Kent and Canterbury Hospital

advertisement
TRAINING PROGRAMME
East Kent Hospitals University NHS Foundation Trust (EKHUFT) is one of the
Trust
largest hospital Trusts in the country, with more than 6,000 staff, including
approximately 355 junior doctors, serving a population exceeding 700,000 and
provides integrated patient care in East Kent with over 80 clinical specialities.
Established on 1st April 1999, East Kent Hospitals University NHS Trust has
three acute hospitals at Canterbury, Ashford and Margate, with smaller
hospitals in Dover and Folkestone. Plans have been approved for a new state
of the art hospital in Dover to replace the existing Buckland Hospital.
The Trust achieved University teaching status in 2008. The KSS Deanery
introduced the Local Education Provider (LEP) metrics in 2011 and East Kent
was one of the top performing Trusts in the region and has annually achieved
KSS Deanery Contract Review compliance.
In 2010 East Kent Hospitals University NHS Foundation Trust was awarded
‘Trust of the Year 2010’ by healthcare information organisation Dr Foster. Dr
Foster measures healthcare across a range of different areas that are important
to patients on behalf of the Government. At the end of last year it named
EKHUT as the best performing Trust in the country.
Recent results show a marked improvement in the national inpatient survey in
nine of the ten categories and an impressive 25 percentage point increase in
patient satisfaction with regard to waiting lists and planned admissions.
There have also been some clear improvements in standards of communication
and privacy. A&E/the Emergency Departments have seen a 10 percentage point
improvement and discharge has seen a 5 percentage point improvement
EKHUFT has a tradition of being a popular and friendly Trust for trainees and
3rd, 4th and 5th year medical students from King’s College London Medical
School come on rotation to the Trust as well as students from St George’s,
Tooting and overseas including St George’s University Medical School,
Grenada.
The beautiful coast of East Kent, with its sandy beaches, areas of outstanding
scientific interest and beauty and wide range of water-based sports and
activities is only 20-30 minutes away by car or by train/bus. In addition,
Canterbury's surrounding countryside dips and sweeps through river valleys,
woods and hills to the seaside towns of Herne Bay and Whitstable.
There is a high speed train with regular trains running every weekday, which
makes travel between Kent and central London faster than ever. Dover and
Folkestone are also not too far away for visits into France and the rest of
Europe.
The Trust has recently undertaken a pilot project to revise the model of
working in medicine with the introduction of “hot” and “cold” teams with
improved cover at weekends. The Better Training Better Care project has had
significant outcomes so far in the improvement of training opportunities, multi
professional team working and patient care. Data is being collected on patient
outcomes in discharge, length of stay and early trends show considerable
improvements.
Medical Education
The Directorate of Medical Education is actively involved with innovative work
including A Learning and Information Community for East Kent (A.L.I.C.E.),
Doctors and Dentists Advice, Liaison and Support service, presentations at
National and International conferences.
The Directorate is also actively involved with the Deanery leadership
programme for junior doctors as well as encouraging trainees to be involved as
trainee representatives, to be a proactive postgraduate doctors’ voice, on
specialty local faculty groups and Local Academic Board.
Each Education Centre in the Trust has full educational facilities and resources,
supported by a dedicated team across the 3 sites. A Trustwide resource for
simulation training is based at Devon House, Margate including the latest
SimMan 3G.
There is a well stocked library at each of the hospital sites (Ashford,
Canterbury and Margate), staffed between 9am and 5pm Monday to Friday but
accessible 24/7 with a key fob. In addition to the resources available within the
trust, the service collaborates with other hospital libraries nationally and in the
KSS Deanery and can borrow items from them. A web based catalogue is
available for locating books and managing your library account.
Electronic journals and databases can be accessed with an Athens password
and onsite access to UptoDate is also available. Open access computers
connected to the NHS network and Wifi via an independent provider are
available for library members.
Regular workshops are held on finding the evidence, basic statistics, systematic
reviews and critical appraisal skills. A clinical librarian service is available to
support learning in clinical areas and journal clubs. The NetVibes system offers
free and open access and is now operational, offering tabs for different
departments with tables of contents and links to journals.
The Trust holds an annual awards event with a range of categories and this
year we are holding the first Medical Education Awards Day in July with awards
for leadership, teaching and professionalism.
Hospital
William Harvey Hospital (WHH), Ashford, Kent
Four ACCS programmes in total are offered at the Trust. 2 programmes are
based entirely at the William Harvey Hospital for both years. The third
programme involves the trainee rotating to the Kent and Canterbury in the
first year and is then based at the Queen Elizabeth the Queen Mother Hospital
for the whole of the second year. The fourth programme involves the trainee
rotating to the Kent and Canterbury Hospital in the first year and returning to
the William Harvey Hospital for the second year.
3 trainees are based at the William Harvey at any one time.
The William Harvey is a busy District General Hospital with full Accident and
Emergency services provided 24 hours a day, 365 days per year, intensive care
unit, neonatal intensive care unit, acute stroke services, state of the art imaging
facilities with endoscopy unit, in-patient general surgery and day surgery unit.
•
•
•
•
•
Plastic surgery/Burns (East Grinstead)
Cardio-thoracic and Neurosurgery (London)
All types of patients are treated including major trauma (trauma unit)
Helicopter site for HEMS and Police helicopter at night
Vascular and urology at Kent & Canterbury
In recent years the hospital has undergone considerable expansion of its
services to include:
Extension to Accident and Emergency to include dedicated facilities for
gynae emergencies, ENT/ eye emergencies and paediatric resus.

