Renal Specialist Trainee Induction - nwpgmd.nhs.uk Specialty Training Induction...Renal induction...
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Renal induction handbook Renal Specialty Trainee Induction Handbook January 2018
Transcript of Renal Specialist Trainee Induction - nwpgmd.nhs.uk Specialty Training Induction...Renal induction...
Renal induction handbook
Renal Specialty Trainee Induction Handbook
January 2018
Renal induction handbook
WELCOME
Welcome to the Health Education England North West, Renal Medicine training
Programme.
Professor Jane Mamelok ([email protected]) is the Postgraduate Medical
Dean. Head of School of Medicine is Dr John Anderton
The renal training committee (TC) members are:
Dr Harish Shetty, Renal Physician, Lancashire Teaching Hospitals
Training Programme Director, [email protected]
Dr Ajay Dhaygude, Renal Physician, Lancashire Teaching Hospitals
Trust Specialty Training Lead and Career Advisor, [email protected]
Dr Arvind Ponnusamy, Renal Physician, Lancashire Teaching Hospitals
Regional Teaching Programme organiser, [email protected]
Dr Durga Kanigicherla, Renal Physician, Manchester Royal Infirmary
Trust Specialty Training Lead, [email protected]
Dr Nina Brown, Renal Physician, SRFT
Trust Specialty Training Lead, [email protected]
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Dr Rachel Middleton, Renal Physician, SRFT
Member, TC, [email protected]
Professor Phil Kalra, Renal Physician, SRFT
Academic Advisor, [email protected]
Trainee Representatives
Dr Adam Morris, [email protected]
Dr Ibrahim Ali, [email protected]
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Local Education Providers
Trainees will rotate through the three trusts during training:
Lancashire Teaching Hospitals NHS Foundation Trust.
Manchester University NHS Foundation Trust.
Salford Royal NHS Foundation Trust.
Motorways well link all hospitals.
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Preston Hospital offers seven posts including three G(I)M training. One of the G(I)M
post includes ITU experience. Dr Mark Brady is the clinical director
([email protected]), and Dr Dhaygude is the TSTL.
Manchester Royal Infirmary offers eight training posts including two posts on the
acute transplantation ward and two G(I)M post. Dr Leonard Ebah is the clinical director
([email protected] and Dr Durga Kanigicherla is the TSTL
Wythenshawe Hospital offers one post for G(I)M training. This post is supervised by
Manchester Royal Infirmary and provides exposure to renal clinics.
SRFT offers seven renal training posts including three G(I)M training post. One of the
G(I)M post includes ITU experience. The clinical director is Dr Smeeta Sinha
([email protected]), and Dr Nina Brown is the TSTL. ([email protected]).
You will rotate between all three trusts during your training period. Due to the busy
nature of the training scheme, it is not always possible to choose which site you train at
each year. However, if you have specific training needs, e.g. transplantation these will
be considered. Please do discuss your specific needs with your educational supervisor
and Dr Shetty as soon as possible. Dr Shetty arranges induction meetings with all new
trainees, and this will be a good opportunity to discuss your individual training needs.
Renal induction handbook
All three trusts work a hub and satellite model. As well as covering satellite dialysis
units, each trust also provides support for other hospitals. While you do not rotate
to these hospitals in the training program, there may be out-patient clinics at some
sites.
Trust Geographic renal care
Preston Kendal
Barrow
Blackpool
Blackburn
Rosendale
Burnley
Lancaster
Chorley
MRI Tameside
Trafford
North Manchester
Withington
Macclesfield
Stepping Hill
Wythenshawe
SRFT Bury
Rochdale
Oldham
Bolton
Wigan
Each trust has different policies on the working pattern which will be covered in the
local induction meeting at the start of the training period. You will also need to
undertake corporate induction which will be discussed by the TSTLs
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G(I)M TRAINING
The renal training program provides dual accreditation in renal and general
internal medicine. All trainees are strongly encouraged to achieve dual
certification. Any plans to pursue single accreditation must be discussed at an early
stage with both your educational supervisor and the training program director. The
current G(I)M TPD is Dr Vinodh Devakumar, [email protected].
