Geriatrics Trainee Handbook - Geriatric Medicine Specialist Training Programme North East and Cumbria February 2022 Authored by STC ...
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Geriatrics Trainee
Handbook
Geriatric Medicine Specialist Training
Programme North East and Cumbria
February 2022
Authored by STC representativesGeriatrics Trainee Handbook
Cumberland Infirmary, Carlisle (2020)
STC representative: Dr Ailish O’Callaghan - Ailish.O’Callaghan@ncuh.nhs.uk
GIM on call: (frequency) 1 in 11-12, rolling rota • Long days/ nights. Zero days to ensure
compliance • 2 weekends per rolling rotation (1 long days, 1 nights)
Rota co-ordinator: Chris.Carroll@ncuh.nhs.uk GIM on calls (frequency/pattern e.g. zero
days) •
Transport/parking:
Parking permit contact:
Rotation: 6-month block
Curriculum opportunities as part of rotation
• General Geriatrics
• Frailty service (frailty unit and frailty clinics, including falls)
• Stroke including thrombolysis
• Neurovascular clinic
• Parkinson’s disease
• Dementia and Delirium unit
• Orthogeriatrics
• Neurorehabilitation
Curriculum opportunities (by arrangement)
• Continence
• Tissue Viability Team
• Palliative Care
• Psychiatry liaison and old age psychiatry
Other opportunities (e.g. Leadership, Teaching)
• Weekly COTE departmental teaching
• Weekly Grand Round
• Registrar teaching
• Monthly morbidity and mortality meeting
• Audit/QUIP: Opportunities to participate in national and local audit and QUIP
Leadership and management opportunities:
• Can attend directorate/ business meetings
• Participation in morbidity and mortality meetings
• Welcome to involvement in RCA reviews
2Geriatrics Trainee Handbook
Darlington Memorial Hospital (2022)
Based at Darlington Memorial Hospital which is an acute district general hospital that sits in a
large foundation trust (CDDFT) alongside University Hospital of North Durham with further in-
patient and elective activity at Bishop Auckland Hospital. Acute geriatric medicine is based on a
30 bedded ward 52 with strong links to the speciality frailty unit in Bishop Auckland and a variety
of liaison services as described below.
STC representative: Ewan Tevendale ewantevendale@nhs.net
GIM on call: 1 in 15 GIM on call with 1 in 5 split weekends (do either Sat or Sunday)
Rota co-ordinator:
Elaine Newman (enewman1@nhs.net) and Muna Abdi (muna.abdi@nhs.net)
Royal college Rep:- Allan Anthony (allananthony@nhs.net)
Transport/parking: on-site parking, local buses and trains to Darlington from regional hubs
Parking permit contact: Arranged at induction
Rotation: Will be discussed in accordance with the trainee’s curriculum needs, however
generally a 1 x 12-month placement predominantly in DMH with opportunities throughout the
trust
Curriculum opportunities as part of rotation (depending on trainee need)
• Comprehensive geriatric assessment / Falls / Delirium / Acute frailty
Ward 52 DMH – acute complex frailty unit.
Ward 7 BAH – Specialist frailty ward and unit.
Acute frailty Team – Based in the acute frailty hub next to AMU,7 days 8am til 8pm.
Consultant led MDT who review all patients with frailty in AMU (W34), referrals also
from SDEC and A&E
• Movement Disorder
MD clinics - 4 consultant clinics per week at various sites within the trust
5 x PD nurse specialists with daily clinics, home visits and apomorphine service
supporting an approximate 1500 patient MD service.
• Falls / syncope
General Elderly Care clinics at DMH, Sedgefield, Bishop Auckland, sites
Tilt clinics – DMH Thurs pm
• Orthogeriatric and bone health
Daily consultant input in orthopaedic admissions W31 DMH for all fractured hip and
fragility fracture patients.
