trainee arrives
failure, CCU and chest pain clinics)
Provision of training in ambulatory care
No at present. Ad hoc ambulatory care
management but no defined unit as yet. Still
in the process of development.
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
Echocardiography (to cardiology curriculum standards)
Upper endoscopy (to JAG standards)
Bronchoscopy (to respiratory curriculum standards)
Ultrasound (to RCR standards)
Medical education (to diploma / masters level)
Management (to diploma / masters level)
Leadership (to diploma / masters level)
Toxicology (to diploma / masters level)
Infectious diseases and tropical medicine (to diploma / masters
level)
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)
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.)
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)
Stroke Medicine (Stroke curriculum
http://www.jrcptb.org.uk/Specialty/Documents/Stroke%20
Medicine%20Specialty%20Training%20Curriculum%20Ma
y%202007.pdf 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)
Delivery possible with additional
Information where necessary
No
No
Possible with some negotiation
Focussed ultrasound may be possible
particularly pleural effusions
Yes with plentiful educational opportunities and
support from supervisors of which one is
completing medical education courses.
Support will be provided
Support will be provided
No
Support will be provided for OOPE
No
Yes, 3 of the consultants are Diabetologists and
one is the trust lead for inpatient diabetes.
Yes – participating in the EFIM ALCHIMIE study.
Dr Dyer has research background and
experience of supervising research.
Probably with advance negotiation with stroke
team
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
Yes – sessionally
Gastroenterology
Yes – sessionally
Renal
Yes – sessionally
Infectious Diseases
Yes – sessionally
Neurology
Diabetes and Endocrinology
Parkinson’s Disease clinics and TIA clinics accessible
in trust.
Prior negotiations for attendance neurology clinics
Yes – sessionally
Critical Outreach Team
Yes – sessionally
Any other training opportunities (specify)
Availability of Immunology clinics
Potential for attending Haematology clinics
Registrars will be expected to participate in regular
audit, departmental meetings and clinical governance
meeting. Registrar is also expected to organise,
attend and deliver unit teaching to JDs and nursing
staff.
INFORMATION ON AVAILABLE 4 MONTH BLOCK RELEASE FOR TRAINEES (WHETHER
MANDATORY OR OPTIONAL)

We provide a 4-month block of ICM and thus would expect 2 trainees requiring this
training who are more likely to be year 2, 3 or 4

In Year 1 we would focus on pure acute medicine with AMU exposure 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, 3 and 4 (if in a 5 year programme) - trainees we would expect to release for a
4-month period usually ICM whilst concentrating on acute medicine for the other 8
months. One sessional placement will be arranged if required as well

For final year trainees we would concentrate on acute medicine and management
skills, whilst also supporting any mandatory PYA requirements
EXAMPLE TRAINEE TIMETABLE WITH EXAMPLE ON CALL ROTA WHILST DOING
“ACUTE MEDICINE”





2 days per week AMU
1 or 2 outpatient clinic
2 or 3 special interest session
1 audit/admin/study/research session
1:17 on call rota
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
09.00 –
21.30
09.00 –
21.30
09.00 –
21.30
09.00 –
21.30
21.00 –
09.30
21.00 –
09.30
21.00 –
09.30
OFF
OFF
OFF
OFF
09.00 –
21.30
09.00 –
21.30
09.00 –
21.30
21.00 –
09.30
21.00 –
09.30
21.00 –
09.30
21.00 –
09.30
OFF
This rota will run on a 17 week cycle, the remaining 14 weeks being 9-5 Ward Cover
RMO2 Duties will occur outside of the On-Call Block as they do not impinge of 9-5 work.
This template allows for RMO2 shifts on Friday (9am to 9pm) and Saturday and Sunday (9-5)
within the current 17 rota participants
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
 IMPACT
 Surviving sepsis
WORCESTER HOSPITAL (2 STR TRAINING POSTS)
TRAINER AND EDUCATIONAL SUPERVISOR INFORMATION
Lead Trainer
Educational Supervisors
Other Trainers
Dr James Young
James.Young@worcsacute.nhs.uk
Dr Miguel Marimon
Miguel.marimon@worcsacute.nhs.uk
Dr Amalia Spiliopilou
Amalia.spiliopilou@worcsacute.nhs.uk
AVAILABILITY OF MANDATORY TRAINING
Delivery possible with additional
Information where necessary
Requirement
Basic level AMU work (i.e. ability to work on an AMU
whoever is doing the hands on supervision)
Higher level AMU (must involve supervision via a
dedicated acute physician with experience in
developing and managing an AMU)
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
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
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
Provision of a 4 month respiratory block (minimum of
80% of the working week)
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)
Provision of a 4 month cardiology block (minimum of
80% of the working week)
Provision of sessional cardiology training (minimum of 4
sessions per week for 4 months with exposure to heart
failure, CCU and chest pain clinics)
Provision of training in ambulatory care
Yes well developed short stay unit and AMU
Yes
acute consultant supervision daily
Development of medical HDU in near future
Yes
Yes
Daily multidisciplinary older person’s ward
round available under supervision of Dr
Spiliopilou
No
Exposure to NIV on unit
No
No
Daily ambulatory care “clinics”
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
Echocardiography (to cardiology curriculum standards)
Upper endoscopy (to JAG standards)
Bronchoscopy (to respiratory curriculum standards)
Ultrasound (to RCR standards)
Medical education (to diploma / masters level)
Management (to diploma / masters level)
Leadership (to diploma / masters level)
Toxicology (to diploma / masters level)
Infectious diseases and tropical medicine (to diploma / masters
level)
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)
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.)