You will have an educational supervisor assigned at each trust. It is your
responsibility to arrange initial and then regular educational meetings. If you have
any difficulties with your supervisor discuss this with the local specialty tutor in the
first instance.
Specific training opportunities in G(I)M are limited to 9 posts; however, GIM skills
and competencies can be gained during renal placements. It is vital that you keep
track of the months you have spent in G(I)M and talk to your educational supervisor
early if you are worried you do not have planned rotations to general medical posts.
You should also discuss with the local TSTL and Training Programme Director.
To progress through your G(I)M ARCP, evidence of patient contact in clinics and on
the acute take must be provided during ARCPs. Please also keep your e-portfolios
up to date as per the latest G(I)M decision aid published on the JRCPTB website.
You will get notification from the deanery on whether you will have a G(I)M ARCP in
your training year. It is important to inform the deanery personnel on the number of
year of G(I)M years of training that you have undertaken so that an assessment can
be done either for a full year or pro rata for the number of
months of G(I)M training.
There is five whole days of GIM training days each year.
Please ask the Training Programme Director for a teaching
schedule if you have just joined the programme.
Attendance certificates are given for full or half day
attendance - if you arrive late or leave early you will only be given a half day
certificate. 75% attendance is required to progress through your ARCP; this can be
supplemented by attending other teaching sessions, e.g. RCP update days.
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RENAL TRAINING
The training programme has 23 trainees. Each trust offers broad exposure to general
nephrology, acute kidney injury, acute dialysis, chronic dialysis management of
patients with renal transplants and all topics as per the renal curriculum. Experience
of acute transplantation is only available at Manchester Royal Infirmary, and all
trainees will have at least four months of their rotation on the transplant ward.
Please refer to the up-to-date renal decision aid published on the JRCPTB website.
Normally the renal ARCP will be held in June. An outcome one at the ARCP is
essential for a trainee to be granted out-of-program experience.
The 2010 renal curriculum requires trainees to learn the placement of temporary
dialysis lines. No matter how many lines you have placed before, it is vital that you
arrange this competency to be signed off as soon as possible for each trust before
you start undertaking this procedure independently. Even when competent, it is
expected that you should arrange regular DOPS assessments to demonstrate that
you are maintaining this skill.
Training in renal biopsy and tunnelled line placement is not an essential
requirement in the 2010 curriculum but training opportunities will be available
dependent on local trust policies. If you have a specific training need or interest,
this should be discussed with your educational supervisor.
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RENAL TEACHING DAYS
The renal teaching program is arranged by Dr Arvind Ponnusamy. The program is
structured over three years and covers all major curriculum topics over this period.
The timetable will be circulated beginning of each year. Sessions are usually held at
The Centre, Birchwood Park, Warrington, WA36YN but will occasionally be held at
one of the three trust sites. Your host trust should facilitate arrangements for you to
meet this requirement.
In addition to the Birchwood teaching days, a range of other training opportunities
exists such as REMEC, Regional updates on
specific topics with guest lectures invited
from around the country.
Each trust also provides a local education program including biopsy meetings, grand
rounds and StR teaching. Keep a record of all educational activities on your e-
portfolio.
HEENW every year also sponsors trainees (ST4+) who have identified a need for
medical leadership to attend, a postgraduate module in Medical Leadership, which
is delivered over a 15 week period.
Please see https://www.nwpgmd.nhs.uk/Postgraduate-Module-in-Medical-Leadership for further
information about the module including face-to-face dates.
ST 4+ Trainees can also avail HEE funded places on Module 1 of the PG Certificate in
workplace-based Postgraduate Medical education.
Renal induction handbook
MEMBERSHIPS
There are several renal societies, all with annual meetings. Trainees are encouraged
to join the Renal Association and, when possible, attend part of the annual meeting.
Other societies include the American Society of Nephrology (ASN), The European
Renal Association - European Dialysis and Transplant Association (ERA-EDTA) and
International Society of Nephrology (ISN).
Please look at individual websites as some societies offer free membership or
subsidised membership for trainees.
Each society has an annual meeting. Support and advice are available for anyone
wishing to submit abstracts. Please note that currently, the study budget does not
support international travel unless under exceptional circumstances.