New gynaecology ward and expansion of children’s ward.

Refurbishment of delivery suite and addition of midwife led birthing unit.

Modernisation of pharmacy services with state of the art robotics
dispensary.

Satellite renal dialysis unit to allow patients to be treated nearer to home.

Installation of tele-medicine service to allow 24/7 assessment of stroke
patients for life-saving and life-enhancing thrombolysis treatment.

Establishment of Kent and Medway Primary PCI service. The William
Harvey was chosen as the pPCI centre for Kent offering a pioneering new
treatment for patients who have suffered a particular type of heart attack.

New Head and Neck facility to enable the centralisation of in-patient
maxillofacial services.

Major upgrade to the CT and MRI facilities.
Kent and Canterbury Hospital
There is one CT1 Acute Medicine post at the Kent and Canterbury Hospital
with trainees rotating with the A&E post at the William Harvey after 6 months.
The Emergency Care Centre (ECC) provides a new model of care in the NHS
and was established in 2005 as a result of reconfiguration of patient services
within the East Kent Hospitals NHS Trust and takes acute admissions for
medicine, vascular surgery and urology as well as providing a minor injuries
unit. The focus of the ECC is to deliver effective high quality patient centred
care through an integrated team led by senior medical and nursing staff.
Patients are assessed rapidly by introducing the concept of a single clerking
proforma.
KCH provides patient access to critical care, non-interventional coronary care,
diagnostic radiology, laboratory services and other specialties (such as renal,
neurology, haematology, oncology, rheumatology and dermatology).
Queen Elizabeth the Queen Mother Hospital
There is one CT2 post at the Queen Elizabeth the Queen Mother
Hospital covering 6 months in Anaesthetics and 6 months in Intensive
Care Medicine.
Currently the in-patient surgical specialists provided include lower G.I,
orthopaedics, spine and trauma, gynaecology and obstetrics.
Additionally, the Day Care Surgery Unit provides ENT, ophthalmics and
maxillo facial. Acute and chronic pain services are also provided on site.
And there is great emphasis regional block for orthopaedic & trauma
surgery and a there is a stand alone bronchoscopy list supervised by
Respiratory Physicians.
There are some paediatric lists that encompass dental, maxillo facial,
orthopaedic, general surgery, ENT and trauma.
This hospital has 24hr A&E and as such experience will be gained in
emergency general surgical and trauma lists. There is a separate
Obstetric anaesthetic list.
The ITU is recognised for core training. There is a separate ITU and
HDU with critical outreach service. There are acute and chronic pain
services.
Introduction
The ACCS programme covers a two year period and encompasses four
specialties including new posts for this year at Kent and Canterbury Hospital
and the Queen Elizabeth the Queen Mother Hospital. The four two year
programmes at East Kent are:
Programme 1
CT1 Acute Medicine (WHH) and Emergency Medicine (WHH)
CT2 Anaesthetics (WHH) and Intensive Care Medicine (WHH)
Programme 2
CT1 Emergency Medicine (WHH) and Acute Medicine (WHH)
CT2 Intensive Care Medicine (WHH) and Anaesthetics (WHH)
Programme 3
CT1 Emergency Medicine (WHH) and Acute medicine (KCH)
CT2 Anaesthetics (QEQM) and Intensive Care (QEQM)
Programme 4
CT1 Acute Medicine (KCH) and Emergency Medicine (WHH)
CT2 Intensive Care Medicine (WHH), Anaesthetics (WHH)
All trainees rotate every 6 months.
Terms of Business
Include terms of
business and
information on workfinding service
Distinction between
training programme
offer and employment
contract
Post details
Specialty
Grade
Location within
programme
ACCS
CT1 & CT2
Depending on rotation:William Harvey Hospital
Kent and Canterbury Hospital
Queen Elizabeth the Queen Mother Hospital
Type of Work
CT1 year
The first year (CT1) consists of six months of Emergency Medicine and six
months of AM or vice versa, based at either the William Harvey or the Kent
and Canterbury Hospital.
The Accident and Emergency unit at the William Harvey provides a full 24
hour a day 365 day service receiving major trauma and all emergency patients
from the area in conjunction with the A & E department at QEQM. Both sites
have a helipad.
