Diabetes and Endocrinology Specialty Induction Guide OPD2 Royal Infirmary of Edinburgh 51, Little France Crescent Edinburgh EH16 4SA Metabolic Unit Anne Ferguson Building Western General Hospital Crewe Road Edinburgh EH4 2XU July 2017 Induction information July 2017 Updated July 2017 Page 0 ENDOCRINOLOGY AND DIABETES IN EDINBURGH CONTENTS Contents ……………………………………………... Page 1 Introduction ………………………………………….. Page 2 RIE Who’s Who ……………………………….. Page 3-4 Unit meetings ……………………………... Page 4 Clinic timetable …………………………… Page 4-6 OPD2 information ………………………… Page 7 Diabetes clinic referral forms …………….... Page 7-8 Information for ST trainees…..…………...... Page 9 Roodlands Hospital Haddington.…………. Page 11 GP placement information ………………… Page 11 WGH Who’s Who ……………………………….... Page 12 Unit meetings ………………………………. Page 13 Clinic timetable …………………………….. Page 13-15 Information for ST trainees……………........ Page 16-18 Leith Community Treatment Centre ………. Page 18 GP placement information ………………… Page 19 CMT information …………………………... Page 19 General information SCI-Diabetes ……………………………….. Page 20-26 Diasend .......................................................... Page 27-31 CSII downloads on Carelink ......................... Page 32 ECED website and resources for T1DM ...... Page 33 Mental Health …………………………........ Page 34-35 IT systems for logging on call work ………. Page 36-37 Clinical outcoming ………………………… Page 38-40 Confidentiality and safe Email transmission . Page 41-43 Social media policy ………………………… Page 44-49 Computer Network Access application …… Page 50-51 Appropriate Access to health records ……... Page 52 Appendix (ID/security pass application) ….. Page 53 Death certification …………………………. Page54 (ECED endocrine database: see separate document) Induction information July 2017 Updated July 2017 Page 1 INTRODUCTION Welcome to the departments of endocrinology and diabetes in Edinburgh. Training for StRs takes place mainly in the Royal Infirmary (RIE) and the Western General Hospitals (WGH) in Edinburgh, but you will rotate to St John’s Hospital (SJH) in West Lothian, Victoria Infirmary in Kirkcaldy or the Borders General Hospital for general medicine placements. If you are doing an FY2 placement you will be based at the metabolic unit at WGH. GP placements in diabetes lasting 3 months take place at both RIE and WGH. There are agreed management protocols for diabetes and endocrinology that are used in both RIE and WGH. These are all available on the intranet under the Metabolic Unit Handbook at http://intranet.lothian.scot.nhs.uk/NHSLothian/Healthcare/A- Z/Diabetes/DiabInfoforHealthProf/ECEhandbook/Pages/MetabolicUnitHandbook.aspx Please take some time to read these protocols. As part of the strategy to streamline endocrine services in Edinburgh, the diabetes and endocrine units at RIE, WGH and SJH have amalgamated to function as a single unit: the Edinburgh Centre for Endocrinology and Diabetes (ECED). There is a shared administrative structure and integration of clinical services in endocrinology across the three sites. Weekly cross-site meetings are held to facilitate case discussion and review of unified protocols for investigation and management. ECED meetings also incorporate MDTs and liaison meetings with allied specialties. ECED meetings take place every Monday from 4 to 5pm (with an additional meeting 08.30-9.15 on the 1st Monday of the month) in the Blackford room at the RIE postgraduate education centre and the Padfield room at the WGH Metabolic Unit, using the MCU-5 bridge. The thyroid/endocrine pathology MDT runs monthly (generally 4th Monday of the month). Other topics covered and the appropriate lead clinicians (who generate the agendas) are given below. ECED meetings are coordinated by Dr Fraser Gibb. The monthly pituitary MRI meeting runs separately on the last Friday of the month at 2pm at WGH. Topic Lead clinician Thyroid/pathology MDT Mark Strachan/Fraser Gibb Case presentations Fraser Gibb Protocol review Roger Brown Clinical chemistry liaison Mike Crane/Cathy Shearing Rep endo liaison Richard Anderson Paeds liaison Rod Mitchell Morbidity and mortality Nicola Zammitt There are also evening meetings in diabetes and endocrinology at RCPE and GIM teaching days at RCPE every month to 6 weeks. These should be considered mandatory training for registrars. Induction information July 2017 Updated July 2017 Page 2 ROYAL INFIRMARY OF EDINBURGH (RIE) WHO’S WHO AT RIE You will find a list of permanent staff in OPD2 below. Margaret Turnbull, who is head of A&C, can organise passwords for SCI-Diabetes (diabetes IT system) as well as general computer passwords if you do not already have one. Dr Nicola Zammitt coordinates the clinic rota, along with Sue Veitch (medical secretary). The form used