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)
Stroke Medicine (Stroke curriculum
http://www.jrcptb.org.uk/Specialty/Documents/Stroke%20
Medicine%20Specialty%20Training%20Curriculum%20Ma
y%202007.pdf 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)
Delivery possible with additional
Information where necessary
Access to regional course available with
industry support for funding
No
No
No
In near future and support provided
Support will be provided
Support will be provided
No
No
No
Yes one of the consultants is the trust lead
for inpatient diabetes
In development. Dr Young has research
background
Dr Spiliopilou has stroke and elderly care
background
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
No
Gastroenterology
No
Renal
No
Infectious Diseases
Yes sessionally
Neurology
No
Diabetes and Endocrinology
Yes sessionally
Critical Outreach Team
In negotiations
Any other training opportunities (specify)
UNIVERSITY HOSPITAL NORTH STAFFORDSHIRE
(4 STR TRAINING POSTS)
TRAINER AND EDUCATIONAL SUPERVISOR INFORMATION
Lead Trainer
Educational Supervisors
Dr Sven Lehn
sven.lehm@uhns.nhs.uk
Dr Arjun Muhammad
Iqbal
muhammad.iqbal@uhns.nhs.uk
Dr Indranil Mukherjee
arjun.mukherjee@uhns.nhs.uk
Dr Mukhopadhyay
indranil.mukhopadhyay@uhns.nhs.uk
Dr Raana Haqqee
raana.haqqee@uhns.nhs.uk
Dr Elfaith Idris
elfatih.idris@uhns.nhs.uk
Other Trainers
AVAILABILITY OF MANDATORY TRAINING
Requirement
Basic level AMU work (i.e. ability to work on an AMU
whoever is doing the hands on supervision)
Higher level AMU (must involve supervision via a
dedicated acute physician with experience in
developing and managing an AMU)
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
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
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
Provision of a 4 month respiratory block (minimum of
80% of the working week)
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)
Provision of a 4 month cardiology block (minimum of
80% of the working week)
Provision of sessional cardiology training (minimum of 4
sessions per week for 4 months with exposure to heart
failure, CCU and chest pain clinics)
Provision of training in ambulatory care
Delivery possible with additional
Information where necessary
Yes, well developed AMU with integrated
Medical HDU (Higher Monitoring Unit),
continuous ‘shop floor’ consultant presence
on AMU till 22.00 (21.00 on weekends / bank
holidays)
Yes (8 acute physicians, two of whom have
medical management experience, one Acute
Physician with full ICM accreditation)
Yes, currently 6 month critical care blocks
with 100% of this time spent on ICU including
full participation in ICU on call rota.
Dedicated regular sessions for airway skills
provided in theatres
Yes, 6 month blocks of 100% elderly care,
including frail elderly assessment unit. This
placement also fulfils criteria for full time
GIM placement
Yes , if preferred by trainee rather than block
placement
Yes, 6 months blocks of 90% Respiratory
Medicine based on Respiratory ward with 12
bed NIV unit. All clinics as per curriculum
available inc. lung cancer and TB.
Bronchoscopy training available for select
dedicated individuals.
This placement also fulfils criteria for full
time GIM placement
Yes , if preferred by trainee rather than block
placement or as specialty sessions during
AMU based placement
No
Yes, with weekly rapid access chest pain clinic
and heart failure clinic , regular CCU ward
round. The centre performs primary PCI 24/7
No at present. Ambulatory care
management takes place within a primary
care led unit .
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
Echocardiography (to cardiology curriculum standards)
Upper endoscopy (to JAG standards)
Bronchoscopy (to respiratory curriculum standards)
Ultrasound (to RCR standards)
Medical education (to diploma / masters level)
Management (to diploma / masters level)
Leadership (to diploma / masters level)
Toxicology (to diploma / masters level)
Infectious diseases and tropical medicine (to diploma/masters
level)
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)
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.)
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)
Stroke Medicine (Stroke curriculum
http://www.jrcptb.org.uk/Specialty/Documents/Stroke%20
Medicine%20Specialty%20Training%20Curriculum%20Ma
y%202007.pdf 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)
Delivery possible with additional
Information where necessary
Only by prior arrangement if cardiology training
slot available
No
Yes, for select committed individuals
No, but local pleural uss / procedure course run
4 times per year – other local training
opportunities still under development
Yes, diploma and masters degree in Medical
Education provided through Keele University.
Also opportunity to apply for two 1 year
teaching fellow posts (OOPE), Keele University
Yes, diploma and masters degree available
through Keele University
Yes, diploma and masters degree available
through Keele University
No
Local ID team providing ample clinical
experience but no diploma or degree course
available
No
Yes, 3 of the consultants are diabetologists, in
and outpatient experience can be offered. Full
time block placement can be offered by prior
arrangement
Yes – currently participating in the multicentre
PROMISE study investigating early goal directed
therapy for severe sepsis in conjunction with the
A+E and ICM departments.
Yes, experience in all areas can be arranged. The
centre was highly rated during a regional peer
review in 2010 (West Midlands Quality Review
Service for Urgent Care). The department offers
24/7 stroke thrombolysis, invasive catheter
thrombolysis and is active in research in
collaboration with Stafford University.
OPTIONAL SPECIALTY ATTACHMENTS AVAILABLE AS A SECONDMENT BLOCK
(8 SESSIONS MINIMUM) OR SESSIONAL TRAINING (4 SESSIONS MINIMUM)
Optional Attachment
Stroke
Gastroenterology
Renal
Infectious Diseases
Neurology
Diabetes and Endocrinology
Critical Outreach Team
Any other training opportunities (specify)
Deliverable and specify as whether as block or
sessional
Yes – sessionally
Yes – sessionally
Yes – sessionally
Yes – sessionally
Yes, sessionally inc. sub specialty clinics
Yes – sessionally (or block pacement as above)
Yes – sessionally
Potential for attending Immunology,
Haematology and Oncology clinics. Sessions
available to observe interventional radiology.
