DOCSLIB.ORG

UL Hospitals Basic Specialist Training in General Internal Medicine 2019

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
UL Hospitals Basic Specialist Training in General Internal Medicine 2019 UL Hospitals Basic Specialist Training in General Internal Medicine 2019 Basic Specialist Training in General Internal Medicine – UL Hospitals Groups Reach your full potential with the Royal College of Physicians of Ireland and UL Hospitals Group. Training doctors to become world-class specialists is the fundamental purpose of the Royal College of Physicians of Ireland and is delivered via UL Hospitals Group. We are committed to helping you reach your full potential. General Internal Medicine deals with the prevention, diagnosis and treatment of adult diseases. Doctors specialising in General Internal Medicine need expert knowledge of a wide range of common acute disorders due to the type of patients they encounter, and often have to manage seriously ill patients with undifferentiated or multi-system disease processes. The vast majority of physicians have a subspecialty interest in diseases affecting particular organs or organ systems. The subspecialties in General Internal Medicine are: Acute Medicine Cardiology Gastroenterology Geriatric Medicine Infectious Diseases Medical Oncology Nephrology Neurology Palliative Medicine Emergency Medicine Respiratory Medicine Haematology Rheumatology Endocrinology Mid West Hub – UL Hospitals Group The Mid West BST GIM scheme consists of 2 year rotations, rotating 3 monthly through a number of major sub specialities. Each rotation offers 18 months training in Limerick University Hospital / St Johns’ Hospital and a further six months training (usually during the first year) in one of our affiliated level 3 regional hospitals. These are Ennis Hospital, Nenagh Hospital & South Tipperary General Hospital, Clonmel. The Regional Course Director is Dr John McManus, Consultant Physician and can be contacted by email: [email protected]. Alternatively, you can contact Ms Niamh Laffan, the HR contact point for BSTs in the Medical Manpower Department – [email protected] . The RCPI now have an office on site in UHL Dooradoyle. The coordinator for UL Hospitals Group is Ms Muire Graham, her contact emails is [email protected] or [email protected] We have an excellent educational programme which consists of Medical Case Conferences every Wednesday morning, BST teaching every Monday lunch time and Medical Grand Rounds every Friday at 1pm. As well as this all specialities have their own specific teaching which includes journal clubs and bedside teaching. We also ensure that our trainees who are undertaking their Membership are as prepared as possible. We offer consultant delivered tutorials for the MCQ preparation In the lead up to the clinical exams and we have specific membership orientated tutorials on a weekly basis in a syllabus format as well as holding a half day mock exam in preparation for your MRCP part 2 clinical. We also organise mock interviews for our SHOs who are applying for registrar and SpR programs. Support is available in preparation for progression to SpR training and we encourage all our trainees to partake in research and audit. Each year we have an end of year awards night to recognise the achievements of our NCHDs. University Hospital Limerick – ‘living and working ‘ “Caring, Courteous and Professional” Welcome to University Hospital Limerick, Ireland’s fastest growing hospital. UL Hospitals, comprising six clinical sites, serves a population of some 400,000 people working as a single hospital system with about 750 acute hospital beds. UL Hospitals provides a comprehensive range of acute and elective in-patient and ambulatory care services. The range and the level of sophistication of specialist and sub-specialist services provided at UL Hospitals are at least on a par with the country’s best. However, UL Hospitals’ greatest asset is undoubtedly its 3,000-strong dedicated and highly professionalised workforce. We have a very dynamic education and research agenda and we aspire to be one of the top three university teaching hospitals in Ireland by 2018. University Hospital Limerick is the newest University Hospital in Ireland and is the principal academic teaching hospital for the Graduate Entry Medical School at the University of Limerick (www.ul.ie/gems). The University hospital is in a rapid growth phase that is providing the optimal infrastructural and human resource framework necessary for the delivery of excellence in clinical care, medical education and scientific research. UL Hospitals consists of six sites. There is one model 4 hospital and three model 2 hospitals as well as two single specialty hospitals: University Hospital Limerick is the Model 4 hospital for the region. It is where all critical care services are located in addition