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Medicine

Gastroenterology ST3+ training 

The trust offers broad based gastroenterology training as well as subspecialty hepatology and advanced nutrition training. Endoscopic training will be tailored to your stage of training, offering experience in a full range of endoscopic procedures including diagnostic and therapeutic upper and lower GI procedures and ERCP. In outpatients, you will see General Gastroenterology clinics as well as subspecialty clinics such as Hepatology, viral hepatitis, Inflammatory Bowel Disease, cancer, and intestinal failure/ advanced nutrition. The in-patient caseload consists of hepatology, gastroenterology and general medical patients. On call you will see an unselected on call of acute medical patients. You will be able to attend the upper GI X-Ray and cancer MDTs, and medical education meetings occur thrice weekly. The designated GI education session occurs monthly, alongside the endoscopy users group meeting and GI business meeting. A specialist nursing team also works alongside our consultants. Consultant teams are supported by for viral hepatitis, cancer and inflammatory bowel disease.

Cardiology

The trust offers specialist cardiology training from ST3 and above. General internal medicine training covers the mandatory years’ experience for all cardiology trainees, and further training for those who require dual accreditation in cardiology and GIM. The cardiac care unit is toured daily by a consultant.

Trainees will also report on non-invasive cardiology investigations

Echocardiography offers a weekly dedicated technician supervised list for every registrar, most of whom acquire the BSA accreditation. Trainees will also gain experience during their time with us in trans-oesophageal echocardiography, competence pacing for bradycardia, femoral and radial angiography, left and right heart catheterization, and graft studies for diagnostic purposes.
Junior trainees – basic training in coronary intervention is available with elective and unstable cases every day.
Respiratory training

The trust offers specialist respiratory training to ST3 and above, and one year of general medicine training as part of the dual accreditation for respiratory and general medicine. The training program includes experience in diagnostics and management of acute and chronic lung problems, the diagnosis and treatment of pulmonary and extra-pulmonary tuberculosis, and respiratory procedures such as pleural drain insertion and TALC pleurodesis. Trainees will also gain experience in reporting lung functions and nocturnal pulse oximetry studies. The department runs two bronchoscopy lists per week, and holds a weekly lung cancer MDT and radiology meeting.
Geriatric medicine

In geriatric medicine, the trust provides training across a broad spectrum, including general internal medicine; acute and general geriatrics; specialist stroke care; and opportunities to train in palliative care, ortho-geriatrics, and old age psychiatry. In acute and general geriatrics, trainees will gain experience in comprehensive assessment (including the assessment and management of common geriatric problems such as falls, delirium, and incontinence), the multidisciplinary approach to managing disease and providing rehabilitation to the older patient, and the diagnosis and management of acute diseases within the inpatient setting. Trainees will also participate in planning to transfer the care of frail older patients from hospital.