Curriculum - Endocrinology and diabetes mellitus training (2010, with 2012 amendments)
Curriculum - Endocrinology and diabetes mellitus training (2022)
JRCPTB Specialty Overview and Recruitment - http://www.st3recruitment.org.uk/specialties/endocrinology-diabetes
North Western
Training Programme Director
Dr Shazli Azmi
Introduction/Overview of Programme
Welcome, to what is possibly the most diverse of Specialities, Diabetes and Endocrinology.
Today’s Diabetologist / Endocrinologist needs to be an integral member of a multidisciplinary team, capable of good clinical reasoning and able to deal with ambiguity and uncertainty. They need to be able to lead when appropriate and have excellent communication skills.
The 5-year Speciality Training Programme delivers training based upon the JRCPTB General Internal Medicine (Acute) (level 2) and Endocrinology curricula. In each post, a Trainee will have a named Clinical Supervisor ensuring access to appropriate mentorship. Documentation of progress through the Training Scheme will be via JRCPTB e-portfolio. The majority of posts involve both District General Hospital and Teaching Hospital placements within the Northwest Deanery. Training commences in the district general hospitals for 1-2 years and progresses to Teaching Hospitals in subsequent years rotating on an annual basis.
There is a wide range of training opportunities in the various hospitals affording experience in both general and subspecialty aspects of diabetes and endocrinology including training in acute internal medicine.
This specialist training experience includes: Antenatal Diabetes, Specialised foot clinics, Diabetes Adolescent /Young Person’s clinics, Diabetes Renal clinics, Insulin Pump Clinics, Diabetic Retinopathy assessment Clinics and Community Diabetes/Intermediate Diabetes Clinics.
Endocrinology speciality clinics include General Endocrinology, Andrology, Paediatric Endocrinology, Transitional Endocrinology, Metabolic Bone clinic, Lipid clinics, Thyroid Eye Clinics, Joint Pituitary Clinics and Joint Surgical Endocrinology Clinics. Experience is also gained in all aspects of inpatient hospital management of both endocrine and diabetes disorders including peri-operative management and knowledge of diagnostic inpatient investigations.
There are a wide range of opportunities for research within the various hospitals and we have strong academic departments within the University of Manchester, Salford and Central Lancashire. Major research groups include areas of Neuro-endocrinology, Endocrine Oncology, Bone biolology, Vascular disease, Lipoprotein Research, Stem Cell Research, Diabetic Peripheral Neuropathy, Diabetic Foot Ulceration and Diabetic Neuropathy.
General Description of Rotation
These placements will involve at least 1 year in the district general hospitals and provide acute medical experience with at least 8 months of unselected acute medical ‘take’. (Blackburn, Blackpool, Burnley, Chorley, Barrow, Trafford, Stepping Hill, Bury, Oldham and Lancaster). The majority of trainees will be based in one site for each year of the programme rotating in October for two years. Subsequent training paths will allow a more sub-specialist training focus for at least two years with placement in Teaching Hospitals /larger District General Hospitals (North Manchester General, Bolton, Hope Hospital, Christies Hospital, Manchester Royal Infirmary, Wythenshawe Hospital and Preston).
Educational Opportunities
The General (Acute) Medicine Curriculum based protected teaching programmes are in place for ST3-7 trainees building on the mature individual trust and multi-trust teaching programmes already in place. There is an active and successful NW Regional Royal College of Physicians Programme of Education including teach-ins and training days; the NW Physicians MRCP Part I Course, now in its 7th year, and also a successful NW PACES Teaching Course.
Trainees attend a dedicated teaching programme in Endocrinology consisting of 8 days per year covering all aspects of the JRCPTB curriculum and are delivered by Education Trainers. This is hosted at various hospitals throughout the NW deanery. There is a Northwest Diabetes and Endocrine evening teaching programme. Individual trusts also run regular programme of training which medical trainees are encouraged to attend.
Research/Audit/Teaching
The Manchester Medical School has recently undergone significant expansion, incorporating the use of problem based learning. Junior hospital doctors, particularly in Medicine, form an important group of the trainers at undergraduate level. The University runs a regular programme of teaching the teachers, which Speciality Medical Trainees are encouraged to attend.
All Trusts have an actively supported programme of audit; ST Trainees are expected to undertake audit and are actively supported to do so. Research is also supported, with presentation of research at national and international meetings and publication of research achieved regularly by trainees in the Regional Programme.
General Internal Medicine (GIM)
For more information on GIM, please click here
Mersey
Training Programme Director
Dr Rebecca Shankland
rebecca.shankland@liverpoolft.nhs.uk
Introduction/Overview of Programme
The Mersey region has been able to deliver a very successful Diabetes, Endocrine and General Internal Medicine training programme over the past 10 years with all trainees gaining successful appointments as speciality consultants. There are 18 training posts across our region.
The Mersey region is relatively small geographically, with extremely good travel connections and affordable places to live. It is also a region with vibrant towns, a beautiful coast line and friendly, diverse northern communities.
There is a wide range of training opportunities in the various hospitals affording experience in both general and subspecialty aspects of diabetes and endocrinology and training in acute internal medicine.
In our region we are privileged to have a full range of services in most trusts including Antenatal clinic, Insulin pump services, Young adult diabetes services and paediatric diabetes and endocrine services. The two tertiary centres run the regional pituitary service with Walton Neurocentre, the regional Adrenal MDT, the regional Neuroendocrine MDT and work closely with surgical and radiology colleagues. Liverpool is also home to a tertiary weight management service as well as at tertiary children’s hospital, and maternity hospital offering up-to-date learning experiences for trainees. There are also a number of large community diabetes services across our region, offering learning opportunities around community diabetes.
General Description of Rotation
The Speciality Training programme from ST4 to ST7 runs across our region and rotations are to the following trusts and hospitals:
Aintree University Hospital (Liverpool University Foundation Trust)
Arrowe Park Hospital
Countess of Chester Hospital
Leighton Hospital
Macclesfield General Hospital
Southport and Formby District General Hospital
Royal Liverpool Hospital (Liverpool University Foundation Trust)
Warrington Hospital
Whiston Hospital
Each trust also offers good general medical experience, enabling trainees to meet General Internal Medicine training requirements. The on-call experience is well supported in most trusts, but relatively busy as most of the trusts in our region are large district general hospitals or tertiary centres.
Each trainee will spend one year in a tertiary hospital but will be expected to rotate to any of the other trusts listed above, with one year spent in each site.
Educational Opportunities
The General (Acute) Medicine Curriculum based protected teaching programmes are in place for ST4-7 trainees and are offered 6-10 times a year.
The speciality curriculum includes trainee attendance at national and international conferences which is supported by the trainee study budget.
There is an annual Pituitary regional teaching day.
There is a regional Diabetes and Endocrine teaching day, which again is a protected teaching session on the Aintree site 6-8 times a year.
There are also local and national opportunities, for example at Edge Hill University and the Kings fund for Educational courses on Teaching and leadership. We are also well placed for Royal College of Physicians courses on acute medicine, teaching and leadership based at the Spine in Liverpool. The Spine is also a leading PACES centre and there are opportunities for registrars to get involved in organising and running PACES exams.
Research/Audit/Teaching
Merseyside and Cheshire is home to 2 medical schools based at Liverpool and Edgehill. This provides trainees with many opportunities to get involved in bedside teaching, CBL teaching and medical school interviews.
There is also a world renowned metabolic medicine unit at the University of Liverpool which has been able to support many trainees in research enabling study towards a PhD or MD. The new medical school at Edgehill has also been able to offer PhD places.
General Internal Medicine (GIM)
For more information on GIM, please click here