to a 24/7/365 Emergency Department and it is a designated cancer and PPCI centre. All acute and cancer surgery is performed at UHL and it is where all paediatric services are located. University Maternity Hospital Limerick is a Specialist Hospital and is the sole provider of obstetric/midwifery and neonatology services in the Midwest region. The Hospital serves the counties of Limerick, Clare and Tipperary North Riding, catering for a population of approximately 360,000 people. Croom Hospital serves Limerick, Clare and North Tipperary as a Specialist Hospital with elective Orthopaedic services for adults and children. Croom also accepts the transfer of Orthopaedic patients from UL Hospitals for post-acute care. In addition to Orthopaedic services, Rheumatology and Pain Management services are provided there. Ennis Hospital: Since July 2013 Ennis Hospital (Model 2) has a local Injuries Unit and a Medical Assessment Unit. Selected medical patients appropriate to a model 2 hospital are treated there with frequent transfers from UHL. Ennis is unique in having 50 single rooms to accommodate in- patients. Day surgery and endoscopy services are also provided. Nenagh Hospital: Since September 2012 Nenagh Hospital (Model 2) has a local Injuries Unit and a Medical Assessment Unit. Selected medical patients appropriate to a model 2 hospital are treated there with frequent transfers from UHL. Day surgery and endoscopy services are also provided. St John’s Hospital is a public voluntary hospital in the centre of Limerick city providing a range of inpatient and outpatient services. It is a Model 2S Hospital with same profile of medical in patients as Ennis and Nenagh Hospitals as well as an LIU and MAU. Intermediate surgical cases that require overnight stay are operated on in St John’s as well as day case endoscopy and surgery. Since January 2013 UL Hospitals is managed through a Directorate structure. The group has its own interim board, which will assume full responsibility for all activities of the group when independent trust status is granted to the groups in 2018. Mr Graham Knowles is the chairman of the board. An executive management team under the leadership of Prof Colette Cowan, CEO, is responsible for running the hospital group and this is achieved through four directorates: Perioperative, Medicine, Maternal& Child Health and Diagnostics. NCHD committee UL hospital group has an active NCHD committee who meet on a weekly basis. Every second week this meeting occurs in the office of the CEO in the company of the Clinical Directors. This committee therefore affords NCHDs in UL Hospitals a strong voice in decisions relating to work conditions and rostering. If you are interested in representing your cohort of NCHDs and gaining important management experience please contact Ms Majella Hogan, Medical Manpower Manager ([email protected]). .
Load more

Recommended publications
  • Report of the Assessment of Compliance with Medical Exposure to Ionising Radiation Regulations
    Health Information and Quality Authority Report of the assessment of compliance with medical exposure to ionising radiation regulations Name of Medical University Hospital Limerick Radiological Installation: Undertaking Name: Health Service Executive Address of Ionising St Nessan's Road, Dooradoyle, Radiation Installation: Limerick Type of inspection: Short Notice Announced Date of inspection: 11 June 2020 Medical Radiological OSV-0007379 Installation Service ID: Fieldwork ID: MON-0029586 Page 1 of 24 About the medical radiological installation: University Hospital Limerick (UHL) is a Level 4 Hospital in the University of Limerick Hospitals Group (ULHG). The radiography governance at UHL incorporates Croom Orthopaedic Hospital and the Maternity Hospital. The Radiology Department is primarily demand driven, serving all of the departments within UHL, Croom and Maternity Hospitals. There is a limited out-patient service across most modalities as the priority for the hospital is inpatient activity due to demands on inpatient beds. There are Clinical Specialist Radiographers in all of the modalities. These radiographers run the operational side of their service. The imaging modalities using ionising radiation include: General x-ray: including dental x-rays Computed Tomography (CT) Mammography Nuclear Medicine Interventional Radiology Interventional Cardiology Suites (Cardiac Cath Labs) Dual-energy X-ray absorptiometry (DEXA) Scanning Fluoroscopy service. Page 2 of 24 How we inspect This inspection was carried out to assess compliance with the European Union (Basic Safety Standards for Protection against Dangers Arising from Medical Exposure to Ionising Radiation) Regulations 2018 and 2019. The regulations set the minimum standards for the protection of service users exposed to ionising radiation for clinical or research purposes.
