HEALTH EDUCATION ENGLAND THAMES VALLEY - SPECIALTY TRAINING PROGRAMME INHAEMATOLOGY
About Health Education England Thames Valley
We are the Local Education and Training Board (LETB) for Thames Valley covering Berkshire, Buckinghamshire and Oxfordshire. Our vision is to ensure the delivery of effective workforce planning and excellent education and training to develop a highly capable, flexible and motivated workforce that delivers improvements in health for the population of Thames Valley. Thames Valley LETB is responsible for the training of around 2000 Foundation and Specialty trainees.
Health Education England Thames Valley is a relatively small organisation with a defined geographical area which serves as a single unit of application. In the majority of cases successful candidates will be asked to preference their choice of location for either one or two years. Some programmes will require successful candidates to indicate a location and specialty. Future placements will usually be based on individual training and educational needs. Please note that applications are to the Health Education England Thames Valley as a whole. This may mean that you may be allocated to any geographic location within the deanery depending on training needs.
The Haematology Training Programme
The Haematology training programme is 5 year programme, starting at ST3during this time, the trainee's work will be monitored for satisfactory progress and subject to annual reviews in the form of ARCPs. Progression on the programme will be dependent upon these reviews.
The posts on this rotation have been approved for Specialist Training by the JRCPTB. The programme is designed to equip the trainee for Higher Specialist Training in their chosen specialty.
The Postgraduate Dean has confirmed that this post has the necessary educational and staffing approvals.
The programme is based in several different Trusts throughout Health Education Thames Valley so trainees may find themselves employed by any of the following Trusts and placed in any of the following hospitals:
Trust / Hospitals and LocationsBuckinghamshireHealthcareNHS Trust / 1.Wycombe General ospital, High Wycombe
2.Stoke Mandeville Hospital, Aylesbury
Frimley Health NHS Foundation Trust /
Wexham ParkHospital, Slough
Milton Keynes hospital NHS Foundation Trust / Milton Keynes Hospital, Milton KeynesOxford University Hospitals NHS Trust / 1.ChurchillHospital, Oxford
2.JohnRadcliffeHospital, Oxford
3.Horton Hospital
4.Nuffield Orthopaedic Centre
Royal Berkshire NHS Foundation Trust / Royal Berskhire Hospital, Reading
1.DUTIES OF THE POST
a)Principal Responsibilities:
The speciality registrar will take part in a rota to cover the clinical and laboratory aspects of their training (see Training Programme).
b)Teaching
Teaching of medical undergraduates and the instruction of other junior medical staff, nursing and laboratory staff.
c)Administration/Management
The Speciality Registrar is encouraged to take part in the clinical and laboratory management meetings during the rotation and is also encouraged to
attend management courses.
2.TRAINING AND RESEARCH:
a)Training Scheme
The training programme is as below. It is intended to be flexible such that it can be modified in accordance with a trainee’s previous training in haematology and service requirements. The rotation continues to receive excellent feedback from annual trainee surveys and outstanding FRCPath results.
An Educational Supervisor, who will be a consultant haematologist, will ensure that facilities and opportunities are made available to the trainee. The assessment of all haematology trainees comprises supervisors' reports at the end of each attachment and continuous assessment monitored through use of the training portfolio.
This record must be presented by the trainee
i)to the educational and clinical supervisors for continuous assessment,
ii)at the yearly formative assessments (ARCP) conducted under the auspices of the postgraduate dean,
iii)to the STA (Specialist Training Authority) for award of a CCT (Certificate of completion of specialist training).
b)Research:
There are excellent research facilities in the Department of Haematology in Oxford.
An Academic department of Haematology which encompasses research groups in Oxford including LRF, MRC, Wellcome and NBS groups is at an advanced stage of development.
There is usually sufficient time on some parts of the rota for investigative work to be pursued.
c)Facilities for Study and Training
Postgraduate training recognition is available, including the final FRCPath exams and the programme is accredited by the JRCPTB and GMC. There are several formal and informal education sessions each week within the department.
Good library facilities and postgraduate education facilities are available at the JohnRadcliffeHospital, Churchill and District general Hospitals.
3SPECIALTY:
Description of Specialty Services Provided.
John Radcliffe and Churchill Hospitals, Oxford
The Department of Haematology provides a comprehensive clinical and laboratory haematology service.
The laboratory specialised services are centralised at the John Radcliffe with laboratory provision at the ChurchillHospital and HortonHospital in Banbury. The department services the Oxford Radcliffe Hospitals NHS Trust and the Nuffield Orthopaedic Centre NHS Trust. The specialised medical units served by the department include the maternity unit, renal unit and cardiothoracic unit and ITU.
Within the haematology department, specialised laboratory services include investigations for haemophilia and thrombosis, screening for red cell enzymes, Regional immunophenotyping service, a National Reference Haemoglobinopathy Service and a comprehensive Thames Valley Haemato-Molecular Diagnostic service for malignant and non-malignant disorders. The department runs an active bone marrow transplantation programme and general in-patient ward in addition to a very busy general clinical haematology service.