Registrars will be expected to participate in
regular audit, lead morbidity and mortality
meetings, and attend departmental meetings and
clinical governance meetings. All registrars
regularly deliver structured 5th year medical
student teaching as part of the ‘Critical Care
Module’ for Keele Medical School.
ADDITIONAL INFORMATION
At University Hospital of North Staffordshire we structure placements into 6 month blocks
with 4 base wards and the aim is to offer all core placements required by the AIM training
curriculum:



AMU with sessional Cardiology or sessional Respiratory experience
Care of the Elderly block placement (inc. Frail Elderly Assessment unit)
Respiratory Medicine block placement with NIV unit ICU, including
anaesthetic/airway training
Only one post is actually based on AMU at all times to maximise specialty training
opportunities. There is also an Acute Medicine Trust Grade based on AMU. The staff grade
and the AMU based SpR provide cover for a Mo – Fr 09.00-17.00 Acute Medicine middle
grade shift.
We will try to offer ICU placements to ST4 and ST5 trainees as per curriculum. As we want to
be able to flexibly respond to trainees needs, the combination of two 6 month blocks for
individual trainees will vary. Allocation will be decided by need and seniority
For first year trainees we will concentrate on AMU experience with specialty sessions
(Cardiology and Respiratory) but for candidates wishing to gain GIM accreditation specialty
block placements can be arranged from year one. For final year trainees we concentrate on
acute medicine, management and leadership skills, whilst also supporting any mandatory
PYA requirements
Typical timetable whilst doing AMU based placement:
2 days per week AMU
2 outpatient clinics
2 or 3 special interest session / ward rounds
1 audit/admin/study/research session
Typical timetable whilst doing specialty based placement:
2 outpatient clinics
2 -3 ward rounds
1 audit/admin/study/research session
Take part in all departmental and educational activities provided by the individual specialty
team
On Call
1:5 on call rota, this includes 1:10 long days or nights based on AMU and 1:10 .on call for
inter specialty referrals
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). Two full time 6 month block placements
meeting all GIM requirements available in Respiratory Medicine and Elderly Care.
OTHER OPPORTUNITIES AVAILABLE

Experience available on Medical HDU (‘Higher Monitoring Unit’) collocated to AMU,
one Acute Physician is fully accredited Intensevist
NEW CROSS HOSPITAL
(2 STR TRAINING POSTS)
TRAINER AND EDUCATIONAL SUPERVISOR INFORMATION
Lead Trainer
Educational Supervisors
Dr Rhys Lodwick
rhys.lodwick@nhs.net
Dr Phillip Dainty
philip.dainty@nhs.net
AVAILABILITY OF MANDATORY TRAINING
Delivery possible with additional
Information where necessary
Requirement
Basic level AMU work (i.e. ability to work on an AMU
whoever is doing the hands on supervision)
Higher level AMU (must involve supervision via a
dedicated acute physician with experience in
developing and managing an AMU)
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
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
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
Provision of a 4 month respiratory block (minimum of
80% of the working week)
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)
Provision of a 4 month cardiology block (minimum of
80% of the working week)
Provision of sessional cardiology training (minimum of 4
sessions per week for 4 months with exposure to heart
failure, CCU and chest pain clinics)
Provision of training in ambulatory care
Yes (Active well developed AMU)
Yes (Four acute physicians by March,
three at present)
No
Yes
Yes
No
Yes
No
Yes with negotiation prior to trainee
arriving
Yes at Phoenix centre
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
Echocardiography (to cardiology curriculum standards)
Upper endoscopy (to JAG standards)
Bronchoscopy (to respiratory curriculum standards)
Ultrasound (to RCR standards)
Medical education (to diploma / masters level)
Management (to diploma / masters level)
Leadership (to diploma / masters level)
Toxicology (to diploma / masters level)
Infectious diseases and tropical medicine (to diploma/masters
level)
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)
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.)
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)
Stroke Medicine (Stroke curriculum
http://www.jrcptb.org.uk/Specialty/Documents/Stroke%20
Medicine%20Specialty%20Training%20Curriculum%20Ma
y%202007.pdf 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)
Delivery possible with additional
Information where necessary
Yes but depends on availability
No
No
Possible with negotiation
Possible with negotiation
Possible with negotiation
No
No
No
No
Possible with negotiation
Active program in the with opportunities
in other specialties
Possible with negotiation
OPTIONAL SPECIALTY ATTACHMENTS AVAILABLE AS A SECONDMENT BLOCK
(8 SESSIONS MINIMUM) OR SESSIONAL TRAINING (4 SESSIONS MINIMUM)
Optional Attachment
Stroke
Gastroenterology
Renal
Infectious Diseases
Neurology
Diabetes and Endocrinology
Critical Outreach Team
Any other training opportunities (specify)
Deliverable and specify as whether as block or
sessional
Yes - sessional
Yes - sessional
Yes - sessional
No
Yes - sessional
Yes - sessional
Yes - sessional
Cardiology, Rheumatology – sessional.
Involvement in governance, medical student
teaching, audit.
ADDITIONAL INFORMATION




Four month specialty block suitable for years 2,3,4 but only one person on a block at
one time
Sessional commitments flexible to needs of trainees
Timetable very flexible but one trainee expected to do an ESS ward round two days a
week a.m and one AMU ward round. AMU cover in the afternoons when available
On call as per trust Spr on call rota
OUTPATIENT EXPOSURE
It would be difficult to achieve but with advance notification, a trainee in AIM based in this
unit would be able 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).