• Surgical Liaison
twice weekly surgical liaison sessions with Dr White on W32 (surgical admissions)
• Rehabilitation
W16 BAH – takes general and orthogeriatric rehab for on-going MDT led care. Daily
consultant input
W4 BAH – Stroke rehab with placements available at request
Curriculum opportunities (by arrangement)
• Stroke –TIA clinics (various sites), acute stroke ward 2 UHND, stroke rehab w4 BAH
• Palliative care – contact Alex Nicholson consultant in palliative care
• Old age Psychiatry – contact Girish Rao consultant in old age psychiatry with
opportunities for memory clinics, liaison, community
3Geriatrics Trainee Handbook
• Continence experience – bladder and bowel nurse led service
• Tissue viability - TV nurse placement, frailty podiatrist sessions, diabetic foot clinics
• Community geriatrics – possibility of arranging time with community matrons/VAWAS
nurses, community palliative care, community MD visits, community hospital placement
Other opportunities (e.g. Leadership, Teaching)
• Teaching – medical directorate and speciality teaching, opportunity to be involved in
undergraduate and post graduate teaching.
• QI projects
• Leadership experience / clinical governance opportunities
Tips
• The Trust remains flexible and will accommodate trainee’s needs by allowing cross site
working between Darlington Memorial Hospital and University Hospital North Durham if
required for curriculum benefit. Opportunities also exist at Community Hospitals in
Bishop Auckland, Chester Le Street, Sedgefield, Barnard Castle and Weardale.
Comments from survey: training opportunities to achieve specific competencies:
• Movement disorder, Frailty, surgical liaison
4Geriatrics Trainee Handbook
James Cook University Hospital (2022)
South Tees Hospitals NHS Foundation Trust comprises of James Cook University Hospital, the
Friarage hospital Northallerton and four community Hospitals. James Cook University Hospital
is a large university teaching hospital serving the Middlesbrough and Redcar and Cleveland
local authorities with district general services. It is also a tertiary centre for the region for
specialities including neurosurgery, vascular, ENT including cochlear implants, renal, plastic
surgery, cancer services and includes a major trauma centre and regional spinal injuries unit.
The Friarage Hospital is a smaller DGH serving the population of rural Hambleton and
Richmondshire and the Yorkshire dales. It also has a purpose-built cancer centre, is expanding
its elective surgical services and has developed a new community geriatrics service.
There are four community hospitals across the region that offer a range of community clinics,
radiology, therapy services and inpatient rehabilitation beds.
STC representative:
Rachel Murdoch - Rachel.murdoch@nhs.net
GIM on call: (frequency) On number of SpR’s – approx. 1 in 16 to 1 in 20. Includes weekends
and nights
Rota co-ordinator: Kerry.mckeown1@nhs.net
Transport/parking:
Parking permit contact:
Rotation: Rotations can be tailored to trainees’ individual educational needs but generally
trainees spend four monthly rotations in stroke, community geriatrics based at the Friarage,
and acute geriatrics with orthogeriatrics and major trauma.
Curriculum opportunities as part of rotation
Stroke Rotation
• Hyper-acute stroke unit with 24/7 thrombolysis
• On-site thrombectomy service (in hours, when available)
• Daily TIA clinics
• Stroke follow up clinics
• Community hospital-based stroke rehabilitation
• Early supported discharge
Acute geriatrics with ortho-geriatrics and trauma rotation
• Acute older persons medicine ward
• Orthogeriatric sessions on dedicated fragility femur fracture unit
o Including preoperative assessment and MDT discharge planning
• Major trauma frailty sessions
• Community hospital rehabilitation
• Orthogeriatric follow up clinic offering injectable therapies
• Opportunity to spend time in community fracture liaison service
• Opportunity to attend bone clinics
• Ward referrals including to the tertiary areas
5Geriatrics Trainee Handbook
Community Geriatrics/psychiatry
• Consultant led home visits
• Care home medicine
• Community therapies
• Fast response nurses
• Virtual ward management
• Admission avoidance
• Home intravenous antibiotics service
• Community MDT working
• Memory clinics
• Psychiatry MDT
Curriculum opportunities (by arrangement)
• Movement disorders including Parkinson’s advanced symptoms unit
• Old age psychiatry – including liaison and inpatient sessions
• Palliative care
• Community continence service
• Urogynaecology
• Tissue viability
• Community hospital based general and orthogeriatric rehabilitation
• Clinics opportunities– in addition to the above speciality clinics there are general
geriatric medicine clinics including falls and a rapid access acute geriatric clinic and
Friarage based frailty clinic.
