DOCSLIB.ORG

We Are Hiring a Consultant in Haematology for Cork University Hospital

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
We Are Hiring a Consultant in Haematology for Cork University Hospital WE ARE HIRING A CONSULTANT IN HAEMATOLOGY FOR CORK UNIVERSITY HOSPITAL Description: Care is delivered in a variety of settings. New approaches and models of care to follow the care demands of the health service are being advanced within the context of overall healthcare reform, to include Sláintecare. Cork University Hospital is the major teaching hospital in the HSE South with a complement of 815 beds. The hospital is the only Level 1 trauma centre in the Republic of Ireland – a status conferred because of the wide range of on-site medical and surgical specialties including Orthopaedic Surgery, Neurosurgery, Cardio Thoracic Surgery and Plastic Surgery along with acute medical, surgical and psychiatry services. The hospital has a state of the art Emergency Department that is designated as the National Maritime Advice Centre. Cork University Hospital is the principal teaching hospital attached to the School of Medicine, University College Cork. The university dental school, which is one of the two undergraduate dental schools in the Republic of Ireland, is located on the hospital site. The hospital is designated by the Health Research Board as a Clinical Trials Centre. Cork University Hospital has a long tradition as a centre for nurse training. In addition, there are now new training programmes in Occupational Therapy, Speech & Language Therapy and Pharmacy in association with University College Cork. Cork University Hospital is the main hospital of an associated group of hospitals together with Mallow General Hospital, Mercy University Hospital, South Infirmary Victoria University Hospital. Geriatric rehabilitation is provided at St. Finbarr’s Hospital. Currently the range of services provided at the Cork University Hospital include: Emergency Medicine, Allergy and Immunology Anaesthesia & Intensive Care, Cardio Thoracic Surgery, Endocrinology, Gastroenterology, General Medicine, General & Vascular Surgery, Geriatric Medicine Obstetrics & Gynaecology, Haematology – Clinical & Laboratory, Histopathology, Infectious Diseases, Renal Medicine, Neurosurgery, Psychiatry, Medical Oncology, Microbiology, Ophthalmology, Oral & Maxillo Facial Surgery, Orthopaedic Surgery, Paediatrics, Plastic Surgery, Radiology, Radiation Oncology, Respiratory Medicine, Rheumatology. Current services at Cork University Maternity Hospital include: Obstetrics, Gynaecology, Neonatology. Cork University Hospital provides a full range of surgical specialties many at tertiary levels, including Cardiac Surgery, Neurosurgery, Plastic Surgery, Orthopaedic Surgery, Vascular Surgery and Colorectal Surgery to a catchment population of 1.2 million. The hospital has also been designated under the National Cancer Control Strategy as one of eight Cancer Centres sites in this country on which services are to be centralised. The Department of Clinical and Laboratory Haematology in Cork University Hospital is one of the busiest in the country, serving a regional population of >600,000 (or 1.73 million for tertiary referrals). As well as providing a large general clinical haematology service, the department is a tertiary referral centre for acute leukaemia, and other complex acute adult haematology. It is a designated Level 1 Comprehensive Care Centre for hereditary disorders of coagulation. The laboratory provides services for C.U.H, G.P.s in Cork and Kerry and is a reference centre for a number of specialised tests. Haematology Laboratory & Transfusion Laboratory C.U.H. The Haematology Laboratory in C.U.H. is the busiest in the country processing almost 3.5 million samples annually. These include a large number of routine tests in addition to a number of specialised coagulation tests, bone marrow aspirates, molecular testing and immunophenotyping for cancer diagnosis. The laboratory is INAB accredited. >50% of the current workload is generated by G.P. services. The Transfusion Laboratory provides approximately 15,000 blood components for transfusion annually and analyses >12,000 anti-natal samples. The laboratory operates under a strict quality system. It is accredited by the INAB and reports to the HPRA. As part of its legal requirement, it has an active Haemovigilance Programme. It leads the regional blood