SOLIHULL HOSPITAL
(1 STR TRAINING POST)
TRAINER AND EDUCATIONAL SUPERVISOR INFORMATION
Lead Trainer
Dr Arundev Vellore
Dr Khaled Elfandi
Educational Supervisors
Dr Aslam Qureshi
Dr Uzma M Khan
arundev.vellore@heartofengland.nhs.uk
khaled.elfandi@heartofengland.nhs.uk
aslam.qureshi@heartofengland.nhs.uk
uzma.khan@heartofengland.nhs.uk
AVAILABILITY OF MANDATORY TRAINING
Delivery possible with additional
Information where necessary
Requirement
Basic level AMU work (i.e. ability to work on an AMU
whoever is doing the hands on supervision)
Higher level AMU (must involve supervision via a
dedicated acute physician with experience in
developing and managing an AMU)
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
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
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
Provision of a 4 month respiratory block (minimum of
80% of the working week)
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 (well developed AMU – 14 beds + 3
Resus beds)
Yes
AMU short stay ward with 2 dedicated
physicians (Dr Vellore, Dr Qureshi)
No
No
No
No
Yes:
(i) Acute Respiratory Medicine clinics
providing systematic training in dealing with
following new diagnosis: PE, Airway disease,
ILD, Respiratory failure, Bronchiectasis, Lung
cancer, complicated pneumonia and pleural
disease – run under supervision of consultant
in acute and respiratory medicine.
(ii)Training in bronchoscopy may be
arranged with prior negotiation in second half
of yearly posting.
Exposure to Thoracic MDT once weekly.
(iii) Weekly Thoracic Radiology meeting
supported by consultant respiratory
physicians, pulmonary radiologists
(iv) Optional additional training in pulmonary
function tests and respiratory physiology
available
(v) Supervised training in pleural
procedures available.
No
Provision of a 4 month cardiology block (minimum of
80% of the working week)
Provision of sessional cardiology training (minimum of 4 No
sessions per week for 4 months with exposure to heart
failure, CCU and chest pain clinics)
No
Provision of training in ambulatory care
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)
Upper endoscopy (to JAG standards)
No
No
Bronchoscopy (to respiratory curriculum standards)
No
Focussed ultrasound may be possible particularly pleural effusions. Support for
emergency ultrasound course available.
Yes - educational opportunities and support
from supervisors available.
Support will be provided
Support will be provided
No
No
Ultrasound (to RCR standards)
Medical education (to diploma / masters level)
Management (to diploma / masters level)
Leadership (to diploma / masters level)
Toxicology (to diploma / masters level)
Infectious diseases and tropical medicine (to diploma/masters
level)
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)
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.)
Yes, OOPE with overseas placement by
negotiation can be arranged through
departmental contacts.
No
Active research programme with on site trials at
present.
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)
Trainees have opportunity to gain experience in
research methodology and statistic (Respiratory
Medicine, Stroke and AIM)
Supported by consultant physician with formal
research training (Dr A D Vellore)
Stroke Medicine (Stroke curriculum
http://www.jrcptb.org.uk/Specialty/Documents/Stroke%20
Medicine%20Specialty%20Training%20Curriculum%20Ma
y%202007.pdf 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)
OPTIONAL SPECIALTY ATTACHMENTS AVAILABLE AS A SECONDMENT BLOCK
(8 SESSIONS MINIMUM) OR SESSIONAL TRAINING (4 SESSIONS MINIMUM)
Optional Attachment
Stroke
Gastroenterology
Renal
Deliverable and specify as whether as block or
sessional
YES: (Dr Elfandi/Dr Khan) Speciality stroke/TIA clinic
Training in Thrombolysis
Disability and Rehab assessment
Masterclass in Stroke thrombolysis
Compulsory training in NIHSS
Inhouse acute stroke training
Solihull is the regional centre for 24 hour stroke
thrombolysis
Yes – with negotiation
NO
Infectious Diseases
NO
Neurology
Prior negotiations for attendance neurology clinics
Diabetes and Endocrinology
No
Critical Outreach Team
Any other training opportunities (specify)
Yes – sessionally
1. Targeted short research projects with support for
publications
2. Rolling audits – opportunity for 2-3 audits per year
3. participation in mortality and morbidity meetings
mandatory
4. option to partake in Clinical Governance steering
group
5. Ward management training with fortnightly formal
meetings
6. MRCP teaching and training opportunity
ADDITIONAL INFORMATION
The posting will be entirely in Acute Internal medicine and the principal commitments will
be to the AMU short stay ward (20B) and Medical Assessment Unit as well as AIM and ARM
clinics.
The AMU SS ward posting provides for a high element of acute respiratory medicine
exposure with dedicated training (IP and OPD).
Typical timetable whilst doing “Acute medicine”
2 days per week AMU
1 or 2 outpatient clinics
1 or 2 special interest session
1 audit/admin/study/research session
3 ward rounds per week (average)
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). .
STAFFORD HOSPITAL
(1 STR TRAINING POST)
TRAINER AND EDUCATIONAL SUPERVISOR INFORMATION
Lead Trainer
Dr Shaun Nakash
shaun.nakash@midstaffs.nhs.uk
Dr Suranjan Mukherjee
suranjan.mukherjee@midstaffs.nhs.uk
Dr Saleh Hussein
Saleh.hussein@midstaffs.nhs.uk
Educational Supervisors
AVAILABILITY OF MANDATORY TRAINING
Delivery possible with additional
Information where necessary
Requirement
Basic level AMU work (i.e. ability to work on an AMU
whoever is doing the hands on supervision)
Higher level AMU (must involve supervision via a
dedicated acute physician with experience in
developing and managing an AMU)
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
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
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
Provision of a 4 month respiratory block (minimum of
80% of the working week)
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
Yes. (3.5 Acute Physicians to move to 6 WTE
by April 2011).