Other opportunities (e.g. Leadership, Teaching)
Leadership
South Tees is currently developing the community service and following recent consultant
recruitment will be developing further new services in the near future. SPRs working at the
trust will be able to be involved according to their interest and curriculum requirements. SPRs
are welcome at directorate meeting and will be able to access other management meetings.
Educational
As a teaching hospital there is an opportunity to be involved in education both of
undergraduate medical students and postgraduate trainees.
6Geriatrics Trainee Handbook
Newcastle upon Tyne Hospitals (Freeman and
RVI) (2022)
Large teaching hospital with inpatient, outpatient, day hospital and community services and
including academic staff. Tertiary referral centre for falls and syncope and hyperacute stroke
and designated regional major trauma centre.
STC representative:
Roger Jay roger.jay@nhs.net
Jane Noble is internal lead for registrar placements and training jane.noble3@nhs.net
GIM on call:
EITHER RVI acute medicine front of house and back of house rota
OR Freeman geriatrics ward cover weekends, bank holidays and Monday and Friday
evenings, not overnight.
Frequency depends on number of registrars.
Rota co-ordinator: Rachel Fletcher Rachel.fletcher18@nhs.net
Guy Galpin guy.galpin@nhs.net
Transport/parking:
The RVI is a short walk from Haymarket metro (and bus station), and Freeman a short walk
from Longbenton metro.
Staff are able to use the Arriva 47 bus free of charge when showing their Trust pass. The
service runs from CAV to Haymarket, via the RVI, every 30 minutes with the first bus leaving
CAV at 5.57am. Staff wishing to travel onwards to Freeman can get off at the RVI and use
the staff hopper or change at Haymarket and use service number 52 to the Freeman Hospital
or Four Lane Ends free of charge.
There is a regular ‘hopper’ minibus between the main RVI and Freeman sites.
A new multi-storey car park is nearing completion at the RVI site, which should improve
availability. On-site parking at all sites requires completion of an application form.
Parking permit contact: nuth.enquiries.carparking@nhs.net
Rotation: Two blocks of 6 months
Curriculum opportunities as part of rotation.
We will create placements to meet your training needs, with a base ward, subspecialty
experience and out of hours GIM at RVI or geriatrics at Freeman. The following components
are routinely part of training:
• Orthogeriatrics, acute and rehab. Major trauma liaison available.
• Hyperacute stroke, stroke rehab, TIA clinics.
• Falls and syncope (regional centre for syncope)
• Movement disorders clinics (Drs Yarnall and Noble)
• Dementia clinic (Dr Yarnall (and McLeod on return from parental leave))
• Surgical liaison, inpatient and outpatient (Dr Ozalp)
• General CGA clinics and day hospital
7Geriatrics Trainee Handbook
• Community rehab in care home settings
• Community visits and care home liaison
• Acute admissions/frailty liaison service
• General acute inpatient care
Acute wards: RVI 31, Freeman 13, 15, 17, 18
Specialist acute ward: Acute stroke unit (RVI)
Specialist rehab wards: Freeman 9 (stroke), Freeman 14 (orthogeriatrics)
Curriculum opportunities (by arrangement)
• Academic/research opportunities – movement disorders, cognition, falls and syncope,
sarcopenia/frailty
• Palliative care
• Old age psychiatry
• Continence
• Tissue viability
• Osteoporosis/bone health
Other opportunities
Leadership/management
• More senior trainees are welcome to attend monthly consultant management meetings
• Ward morbidity and mortality meetings
• Directorate clinical governance meetings (reduced during Covid-19)
Teaching/learning
• We have a weekly departmental education meeting, which is an opportunity for both
learning and delivering teaching
• Weekly registrar training meeting
• Weekly X ray meeting
• Opportunities for teaching and examining medical students, including visiting students
from NuMED (Malaysia) in June and July.