At WHH all major specialties are on site except:
-
Plastic surgery/Burns (East Grinstead)
-
Cardio-thoracic and Neurosurgery (London)
-
Vascular and urology at Kent and Canterbury Hospital
During the Acute Medicine (AM) placement the trainee is based on the Acute
Medical Unit (AMU) and Ambulatory Care Unit. In both settings patients are
assessed, diagnostics performed and treatment commenced following referral
from A&E / GP. Ambulatory care facilitates rapid assessment and treatment of
those patients well enough to go home on the same day who can return for
early reviews as required. Patients admitted to the AMU are either discharged
or transferred to an appropriate specialty ward within 48 hours of admission.
AMU is the centre for unscheduled care for Medicine. The AMU comprises 4
areas, each with it’s own maximum length of stay and admission criteria:
-
Emergency Assessment Unit (EAU : maximum length of stay 4 hours
-
Clinical Decision Unit : maximum length of stay 12 hours
-
Short Stay Ward : maximum length of stay 2 nights
-
Ambulatory Care Unit (urgent care without overnight stay) : urgent
Ambulatory pathways, medical review, elective procedures
This part of the rotation gives the trainee experience of assessing and managing
all types of medical patients in the acute stage, as well as having many
opportunities to undertake practical procedures under supervision.
CT2 year
The second year (CT2) consists of 6 months of Anaesthetics and 6 months of
Intensive Care (ICM) or vice versa in either the William Harvey or the Queen
Elizabeth the Queen Mother Hospital. There are 7 operating theatres in the
main suite at the William Harvey including a dedicated emergency theatre
staffed 24 hours a day. There is a Consultant present for emergencies
continually from 8.30am to 10.00pm Monday to Friday.
The Intensive Care Unit has 9 beds receiving approximately 700 high
dependency and intensive care patients per year.
There is also a separate obstetric theatre which is staffed 24 hours a day and a
mobile theatre next to the gynaecological ward. There is also a stand alone
day surgery unit with 3 operating theatres and a minor operations theatre.
ST3 onwards
Completion of the 2 year ACCS programme is followed by further training at
ST3 level in either Emergency Medicine (the ACCS programme is the first 2
years of this curriculum) or Medical specialties with an emphasis on the acute
management).
Shift Practice and Rota
1. Emergency Medicine – William Harvey Hospital
The department is staffed at senior level by 5 consultants and by 8 specialty
doctors and 2 specialty trainees, with the speciality doctors and HST’s taking
responsibility for 24 hour cover. The consultants are available for shop floor
cover from Monday to Friday from 8.00am to 7.00pm.
The CT1 ACCS post covers a rolling rota with a varying shift pattern over an
8/10 day block covering morning, afternoon, evening and night shifts followed
by time off and also one weekend off in four.
2. Acute Medical Unit (AMU) – William Harvey Hospital
The acute physician provides day to day leadership of the unit from 9 to 5,
liaising with A&E, GPs and on call teams, and ensures that all roles are covered
on the unit. The AMU team consists of 1 ST3 (Acute Medicine), 1 CT1 ACCS
and 1 F1 supported by the on call team of Duty Medical Registrar, CT1/2, F2
and F1s in HCOOP / Medicine. The CT1 trainee will be expected to attend all
ward rounds and Consultant reviews on the AMU and support the assessment
and management of A&E / GP referrals under the direction of the AMU ST3
and Medical Registrar , liaising closely with the A&E team. The trainee will
work across A&E / AMU/ Ambulatory Care depending on clinical need and be
involved in day to day management of all patients on the AMU, including
medical and HCOOP patients, and will also be expected to provide support
and supervision to the F1s. He/she will work closely with the AcPhysician. The
CT1 ACCS post on the ward involves responsibility for clerking patients and
supporting ambulatory care procedures and medical reviews. The hours are
9am to 6pm, Monday to Friday with one weekend in four on duty from 9am to
9.30pm (Friday to Sunday).
3. Emergency Care Centre – Kent and Canterbury Hospital
The Minor Injury Unit in the ECC is staffed primarily by Emergency Nurse
Practitioners (ENPs).
The Majors ECC team comprises:




