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Our Specialties: Medicine

About the Department

The Division of Medicine brings together at least 12 different specialties with very wide ranging clinical activities from inpatient care, through diagnostics and procedures to outpatient work. Departments include neurology and neurophysiology, cardiology and primary PCA, care of the elderly and stroke specialty medicine, respiratory medicine, gastroenterology and endoscopy services, Rheumatology, Endocrinology and Diabetes, clinical Haematology, Palliative Care, Acute medicine and MAU.

All acute medical activities take place at the St Peter's site where all acute admission take place and all medical junior doctors are based.

Wards for medicine are all based within the main block at St peter's hospital and include Medical MAU, Medical Short Stay (MSSU), Cardiology and Coronary Care (Birch ward), May (Gastro), Holly and Swift (Care of the Elderly), Cedar Ward for acute strokes, Maple (Rheumatology and Endocrinology) and Aspen (Respiratory).

 

The Core Medical programme

CMT trainees through years 1 and 2 are offered a rotation that provides 4 month medical and specialty experience mapped to the CMT curriculum. The core medical training programme for the 8 CMT trainees will involve 6 specialty attachments:

  • Cardiology
  • Care of the Elderly
  • Rheumatology
  • Gastroenterology
  • Respiratory
  • Palliative Care
  • Acute medicine and MAU
  • ITU

Over the two-year rotation each trainee will never repeat a specialty twice. The aim is for a trainee to start in the first job with their Educational Supervisor (ES) and continue to have that first consultant continue to be ES over the two year period whilst having different Clinical Supervisors (CS) through the rotations. All our ES and CS have experience and training for their roles and are able to help negotiate through the portfolio and curriculum.

The programme includes weekly teaching sessions, the content of which is mapped to the Medicine Specialty Curriculum which take place on a Friday lunchtime within the PGEC.

 

Other educational activities include:

Medical Grand Round: This takes place between 13:00 - 14:00 on Thursday and involves clinical case presentation and academic updates. CMT trainees will be expected to participate in this meeting and attend on a regular basis - a free lunch is usually provided.

Regional Teaching for CMT and SpR: These programmes are organised at Deanery level and rotate around clinical centres. For CMT doctors full day sessions occur approximately every two months and are mapped against the CMT curriculum. ASPH host the Regional Study Days on a regular basis and recently held a successful meeting in May 2015. Study leave is agreed for these mandatory day release training events as long as trainees plan well ahead and let medical leave know

Respiratory and Rheumatology radiology meeting take place weekly as do cardiology and Respiratory MDT meetings.

Simulation Opportunities

The Trust has an active simulation department providing simulation training for many clinical scenarios including central lines, ascetic taps, lumbar punctures and chest aspiration.

 

Other Educational Events/ Opportunities

Trainees have a short attachment at some time through their CMT two years where they spend a discrete period of time covering inpatient medical HDU under the supervision and guidance of ITU anaesthetists who will provide teaching and training in HDU/ITU practice.

 

Sub-Specialty Opportunities

Within the trust the department of medicine provides opportunities for all trainees to experience specialty outpatient practice (CMT doctors have to attend 20 outpatient clinics per annum (40 over two years

 

Research Opportunities and Publications

All medical departments provide opportunities for trainees to participate in clinical research projects and for them to undergo Good Clinical Practice (GCP)training for Research methodology online. The preparation of papers for publication is encouraged.

 

Supervision

Post graduate medical training is directed by the College Tutor, Dr Jacqui Ince. All Consultants providing educational and clinical supervision to CMT and Higher specialty trainees at the Trust have received either QESP or RCP training for their roles.

As College Tutor, Dr Jacqui Ince is happy to provide mentoring and careers advice to Core Medical Trainees throughout their stay.

 

Exam Support

MRCP PACES teaching is provided and co-ordinated through Dr Jacqui Ince, the College Tutor. In 2014-2015 all three trainees at CMT level who took PACES passed first time.

 

Medical On Call

During their rotation all trainees have on call commitments that involve on take duties with a medical on call team of one SpR, at least two CMT/F2 doctors and at least three Foundation doctors. A consultant is resident on call for Elderly Care (OPAL), acute medicine (MSSU) and for general medicine between the hours of 08.00 and 20.00 seven days a week and on call for advice from home out of hours.

The rota is co-ordinated through Di Gillings our Medical Leave Administrative Lead who you should get to know early in your attachment at the hospital as she coordinates the basic rota, all leave permission and any swaps that are needed.

 

Facilities Available

Trainees at the trust in medicine are able to access the library facilities, which include ATHENS password access and retrieval services for paper references for writing articles together with all the facilities of an active PGEC.

 

The College Tutor for medicine is Dr Jacqueline Ince

 

Further information about the sub-specialties in Medicine at ASPH can be found at

About the Trust

We are the largest provider of acute hospital services in Surrey, serving a population of more than 380,000 people in the boroughs of Runnymede, Spelthorne, Woking and parts of Elmbridge, Hounslow, Surrey Heath and beyond.

Ashford Hospital

Ashford Hospital is situated on the A30 to the west of London, close to the junction 13 of the M25 and Heathrow Airport.

London Road, Ashford,
Surrey, TW15 3AA

Switchboard: 01784 884488

St Peter's Hospital

St. Peterís Hospital, Chertsey is situated in parkland between Woking and Chertsey near junction 11 of the M25.

Guildford Road, Chertsey,
Surrey, KT16 0PZ

Switchboard: 01932 872000