The Royal Berkshire (Reading) The Royal Berkshire Hospital in Reading serves a catchment population of approximately 500,000. In 2007-8 there were 6000 deliveries and 4060 gynaecological outpatient episodes; in addition there were 867 Colposcopy sessions. There are about 300 hysterectomies performed annually, and 700 laparoscopic procedures. The medical staffing establishment at 2008 was Mr Roger Williams, FRCS, FRCOG Mr Alan Crystal, FRCS, FRCOG Mr Mark Selinger, MD, FRCOG Miss Helen Allott, MA, MRCOG Miss Patricia Street, FRCOG Miss Jane Siddall, FRCOG Miss Jill Ablett MRCOG Mr Kevin Smith, MRCOG Miss Rajee Vijayanand MRCOG Dr. Suruchi Ancora Consultant Gynaecologist Consultant Gynaecologist Consultant in Feto-Maternal Medicine Consultant in Feto-Maternal Medicine Consultant in Feto-Maternal Medicine Consultant in Feto-Maternal Medicine Deputy Head of School Consultant in Feto-Maternal Medicine College Tutor Consultant Gynaecologist Consultant Gynaecologist College Tutor Associate Specialist in O&G Ultrasound There are seven posts recognised for Specialist Registrar training, two at ST3-5 and five at ST6/7. Seven staff grades are also in post. There are 3 ST1/2 posts, 4 VTS and 3 F2 doctors who rotate every 4 months within the Trust. All trainees will receive training and provide service in both obstetrics and gynaecology. The ST6/7 trainees on rotations C, D, E and G will have proportionately more day time duties in Obstetrics or Gynaecology depending on special interest. All consultant gynaecologists offer a wide training in gynaecological surgery, including minimal access work, and conduct both general and PMB out patient. services, Mr Williams has a special interest in sub-fertility, with designated clinic facilities, Mr Crystal undertakes gynaecological cancer cases as does Ms Vijayanand and Mr Smith has subspecialty expertise in urogynaecological services. There is an Early Pregnancy Assessment Service. Training in all of these areas is available; trainees will normally access two of these firms during the year. The ST6 trainee on rotation E will work for Mr Smith for six months and one other gynaecologist according to training needs for the other six months. All obstetricians offer a broad training in the management of medium to high risk pregnancy, with five on-site and two satellite outpatient clinics. In addition, Miss Street runs a diabetic ANC in conjunction with the consultant endocrinologists. Miss Allott has an interest in HIV. Miss Siddall in drug and alcohol miss use and Miss Ablett in cardiac disease. There is a Day Assessment Unit for monitoring hypertensive disease etc. Mr Selinger offers training in invasive prenatal diagnostic techniques and imaging to senior trainees. Miss Allott runs a clinic for bereaved parents and also one for women with previous traumatic birth experiences. Access to these clinics is for the senior trainee who is pursuing training in F-M medicine (Rotation G) The Delivery Suite has a designated consultant for 40 hours each week, with plans to move to 60 hours shortly, who will supervise ward rounds and teach obstetric skills as necessary to any trainee. All trainees are required to participate in the perinatal morbidity and mortality meetings, and the gynae pathology meetings, each held monthly. Junior trainees are expected to attend specialty teaching and training every Friday afternoon, and to undertake an audit project whilst in post. In addition, senior trainees are invited to attend policy and clinical governance meetings, and are encouraged to help draft guidelines, care pathways etc. Audit projects should also be undertaken. Rota: Full shift. Banding: Anticipated 1b from August 2009.