Consultant Acute Physician on duty.
On-call Consultant Physicians for Medicine and Care of the Elderly.
4 Foundation Year 2 (F2) Doctors.
The team is supported by Specialist Registrars, Medical SHOs or F2


doctors on-call.
Foundation Year 1 (F1) doctor on-call.
Nursing and technical staff.
The Acute Physicians in the ECC provide cover Monday to Friday from 9am to
5pm and have 2 regular medical review clinics per week. The Medical and
Elderly Care Consultants each lead 3 ward rounds in every 24 hour period.
Patients needing a longer period of observation and/or assessment overnight
are transferred to the adjacent ward within the ECC under the care of the oncall team and are then either discharged or admitted to appropriate wards in
the hospital. Patients are assessed, investigated (including blood tests and
Doppler scan) and treated in a single visit. Medical review is constantly
available if deemed necessary.
The ECC has a wide range of facilities including:





A Resuscitation area with 4 beds.
A Majors Bay with 12 beds.
A Short Stay Ward with 18 beds.
An area for the assessment of Deep Venous Thrombosis (DVT).
The Minor Injury Unit (MIU).
4. Anaesthetics – William Harvey Hospital
This department is staffed at senior level by 20 Consultants, 7 STs, 7 CTs, 1
Associate Specialist and 2 Staff Grades. There is a Consultant present for
emergencies continually from 8.30am to 10.00pm, Monday to Friday.
Day shifts are from 8.00am to 5.30pm and on-call 1 in 7, day shift 8.00am to
8.00pm and night shift 8.00pm to 8.00am covering emergency theatre, assisting
with emergencies in A&E and elsewhere in the hospital.
5. Intensive Care Unit – William Harvey Hospital
The critical care unit comprises of nine mixed ITU and HDU bed admitting
over 750 patients per annum. The case mix is almost equal mix of medical and
surgical patients with well over forty percent being ventilated. This unit is
staffed by 5 Consultant Intensivists during the week, on a 1 week in 5 basis and
by the Consultant Anaesthetist on-call, out of hours. The daily clinical
activities include two daily consultant led ward round with multi-disciplinary
participation form allied health professionals, daily consultant microbiology
ward round and outreach support.
The junior rota constitutes of six resident doctors providing full time
shift with internal cover. There is a rolling rota over 6 weeks with a varying
shift pattern of days from 8.30am to 5.30pm, lates from 8.30am to 9pm and
night shifts from 8.30pm to 9.30am. Handovers are held during ward rounds at
8.30am and 4pm and at 9.00pm. Two of the residents are anaesthetic trainee,
one ACCS trainee and one medical rotation trainee. The ACCS CT2 trainees
work alongside Critical Care Fellows, usually from a medical background,
Anaesthetic trainees and an F1 Doctor. A Foundation Year 1 doctor and
medical students support the resident team. There is a 24 hours outreach
service which extend the critical care services to the wards. Recent feedback
from anaesthesia trainees has been very positive about their experience on the
ICU. The Unit has already received positive feedback from the Regional
Adviser and Deanery with respect to its teaching.
6. Anaesthetics – Queen Elizabeth the Queen Mother Hospital
The QEQM has 6 main operating theatres, 3 day surgery theatres and an
obstetric theatre. Case load includes general surgery, including (laparoscopic)
colorectal surgery, trauma and orthopaedics, gynaecology (including major
gynaecology oncology) as inpatients. Day surgery includes those mentioned
and also ENT, maxillo-facial and ophthalmology.
There is a 24 hour emergency theatre with consultant anaesthetist presence
from 8am-10pm Monday-Friday. There is a daily dedicated trauma list 1:306pm Monday to Friday and at weekends 10am-4pm.
The department is made up of 16 Consultants, 4 Associate Specialists, 6
Specialty Doctors and 12 trainees (including Core Anaesthetics, ACCS and ST
doctors). Normal working days are 8am-6pm. On calls covering emergency
theatres are from 1pm-11pm with a resident on call Consultant 8am-10pm.
Weekend on call is from 9am-10pm. CT doctors do not do theatre on calls
overnight.
Currently the in-patient surgical specialists provided include lower G.I,