Comments from survey: training opportunities to achieve specific competencies:
• Management (RCA investigations), Dementia, PD, FASS, Urogynaecology
8Geriatrics Trainee Handbook
North Tees and Hartlepool NHS Foundation
Trust (2022)
North Tees Hospital is a medium sized DGH, with a busy medical take, a friendly group of
consultants in the medical directorate and a robust program of postgraduate medical education.
We have 2 inpatient acute older persons medicine wards, a hyperacute stroke unit and well
developed ortho-geriatrics and surgical liaison services. The older persons medicine
department is staffed by 8 consultants and 1 associate specialist. We run our clinics across both
hospital sites, from the Medical Rehab Day Units (MRDU.) We also have a newly refurbished
older persons medicine registrars’ office.
STC representative: Dr Sophie Wilcox - sophie.wilcox1@nhs.net
GIM on call: (frequency)
The current on-call is on an 18-week rolling rota pattern, but rota dependent on number of
StRs.
GIM on-call is delivered in an active unit including Emergency Admissions Unit (EAU),
Ambulatory care and the Acute Medical Clinic (AMC). Consultant support is provided by 9
Acute Medicine consultants, and also by 2 Physicians of the Week (POW).
During on-call weeks, registrars provide input into either ‘front of house’ - EAU/ED in-reach or
‘back of house’ and ambulatory – including input into AMC and ward referrals. Registrars
have opportunity to receive feedback including observed ward rounds and ACATs.
There is a ‘Resilience’ on-call rota to cover extra beds opened during Winter Pressures, which
are added to the above rota as required. This usually involves spending approximately 1-2
weeks working on the Resilience ward as your normal working duties, alongside an allocated
Consultant and more junior trainee.
Rota co-ordinator:
kelly.townsend2@nhs.net
kirsty.warrington1@nhs.net
Transport/parking:
There is ample car parking at both sites; ParkingEye operates parking across both sites.
Permits are obtained via the cashiers/ security offices and cost approx. £34.33 per month or
£412 annually. There is also a large non-Trust operated car park opposite the North Tees site,
which is approx. £2/ day. The postgrad team will register your vehicle for your first week to
allow time to obtain permits.
Travelling between North Tees and Hartlepool sites takes approx. 25 minutes by car and
would occasionally be needed depending on clinic allocations/ timetable. There is a pre-
bookable Trust shuttle bus service operating during the daytime hours (approx. 10- 5)
between the sites.
Hospital accommodation can be organised by contacting the postgrad team: nth-
tr.MedicalEducation@nhs.net>
Parking permit contact: th-tr.carparkingenquiries@nhs.net
9Geriatrics Trainee Handbook
Rotation: Usually 3 x 4-month blocks rotating through Ward 40 (acute older persons medicine)
with ortho-geriatrics/ surgical liaison attachment, Ward 42 (acute older persons medicine) with
general/ falls/ PD clinics and Ward 41 (stroke unit,) although a bespoke program can be
developed for prospective trainees based on training needs and preferences.
