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Rotating with Addenbrooke's Hospital

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Rotating with Addenbrooke's Hospital JOB DESCRIPTION INTEGRATED ACADEMIC TRAINING PROGRAMME ACADEMIC CLINICAL FELLOWSHIP IN HAEMATOLOGY ST3 LEVEL October 2017 LOCAL TRAINING PROGRAMME The major objective of the current ACF rotation based at Addenbrooke’s Hospital is to foster future academic and NHS leaders in haematology and transfusion medicine. This academic post was secured as part of the NIHR Integrated Academic Training: Academic Clinical Fellowship Programme and is a protected academic training post in a first class training rotation situated in a world class research environment. This ACF post has been awarded under the research theme ‘Platform Sciences’. The appointee will be expected to develop a research programme in that theme area. The Trainee will be exposed to a top ranking academic and clinical department in Addenbrookes Hopsital, while usually rotating for around 8 months to a DGH in Norwich, or Ipswich or West Suffolk or King’s Lynn or Peterborough to ensure a broad exposure to general haematology (see below). This academic trainee will rotate through training slots in Addenbrookes which are currently: general laboratory, lymphoma, coagulation, transfusion, paediatrics and the 2 ward slots (general and stem cell transplantation). There will also be an attachment at a district general hospital. This will provide laboratory and clinical haematology training leading to Part 1 FRCPath. The 25% academic time required in an NTN(A) in the first 3 years will consist of two 4-month academic slots, complemented by a transfusion course and 6 weeks annual study leave, as well as weekly educational meetings, coagulation, morphology and case based teaching, and regular research group presentations. The two 4-month academic slots will offer general orientation in the research interests of the department and the wider opportunities available in Cambridge and attachments to 1 or more research groups, depending on the trainees’ interests. Mentoring for the academic trainees will be provided throughout by the academic lead and deputy for haematology trainees, Professor Brian Huntly and Dr Dan Hodson. At appointment, trainees will be made aware of the research themes of the department. During regular reviews with the academic mentors, a favoured area of research will be identified, along with a preferred Principal Investigator either in Cambridge or in another centre. The PI will then lead on developing a project and a fellowship application for funding to pursue a PhD. As the academic training plan follows the current format of the haematology training rotation, any academic SpR wishing to switch to a non-academic slot would be considered for the next available vacancy. The chairperson of the local training committee will be responsible for ensuring that the Local Training Programme reflects the National Curriculum for Haematology and that each trainee has an Individual Training Programme. In addition to an academic mentor, Professor Huntly or Dr Hodson, an Educational Supervisor, who will be a consultant haematologist, will be appointed within each trust to ensure that facilities and opportunities are made available to the trainee and to conduct formative assessment. The assessment of all haematology trainees comprises supervisors' reports at the end of each attachment and continuous assessment of nationally determined competencies, including workplace based assessments, monitored through the training record on e-portfolio (through the JRCPTB in the Royal College of Physicians). This is reviewed at the yearly formative assessments (ARCP) conducted under the auspices of the postgraduate dean. Summative assessment will be made by examination for FRCPath. Assessment of progress towards an academic training fellowship will be undertaken by the mentor in discussion with heads of the relevant research laboratories after each attachment Regional Training Committee The haematology training programme within the Eastern Deanery is coordinated by a training committee which meets at least twice a year. The current composition of the regional training committee is as follows: Dr Jenny Craig (Chair of regional training committee) Dr Martin Besser (training programme director, TPD) Prof Tony Green (Regional Speciality Advisor and University Representative) Dr Michael Dronfield (Associate Dean) Professor Brian Huntly (academic representative) Dr Katie Rice (Norwich) Dr Dora Foukaneli (Transfusion representative) Dr D Ademokum (Ipswich) Dr Mamatha Karanth (West Suffolk) Dr K Rege (Peterborough) Dr Emily Mitchell (SpR/ LAT representative) ADDENBROOKE’S HOSPITAL, Cambridge University Hospitals NHS Foundation Trust A Brief Description of Addenbrookes Hospital Addenbrooke's was granted Trust status from 1 April 1993. It offers a full range of acute, maternity and mental health services, which are provided from two main hospital sites - Addenbrooke's Hospital and Fulbourn Hospital. Community psychiatry and midwifery services form part of the service ensuring continuity for those patients who are more appropriately cared for in their own communities. Addenbrooke's Hospital (approx. 