optimisation programme receiving 10% of its red cell requirement through the re-routing scheme. Governance for transfusion in Bantry General Hospital and Mallow General Hospital are provided from C.U.H. Currently deputy governance for both transfusion and the general haematology laboratory in Kerry General Hospital are provided from C.U.H. This governance includes clinical advice in addition to reporting of abnormal blood films and following up on any transfusion related clinical and laboratory issues. Clinical Haematology There are several Outpatient clinics run each week including General and Malignant clinics, Haemostasis and thrombosis clinic, a Combined Obstetric / Haem clinic an Adult Bleeding disorder clinic and daily virtual clinic. In addition Nurse led general/ malignant clinics and bleeding disorder and anticoagulant clinics are in progress. In addition to the above, the service provides a large consult service to inpatients in C.U.H. and C.U.M.H, to G.P.s and to other hospitals. MDT meeting for both myeloma and lymphoma run every 2 weeks attended by consultants with specialist expertise in the area in addition to histopathology, radiology and radiation oncology specialist as indicated. Day Ward Services: Day cases are seen in both the Dunmanway Day Unit and the Haematology Day Unit, on average there are more than 3,500 patient episodes annually. These include patients attending for chemotherapy, blood transfusion, platelet transfusion, plasma exchange, bone marrows and other day case procedures. Inpatient Services: There were over 500 inpatient admissions under the Haematology Service in annually. More than 90% of these patients have a malignant diagnosis including acute leukaemia, high grade lymphoma and autologous stem cell transplantation. Research and Clinical Trials: The department is actively involved in research- chiefly clinical trials. The unit was among the top recruiter in the ROI to the German CLL study group trial CLL13 which closed in 2019. We are part of the HRB funded Clinical Research Facility which promotes research excellence in the UCC affiliated hospitals. We are a major stakeholder in the currently active HRB clinical trials funding application – spearheaded by Prof Roisin Connolly, recently appointed Gerry O’Sullivan Chair of Cancer Research in UCC. There are active clinical trials ongoing and planned in Lymphoma, CLL, ALL, Myeloma and Myelofibrosis. The department is an active member of the Blood Cancer Network Ireland (BCNI)-an nationwide initiative funded by the Science Foundation of Ireland (SFI) and the Irish Cancer Society (ICS). We participate in collecting and have access to the BCNI Biobank with over 300 samples in Myeloma and AML. BCNI Biobanking in Lymphoma is commencing in CUH in Summer 2021 in collaboration with BCNI partners in St Jamses and elsewhere. The department currently has a full time biobank scientist. There are currently 2 PhD students working under the supervision of haematology consultants with co-supervisors in a variety of departments in UCC- (Biochemistry and Cell Biology, Pharmacology. The department has integral links with the scientists in CancerResearch@UCC as the immediate past UCC cancer research lead – Prof Mary Cahill headed this group and haematology medical and scientific HSE staff are active collaborators with our university colleagues on a variery of projects. Haematology in CUH has an active interest in extended cancer registration – initially supporting the National Cancer Registry (NCRI) in a project on Blood Cancer registration and now turning this expertise to the benefit of a European collaboration. The Department – via the BCNI – is a member of the EU Harmony project, bringing the power of big data to bear on blood cancers and allowing us access to the data of our European colleagues in 10 other EU countries. Consultants in CUH are engaged with the School of Public Health in UCC where experts on PROMS studies are engaged with an SFI funded lymphoma project currently. Opportunities to supervise Masters, MD and PhD students in both bench science projects, clinical studies and population health studies will be available to the successful candidate. There are always medical students attached to the department and opportunities for teaching are plentiful. Staffing: The Haematology consultant service is staffed by 5.5 WTES with each of the appointees having sessions in other hospitals to provide