Regional MDT meetings for Lymphoma, Myeloma, Leukaemia and Bone marrow transplant take place weekly.
In 2009 the clinical service moved into the new state of the art £100 million Oxford Cancer and Haematology Centre on the Churchill Site(1 mile from the John Radcliffe site) with a 25 bedded (10 transplant) purpose built inpatient unit.
TRAINING PROGRAMME
The training programme has been drawn up to reflect the curriculum produced by the Haematology SACof the JRCPTB.This scheme is meant as a guide, however circumstances may enforce changes to the timing of specific attachments.
Year One
Formal induction to laboratory haematology (including main laboratory, blood transfusion, coagulation and specialist haematology).
District General Hospital 12 months
Year Two
Transfusion + Haemophilia 6 months
Laboratory 3 months
Leukaemia/BMT or Lymphoma 6 months
The FRCPath part 1 exam should be taken before the end of year two.
Year Three
DistrictGeneralHospital 9 -12 months
Year Four
Lymphoma or Leukaemia/BMT 6 months
Myeloma 3 months
Paediatric Haematology 3 months
The FRCPath part 2 exam should be taken before the end of year 4.
Year Five
DGH 6 months6 months
Option 6 months
1.During the induction period, the trainee would work in the laboratory alongside a 4th or 5th year trainee.
2.Option A in year five is to give the opportunity for a more specialised experience of some aspect of haematology, depending on the trainee’s interest.
3.Formative assessment (appraisal) will take place during every part of the rotation with a ARCP every 12 months. The FRCPath part 1 should be taken after about 18 months and the FRCPath part 2 before the end of year 4.
4.Continuous assessment will be undertaken by use of the training portfolio
5. Trainees are encouraged to attend the monthly clinical and laboratory management meetings.
6.The department will endeavour to provide funding for a trainee to attend one international meeting and minimum of one national meeting during the 5 year training programme.
Department Members
Medical Staff – Consultants
JohnRadcliffeHospital and ChurchillHospitals,Oxford
Dr W Atoyebi
Dr G Collins
Dr C Hatton
Dr D Hay
Dr J Kothari
Dr T Littlewood
Dr A Mead
Dr S Pavord
Dr A Peniket
Dr L. Quek
Dr K Ramasamy
ProfP Vyas
Haemophilia Centre
Dr D Keeling
Dr N Curry
Dr S Shapiro
National Blood Servie
Dr S Benjamin
Prof M Murphy
Dr R Pawson
Prof D Roberts
Dr S Stanworth
Cellular Sciences
Prof K C Gatter
Prof F Pezzella
Dr E Soilleux
Dr D Royston
Medical Staff – others
Specialist Registrar 14
Academic Clinical Lecturer 1
Academic Clinical Fellow 4
ST2 4
RoyalBerkshire Hospital, Reading
Dr H Grech
Dr S Mucklow
Dr R Sampson
Dr A Khan
South Bucks NHS Trust (Aylesbury/Wycombe)
Dr H Eagleton
Dr B Pushkaran
Dr R Aitchison
Dr J Pattinson
WexhamParkHospital, Slough
Dr N Bienz
Dr S Moule
Dr N Philpott
Dr M Offer
Dr C Lahoz
Milton Keynes Hospital, Milton Keynes
Dr M Dungarwalla
Dr S Mitra
Dr D White
Dr S Davis
Typical weekly haematology departmental Schedule (OXFORD)
Mon / Tue / Wed / Thur / FriA.M / SpR Ward Round
Teaching
Haematology Ward
Level 1
CHC
8.30am / Haematology Grand Round
Lymphoma Journal Club
BMT Quality meeting
8.00am
New Patient Clinic 9.00am
CHC Outpatients / Immunophenotyping
Meeting 8.30 am
JR
Transplant Clinic
9.00am
CHC Outpatients / Consultant Ward Round
- Leukaemia/ BMT
- Lymphoma
Haematology Ward
Level 1
CHC
Myeloma/Leukaemia
MDT 11.00 am
Meeting Room 2
Level 1
CHC / Journal Club 8.30 am
Meeting Room 3
Level 1
CHC
Haemoglobinopathy /
Autoimmune disorders Clinic 10.00am
CHC Outpatients.
Morphology Teaching
11.30 am
Level 2
CHC
P.M / Monthly Clinical Governance meeting
12.00noon
CHC
Consultant Ward Round
- Leukaemia / BMT
- Lymphoma
Clinic 2.00 pm
CHC Outpatients / Lymphoma MDT
1.00 pm
Level 0
JR
Myeloma Clinic 2.00 pm
CHC Outpatients / Lymphoma Clinic
CLL Clinic
Myeloproliferative Clinic
Leukaemia Clinic
CHC Outpatients / Academic Dept Of Haematology Talk
1.00pm
Weatherall Institute of Molecular Medicine
CHC = Cancer & Haematology Centre
JR = JohnRadcliffeHospital.