1100 beds) lies on the southern boundary of Cambridge city occupying a 66 acre site which is shared by the University Of Cambridge School Of Clinical Medicine, the Medical Research Council, the Regional Blood Transfusion Centre and the Parke Davis Research Institute. Close links with the University have given the hospital an international reputation for converting research and development into practical health care. The hospital has a long history of training first class doctors and offers excellent opportunities for training in biomedical computing, molecular biology, medical statistics, health service management as well as higher specialist training. The Rosie Maternity Hospital (94 beds and 19 special care cots) is also located on the Addenbrooke's site and includes the Regional Neonatal Intensive Care Unit. Fulbourn Hospital (366 beds) is situated on the outskirts of Cambridge, approximately 3 miles from the Addenbrooke's site. It provides the main in-patient base for general and specialised psychiatric services supplemented by out-patient and community services. Addenbrooke's Hospital employs over 7,000 staff and offers both a district general hospital service to a more local constituency and is a specialist referral centre for a wider catchment population. Some special services, such as bowel/liver transplantation, draw patients supra-regionally or internationally. Dr Mike More was appointed as the Trust's fourth chairman in 2017 and will chair the board consisting of eight executive and four non-executive directors. They are responsible for the strategic management of the Trust. The eight executive directors also sit on the Addenbrooke's executive board which coordinates operational policies and practice where general practitioners' views are represented). University of Cambridge Clinical School The University of Cambridge has granted medical degrees since 1540. The Clinical School of the University, which was formally established in 1975, admitted its first clinical students the following year and at present admits about 130 students each year. The Clinical School has its base at Addenbrooke's Hospital where purpose built accommodation for the school, comprising lecture theatres, seminar rooms, medical library (which includes 900 serials) and postgraduate medical centre, was opened in 1980. In addition to receiving clinical instruction at Addenbrooke's Hospital and other hospitals in and around Cambridge, clinical students undertake part of their training in hospitals further afield in the East Anglian and neighbouring regions; they also spend short periods attached to general practices throughout East Anglia. The teaching programme is co-ordinated by the clinical dean. Cambridge is arguably the premier biomedical research centre in Europe. Over recent years four new research institutes have been built on the Addenbrookes site, which also houses the new MRC laboratory of Molecular Biology. The major Clinical School departments were all top-rated in the recent research selectivity exercise. The Department of Haematology, Addenbrookes Hospital The haematology department at Addenbrookes offers the full range of clinical and laboratory haematology. It acts as a tertiary referral centre for complex cases and serves as routine service for local patients. The Clinical Service In-patients are housed in 1) a 16 bed dedicated haematology ward (C10) with hepa filtration consisting of 11 single, one triple, and one double room and 2) ward D6 (shared with neurosciences) with 11 haematology beds and 3) Ward C9 a teenage and young adult facility with 11 beds. Nearby there is a haematology day unit (ward E10) which houses the regional apheresis service and a 20 bed/space haematology day unit has just been refurbished and will open in October 2017. The wards are well equipped and have a full complement of qualified nursing staff, ward clerk and a phlebotomy service. The nursing staff are full time haematology nurses qualified to administer chemotherapeutic agents and antibiotics as well as perform stem cell harvesting and apheresis. The in patient and day unit medical care is primarily provided by 2 pre-registration house officers(FY1), 2 senior house officer (ST1/2), clinical fellows and 2 specialist registrars. The ward is occupied predominantly by patients suffering from leukaemia, lymphoma, myeloma and similar disorders, although patients with non-malignant disorders such as TTP, sickle cell disease, haemophilia,
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