laboratory governance. Four of the WTE work in malignant haematology with the other 1.5 having a specialist interest in haemostasis and thrombosis. Benign haematology is managed by all consultants. A citywide on call service is provided in conjunction with two consultants in the Mercy University Hospital, together we participate currently in a 1 in 7.5 on call rota. Current post in haematology: The new post will work within the existing haematology department in CUH and particularly within the area of Hodgkin and Non Hodgkin lymphoma where there has been a significant increase in workload in the past 2 years due to migration of lymphoma services away from medical oncology in CUH due to transfer of specialist expertise. The post holder will also be required to contribute to the department in the wider remit of both malignant and benign haematology management. In addition, the post holder will
Load more

Recommended publications
  • 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]
  • Intern Network Region Hospital Site
    Intern Network Hospital Site Region Dublin Mid-Leinster Mater Misericordiae University Hospital, Eccles Street Dublin 7 Midland Regional Hospital, Arden Road,Tullamore, Co. Offaly Midland Regional Hospital, Ballyroan, Portlaoise, Co. Laois Midland Regional Hopsital, Mullingar, Co. Westmeath Cappagh Orthopaedic Hospital, Cappagh Rd, Northside, Dublin 11 Coombe Primary Care, 1 St. Catherine’s Lane West, Dublin 8 Beacon Hospital, Beacon Court, Bracken Road, Sandyford Industrial Estate, Dublin 18 St. Colmcilles' Hospital, Loughlinstown, Co. Dublin, D18 Mater Private Hospital, Eccles St, Northside, Dublin 7 St. Vincents University Hospital, 196 Merrion Road, Elm Park, Dublin St. Michaels' Hospital, George's Street Lower, Dún Laoghaire, Dublin Greystones Primary Care, Victoria Road, Greystones, Co. Wicklow Temple Street CHI, Temple St, Rotunda, Dublin 1 St. Vincents' Fairview, Convent Ave, Fairview, Drumcondra, Dublin 3 Dublin North East Connolly Hospital, Mill Rd, Abbotstown, Dublin, D15 University Hospital Waterford, Dunmore Road, Waterford, Our Lady of Lourdes Hospital, Drogheda Beaumont Hospital, Beaumont Rd, Beaumont, Dublin Temple Street, CHI, Temple St, Rotunda, Dublin 1 Cappagh Orthopaedic Hospital, Cappagh Rd, Northside, Dublin 11 Dublin South East Naas General Hospital, Naas, Co Kildare Linn Dara, Ballyfermot Rd, Cherry Orchard, Dublin St. James' Hospital, James's St, Ushers, Dublin 8 St. Lukes' Hospital, Kilkenny, Freshford Road, Friarsinch, Kilkenny Tallaght Hospital, Tallaght, Dublin 24 Wexford General Hospital, Newtown Rd, Carricklawn,
    [Show full text]
  • Urgent and Emergency Care Provision in Ireland
    Urgent and emergency care provision in Ireland What is urgent and emergency care? Urgent and emergency care consists of all the services which contribute to the management of people when immediate care is sought for a health condition along with the processes in place for referring patients between services. When patients need immediate care they can enter the health system through a range of services and will often use more than one. Ideally these services would be highly co-ordinated to ensure the time to definitive care is reduced and waste such as inappropriate use of emergency departments is avoided. Current provision in Ireland A wide range of services, public and private, provide emergency and urgent care in Ireland. The services within the emergency and urgent care system (EUCS) include General Practice (GP) (including out-of-hours GP co-operatives), emergency departments (EDs), urgent care centres, acute medical units (AMUs), minor injury units, ambulance services (provided by Dublin Fire Brigade and the National Ambulance Service), and pharmacies. When patients need immediate care, they can enter the health system through a range of services and will often use more than one in a single episode of illness. For example, they may phone an out-of-hours GP, be transferred by ambulance to an ED and be admitted to hospital. The combination of these services are defined as an EUCS. The provision of effective emergency and urgent care is critically dependent on all elements of the EUCS of a healthcare system (figure 1). A well-performing EUCS should improve the chances of survival in a patient with an emergency condition and an urgent condition should ideally be managed by a well- performing EUCS without admission to an inpatient bed.
