ACCS Core Training is based in the Acute, A&E, Anaesthetics & ITU Departments at RSCH. A&E has a 24hr Emergency Department, two dedicated x-ray rooms and CT scanning is available 24 hours a day. There is a heli pad outside to receive urgent cases. Attendances are 80,000 annually and the department is part of the local trauma network and is officially designated as a level 2 trauma centre.
‘A wide range of operations are performed here so there is ample opportunity to get the required experience and by working in the same hospital for all 3 years you really do feel part of the team!’ Dr Katie Wimble, ACCS Anaesthetics CT3
Overview of Training Programme:
Core Training Year 1
Acute Internal Medicine (6 months): You will be based in the Emergency Assessment Unit, working with the on-call medical team and supported by the Medical SpR of the day. The medical teams work a rotating on-call system. The ACCS CT1 will be a key member of the acute on-call team.
- Core Medical Training (1hour a week)
- Medicine Journal Club (1 hour a week)
- Hospital Educational Half Day (2 hours monthly)
- Hospital Lunchtime multi-professional lectures (1 hour monthly)
- CCU teaching (2 hours weekly included in timetable)
Emergency Medicine (6 months): After a comprehensive induction you will be based in the Emergency Department for your Emergency Medicine rotation where you will have 24 hour resident cover. You will be closely supervised for the first 3 weeks where all your cases should be discussed with a Consultant or Registrar.
- 1 Day Radiology Course – organised in your induction period
- Departmental teaching (weekly)
Core Training Year 2
Anaesthetics 6 months: You will be based in the Anaesthetic department within main theatres. You will be closely supervised for the first 12 weeks. After this you will be allowed to work alone on simple lists with supervision close by. At this time you will also take part in the on-call rota with nearby supervision and carry the priority bleep as the first responder for any arrest calls within the hospital.
- Primary FRCA Teaching (monthly)
- Journal Club (weekly)
- Anaesthetic Simulation Training (monthly)
Intensive Care medicine 6 months: You will be based in the Intensive care unit at the Royal Surrey County Hospital. You will be expected to take part in the on-call rota with anaesthetic support. You will be taught initial assessment and care of the acutely unwell patient that needs to be admitted for higher level care from A&E, Theatres and the general wards. You will have sessions with the outreach team and may be required to go on transfers both within the hospital and inter-hospital.
- Departmental teaching
- Monthly M&M meeting
Anticipated duration of programme: The full ACCS programme runs for three years. The first two years of the programme will be provided by the same Trust. The third year of the programme will be communicated to you during CT2 year
Educational Supervisors: Mr Mark Pontin and Dr Kristen Carter
Faculty Lead: Dr Kristen Carter
Dr Katie Wimble
ACCS Anaesthetics CT3
‘I trained in Bristol including an intercalated degree in Anatomical Science before moving to South Thames for foundation training.
I have been at the Royal Surrey County Hospital since 2013 and have been the student representative for ACCS for the last 18 months.
There are plenty of opportunities to get involved with teaching, audit or quality improvement with the trust open to rolling out new initiatives.
Within the anaesthetics department there is a weekly journal club and Primary FRCA teaching approximately monthly. Dedicated Anaesthetic simulation training is also run monthly. The department are very good at approving study leave and make every effort to allow you to attend regional teaching sessions.
A wide range of operations are performed here so there is ample opportunity to get the required experience and by working in the same hospital for all 3 years you really do feel part of the team!’