Curriculum opportunities as part of rotation
Older Persons Medicine:
• Acute older persons medicine
• Leadership of MDT huddles
• Joint psychiatry liaison/ older persons medicine ward MDTs
• Ward rounds with geriatrician on surgical wards, with input into NELA
• Ortho-geriatrics ward rounds
• High risk surgical pre-assessment clinics
• Parkinson’s disease clinic and inpatient liaison service; DaT MDT
• Falls clinics including access to Tilt table/ Epley
• Rapid access clinic
• QIP and audit
• We are developing our ‘frailty service’ and would welcome trainee input into this
Stroke
• TIA and post stroke FU clinics
• Thrombolysis and acute admissions
• Stroke rehab and MDT working
• Neurovascular MDT (joint with JCUH and with vascular surgery)
• QIP and audit
Curriculum opportunities (by arrangement)
• Palliative medicine
• Old age psychiatry
• Tissue viability
• Nutrition and PEG MDT
Other opportunities
• Weekly departmental older persons medicine teaching
• Weekly medicine ‘best practice’ meetings
• Weekly patient safety meetings
• Leadership opportunities in teaching program organisation/ trainee rota management
and attending service planning meetings ad hoc
• Plenty of opportunity for undergraduate teaching and interdisciplinary teaching and
simulation (medical directorate simulation lead, Newcastle Stage 4/ Stage 5
Undergraduate leads, Sunderland elderly care lead are all geriatricians!)
• Involvement in RCA and complaints meetings ad hoc
10Geriatrics Trainee Handbook
North Tyneside Hospital (2022)
STC representative: Francis Collin - francis.collin@nhct.nhs.uk
GIM on call: (frequency) 18-week rolling rota – 1 weekend of nights, 1 weekday nights, 1
week of twilight shifts on ambulatory care, 2 weekends (one at NSECH, one at WGH/NTGH).
Rota co-ordinator: • Lesley Kell - Lesley.kell@nhct.nhs.uk
Transport/parking:
Parking permit contact:
Rotation: 2-month rotation to NSECH For experience of acute elderly care and frailty
assessment unit.
Curriculum opportunities as part of rotation
• 2-month rotation to NSECH for experience of acute elderly care & frailty assessment
• Training in stroke (acute and rehab)
• Orthogeriatrics (acute and rehab)
• Surgical liaison
• Falls and syncope (including tilt table)
• Parkinson’s disease
• Palliative Care
• Old age psychiatry
• Intermediate care
• Community MDTs
• Outpatient clinics
Curriculum opportunities (by arrangement)
• Tissue Viability
• Continence
Other opportunities (e.g. Leadership, Teaching)
• Undertaking own ward rounds. Supervision of junior staff.
• Attendance at clinical governance, medical directorate, mortality meetings
• Arrangements can be made for attendance at other management meetings/assistance
with investigation of incidents and complaints if required
• Involvement in organisation of COTE departmental teaching
Comments from survey:
As a registrar I found Northumbria often required less input onto wards than other
placements. I would recommend making the most of that opportunity to spend time doing a
special interest. I really enjoyed my time with liaison psychiatry and know people have also
done time with palliative care.
Also, there are opportunities for procedures for GIM if required either through ambulatory care
or clinics.
Opportunity to visit specialist wards on call e.g. cardiology/gastro
11Geriatrics Trainee Handbook
Queen Elizabeth Hospital, Gateshead (2022)
We are a busy District General Hospital with the full range of medical and surgical specialities
on site. Our Elderly Medicine department is staffed by ten Consultant Geriatricians and two
colleagues in Stroke Medicine. We have five inpatient wards within the Jubilee Wing, outpatient
clinics in the Windy Nook outpatient department and provide acute frailty sessions at the ‘front
of house’.
STC representatives: Drs Jenny Hogg, Hannah Filler & Richard Athey (contact
richard.athey@nhs.net for further info).
GIM on call: SpR on-call rota varies between 1:12 and 1:14 depending on number of
incumbents. The arrival of IMT3 trainees has reduced weekday daytime on-call commitments.
Night shifts are split into blocks of three or four days.
Rota co-ordinator: Lois Brown, Medical Staffing Team (ghnt.medicalhub@nhs.net).