    [Show full text]
  • Inspection Report University Hospital Kerry November 2019
    Report of the inspections of maternity services at University Hospital Kerry Health Information and Quality Authority Report of the inspections of maternity services at University Hospital Kerry Monitoring programme against the National Standards for Safer Better Maternity Services with a focus on obstetric emergencies Inspection dates Unannounced inspection: 17 October 2018 and 18 October 2018 Announced inspection: 21 August 2019 Page 1 of 60 Report of the inspections of maternity services at University Hospital Kerry Health Information and Quality Authority Safer Better Care Page 2 of 60 Report of the inspections of maternity services at University Hospital Kerry Health Information and Quality Authority About the Health Information and Quality Authority (HIQA) The Health Information and Quality Authority (HIQA) is an independent statutory authority established to promote safety and quality in the provision of health and social care services for the benefit of the health and welfare of the public. HIQA’s mandate to date extends across a wide range of public, private and voluntary sector services. Reporting to the Minister for Health and engaging with the Minister for Children and Youth Affairs, HIQA has responsibility for the following: . Setting standards for health and social care services — Developing person-centred standards and guidance, based on evidence and international best practice, for health and social care services in Ireland. Regulating social care services — The Chief Inspector within HIQA is responsible for registering and inspecting residential services for older people and people with a disability, and children’s special care units. Regulating health services — Regulating medical exposure to ionising radiation. Monitoring services — Monitoring the safety and quality of health services and children’s social services, and investigating as necessary serious concerns about the health and welfare of people who use these services.
    [Show full text]
  • Hospital DPO Email [email protected]
    Hospital DPO Email Bantry General Hospital [email protected] Beaumont Hospital Dublin [email protected] Cappagh National Orthopaedic Hospital [email protected]; [email protected] Cavan General Hospital [email protected] Children's Health Ireland at Connolly in Blanchardstown [email protected] Children’s Health Ireland at Crumlin [email protected]; [email protected] Children’s Health Ireland at Tallaght [email protected] Children’s Health Ireland at Temple Street [email protected] Connolly Hospital [email protected] Cork University Hospital/CUMH [email protected] Croom Orthopaedic Hospital [email protected] Ennis Hospital [email protected] Kerry General Hospital [email protected] Letterkenny University Hospital [email protected] Lourdes Orthopaedic Hospital, Kilcreene [email protected] Louth County Hospital [email protected] Mallow General Hospital [email protected] [email protected] -subject access requests, [email protected] - Mater Misericordiae University Hospital general data protection related enquiries Mayo University Hospital [email protected] Mercy University Hospital [email protected] Midland Regional Hospital Mullingar [email protected] Midlands Regional Hospital Portlaoise [email protected] Midlands Regional Hospital, Tullamore [email protected] Monaghan Hospital [email protected] Naas General Hospital [email protected] National Maternity Hospital [email protected] Nenagh Hospital [email protected] Our Lady of Lourdes Hospital, Drogheda [email protected] Our Lady's Hospital, Navan [email protected] Portiuncula University Hospital [email protected] Roscommon University Hospital [email protected] Rotunda Hospital [email protected] Royal Victoria Eye and Ear Hospital [email protected] Sligo University Hospital [email protected] South Infirmary Victoria University Hospital [email protected] South Tipperary General Hospital [email protected] St Columcille's Hospital [email protected] St Luke's General Hospital, Kilkenny [email protected] St Michael's Hospital, Dun Laoghaire [email protected] St Vincent’s University Hospital [email protected]; [email protected] St.
    [Show full text]
  • Inpatient/Day Case TCI As at 25/02/2021
    Inpatient/Day Case TCI as at Page 1 of 25/02/2021 3 0-3 3-6 6-9 9-12 12-15 15-18 18+ Total Months Months Months Months Months Months Months 9,661 6,683 1,500 730 190 217 149 192 Bantry General Hospital 24 10 2 1 1 0 7 3 Beaumont Hospital 605 310 105 36 24 45 43 42 Cavan General Hospital 26 12 5 3 0 6 0 0 Children's Health Ireland 1,683 888 236 409 42 25 26 57 Connolly Hospital Blanchardstown 369 212 23 18 24 39 29 24 Cork University Hospital 191 137 28 8 3 5 3 7 Croom Orthopaedic Hospital 8 0 5 1 0 2 0 0 Galway University Hospitals 439 306 81 24 10 8 5 5 Kilcreene Regional Orthopaedic 72 48 17 5 2 0 0 0 Hospital Letterkenny University Hospital 84 49 23 3 4 5 0 0 Louth County Hospital 53 29 17 6 1 0 0 0 Mallow General Hospital 92 53 28 8 3 0 0 0 Mater Misericordiae University 276 193 60 11 6 4 1 1 Hospital Mayo University Hospital 82 49 18 5 3 2 4 1 Mercy University Hospital 254 238 12 0 2 1 1 0 Inpatient/Day Case TCI as at Page 2 of 25/02/2021 3 Midland Regional Hospital 13 9 3 1 0 0 0 0 Mullingar Midland Regional Hospital 11 11 0 0 0 0 0 0 Portlaoise Midland Regional Hospital 55 51 0 4 0 0 0 0 Tullamore Naas General Hospital 14 9 2 3 0 0 0 0 National Orthopaedic Hospital 423 204 146 44 13 8 5 3 Cappagh Our Lady of Lourdes Hospital 32 27 3 2 0 0 0 0 Drogheda Portiuncula University Hospital 51 29 12 4 2 3 0 1 Roscommon University Hospital 90 73 12 2 2 0 1 0 Royal Victoria Eye and Ear 1,160 1,028 74 19 9 19 4 7 Hospital Sligo University Hospital 731 662 31 8 3 5 3 19 Small Volume Hospitals 6 6 0 0 0 0 0 0 South Infirmary Victoria 387 278 67 35 2 3 2 0 University Hospital South Tipperary General Hospital 183 117 49 12 1 4 0 0 St.