Clinical Director for Emergency Care is the
Lead Consultant
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
Yes. Can accommodate needs of individual
trainees
Yes. Can accommodate needs of individual
trainees
Yes. Can accommodate needs of individual
trainees
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
Not at present but easily negotiable
80% of the working week)
dependant on needs of trainee
Provision of sessional cardiology training (minimum of 4 Not at present but easily negotiable
sessions per week for 4 months with exposure to heart
failure, CCU and chest pain clinics)
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
Echocardiography (to cardiology curriculum standards)
Upper endoscopy (to JAG standards)
Bronchoscopy (to respiratory curriculum standards)
Ultrasound (to RCR standards)
Medical education (to diploma / masters level)
Management (to diploma / masters level)
Leadership (to diploma / masters level)
Toxicology (to diploma / masters level)
Infectious diseases and tropical medicine (to diploma/masters
level)
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)
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.)
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)
Stroke Medicine (Stroke curriculum
http://www.jrcptb.org.uk/Specialty/Documents/Stroke%20
Medicine%20Specialty%20Training%20Curriculum%20Ma
y%202007.pdf 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)
Delivery possible with additional
Information where necessary
Not at present but could be a possibility
Not at present but could be negotiated
Yes. Can accommodate needs of individual
trainees
Focused USS would be available if required
Not at present
Not at present
Not at present
No
No
No
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
Not at present
Not at present
OPTIONAL SPECIALTY ATTACHMENTS AVAILABLE AS A SECONDMENT BLOCK
(8 SESSIONS MINIMUM) OR SESSIONAL TRAINING (4 SESSIONS MINIMUM)
Optional Attachment
Stroke
Gastroenterology
Renal
Infectious Diseases
Neurology
Diabetes and Endocrinology
Critical Outreach Team
Any other training opportunities (specify)
Deliverable and specify as whether as block or
sessional
Not at present
Yes block or sessional if required
No
No
No
Yes block or sessional if required
Yes sessional if required
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
RUSSELL’S HALL HOSPITAL
(2 STR TRAINING POSTS)
TRAINER AND EDUCATIONAL SUPERVISOR INFORMATION
Lead Trainer
Educational Supervisors
Other Trainers
Dr Hassan Paraiso
Hassan.paraiso@dgoh.nhs.uk
Dr Randa AbasaeedElhag
Randa.abasaeed-elhag@dgoh.nhs.uk
Dr D. Paranathala
Dr Rajesh Kumar
Dr Mohan Thomas
Disanayaka.paranathala@dgoh.nhs.uk
rajesh.kumar@dgoh.nhs.uk
mohan.thomas@dgoh.nhs.uk
AVAILABILITY OF MANDATORY TRAINING
Delivery possible with additional
Information where necessary
Requirement
Basic level AMU work (i.e. ability to work on an AMU
whoever is doing the hands on supervision)
Higher level AMU (must involve supervision via a
dedicated acute physician with experience in
developing and managing an AMU)
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
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
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
Provision of a 4 month respiratory block (minimum of
80% of the working week)
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
Yes (4 acute physicians, one with medical
management experience. All the acute
physicians are actively involved in the unit
development).
No
No
Yes
No
Yes- Ward rounds with the Domiciliary
Respiratory Assessment Service (DRAS),
Respiratory ward rounds, Respiratory outpatient clinics –
No
Provision of a 4 month cardiology block (minimum of
80% of the working week)
Provision of sessional cardiology training (minimum of 4 Yes – Cardiology ward rounds and outsessions per week for 4 months with exposure to heart patient clinics
failure, CCU and chest pain clinics)
Provision of training in ambulatory care
Yes. Hot clinics. Out of Hospital Parenteral
Antibiotics service being set-up
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
Echocardiography (to cardiology curriculum standards)
Upper endoscopy (to JAG standards)
Bronchoscopy (to respiratory curriculum standards)
Ultrasound (to RCR standards)
Medical education (to diploma / masters level)
Management (to diploma / masters level)
Leadership (to diploma / masters level)
Toxicology (to diploma / masters level)
Infectious diseases and tropical medicine (to diploma/masters
level)
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)
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.)
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)
Stroke Medicine (Stroke curriculum
http://www.jrcptb.org.uk/Specialty/Documents/Stroke%20
Medicine%20Specialty%20Training%20Curriculum%20Ma
y%202007.pdf 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)
Delivery possible with additional
Information where necessary
Yes. Training sessions available. Dr Abasaaed
is BSE accredited.
No
No
No
Support will be provided
Support will be provided
Support will be provided
Support will be provided
Support will be provided
No
No
The unit is currently involved in industry
sponsored research projects. Participation in
future projects will be encouraged..
Yes. Acute stroke ward rounds and TIA
clinics.
OPTIONAL SPECIALTY ATTACHMENTS AVAILABLE AS A SECONDMENT BLOCK
(8 SESSIONS MINIMUM) OR SESSIONAL TRAINING (4 SESSIONS MINIMUM)
Optional Attachment
Stroke
Gastroenterology
Renal
Infectious Diseases
Neurology
Diabetes and Endocrinology
Critical Outreach Team
Any other training opportunities (specify)
Deliverable and specify as whether as block or
sessional
No
Not formally agreed, but can be negotiated.
Yes. Clinics can be organised
No
Access to clinics can be negociated prior to
placement
Access to clinics can be negociated prior to
placement
Yes. As part of the Medical Emergency team. Also
critical care outreach with the Medical HDU
Consultant.
Audit: There are opportunities to participate in
National audit projects as well as local audit projects
Teaching: Opportunities to teach junior doctors,
medical students, Nurses and Physician assistants.