    [Show full text]
  • The Ombudsman and Public Hospitals
    The Ombudsman and the Public Hospitals The Ombudsman is Impartial Independent A free service 2 Who is the Ombudsman and what does the Ombudsman do? Peter Tyndall is the Ombudsman. The Ombudsman can examine complaints about the actions of a range of public bodies, including public hospitals. All hospitals providing public health services come within the Ombudsman’s remit. The Ombudsman can examine complaints about how hospital staff carry out their everyday administrative activities when providing public health services. These include complaints about delays or failing to take action. However, there are certain complaints that the Ombudsman cannot examine. These include complaints about: private health care regardless of where it is provided and clinical judgment by the HSE (diagnoses or decisions about treatment Is the Ombudsman independent? Yes. The Ombudsman is independent and impartial when examining complaints. 1 What can I complain to the Ombudsman about? You can complain about your experience in dealing with a hospital. This might include, among other issues, a hospital: applying an incorrect charge failing to follow approved administrative procedures, protocols or reasonable rules failing to communicate clearly failing to seek your informed consent to a procedure keeping poor records failing to respect your privacy and dignity having staff who are rude or unhelpful or who discriminate against you being reluctant to correct an error failing to deal with your complaint in accordance with the complaints process. 2 Which
    [Show full text]
  • Report of the Unannounced Inspection at the Croom Hospital, Croom, Co. Limerick
    Report of the unannounced inspection at Croom Hospital Health Information and Quality Authority Report of the unannounced inspection at the Croom Hospital, Croom, Co. Limerick Monitoring programme for unannounced inspections undertaken against the National Standards for the Prevention and Control of Healthcare Associated Infections Date of on-site inspection: 6 November 2014 i Report of the unannounced inspection at Croom Hospital Health Information and Quality Authority About the Health Information and Quality Authority The Health Information and Quality Authority (HIQA) is the independent Authority established to drive high quality and safe care for people using our health and social care services. HIQA’s role is to promote sustainable improvements, safeguard people using health and social care services, support informed decisions on how services are delivered, and promote person-centred care for the benefit of the public. The Authority’s mandate to date extends across the quality and safety of the public, private (within its social care function) and voluntary sectors. Reporting to the Minister for Health and the Minister for Children and Youth Affairs, the Health Information and Quality Authority has statutory responsibility for: . Setting Standards for Health and Social Services – Developing person- centred standards, based on evidence and best international practice, for those health and social care services in Ireland that by law are required to be regulated by the Authority. Supporting Improvement – Supporting services to implement standards by providing education in quality improvement tools and methodologies. Social Services Inspectorate – Registering and inspecting residential centres for dependent people and inspecting children detention schools, foster care services and child protection services.
    [Show full text]
  • Report of the Review of the Governance Arrangements As Reflected in the Safety, Quality and Standards of Services at UL Hospitals
    Report of the review of the governance arrangements as reflected in the safety, quality and standards of services at UL Hospitals June 2014 Report of the review of the governance arrangements as reflected in the safety, quality and standards of services at UL Hospitals Health Information and Quality Authority About the Health Information and Quality Authority The Health Information and Quality Authority (HIQA) is the independent Authority established to drive high quality and safe care for people using our health and social care services. HIQA’s role is to promote sustainable improvements, safeguard people using health and social care services, support informed decisions on how services are delivered, and promote person-centred care for the benefit of the public. The Authority’s mandate to date extends across the quality and safety of the public, private (within its social care function) and voluntary sectors. Reporting to the Minister for Health and the Minister for Children and Youth Affairs, the Health Information and Quality Authority has statutory responsibility for: Setting Standards for Health and Social Services – Developing person-centred standards, based on evidence and best international practice, for those health and social care services in Ireland that by law are required to be regulated by the Authority. Supporting Improvement – Supporting health and social care services to implement standards by providing education in quality improvement tools and methodologies. Social Services Inspectorate – Registering and inspecting residential centres for dependent people and inspecting children detention schools, foster care services and child protection services. Monitoring Healthcare Quality and Safety – Monitoring the quality and safety of health and personal social care services and investigating as necessary serious concerns about the health and welfare of people who use these services.