    [Show full text]
  • Report of the Announced Inspection of Medication Safety at Mallow General Hospital
    Medication Safety Report Mallow General Hospital Health Information and Quality Authority Report of the announced inspection of medication safety at Mallow General Hospital. Date of announced inspection: 30 April 2019 Page i of 35 Medication Safety Report Mallow General Hospital Health Information and Quality Authority Page 2 of 35 Medication Safety Report Mallow General Hospital Health Information and Quality Authority About the Health Information and Quality Authority (HIQA) The Health Information and Quality Authority (HIQA) is an independent statutory authority established to promote safety and quality in the provision of health and social care services for the benefit of the health and welfare of the public. HIQA’s mandate to date extends across a wide range of public, private and voluntary sector services. Reporting to the Minister for Health and engaging with the Minister for Children and Youth Affairs, HIQA has responsibility for the following: . Setting standards for health and social care services — Developing person- centred standards and guidance, based on evidence and international best practice, for health and social care services in Ireland. Regulating social care services — The Office of the Chief Inspector within HIQA is responsible for registering and inspecting residential services for older people and people with a disability, and children’s special care units. Regulating health services — Regulating medical exposure to ionising radiation. Monitoring services — Monitoring the safety and quality of health services and children’s social services, and investigating as necessary serious concerns about the health and welfare of people who use these services. Health technology assessment — Evaluating the clinical and cost-effectiveness of health programmes, policies, medicines, medical equipment, diagnostic and surgical techniques, health promotion and protection activities, and providing advice to enable the best use of resources and the best outcomes for people who use our health service.
    [Show full text]
  • Frequently Asked Questions
    Frequently Asked Questions The Establishment of Hospital Groups as a Transition to Independent Hospital Trusts A report to the Minister for Health, Dr James Reilly TD February 2013 What is in the report on the establishment of hospital groups? The report on the Establishment of Hospital Groups as a Transition to Independent Hospital Trusts contains recommendations to the Minister for Health Dr James Reilly T.D. on merging the acute hospitals in Ireland into groups. How was the report produced? The report was produced by a panel of national and international experts. It was informed by consultation, including face-to-face meetings with; management and senior clinicians from hospitals, health agencies and clinical programmes, patient advocates and others, as well as data analysis. Why is it necessary to change how our hospitals work? Quality, patient safety, access and value for money are the principles on which current health policy is based. Within that policy, health services aim to provide efficient and effective care, as close to the patient’s home as possible, with a view to improved health outcomes and satisfaction for patients. Ours is a small country with increasing demands on our healthcare system. These demands include an ageing population, increased public expectations and inequalities in access to care. The changing nature of healthcare - new technologies and clinical specialisation and greater financial and regulatory pressures from national and international bodies - add further challenges. The traditional practice of providing as many services as possible in every hospital is neither sustainable nor safe. Experience in Ireland and beyond teaches us that a co- ordinated system of care is better for patients than a more sporadic approach.