for applying for staff ID is on page 32. CONSULTANTS – (D) = Diabetes (E) = Endocrinology Clinical Staff Academic Staff Dr Alan Patrick (D+E) Prof Jonathan Seckl (E) Dr Matthew Young (D) Prof Rebecca Reynolds (D+E) Dr Alan Jaap (D+E) Dr Roger W Brown (E) Dr Nicola Zammitt (D+E) Dr Shareen Forbes (D+E) Dr Fraser Gibb (D+E) Dr Roland Stimson (D+E) Dr Anna Dover (D+E) Dr Rob Semple (D+E) Dr Pauline Jones (D+E) Dr Wei Leng Teoh (D+E) Dr Scott MacKenzie (D+E) SPECIALTY DOCTORS RESEARCH NURSES Dr Trisha McPhail Alison Sudworth CLINIC NURSING STAFF Staff nurses Clinical Support Workers Valerie Smith (C/N) Kathryn Roberts Tara Wilson (S/N) Susan Taylor (S/N) DIABETES SPECIALIST NURSES Janet Barclay Lead DSN Mike Richards In-patient DSN Joan Grant Pregnancy, insulin pumps Vida Heaney Adolescent diabetes, DAFNE , pumps Lindsay Aniello DAFNE, RECLAIM, pumps, learning difficulties Susan Johnston Pregnancy, DAFNE, RECLAIM Lynn Gourlay GLP-1 group starts Kay Malloch Home visits Margaret Boyd (Roodlands) Erectile dysfunction (monthly clinic RIE) Denise Watson Clinical Support Worker ALLIED HEALTH CARE PROFESSIONALS Dietetic staff Diabetes Specialist Podiatrists Debbie Anderson Emma Brewin Alyson Hutchison Joanne McCardle Renny McAllister Ben Bullen Hanne Luxon Induction information July 2017 Updated July 2017 Page 3 A&C STAFF Secretaries Clerical Officers Margaret Turnbull (Head of A&C) Yvonne Dickson (Diabetes) Sue Veitch (AWP, ARD)Louise Hanlon Paula Oakes (Diabetes) (MJY, SDM) Catherine Clark (Endo) Elaine Dowding (AJJ) Karen Robson (Endo) Janey Anderson (NNZ, MWJS) Maria Montserrat Pearce (Endo) Liz Farnworth (PJJ, FWG) Debbie Higgins (Endo/gen med) UNIT MEETINGS . Monday 4-5pm ECED meetings Blackford room in Postgrad suite, RIE (+ 1st Monday of month 8.30- 9.15). STR teaching (“morning prayers”) 08.30-09.15 Mon, Tues, Thurs, OPD2 seminar room (except July-Aug) . In-patient diabetes meeting Wednesday morning 08.30-09.30 registrars’ room, OPD2. Journal club run by Dr Fraser Gibb Tuesdays 12.45 – 13.30 in registrars room, OPD2 . Wednesday 12.30-13.30 hospital grand rounds in Chancellor’s building. Friday 12.30-13.30: unit meeting for discussion of diabetes clinical cases hold in seminar room OPD2. CLINICS The clinic timetable is given overleaf. Most of the clinics run weekly with the following exceptions: Diabetes/renal clinic: 2nd and 4th Monday of the month Late effects clinic: 4th Fri month at WGH Roodlands: endocrine clinics every 4 weeks and adolescent diabetes clinics approximately every 6 weeks RIE adolescent diabetes clinic: Every 6 weeks on a Friday afternoon Registrars will be allocated to RIE clinics depending on their training needs and service requirements (including antenatal and renal clinics). More detailed guidance on subspecialty training will be offered at the training programme induction, and a document detailing the subspecialty training opportunities is in development. While registrars are at RIE, they should arrange to attend foot clinics with Dr Matthew Young (Monday and Wednesday mornings), diabetes retinopathy clinics at the Princess Alexandra Eye Pavilion (Dr Karen Madill) and paediatric endocrine clinics with Dr Louise Bath at the Royal Hospital for Sick Children (all contactable on nhslothian.scot.nhs.uk Emails). In addition, registrars should ensure they get adequate exposure to the antenatal diabetes and renal diabetes clinics, and attend appropriate sessions within the bariatric surgery service (email Mhairri Duxbury, Bariatric Specialist Nurse). As optional extras, registrars can attend the islet cell clinic on Monday mornings with Dr Forbes ([email protected]), the metabolic antenatal clinic on Tues afternoons with Prof Reynolds ([email protected]), the thyroid eye clinic with Dr Zammitt ([email protected]) or Dr Induction information July 2017 Updated July 2017 Page 4 Dover ([email protected]) and the late effects clinic with Dr Zammitt. You are supernumerary and attendance, which should be pre-arranged with the relevant consultant, is for educational purposes. There is also a nurse-led (Margaret Boyd) erectile dysfunction clinic once a month on a Monday morning. LEAVE The clinic rota is coordinated by Nicola Zammitt and Sue Veitch. They need to be informed of any leave requests, HAN commitments and GIM study days when making up the rota. Annual and study leave request forms (obtainable from Sue Veitch) need to be approved from a service perspective by Dr Zammitt and then passed on to Sue. Leave must be authorised with at least 6 weeks’ notice. StRs are entitled to up to 30 days of study leave per year, and have an allocated annual study leave budget of £500. Study leave must be requested and approved using the Turas online system (refer to the NES Study Leave Policy and