    [Show full text]
  • Management Data Report September 2020
    September 2020 Management Data Report Heat Map: Performance RAG Rating Finance RAG Rating HR - Absence HR - Indicative Workforce Red > 10% of target Red • ≥ 0.75% Red • > 4% Red • > 1.5% of target Amber > 5% ≤ 10% of target Yellow/Amber • ≥ 0.10% to < 0.75% Amber • ≥3.7%<4.0% Amber • > 0.5% ≤1.5% of target Green ≤ 5% of target Green • < 0.10% Green • <3.7% Green • ≤ 0.5% of target Grey No result expected Contents Acute Hospitals Services Population Health and Wellbeing Data Coverage Issues NSP KPI Overview 4 Population Health and Wellbeing (metrics are quarterly) 92 Data coverage issues Acute Services 188 Inpatient Cases 8 Community Healthcare Services Data coverage issues Community Healthcare 190 Daycase Cases 10 Primary Care 96 Emergency Discharges 12 Social Inclusion 106 Elective Discharges 14 Palliative Care 109 Maternity Discharges 16 Mental Health 111 Inpatient Discharges greater or equal to 75 years 17 CAMHS Waiting List 116 Daycase Discharges greater or equal to 75 years 19 Older Persons 117 Level GI 21 Disabilities 121 Level dialysis 23 National Services Level chemo 24 PCRS 124 Inpatient & Day Case Profiles 26 National Screening Service All Emergency Presentations 28 National Screening Service 128 New ED Attendances 30 Finance Return ED Attendances 31 Gross Debtor Days for Private Charges 130 Injury Units 32 Service Level Arrangements 131 Other Emergency Presentations 33 Net Expenditure by Division 132 Births 34 Hospital Groups 133 Outpatient Attendances (New & Return) 35 CHOs 136 Adult In Patient Waiting List 37 National
    [Show full text]
  • Adelaide and Meath Hospital Incorporating the National Children's Hospital
    Adelaide and Meath Hospital Incorporating the National Children's Hospital Adoption Authority of Ireland Advisory Council for English Language Schools Agriculture Appeals Office An Bord Bia An Bord Pleanála An Chomhairle um Oideachas Gaeltachta agus Gaelscolaíochta An Post An Post GeoDirectory Limited An tSeirbhís Oideachais Leanúnaigh agus Scileanna (SOLAS) An tÚdarás um Ard-Oideachas Archbishop Marsh’s Library Athlone Institute of Technology Avondhu Blackwater Partnership CLG Ballyfermot Chapelizod Partnership CLG Ballyhoura Development CLG Bantry Bay Harbour Commissioners Bantry General Hospital Beaumont Hospital Bioresearch Ireland Bord Iascaigh Mhara Bord na gCon Bord na Móna Bord Scannán na hÉireann Bray Area Partnership Breffni Integrated CLG Broadcasting Authority of Ireland Bus Átha Cliath Bus Éireann Cappagh National Orthopaedic Hospital Carlow College Carlow County Development Partnership Carlow LCDC Carlow LEO Cavan and Monaghan Education and Training Board Cavan General Hospital Cavan LCDC Cavan LEO Central Bank and Financial Services Authority of Ireland Central Statistics Office Charities Regulatory Authority Chester Beatty Library Chief State Solicitor's Office Child and Family Agency (Tusla) Citizens Information Board City of Dublin Education and Training Board Clare LCDC Clare LEO Clare Local Development Company Coillte Teoranta Comhar na nOileán CTR Commission for Aviation Regulation Commission for Communications Regulation Commission for Energy Regulation Connolly Hospital Dublin Constituency Commission Coombe Women
    [Show full text]
  • (CPE) in HSE Acute Hospitals
    Carbapenemase producing Enterobacterales (CPE) in HSE acute hospitals Monthly report on January 2019 data for the National Public Health Emergency Team (NPHET) Executive summary of the latest available data (data source) 1. Patients with newly-confirmed CPE (NCPERLS): There were 55 patients in January, compared with 36 in December. There were 536 patients in total for 2018 versus 433 in 2017 2. Notification of patients with invasive CPE infection (Departments of Public Health): Two invasive CPE infections were notified in January, with one in December. There were 16 notifications in 2018 and 14 in 2017 3. Creation of new CPE outbreak events (Departments of Public Health): In January, two new acute hospital CPE outbreak events were created, with one in December. There were 27 new CPE outbreaks created in 2018 versus 15 in 2017 4. Active/current CPE hospital outbreak events (HSE acute hospitals reporting to BIU): Data returned by 90% of hospitals, with 11 reporting events in January [December = 94% returns & 11 outbreak events] 5. CPE screens and CPE detections (HSE acute hospitals reporting to BIU): Data returned by 96% of hospitals, with 21,132 CPE screens performed in January and 58 CPE detected overall, 51 from screening specimens [December = 98% returns; 18,972 screens; 29 CPE detected overall, 27 from screening specimens] 6. Inpatients with known CPE (HSE acute hospitals reporting to BIU): Data returned by 96% of hospitals. There were 198 inpatients of 25 hospitals with known CPE colonisation or infection in January [December = 98% returns; 184 inpatients of 25 hospitals] 7. Known CPE inpatients not accommodated in an en suite single room/appropriate cohort area for part of their admission (HSE acute hospitals reporting to BIU): Data returned by 94% of hospitals.