Management: Opportunities to have some
management training within the unit.
ADDITIONAL INFORMATION
It is not anticipated that a trainee based at Russell’s Hall Hospital would be released for a 4
month block (either to complete mandatory or optional blocks). Training in these areas will
be provided as sessional exposure.
EXAMPLE TRAINEE TIMETABLE WITH EXAMPLE ON CALL ROTA WHILST DOING
“ACUTE MEDICINE”
Monday
AM Acute
Admissions
/ Hot clinic
PM Acute
Admissions
1 in 4 late
shift till
21:00
Tuesday
Special
interest
Session
Acute
Admissions
Wednesday
Special
interest
Session
Echo
Thursday
Acute
Admissions
/ Hot clinic
Special
interest
Session
Friday
Short
stay
Saturday
1 in 4
Sunday
1 in 4
Acute
medicine
OPC (1 in
4)
No on-call: out of hours experience provided via late shifts on AMU and week-end work on
short stay ward and Acute admissions. System is currently being reviewed.
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).
WALSALL MANOR HOSPITAL
(2 STR TRAINING POSTS)
TRAINER AND EDUCATIONAL SUPERVISOR INFORMATION
Lead Trainer
Dr Saad Saeed
Educational Supervisors Dr Kandiah
Yugambaranathan
saad.saeed@walsallhospitals.nhs.uk
kandiah.yugambaranathan@walsallhospitals.nhs.uk
AVAILABILITY OF MANDATORY TRAINING
Delivery possible with additional
Information where necessary
Requirement
Basic level AMU work (i.e. ability to work on an AMU
whoever is doing the hands on supervision)
Higher level AMU (must involve supervision via a
dedicated acute physician with experience in
developing and managing an AMU)
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
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
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
Provision of a 4 month respiratory block (minimum of
80% of the working week)
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)
Provision of a 4 month cardiology block (minimum of
80% of the working week)
Provision of sessional cardiology training (minimum of 4
sessions per week for 4 months with exposure to heart
failure, CCU and chest pain clinics)
Provision of training in ambulatory care
YES
YES
4 Acute physicians , all with subspecialty
interests, Elderly care, Stroke Medicine,
Respiratory, Renal and Gastroenterology
NO
YES, possible
YES
YES
YES
YES, LAT ST trainee who have just left was
doing 50;50 (Acute medicine/Cardiology.
YES
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)
Upper endoscopy (to JAG standards)
No
No
Bronchoscopy (to respiratory curriculum standards)
No
Focussed mainly for effusion and central
lines
Yes, support is available if trainee is
interested
Encouraged
Encouraged
No
No
Ultrasound (to RCR standards)
Medical education (to diploma / masters level)
Management (to diploma / masters level)
Leadership (to diploma / masters level)
Toxicology (to diploma / masters level)
Infectious diseases and tropical medicine (to diploma/masters
level)
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)
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.)
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)
Stroke Medicine (Stroke curriculum
http://www.jrcptb.org.uk/Specialty/Documents/Stroke%20
Medicine%20Specialty%20Training%20Curriculum%20Ma
y%202007.pdf 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)
No
No
No
Can be provided. Previous Trainee was
involved in Stroke Thrombolysis Rota
OPTIONAL SPECIALTY ATTACHMENTS AVAILABLE AS A SECONDMENT BLOCK
(8 SESSIONS MINIMUM) OR SESSIONAL TRAINING (4 SESSIONS MINIMUM)
Optional Attachment
Stroke
Gastroenterology
Renal
Infectious Diseases
Neurology
Diabetes and Endocrinology
Critical Outreach Team
Any other training opportunities (specify)
Deliverable and specify as whether as block or
sessional
Yes, ward rounds, TIA/Stroke clinics
Yes, clinic. A locum Acute Physician is
Gastroenterology accredited
Yes, One acute physician is renal medicine accredited
No
Yes, clinics can be attended after negotiation
Yes, clinic and ward rounds
Yes, with negotiation
Audits, Grand round presentation, supervision and
teaching of junior doctors and nursing staff on the
unit
ADDITIONAL INFORMATION
Year 1: We would like our trainees to be based on AMU. This will provide GIM curriculum
requirements. They are encouraged to do other speciality on sessional basis.
Year 2, 3, 4:
We have provided 2 sessions for each trainee for speciality interest.
Our unit is a busy 46 bedded one with rapid turn over and we have to balance service and
training provision.
EXAMPLE TRAINEE TIMETABLE WITH EXAMPLE ON CALL ROTA WHILST DOING
“ACUTE MEDICINE”
All ST trainees does 1:13 Rota. Our rota is 12 hours shifts with half an hour between shifts
for hand over. (11am-11.30 pm and 11pm till 11.30 am)
A formal hand over in presence of sister in charge, junior doctors and ST (RMO) happens 1111.30 pm. Another one 11-11.30 am
On call week days, 4 days followed by 1 day off (Friday)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
11.0023.30
11.0023.30
11.0023.30
11.0023.30
OFF
OFF
OFF
OFF
OFF
OFF
OFF
OFF
OFF
OFF
On call week end nights followed by off Monday after hand-over at 11.30 and Tuesday, Back
to work on Wednesday 9 am.