Transport/parking: On-site parking for those working antisocial shifts. There is a remote car
park with a reliable shuttle bus for others. A very regular bus service from the centre of
Newcastle and Gateshead stops just outside the hospital.
Parking permit contact: Contact ghnt.facilities.admin@nhs.net prior to starting.
Rotation: We will create a rotation aimed at meeting your educational needs comprising six -
month blocks working with two of our clinical teams:
• Jubilee Acute Stroke and Rehabilitation Unit (JASRU): Stroke medicine including TIA
clinics.
• Ward 22: General Elderly Medicine and Rehabilitation. Includes PD and Falls Clinics.
• Ward 23: Elderly Medicine focussing on Mental Health issues. Includes PD clinic
experience, Orthogeriatrics and Continence clinics.
• Ward 24: General Elderly Medicine and Rehabilitation. Includes PD clinics and
community experience with home visits.
• Ward 25: General Elderly Medicine and Rehabilitation. Includes Orthogeriatric ward
rounds, Osteoporosis clinics and Continence clinics.
Each unit timetable includes two weekly outpatient clinics including a registrar-led general
Elderly Medicine clinic.
Your educational supervisor will be one of the consultants from your first allocated ward of the
year.
Curriculum opportunities as part of rotation
• General Elderly Medicine and Rehabilitation.
• Movement Disorder clinics.
• Falls and Syncope clinics.
• Front of House Frailty Service.
• Stroke Medicine.
• Orthogeriatrics and Osteoporosis.
• Mental Health in the Elderly.
• Community geriatrics.
• Continence Clinics.
Curriculum opportunities (by arrangement):
• Experience in palliative medicine.
• Experience on our old-age psychiatry wards.
• Experience in tissue viability.
• Additional experience in any outpatient area not covered by your primary rotation
timetable.
12Geriatrics Trainee Handbook
Other opportunities:
• Weekly departmental teaching programme and bi-monthly safecare meetings.
• Can attend consultant management meetings.
• Encouraged to participate in formal undergraduate teaching programmes.
• Encouragement to engage in Audit and QIP.
Tips
• We are a friendly and supportive department, nominated for a ‘Trainer of the Year’
award in 2021. Don’t hesitate to ask if you’re unsure about anything.
• Our registrars have an office with computer and dictation facilities and secretarial
support is provided.
13Geriatrics Trainee Handbook
South Tyneside District General Hospital (2022)
Local district general hospital DGH and part of the South Tyneside and Sunderland Foundation
Trust. We provide acute, emergency services with all admissions coming through Accident and
Emergency.
STC representative:
Dr Suba Thirugnanasothy suba.thiru@nhs.net
GIM on call:
1 in 9 acute, unselected GIM on call
Weekend on calls is Friday-Sunday. Night shifts are split Monday-Thursday/Fri-Sun
Rota co-ordinator: stsft.e-rostering@nhs.net
Transport/parking
On site parking is available outside the education centre. There are easy links to the metro.
Parking permit contact: stsft.carparking@nhs.net
Rotation
Two 6-month blocks rotating through wards 19 and 2
Ward 19 – acute elderly care ward specialising in falls, syncope and bone health
Ward 2 – acute elderly care ward specialising in frailty and Parkinson’s disease
Your educational supervisor will be one of the consultants from your first rotation.
We aim to try and meet trainees prior to them starting at South Tyneside to gain an insight
into individual training needs, this can either be face to face or virtually depending on the
preference of the trainee.
Curriculum opportunities as part of rotation
• Comprehensive Geriatric Assessment
• Working as part of the multidisciplinary team
• Falls and syncope – in patient experience, out-patient FASS clinics, experience in the
tilt clinic and specialist vestibular clinic
• Osteoporosis – weekly bone clinics
• Frailty ward rounds on Emergency Admissions Unit
• Parkinson’s disease clinics
• Delirium and dementia
• End of life care
• Audit and QI work
Curriculum opportunities (by arrangement)
• Orthogeriatrics
• Continence services – opportunity to attend urogynaecology clinics and urodynamics
• Sessions with TVN
Other opportunities (e.g. Leadership, Teaching)
• Leadership and management skills – trainees can attend our clinical governance,
M+M meetings and directorate meetings
14Geriatrics Trainee Handbook
• We have undergraduate medical students from both the University of Sunderland
Newcastle University so there are plenty of opportunities to be involved in teaching.