    [Show full text]
  • Using Patient Stories from Carbapenemase Producing
    Using patient stories from Carbapenemase Producing Enterobacteriaecae (CPE) positive patients in a quality improvement project to understand and improve the patient experience at University Hospital Limerick in Ireland Barbara Slevin, ADON, Infection Prevention & Control UL Hospitals Group What I will be talking about today . Background . UL Hospitals experience . Methods . Quality Improvement measures . Results . Lessons learned, patient stories . Conclusion . What’s next This our Region UL Hospitals Group Overview 2016 Hospital Model Beds Staff University Hospital Limerick 4 320 in-patient 1,942 81 day beds University Maternity Speciality 83 in-patient 294 Hospital 19 neo-natal Speciality 37 in-patient 144 Croom Hospital 13 day beds 2 50 in-patient 206 Ennis Hospital 16 day beds 2 49 in-patient 179 Nenagh Hospital 25 day beds 2 89 Adult 268 St. John’s Hospital Surgical 10 day beds Overview July 2009 reconfiguration of services –all surgical services transferred to UHL-without an increase in bed capacity Activity levels: •ED attendances approx 65,000 per annum •>50,000 inpatient discharges per annum •>56,00 day cases per annum University Hospital Limerick (UHL) has detected the highest rates of Carbapenemase Producing Enterobacteriaecae (CPE) in Ireland since 2009. There has been an ongoing outbreak at UHL since 2011. 53% of the total national burden in 2015 (reference laboratory UCHG). To date: 186 CPE patients identified in our hospital lab. Background UL Hospitals experience Background UL Hospitals experience Nightingale Ward Overview Our Aim Statement: To improve the patient’s experience through the reduction of newly identified CPE cases in UHL from 27 (total-1st 6 months 2015) to 13 for the first 6 months 2016 A quality improvement (QI) project was undertaken to improve the experience of the patient at UHL by using CPE patient stories.
    [Show full text]
  • Report of the Independent Review Group Established to Examine Private Activity in Public Hospitals
    Report of the Independent Review Group established to examine Private Activity in Public Hospitals February 2019 Report of the Independent Review Group established to examine Private Activity in Public Hospitals February 2019 1 2 REPORT OF THE INDEPENDENT REVIEW GROUP ESTABLISHED TO EXAMINE PRIVATE ACTIVITY IN PUBLIC HOSPITALS Contents Preface – Message from the Chairperson 4 Executive Summary 5 1. Introduction 12 2. Consultation 16 3. Eligibility and activity in acute hospitals 23 4. Patients 45 5. Consultants 51 6. Private Health Insurance 78 7. Finances 82 8. Transitioning to full implementation 93 9. Conclusions 96 Appendices 100 Appendix 1 – Definitions 100 Appendix 2 – Submissions received 102 Appendix 3 – Eligibility to services up to 2014 104 Appendix 4 – List of Hospitals in HIPE 107 Appendix 5 – Hospital Group Discharges 109 Appendix 6 – Extract from 1997 contract Memorandum of Agreement 114 Appendix 7 – European Observatory Evidence Briefing 116 Appendix 8 – SFI Research Professorship Programme 142 3 Preface – Message from the Chairperson Removing private care from public hospitals will be complex, will take time and will come at a financial cost. The Review Group examined why private activity happens in our public hospitals, the nature and scale of such activity and gave detailed consideration to the many interlocking and complex matters which will have to be addressed in order to change our public hospital system to exclusively treating public patients. The Review Group arrived at a small number of practical recommendations. While some difficult decisions will have to be made to implement the recommendations in this report, the Review Group believes that private care can be removed from our public hospitals over the lifetime of the Sláintecare programme of reform.