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
9.00.17.00
9.00.17.00
9.00-.17.00
9.00.17.00
OFF
OFF
OFF
OFF
OFF
OFF
OFF
23.0011.30
23.0011.30
23.0011.30
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
OFF
OFF
9.00-.17.00
9.00.17.00
9.00.17.00
OFF
OFF
OFF
OFF
OFF
OFF
OFF
OFF
OFF
On call week nights (M, T, W, Th)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
OFF
OFF
OFF
OFF
OFF
after
11.30
OFF
OFF
23.0011.30
23.0011.30
23.00-11.30
23.0011.30
23.0011.30
OFF
OFF
WEEK END DAY ON CALL
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
9.0017.00
9.0017.00
9.00-17.00
9.0017.00
11.0023.30
11.0023.30
11.0023.30
OFF
OFF
OFF
OFF
OFF
OFF
OFF
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
OFF, after
on call
W/E days
9.0017.00
9.00-17.00
9.0017.00
9.0017.00
OFF
OFF
OFF
OFF
OFF
OFF
OFF
OFF
OFF
Over all on call rota is 1:13
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).
SANDWELL GENERAL HOSPITAL
(2 STR TRAINING POSTS)
TRAINER AND EDUCATIONAL SUPERVISOR INFORMATION
Lead Trainer
Dr D Robertson
Doug.robertson@nhs.net
Dr N Usman
Nuhu.usman@nhs.net
Dr N Patel
Neelsuraj.patel1@nhs.net
Educational Supervisors
AVAILABILITY OF MANDATORY TRAINING
Delivery possible with additional
Information where necessary
Requirement
Basic level AMU work (i.e. ability to work on an AMU
whoever is doing the hands on supervision)
Higher level AMU (must involve supervision via a
dedicated acute physician with experience in
developing and managing an AMU)
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
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
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
Provision of a 4 month respiratory block (minimum of
80% of the working week)
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)
Provision of a 4 month cardiology block (minimum of
80% of the working week)
Provision of sessional cardiology training (minimum of 4
sessions per week for 4 months with exposure to heart
failure, CCU and chest pain clinics)
Provision of training in ambulatory care
Yes
Yes
Yes
One trainee at a time, usually 1 trainee
between the 2 hospitals in the trust, but
training provided at Sandwell site,
Yes
1 trainee at a time
Yes
When we have only trainee
yes
Yes
When we have only 1 trainee
Yes
1 trainee at atime
Yes
Especially when we have only 1 trainee
Not formal, but part of AMU work
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
Echocardiography (to cardiology curriculum standards)
Upper endoscopy (to JAG standards)
Bronchoscopy (to respiratory curriculum standards)
Ultrasound (to RCR standards)
Medical education (to diploma / masters level)
Management (to diploma / masters level)
Leadership (to diploma / masters level)
Toxicology (to diploma / masters level)
Infectious diseases and tropical medicine (to diploma/masters
level)
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)
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.)
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)
Stroke Medicine (Stroke curriculum
http://www.jrcptb.org.uk/Specialty/Documents/Stroke%20
Medicine%20Specialty%20Training%20Curriculum%20Ma
y%202007.pdf 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)
Delivery possible with additional
Information where necessary
Yes 1 session per week
Yes 1 session per week
Possible has been done in the past
No formal arrangement, but ultrasound
course locally available
Yes time can be allocated, depending on
other commitments
Yes time can be allocated, depending on
other commitments
Yes time can be allocated, depending on
other commitments
Yes time can be allocated, depending on
other commitments
Yes time can be allocated, depending on
other commitments
No
No
Possible, but trainee will need to approach
the unit in advance,
Attachment to stroke unit available
OPTIONAL SPECIALTY ATTACHMENTS AVAILABLE AS A SECONDMENT BLOCK
(8 SESSIONS MINIMUM) OR SESSIONAL TRAINING (4 SESSIONS MINIMUM)
Optional Attachment
Stroke
Gastroenterology
Renal
Infectious Diseases
Neurology
Diabetes and Endocrinology
Critical Outreach Team
Any other training opportunities (specify)
Deliverable and specify as whether as block or
sessional
Yes
Possible
No
No
Possible
No
Yes
ED,
CITY HOSPITAL
(3 STR TRAINING POSTS)
TRAINER AND EDUCATIONAL SUPERVISOR INFORMATION
Lead Trainer
Educational Supervisors
Dr Sarb Clare
sclare@nhs.net
Dr B Lee
brianlee@nhs.net
Dr N Langford
Nigellangford@nhs.net
Dr S Hutchinson
Stuarthutchinson2@nhs.net
Other Trainers
AVAILABILITY OF MANDATORY TRAINING
Delivery possible with additional
Information where necessary
Requirement
Basic level AMU work (i.e. ability to work on an AMU
whoever is doing the hands on supervision)
Higher level AMU (must involve supervision via a
dedicated acute physician with experience in
developing and managing an AMU)
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
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
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
Provision of a 4 month respiratory block (minimum of
80% of the working week)
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
Yes
Yes at Sandwell Site
Dr Bellin at Sandwell Critical Care
No
Yes
Dr Hutchinson Consultant in Intermediate
Care will supervise sessions in community
No
Yes
NIV on MAU
Sessions for bronchoscopy available after
discussion
No
Provision of a 4 month cardiology block (minimum of
80% of the working week)
Provision of sessional cardiology training (minimum of 4 Yes
sessions per week for 4 months with exposure to heart
failure, CCU and chest pain clinics)
Provision of training in ambulatory care
In development
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
Echocardiography (to cardiology curriculum standards)
Upper endoscopy (to JAG standards)
Bronchoscopy (to respiratory curriculum standards)
Ultrasound (to RCR standards)
Medical education (to diploma / masters level)
Management (to diploma / masters level)
Leadership (to diploma / masters level)
Toxicology (to diploma / masters level)
Infectious diseases and tropical medicine (to diploma/masters
level)
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)
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.)
