Training & Living in North Wales
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+ Training & Living in North Wales + A guide for anaesthetic doctors rotating to North Wales Helping you and your family prepare for moving to North Wales: • Life in North Wales • Where to live • Where to go out • Training opportunities • Contact details • Helpful tips Edition 1.2 Jul-16 2 12 + Congratulations! Llongyfarchiadau! Da iawn! If you are reading this you have Outstanding Natural Beauty. It is no wonder succeeded in gaining a post that will bring that so many people come back every year you to one of the most beautiful parts of the for their holidays. world. If you have never been to North For some of you, North Wales may not have Wales before you are in for a very pleasant been your first choice of a place to work. surprise! That’s OK; we understand it is a long way to You will be living and working in a popular travel from South Wales. It’s even worse if holiday region with a unique history and you are separated from partners or family. culture. On the doorstep of Snowdonia We will do our best to help you get the most National Park; perfect for adventures in the out of your time in North Wales; and we are outdoors or losing yourself amongst the confident that when your rotation here has scenery that inspired Tolkien. You will also ended you will leave with very happy be a stones throw from the breathtaking memories. Many of you will be pleasantly coastline of Anglesey and the Llyn Peninsula surprised and will want to come back here with stunning beaches for watersports, for consultant jobs! We value our doctors in strolling or just relaxing to get away from it training. We want them to have the best all. North Wales is also home of many training experience possible and we value Castles, World Heritage Sites, Iron Age Forts, the importance of a work-life balance. National Trust Houses and Areas of 3 12 Working in North Wales You can have a career and a life… We asked all our current trainees what they liked Our trainees have a voice in the department. We most about living and working in North Wales. listen to their opinions, and welcome suggestions for Surprisingly, the most popular response was nothing improvement. Are our hospitals really more friendly? to do with the mountains or coastline. What doctors Only you can be the judge of that but we have great like most about working in North Wales are the feedback from our previous trainees. Each hospital friendly departments and hospitals that offer the has a great positive team spirit and a culture of perfect balance of good training experience and a mutual support. We are not immune to the problems friendly atmosphere. Large University teaching facing the NHS, but you will find staff who are loyal hospitals can feel cold and impersonal. You need to and passionate about their hospital and committed work there for months before you know even people to providing the best care they can. What’s our in your own department. Often there are so many secret? It’s obvious really. We believe if people are junior doctors that your training experience is diluted. happy in their life, they will be happier in their work When you start work in North Wales you will be made and vice-versa. Most of our staff love working in to feel welcome. You will be a valued member of North Wales because they can have the perfect the department – not just a trainee. You will probably work-life balance. Happy consultants, nurses (and be given more independence than you would in a even managers) make for a happy workplace and big teaching hospital, but always well supported. the perfect environment for learning. 4 12 Working in North Wales + Welcome to Betsi Cadwaladr University Health Board Betsi Cadwaladr University Health Board is Some sub-specialties are shared across the largest health organisation in Wales, the three sites. For example major upper providing a full range of primary, GI surgery is done exclusively at community, mental health and acute Wrexham Maelor. Major head and neck hospital services for a population of around surgery is done only at Ysbyty Glan 678,000 people across the six counties of Clwyd. Major Gynaecological surgery is North Wales (Anglesey, Gwynedd, Conwy, located in Ysbyty Gwynedd. Vascular Denbighshire, Flintshire, and Wrexham). surgery is currently done at Ysbyty Gwynedd and Wrexham Maelor. The Health Board has a budget of £1.3 billion and a workforce of approximately There are no Cardiothoracic or 16,500. Neurosurgical units in North Wales. Some trainees will rotate to The Walton Centre We have three main hospitals (Ysbyty in Liverpool to do their Neuroanaesthesia Gwynedd in Bangor, Ysbyty Glan Clwyd in module and the Liverpool Womens’ Bodelwyddan and Wrexham Maelor hospital for extra Obstetric experience. Hospital) along with a network of Trainees can also opt to spend some community hospitals, health centres, clinics, time at Alder Hey hospital in Liverpool for mental health units and community team supplementary paediatric experience if bases. The Health Board also coordinates they wish. We believe these the work of 114 GP practices and NHS opportunities strengthen the breadth services provided by dentists, opticians and and depth of the training experience in pharmacists in North Wales. North Wales and are a boost to the All 3 hospitals have an Emergency excellent training our trainees get from Department, acute surgical admissions, the Welsh Deanery. Further information consultant led obstetric units, paediatrics, on these rotations is available from your intensive care unit and all offer general college tutor. surgery, orthopaedics, trauma, urology, During your time in North Wales it is gynaecology, ENT – typical DGH possible for you to complete all of your procedures. Unlike many DGH’s in England essential modules with the exception of and South Wales, major trauma and Cardiothoracics and higher level paediatric emergencies are rarely diverted Paediatrics. For ST6-7s you can also directly to the major centres – mainly complete the advanced modules for because of the long transport times. That’s general duties or pain. excellent news for your training. 5 12 Training in North Wales + North Wales Anaesthetic Teaching & Study leave. Each of the hospitals in North Wales are system. Unfortunately the deanery committed to providing you with excellent budget is quite limited. If you feel that training, teaching, support for exams and there is a course or conference that coaching your professional development. would be really good for your Whatever stage you are at in your training professional development and have we will help you reach your goals, whether it already spent all of your allowance we is to pass the exams, develop your CV, or may be able to assist with funding on a prepare for being a consultant. case-by-case basis. Discuss any requests in advance with Deputy Regional Formal teaching occurs weekly at each site. adviser Dr Declan Maloney or Deputy To get the most out of this teaching you will Programme Director Dr Mark Knights be encouraged (and expected) to (see contacts page). Please note exam contribute to some of the teaching sessions. courses will not normally be considered. Each department also holds 6 CPD days a When considering applications we will year. In addition there is a North Wales take in to account your attendance at regional teaching programme with a regional teaching and contribution to separate curriculum for CTs and STs. We are departmental teaching. developing and investing in a North Wales simulation programme. You should be ARCPs are held in North Wales for most automatically released from clinical duties trainees based in the North, but some (unless on-call) to attend these. Further will have to travel to South Wales. You information will be available on from your should apply for professional leave for college tutor. You can also follow ARCPs through the intrepid system (not @gas_NWales on twitter for updates. The study leave). Travel expenses should regional teaching days are a great always be claimed and will be paid for opportunity to get together with colleagues ARCPs. (If claiming mileage for driving you from the other hospitals in North Wales and should have business mileage included on plan social events! your car insurance. This is normally easy to arrange with little additional cost.) The current trainees have asked whether we Finally, we hold a regional North Wales can arrange video links to teaching days in anaesthetic forum every December, South Wales. This is something we are which includes prizes for the best trainee currently looking to set up. presentation and poster on audits, Study leave is normally 30 days per year and quality improvement projects or is applied for through the online intrepid interesting cases, so start planning one now! 6 12 Working in North Wales + Ysbyty Wrexham Maelor Wrexham. Top Tips: Wrexham is a town on the welsh border with 1. Join the Doctors Mess a population of approximately 65,000. It has 2. Be nice to the anaesthetic an industrial past and has been redeveloped secretaries... if you are nice to as a modern marketing centre and home to them they will mother you Glyndwr University. lovingly! 3. There are free cash machines The town hosts multiple shopping and outside the canteen and at the recreation complexes as well as a cinema main entrance. within walking distance of the hospital. 4. The League of friends run three shops and a cafe at the main It is strategically located within commuting entrance with extended hours distance of Chester and Liverpool and less 5.