Acute Medicine

 Acute Medicine

The Royal Surrey County Hospital occupies a distinctive position as a District general Hospital providing a comprehensive service for local residents, specialist regional hepatology services for Surrey, and cancer services for Surrey and Sussex incorporating the Regional Oesophagogastic and Hepatobilaiary Cancer Units.

The department of medicine is a cohesive and supportive group of consultants including eight geriatricians (two of whom deliver the stroke service) four cardiologists, four gastroenterologists, three rheumatologists, three endocrinologists and three respiratory medicine consultants. Planned consultant expansion in the next 12 months includes acute physicians and gastroenterology. There is a weekly journal club including monthly Morbidity and Mortality meeting, educational half day programme, local departmental teaching and trainees above ST5 are encouraged to join the Trust Leadership programme.

The Trust has three acute medicine trainees each of whom undertakes two six month posts in speciality medicine and intensive care, to fulfil the speciality requirements of the Acute medicine curriculum, whilst maintaining a commitment to the general medicine on call rota.

Gastroenterology The department of Gastroenterology includes four Consultants (two of whom have an interest in Hepatology) with further Consultant expansion planned for 2015. There are two SPRs in Gastroenterology, an Acute Medicine SPR (6 month rotational appointment), a speciality doctor (SPR level) two GPSis one CMT trainee, one FY2 and one FY1. Additional support is provided by a Hepatology CNS, IBD CNS, two nutrition sisters, two non-medical endoscopists five site specific cancer CNSs and a dedicated team of dieticians.

There are ample training opportunities within the department for acute medicine trainees to gain a broad experience of acute inpatient Gastroenterology & Hepatology. RSCH is accredited for hepatology training in KSS and is one of 15 centres nationally accredited as a Hepatology Centre in the NHS England early access programme. Trainees will receive close consultant supervision in outpatients with a focus on outpatient and ambulatory management of acute gastroenterology & hepatology. Trainees are encouraged to join the Simulation Faculty and previous trainees have delivered weekly simulation sessions for junior colleagues.

OPAL / Geriatrics The geriatric medicine post (6/12 rotational) offers experience in acute front door geriatric medicine. The trainee will work as part of a dedicated multiprofessional team including therapies and social services managing frailty crisis across the Trusts admission areas in the virtual elderly frailty unit. The post has a focus on integrated care and trainees will gain experience in working with agencies within the Trust and wider medical community as well as outpatient work in the Rapid access day unit.

Intensive Care 2 of every 3 acute medicine StRs rotate through the intensive care unit (ICU) at RSCH. The unit is relatively large for a district general /cancer hospital of our size – with 25 beds for 550 beds. It’s a mixed HDU-ICU with a slight preponderance of surgical patients – largely tertiary referrals of patients requiring hepato-pancreatico-biliary, oeso-phagogastric or maxillofacial care. The senior staff includes 12 intensive care consultants including 2 physicians (one respiratory and one nephrology). In addition to exposure to the acute and chronic management of a wide variety of illness there are ample educational opportunities of relevance to acute medicine both in practical procedures skills (vascular access, chest drains), imaging competencies (echo, thoracic and lung US), communicating with other specialities and families, teaching junior trainees, research, audit and quality improvement projects.

Acute medical on call Acute medicine is currently provided by specialist physicians in rotation supported by a network Cardiology rota for Surrey, and network stroke thrombolysis rota, with the full complement of unselected medical admissions being referred to the Trust. Speciality trainees are supported by the existing physicians who deliver twice daily MAU ward rounds for acute admissions, in addition to an afternoon rolling review for acute admissions.

The OPAL service includes two Consultants and an experienced staff grade, managing a virtual frailty unit within the acute assessment areas, and in addition to these front door consultant staff the Trust plans to appoint three WTE dedicated acute physicians over the next 12 months

Post details

  • Grade: 3 x Specialist Registrar (SPR) / Specialty Trainee (Gastroenterology) ST3+
  • Location: Rotational appointments – internal rotation within RSCH.  The trainee may undertake supervised outpatient training at one of the linked community hospitals in Haslemere, Cranleigh or Cobham.

Post 1 Interface geriatrics / Gastroenterology
Post 2 Gastroenterology / ICM
Post 3 ICM / Interface Geriatrics

Qualifications: MB BS MRCP (PACES) Full GMC Registration

 Educational Supervisors

Dr Michelle Gallagher
Department of Gastroenterology
01483 571 122 x 4846
Michellegallagher@nhs.net

Dr Myooran Ganesh (Geriatric Medicine)

Department of Geriatric Medicine

Dr Ben Creagh-Brown (ICM)

Department of Anaesthesia and Intensive Care Medicine

Clinical Lead

Dr Michelle Gallagher (Clinical Director Acute & speciality medicine)
CCT/CESR/CP/Core

CCT Acute Medicine/GIM
Salary Scale

All payscales can be found on the NHS Employers website

 

 

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