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)
Stroke Medicine (Stroke curriculum
http://www.jrcptb.org.uk/Specialty/Documents/Stroke%20
Medicine%20Specialty%20Training%20Curriculum%20Ma
y%202007.pdf 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)
Delivery possible with additional
Information where necessary
Yes BSE standard- 1 trainee for 2 years
training to achieve BSE
Dr Clare supervises and does focused echo
and runs Acute Echo clinic to expedite
discharge
No
Possible
Focused/chest/veins/abdo
Dr Clare supervises
Support will be provided
Dr Clare has MSc Med Ed
Support will be provided
Support will be provided
Support will be provided
Dr Langford works on the West Mids Posions
Unit and DTC
No
No
Yes, Dr Lee is a Diabetologist and lead for
the TRUST for “Think Glucose”.
Yes, Dr Langford is an academic and will
provide support.
Yes
The SpR is on the acute stroke thrombolysis
rota
Can have sessions on stroke unit
OPTIONAL SPECIALTY ATTACHMENTS AVAILABLE AS A SECONDMENT BLOCK
(8 SESSIONS MINIMUM) OR SESSIONAL TRAINING (4 SESSIONS MINIMUM)
Optional Attachment
Stroke
Gastroenterology
Renal
Infectious Diseases
Neurology
Diabetes and Endocrinology
Critical Outreach Team
Any other training opportunities (specify)
Deliverable and specify as whether as block or
sessional
Yes- sessionally
Yes- sessionally
Yes- sessionally
No
Clinics will need prior negotiation
Yes- sessionally
Yes- sessionally
- Our SSU has a LOS of 2.1 days
Dr Hutchinson is lead for Intermediate Care and Care
In the Community . he has close links with GP’s and
Nursing homes
- Tilt Table
- Memory Clinics
- Poisons
- Dermatology clinics
- Opthalmology clinics (eye centre at City)
ADDITIONAL INFORMATION
We provide a 4 month block of Intensive Care medicine for 1 trainee at year 2, 3 or 4.
Typical timetable doing Acute medicine
- Monthly blocks of MAU or SSU ( 5 sessions)
- 1 session MAU clinic
- 1 session of special interest
- 1 session of audit/admin/research/teaching
On call rota is 1 in 15
Please see attached rota for general medical on call rota.
SpR/StR in General Medicine On-Call Rota at City Hospital
1:15Full Shift (December 10)
Mon
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Tues
Wed
Thurs
Fri
Sat
Sun
NWD
NWD
NWD
NWD
Night
Night
Night
0900-1700
0900-1700
0900-1700
0900-1700
2100-0930
2100-0930
2100-0930
OFF
OFF
OFF
Day O/C
NWD
0900-2130
0900-1700
Day O/C
NWD
NWD
NWD
NWD
0900-2130
0900-1700
0900-1700
0900-1700
0900-1700
NWD
Day O/C
NWD
NWD
NWD
0900-1700
0900-2130
0900-1700
0900-1700
0900-1700
Twilight
NWD
NWD
NWD
NWD
1400-2200
0900-1700
0900-1700
0900-1700
0900-1700
NWD
NWD
NWD
NWD
Twilight
Day O/C
Day O/C
0900-1700
0900-1700
0900-1700
0900-1700
1400-2200
0900-1600
0900-2130
NWD
NWD
NWD
NWD
NWD
0900-1700
0900-1700
0900-1700
0900-1700
0900-1700
NWD
NWD
NWD
NWD
NWD
0900-1700
0900-1700
0900-1700
0900-1700
0900-1700
NWD
NWD
Day O/C
NWD
NWD
0900-1700
0900-1700
0900-2130
0900-1700
0900-1700
NWD
NWD
NWD
NWD
Day O/C
Day O/C
Day O/C
0900-1700
0900-1700
0900-1700
0900-1700
0900-2130
0900-2130
0900-1600
NWD
NWD
NWD
NWD
NWD
0900-1700
0900-1700
0900-1700
0900-1700
0900-1700
Night
Night
Night
Night
2100-0930
2100-0930
2100-0930
2100-0930
OFF
NWD
NWD
NWD
NWD
NWD
0900-1700
0900-1700
0900-1700
0900-1700
0900-1700
NWD
NWD
NWD
NWD
NWD
0900-1700
0900-1700
0900-1700
0900-1700
0900-1700
NWD
NWD
NWD
NWD
NWD
0900-1700
0900-1700
0900-1700
0900-1700
0900-1700
ive cover in the junior doctors contract so that if a colleague is away, more hours will be worked by the
remaining doctors to cover the absence. These additional hours are not shown on the above table but a
prospective cover allowance has been calculated in the contracted hours (see below).
The rota is 46.42 hours average per doctor per week with prospective cover.
The
SpR
/StR
in
Gen
eral
Med
icine
wor
ka
Full
Shift
syst
em
as
abo
ve.
Plea
se
note
that
the
abo
ve
tabl
e
only
depi
cts
wha
t
they
wou
ld
do
over
a 13
wee
k
peri
od.
Ther
e is
pros
pect
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).
TEACHING OPPORTUNITIES
Teaching opportunities
- ALERT
- IMPACT
- D22 teaching weekly clinical teaching
- Weekly 3rd year teaching
EXAMPLE TRAINEE TIMETABLE WITH EXAMPLE ON CALL ROTA WHILST DOING
“ACUTE MEDICINE”
Monday
AM Acute
Admissions
/ Hot clinic
PM Acute
Admissions
1 in 4 late
shift till
21:00
Tuesday
Special
interest
Session
Acute
Admissions
Wednesday
Special
interest
Session
Echo
Thursday
Acute
Admissions
/ Hot clinic
Special
interest
Session
Friday
Short
stay
Saturday
1 in 4
Sunday
1 in 4
Acute
medicine
OPC (1 in
4)
No on-call: out of hours experience provided via late shifts on AMU and week-end work on
short stay ward and Acute admissions. System is currently being reviewed.
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).