orthopaedics, spine and trauma, gynaecology and obstetrics. Additionally, the
Day Care Surgery Unit provides ENT, ophthalmics and maxillo facial. Acute
and chronic pain services are also provided on site. And there is great
emphasis regional block for orthopaedic & trauma surgery and a there is a
stand alone bronchoscopy list supervised by Respiratory Physicians.
There are some paediatric lists that encompass dental, maxillo facial,
orthopaedic, general surgery, ENT and trauma.
This hospital have 24hr A&E and as such experience will be gained in
emergency general surgical and trauma lists. There is a separate Obstetric
anaesthetic list .
The ITU is recognised for core training. There is a separate ITU and HDU with
critical outreach service. There are acute and chronic pain services.
7. Intensive Care Unit – Queen Elizabeth the Queen Mother
Hospital
The ICU is a 9 bedded unit which admits both elective and emergency cases
and both surgical and medical patients.
The unit is staffed by 4 Consultant intensivists during the week daytime and the
on call Consultant anaesthetist overnight. The ACCS trainees will also be
working with specialist doctors, an FY1 doctor and other CT anaesthetic
trainees. Day shifts are 8am-5pm, long days are 8am-8pm and night shifts are
7:30pm-8:30am.
Handovers are held during ward rounds at 8:00 AM, 16:00 PM and at 21:00
PM.
Education and Study Schedule –
William Harvey Hospital
A variety of learning approaches are adopted, including web-based learning,
ward and theatre based clinical teaching, group learning, private study, courses,
reflective practice, audit projects and regular teaching specific to module. It is
expected that trainees should attend specific teaching provided while in each
rotation, immersing themselves in that specialty, however there will inevitably
be some overlap due to the nature of the 4 specialties involved.
Emergency Medicine
-
Weekly teaching sessions in the A & E Resource Room
-
Fortnightly speciality doctor teaching sessions
Acute Medicine
-
Weekly Medical teaching sessions for all Medical STs and Registrars,
the programme is fully mapped against the RCP curriculum and
includes clinical scenarios and practical skills sessions
-
Weekly case discussions and literature reviews for all Medical STs and
registrars
Intensive Care Medicine
-
Weekly teaching round between 8.30am and 9.30am on ITU
-
Weekly tutorial session / Journal Club between 9.30am and 10.30am
-
Monthly Morbidity and Mortality meeting 12.30pm to 1.30pm
(Anaesthetic Dept)
Anaesthetics
-
Weekly tutorial session between 10.30am and 12.30pm
-
Monthly departmental / Audit meeting
Other teaching available
-
Trauma and orthopaedic teaching every Friday lunchtime
-
Weekly Tuesday morning Paediatric teaching
-
Weekly Chest Radiology Seminars
-
Monthly Grand Rounds
Kent and Canterbury Hospital
Acute Medicine
Weekly lunchtime medical teaching in the Education Centre.
Grand round on the last Friday of every month and a medical
directorate meeting on the other Fridays.
Queen Elizabeth the Queen Mother Hospital
Anaesthetics and Intensive Care
There is weekly ward round teaching on the ICU on Wednesdays,
followed by Anaesthetic Department teaching. There are also
intermittent journal club meetings, M&M meetings and primary
FRCA exam practice prior to trainees undertaking OSCEs and
Vivas. There are also bi-monthly audit meetings.
A variety of learning approaches are adopted, including webbased learning, ward and theatre based clinical teaching, group
learning, private study, courses, reflective practice, audit projects
and regular tutorial teaching . It is expected that trainees should
attend specific teaching provided while in each rotation,
immersing themselves in that specialty.
Intensive Care Medicine/ Anaesthetics
Weekly teaching round between 8.30 AM and 9.30 AM on ITU
Weekly tutorial session / Journal Club/ case based discussions
between 9.30 AM and 12:30 PM in the Anaesthetics department
seminar room.
Monthly departmental / Audit meeting.
Research and audit Opportunities
Trainees will be supported if they wish to pursue their audit and
research interests and the anaesthetic department takes part in
national research initiatives where possible.
Name of the position
and work needing to
be done