There is also post graduate teaching opportunities
• Weekly CoTE teaching at South Tyneside (Tuesday morning) but trainees can also
access Friday lunchtime teaching held virtually from the COTE department at
Sunderland
Tips
We are a supportive department who are all keen to support your individual training needs.
We are told by trainees who rotate through the department that they feel very much part of
the team.
Whilst General Medicine here is busy it is a great opportunity to improve your GIM skills and
portfolio under supervision from a very supportive senior medical team.
Comments from survey: training opportunities to achieve specific competencies:
• Bone health, Urodynamics, Vestibular physio, Frailty
15Geriatrics Trainee Handbook
Sunderland Royal Hospital (2022)
Sunderland Royal Hospital is a large DGH, with admissions via Emergency Admissions Unit.
The Frailty Team are at the front door on EAU and in-reach into the Emergency Department.
There are 5 Care of the Elderly wards, including the Stroke Unit and there is joint care on
Orthogeriatrics. It is a teaching hospital for medical students from Universities of Newcastle and
Sunderland.
STC representative: Dr Emily Lyon emily.lyon@nhs.net
GIM on call: 2 STs during the day: 1 “front of house”- EAU, ED,
1 “back of house” – Same Day Emergency Care, wards referrals
1 ST at night
Rota dependent on number of STs (currently 24)
Rota co-ordinator: stsft.medicalrosteringteam@nhs.net
Transport/parking: on-site parking, metro within 10 minutes walk
Parking permit contact: stsft.carparking@nhs.net
Rotation: 3 4-month blocks as below
Curriculum opportunities as part of rotation
• B21: General COTE
• E51: Community Geriatrics, intermediate Care, Movement disorder
• E52: Frailty, Movement disorder
• E56: Dementia and Delirium, Falls and Syncope, Frailty
• D43: Orthogeriatrics including daily Trauma Orthopaedics Geriatrics and Anaesthetics
Meeting (TOGA)
• D46: Acute Stroke Unit, thrombolysis assessments, Daily TIA clinic
Frailty Service runs 8am – 7pm, including in reach to ED. Frailty sessions available
for all trainees
Ward consults including NELA referrals
Curriculum opportunities (by arrangement)
• Continence: IP continence team, continence MDT, urodynamics
• Tissue Viability Team
• Palliative Care
• Psychiatric liaison and IP ward (at Monkwearmouth Hospital)
• Pacing MDT
• Bone clinic
Other opportunities (e.g. Leadership, Teaching)
• Monthly Clinical Governance Meetings
• Monthly Mortality Meetings
• Rapid Review Meetings (weekly review of incidents)
• Ad hoc: Root cause analysis meetings
• Co-ordination of weekly Care of the Elderly teaching rota
• Medical Examiner sessions
• Opportunity to take on Associate College Tutor role
• Teaching
16Geriatrics Trainee Handbook
Tips
• Registrars have own office with computers and telephone
Comments from survey: training opportunities to achieve specific competencies:
• Orthogeriatrics, Delirium, Acute illness
17Geriatrics Trainee Handbook
University Hospital North Durham (UHND) (2022)
UHND is a busy district general hospital. Geriatric Medicine comprises a 24 bed Complex
Frailty Unit as well as front of house Acute Frailty Team. Strong links with Specialty Frailty Unit
at BAGH. 36 bed Acute Medical Unit.