    [Show full text]
  • Healthcare-Associated Infection and Antimicrobial Resistance-Related Data from Acute Public Hospitals
    Healthcare-associated infection and antimicrobial resistance-related data from acute public hospitals Item Type Report Authors Health Service Executive (HSE), Health Protection Surveillance Centre (HPSC) Publisher Health Service Executive (HSE) Download date 02/10/2021 18:02:52 Link to Item http://hdl.handle.net/10147/51613 Find this and similar works at - http://www.lenus.ie/hse Healthcare-Associated Infection and Antimicrobial Resistance-Related Data from Acute Public Hospitals in Ireland, 2006-2007 Introduction As part of the HSE strategy for prevention and control of healthcare-associated infection (HCAI), launched in March 2007, the Health Protection Surveillance Centre (HPSC) has been asked to coordinate the publication of data relating to HCAI and antimicrobial resistance (AMR) for acute public hospitals in Ireland. This report provides the initial baseline publication of these data. Three datasets are included in this report, all relating to data reported by hospitals for 2006 and 2007: 1. Antibiotic consumption (Section 1, page 2) 2. Staphylococcus aureus bloodstream isolates (Section 2, page 6) 3. Alcohol-based hand rub consumption (Section 3, page 9) The first two datasets are based on data reported as part of existing European surveillance networks, namely the European Surveillance of Antimicrobial Consumption (ESAC) network and the European Antimicrobial Resistance Surveillance System (EARSS). The third is an indirect surveillance measure of hand hygiene activity. The primary value of these datasets, as with any surveillance data, is to the individual data providers, allowing individual hospitals to monitor trends over time, assess the impact of infection prevention and control interventions, and identify targets for future interventions and resource requirements.
    [Show full text]
  • The Establishment of Hospital Groups As a Transition to Independent Hospital Trusts
    The Establishment of Hospital Groups as a transition to Independent Hospital Trusts A report to the Minister for Health, Dr James Reilly, TD The Establishment of Hospital Groups as a Transition to Independent Hospital Trusts A report to the Minister for Health, Dr James Reilly TD Published February 2013 Minister’s Foreword When I launched Future Health: A Strategic Framework for Reform of the Health Service 2012-2015 on 15th November 2012, I stated that I am determined to press ahead with the key health system reforms that we promised in the Programme for Government. These reforms will improve the system, allow staff to work more effectively and, most importantly, deliver better healthcare for patients and all users of our health service. The future organisation of our acute hospitals is a part of those reforms and a major policy issue for the Government. I am pleased to publish the Report on the Establishment of Hospital Groups as a transition to Independent Hospital Trusts. I wish to acknowledge the excellent work done by Professor Higgins, the Project Team and the Strategic Board in the preparation of this report. I would also like to express my appreciation to those organisations and individuals who contributed to the development of the report through the Project Team’s extensive consultation process. The overarching aim of the wider health system reform programme is to deliver a single-tier health system based on Universal Health Insurance (UHI), underpinned by the principle of social solidarity, with equitable access based on need and not on ability to pay. In preparation for the introduction of UHI, a new financing system, Money Follows the Patient (MFTP), will be introduced.
    [Show full text]
  • Basic Specialist Training in General Internal Medicine
    Basic Specialist Training in General Internal Medicine Reach your full potential with the Royal College of Physicians of Ireland Training doctors to become world-class specialists is the fundamental purpose of the Royal College of Physicians of Ireland. We are committed to helping you reach your full potential. Planning a career in General Internal Medicine? 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 Clinical Pharmacology and Therapeutics Dermatology Endocrinology and Diabetes Mellitus Gastroenterology Genitourinary Medicine Geriatric Medicine Infectious Diseases Medical Oncology Nephrology Neurology Palliative Medicine Rehabilitation Medicine Respiratory Medicine Rheumatology Basic Specialist Training – The first step towards specialisation Basic Specialist Training (BST) in General Internal Medicine is a two-year programme of supervised clinical training in Senior House Officer (SHO) posts. BST prepares you for Higher Specialist Training, which is the final stage of training. Completion of the intern year is an essential entry requirement. In addition to supervised clinical training in the hospital, you are required to pass the Membership of the Royal College of Physicians of Ireland (MRCPI) examination in General Medicine. Whilst undergoing BST, you will also be required to attend a number of mandatory courses that assist your professional development, and that will allow you to acquire the non-clinical skills and knowledge needed to provide excellent patient care as you progress throughout your career.
    [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]