Qualifications and
professional
registration required
Attach JD
Anticipated duration
of programme
Commencement date
Standard rotation
details
Year 1 - CT (SHO level ) in Emergency Medicine and Acute Medicine – 4 x 6
month rotations
Year 2 - CT (SHO level) in Anaesthetics and Intensive Care Medicine – 4 x 6
month rotations
Basic Medical Qualification (MBBS, MB ChB)
Must be registered with the GMC
2 years – comprising of 6 months in each rotation
August 2013
The CT1 trainee will either commence in Emergency Medicine or Acute
Medicine (depending on exit specialty), rotating after 6 months in February
with the other CT1 trainee.
The CT2 trainee will either commence in Anaesthetics or Intensive Care
Medicine, rotating after 6 months in February with the other CT2 trainee.
Educational Supervisor
Our Educational Supervisors in the ACCS programme are:CT1
Acute Medicine
Emergency Medicine
Acute Medicine
CT2
Anaesthetics and
Intensive Care Medicine
Anaesthetics and
Intensive Care Medicine
Dr Indrani Chakraborti, Acute Physician, WHH
Mr Jalal Maryosh, Emergency Medicine Consultant
Dr Hardeep Baht, Acute Physician, KCH
Dr Ranjit Dulai, Consultant Anaesthetist, WHH
Dr Ravi Ramaiah, Consultant Anaesthetist, WHH
Dr Tony Hodgetts, Consultant Anaesthetist QEQM
An Educational Supervisor will be allocated to each trainee and will be
responsible for overseeing training throughout the year, making sure that the
trainee is making the necessary clinical and educational progress.
It is the trainee’s responsibility to organise regular meetings with their
Educational Supervisor which should take place in the first week or so of the
job, at the mid-point and at the end of each specialty placement in order to:
-
Review progress to date
-
Ensure all appropriate assessments have been completed
-
Review which competencies have been met
-
Review / amend professional development / learning plan
-
Ensure all relevant documentation has been completed
-
Provide careers guidance
The Educational Supervisor is responsible for:
-
Bringing together the structured report which looks at evidence of
progress in training including assessments.
-
Undertaking regular appraisals with the trainee
-
Preparing the annual trainer’s report with the Training Programme
Director for presentation to the ARCP panel at the deanery
If the Educational Supervisor has any concerns about a trainee’s development /
progress this will be raised in the first instance with the trainee and
subsequently, if necessary with the Training Programme Director and the
Specialty Faculty Group and then through the Local Academic Board to the
Deanery. This is to ensure that the appropriate support is provided as it is
common for trainees to experience difficulties and should only become a
problem if help is not sought at an early stage.
Both HEKSS and London Deaneries publish guidelines for ‘Trainees in
Difficulty’ which:
-
Advise on the management of doctors in Deanery funded training
posts
-
Bring together in one place a number of resources and details of
relevant national and local initiatives
-
Covers both trainees in difficulty and those with additional needs
-
Offers the trainees support and guidance
All Educational Supervisors at East Kent are required to participate in the
Qualified Educational Supervisor Programme which is a Deanery initiative
established to enhance the quality of teaching. The programme consists of two
parts:
Part 1: Certificate in Teaching
Part 2: Certificate in Educational Supervision
All of our Educational Supervisors are QESP Part 1 and 2 qualified.
Clinical Lead
Dr Bandipalyam Prathibha – Director of Medical Education
Dr Ravi Ramaiah – Local Faculty Lead, ACCS
Dr Scott-Russell – College Tutor, Medicine, William Harvey
Dr Mark Fenton – College Tutor Medicine, Kent and Canterbury
Dr Christina Schneider-Smith – College Tutor, Anaesthetics, William Harvey
Dr Rini Poddar – College Tutor, Anaesthetics, Queen Elizabeth the Queen
Mother Hospital
Dr Madelaine Coupe – Local Faculty Lead, Anaesthetics
Mrs Maggie Batchelor – ACCS Programme Administrator
Outcome
CCT/CESR/CP/Core
Outcome of training
programme i.e. core
competencies
Payments/Policy
Salary Scale
To achieve the core competencies required for progression on to the next
year of training.
Download