Neurology - North Western

 

Training Programme Director

Dr Tahir Majeed

Lancashire Teaching Hospitals NHS Foundation Trust
Sharoe Green Lane North
Fulwood
Preston
PR2 9HT

 

Overview

Neurology training in the North West is provided at two main centres, Salford Royal NHS Foundation Trust (in Greater Manchester) and Royal Preston Hospital. You will rotate between these two sites during your five year training programme. In addition to managing acute neurology at the two centres, you will attend peripheral clinics and see inpatient referrals at other hospitals in the North West.

 

As well as general neurology, you will rotate through different posts that will give subspecialty experience in movement disorders, epilepsy, stroke, neuromuscular, neuroimmunology, acute neurology and neurodegenerative disease. In addition, during your training you will also gain experience of neurootology, neurorehabilitation, neurosurgery, neurointensive care, neuropaediatrics, pain clinics, neurourology, neuropsychology and neurophysiology.

 

We expect trainees to gain experience in neurosurgery, neurorehabilitation, neuropaediatrics, neurooncology and neuropathology at Royal Preston Hospital and other sub-specialities, including movemement disorder, epilepsy, stroke, neuromuscular, neuroimmunology, neuro-ITU and neuro-otology at Salford Royal.

 

Curriculum

All specialty registrars training from 4th August 2010 onwards follow the 5 year 2010 curriculum. The curriculum defines the competencies required for the award of a certificate of completion of training (CCT) in Neurology. Details of the curriculum can be found at:

www.jrcptb.org.uk/specialties/neurology

 

The 2010 neurology curriculum provides a clear distinction between parts of the syllabus that have mandatory assessments and those that have recommended assessments. Trainees will be required to show evidence of satisfactory assessments from all mandatory parts of the syllabus for attainment of a CCT in neurology.

 

E-portfolios

Trainees are responsible for ensuring that all workplace based assessments (WPBA) are recorded in their e-portfolio as per the curriculum requirements. Trainees should ensure there is evidence of appropriate meetings with their supervisor and evidence of reflective practice. Various elements within the e-portfolio can be linked with the curriculum to provide evidence that competencies are being gained. Trainees are advised to ensure they have completed their e-portfolios in accordance with the decision aid in the curriculum prior to their ARCP.

 

Educational supervisors

During your placements at Salford and Preston you will have an educational supervisor. Educational supervision meetings are held regularly and are an opportunity to complete the appropriate paperwork for your e-portfolio. Any immediate concerns regarding your training should be discussed initially with your educational supervisor.

 

Regional training days

We run a successful programme of regional training days in the North West. These rotate through three neurosciences sites (Walton Liverpool, Preston and Manchester) every month. A register of attendance at these training days will be collated for the STC Chair prior to the ARCP as suggested in the 2010 Curriculum.

 

Out of programme (OOP) experience/research

Trainees who have not undertaken neuroscience research previously are encouraged to arrange OOP research. This can be done locally at various universities in the North West or elsewhere within the UK. As indicated in the Gold Guide, time out of programme will not normally be agreed until a trainee has been in a training programme for at least one year.

 

Approval for out of programme experience will depend on various factors including the number of neurology trainees present at Manchester and Preston, the number of trainees currently out of programme and whether an adequate neurology service can be provided with the remaining registrars. Trainees planning to go out of programme are strongly advised to discuss their plans with their educational supervisor and the TPD as early as possible.

 

Teaching The GMC’s Good Medical Practice document indicates that as a doctor, you should be willing to contribute towards the teaching and training of other doctors and students. At both Preston and Salford you will be involved in medical student teaching. You may also be asked to be involved in MRCP PACES teaching. Trainees are encouraged to become actively involved in teaching and training.

 

All registrars at ST4 level and above are encouraged to complete Edge Hill University’s Postgraduate Certificate in Workplace Based Postgraduate Medical Education. Funding for Module 1 is currently provided by the North Western Deanery. Further details are found at:

www.nwpgmd.nhs.uk/pg-cert

 

Audit and Quality Improvement

Audit meetings occur regularly at both centres. Trainees are encouraged to participate in local and national audits as well as help in developing Quality Improvement projects. A minimum of 2 audits must be completed during your training as per the ARCP decision aid.

 

Annual review of competence progression (ARCP)

Details of the current requirements for progression at the ARCP can be found in the Decision Aid on page 42 of the 2010 curriculum. Trainees should be aware that it is their responsibility to ensure that workplace-based assessments and their ePortfolio are complete well in advance of the ARCP.

 

Study Leave

Trainees wishing to attend conferences, courses or other educational activities can apply for study leave. Each trainee has an annual study leave budget. Any unused funding cannot be carried forward to subsequent years. Requests for study leave must be approved by your supervisor, rota coordinator and the training programme director. Details on how to apply for study leave can be found at:

www.nwpgmd.nhs.uk/studyleave

 

Specialty Certificate Examination (SCE) in Neurology

All trainees are now expected to pass the SCE in neurology during the course of their training. The examination is based around the current neurology curriculum. Trainees should attempt the examination at an appropriate time in their training as indicated in the ARCP Decision Aid. Full details of the examination and application procedure are found on the Royal College of Physician’s website. Payment of fees for the examination is not provided by the deanery.