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OUT-OF-PROGRAM (OOP)
There is a strong research heritage in the region. The training program will always
try to support trainees wishing to take time out of the program to undertake a
period of research.
Early planning is vital! If you are considering taking time out, please speak to your
educational supervisor and the TPD as soon as possible. Applications, with details of
funding, research timetable, should be submitted at least six months in advance.
The deanery OOP web-page with links to application forms can be found here:
https://www.nwpgmd.nhs.uk/time-out-of-programme
Each trust has different active research interests.
Salford has interests in the epidemiology of CKD, cardio-renal disease,
atherosclerotic renovascular disease and quality improvement.
Manchester Royal Infirmary has interests in transplantation, peritoneal dialysis,
membranous nephropathy and vasculitis.
Preston has interests in ultrasound, Vasculitis and frailty in CKD.
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TRAINING COURSES
There is a study budget of approximately £785 per trainee in the clinical post per
year to support attendance at courses to complement experiential learning.
While trainees can apply to attend any course, they wish; they must be able to
demonstrate how this will aid them in completing all the curriculum competencies.
Unfortunately, the study budget does not extend to support attendance at
international conferences, unless exceptional circumstances. Please refer to the
HEENW website for up to date guidance
A list of suggested courses and appropriate year to attend is given below:
Year Courses Conference
ST3 Renal physiology for the clinician
ST4 Edge Hill Medical Education - Module 1
Advanced Nephrology Course Part 1
Specialty certificate exam course
ST5 Specialty certificate exam course
ST6 Special interest course (see below)
ST7 Management and leadership course
Suggested special interest courses include the Preston Ultrasound Course, Royal
Free Dialysis Course, Hammersmith Supportive Care for the Renal Patient Course
and the Imperial College Pathology Course.
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ANNUAL LEAVE
At ST3 you are entitled to approximately 30 days annual leave, but the exact
number of days would depend on the number of years you have worked for the
NHS before your current post. It is YOUR responsibility to make the most of this!
Each trust has a policy for arranging leave, but as an absolute minimum, six weeks’
notice must be given for leave to be arranged. This allows changes to be made to
clinics and appropriate staffing to be arranged.
Most trusts ask that you spread your leave throughout the year. If you need to
arrange a long period of leave or wish to arrange leave before you rotate to your
new trust, contact the TSTL.
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STUDY LEAVE
All study leave must be applied for at least six weeks in advance with the local
trust. The deanery form can be filled in, at the latest, a day before the course
begins and the expenses claims must be received within three months after the
first day of the course.
The deanery requires that a study leave application form is completed. This form,
along with local study leave guidelines can be found at
https://www.nwpgmd.nhs.uk/studyleave
For renal medicine, the study leave coordinator is Ms. Joanne Parker
([email protected]). When the study leave form is signed by your
educational supervisor and Rota master, forward it to her for approval.
The flowchart for applying for study leave is on the following page:
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Renal induction handbook
Dr John Adams Deputy Dean of Hospital and Community, and Chair of the Policies and Guidelines Development Committee [email protected]
Dr Ray Clarke
Associate Dean of Hospital and community care. Dr Clarke oversees the renal
training programme.
Dr Andy Watson
Associate Dean - Hospital and Community Care
Coordinating, from a deanery perspective, formal academic training for all grades of
medical trainees including the Academic Foundation Programme, Academic Clinical
Fellows, and Academic Clinical Lecturers.
Ms Karen Winterbottom is the current programme support manager and is involved
in recruitment, doctors in difficulty, complex panel Bs, appeals and reviews, and
configuration of training programme/ high-level rotation enquires.
Ms Liz Housby is the programme support coordinator and is involved in Rotations,
Panel Bs attendance, ARCP management, OOP, complex queries re. Trainees/posts.
Ms Jenny Black is the programme support officer and is involved in ARCP and
Training committee arrangements, e-portfolio management and general queries.
Disclaimer. The information in this trainee handbook is a general information resource only.
Individual trust requirements will be discussed in the local induction. For up-to-date information,
please refer to information on the HEENW website.