    [Show full text]
  • Trauma and Orthopaedic Surgery 2018
    ST3 – ST8 SPECIALIST TRAINING INFORMATION TRAUMA AND ORTHOPAEDIC SURGERY 2018 RCSI LEADING THE WORLD TO BETTER HEALTH Table of contents 1. Welcome ............................................................................................................................................ 3 2. Irish Institute for Trauma and Orthopaedic Surgery (IITOS) ........................................................ 4 IITOS website ..................................................................................................................................... 4 3. Meeting with the Training Programme Director (if required)........................................................ 5 4. Choosing a year representative ...................................................................................................... 5 5. Joint Committee on Surgical Training (JCST) ............................................................................... 5 6. Mentor programme ........................................................................................................................... 6 7. Core Curriculum programme ........................................................................................................... 7 Core Curriculum timetable 2018 ......................................................................................................... 8 Core Curriculum timetable 2019 ......................................................................................................... 9 8. Rotations ..........................................................................................................................................
    [Show full text]
  • Listening, Responding and Improving
    HSE ACUTE HOSPITAL SERVICES 2019 Listening, Responding and Improving The HSE response to the findings of the National Inpatient Experience Survey Thank you Thank you to the people who participated in the National Patient Experience Survey 2019 (NPES 2019) and to their families and carers. Without your support, this survey would not have been possible. The findings of NPES 2019, tell us what matters to you as patients and about the important improvements that can be made to improve hospital services across Ireland. The NPES 2019 allows us to explore how the patient voice has helped to change and improve hospital care for patients in the last year and the quality improvement priorities for 2020. Thank you to all of the staff of the participating hospitals for encouraging patients to participate in the survey, and for their participation in the discussions and review of the feedback received and the development of the quality improvement response which is presented in this paper. The survey was overseen by a National Steering Group, a Project Team and a Project Board. We acknowledge the direction and guidance provided by the members of these groups. The Quality Improvement Response, presented in this paper, was developed by an Oversight Group for Improving Patient Experience-Acute Hospitals, together with staff and managers from each participating hospital. We acknowledge the dedication and commitment of all participants to work in partnership and to develop meaningful plans designed to improve patient experience across all participating
    [Show full text]
  • Difficile Infection: Ireland – Q3 2019 National Report
    HSE-HPSC, Clostridioides difficile Enhanced Surveillance, Q3 2019 Report P a g e | 1 Enhanced Surveillance of Clostridioides (Clostridium) difficile Infection: Ireland – Q3 2019 National Report Executive Summary . During Q3 2019, a total of 582 cases of C. difficile infection (CDI) were reported to enhanced surveillance from 57 acute public and private hospitals across Ireland . The national overall rate of CDI in hospitalised patients was 4.5 cases per 10,000 bed days used (BDU) [465 cases], higher than that reported for Q3 2018 [403 cases; rate = 4.0] . There were 296 cases of CDI deemed to be hospital-acquired (HA-CDI), of which 268 were new, representing a national new HA-CDI rate of 2.6 [median rate = 1.6] . With regard to acquisition, while C. difficile was mostly associated with acute hospitals (296; 51%), there were many cases associated with the community (147; 25%) and long-term care facilities (LTCF) (46; 8%) . CDI symptom onset occurred in the community for 40% of all cases (232): o This emphasises the importance of considering CDI when evaluating any patient with potentially infectious diarrhoea in all healthcare settings, including hospitals, primary care and LTCF. Guidance on CDI for primary and long-term care settings is available at the following link: http://www.hpsc.ie/a- z/microbiologyantimicrobialresistance/clostridioidesdifficile/guidelines/File,14387,en.pdf o It also emphasises the importance for all microbiology laboratories in Ireland to implement the recommendations of the national C. difficile clinical guidelines to routinely include C. difficile testing for all faeces specimens that take the shape of the container submitted from patients aged ≥2 years, regardless of patient location or clinician request.
    [Show full text]