STC representative:
Andy Kirby – andrew.kirby3@nhs.net
GIM on call: (frequency)
1 in 12
1 in 4 split weekend pattern (Fri & Sat / Sun & Mon)
Rota co-ordinator:
Mrs Edith Sutherland - edith.sutherland@nhs.net
Dr Kashyap - amit.kashyap@nhs.net
Transport/parking: on-site parking (permit), local buses and train to regional hubs
Parking permit contact: provided on induction
Rotation: (e.g. 2 6-month blocks, 3 4-month blocks)
1 x 12-month block, could also be placed on Stroke Ward or BAGH ward 7 – suggest 2 x 6-
month block at most. Job plans are negotiable.
Curriculum opportunities as part of rotation
• General Geriatrics / Falls / Movement Disorder clinics – onsite but also available at
community hospital sites
• Frailty – Acute Frailty Teamwork in ED / AMU. Inpatient Complex Frailty Unit is the
hub for MDT working
• Orthogeriatrics – weekday service for inpatients. Opportunities for orthogeriatric
rehabilitation experience at BAGH
• Surgical liaison - opportunities to improve perioperative management of elderly
surgical patients, MDT experience and rehabilitation assessment opportunities
• Stroke - Hyperacute unit, potential to participate in thrombolysis and TIA services as
well as rehabilitation at BAGH. Strong research ethic for those with an interest.
• GIM – Acute Medical Unit and SDEC
Curriculum opportunities (by arrangement)
• Palliative Care (Dr David Oxenham]
• Continence (bladder/ bowel nurse-led service)
• Tissue viability (Podiatry, TVNs, Diabetic foot clinics)
Other opportunities (e.g. Leadership, Teaching)
• Opportunity for undergraduate, post-grad and departmental teaching
• Opportunity for participation in local meetings including clinical governance / mortality
review
Tips
18Geriatrics Trainee Handbook
• The Trust remains flexible and will accommodate trainee’s needs by allowing cross
site working between University Hospital North Durham and Darlington Memorial
Hospital. Opportunities also exist at Community Hospitals in Bishop Auckland,
Chester Le Street, Sedgefield, Barnard Castle and Weardale.
Comments from survey: training opportunities to achieve specific competencies:
• Orthogeriatrics, Surgical Liaison
19Geriatrics Trainee Handbook
Wansbeck Hospital (2022)
STC representative: Cath Huntley - Cath.huntley@nhct.nhs.uk
GIM on call: (frequency)
Rota co-ordinator: Lesley.hood@nhct.nhs.uk
Rotation: 2-month rotation to NSECH for experience of acute elderly care and frailty
assessment unit.
Curriculum opportunities as part of rotation
• 2-month rotation to NSECH for experience of acute elderly care & frailty assessment
• Training in Stroke (acute and rehab)
• Orthogeriatrics (acute and rehab)
• Surgical Liaison
• Falls and syncope (including tilt table)
• Parkinson’s Disease
• Palliative Care
• Old age psychiatry
• Community hospitals/MDTs
• Elderly Assessment Centre (for urgent OP referrals)
• Outpatient clinics
Curriculum opportunities (by arrangement)
• Tissue viability
• Continence nurses
Other opportunities (e.g., Leadership, Teaching)
• Undertaking own ward rounds. Supervision of junior staff.
• Attendance at clinical governance, medical directorate, mortality meetings
• Arrangements can be made for attendance at other management
meetings/assistance with investigation of incidents and complaints if required
• Involvement in organisation of COTE departmental teaching
• Arrangements can be made for attendance at other management
meetings/assistance with investigation of incidents and complaints if required
Comments from survey:
As a registrar I found Northumbria often required less input onto wards than other
placements. I would recommend making the most of that opportunity to spend time doing a
special interest. I really enjoyed my time with liaison psychiatry and know people have also
done time with palliative care.
Also, there are opportunities for procedures for GIM if required either through ambulatory
care or clinics.
Opportunity to visit specialist wards on call e.g. cardiology/gastro
20Geriatrics Trainee Handbook 21
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