Medical Education Core Trainee Handbook 2020 - East London NHS Foundation Trust - East ...
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Medical Education
Core Trainee Handbook
2020
East London NHS Foundation Trust
elft.medical.education@nhs.net
Page 1 of 13
elft.medical.education@nhs.net Establishing a culture of “All-Teach, All-Learn”
Contents
Contents ........................................................................................................................................................... 2
Training Timeline .............................................................................................................................................. 3
MRCPsych Exams ............................................................................................................................................ 3
Portfolio............................................................................................................................................................. 4
Tips ............................................................................................................................................................... 4
Audit / Quality Improvement .............................................................................................................................. 5
Psychotherapy Experience ............................................................................................................................... 6
Teaching Experience ........................................................................................................................................ 7
Management ..................................................................................................................................................... 8
Study leave ....................................................................................................................................................... 9
Submitting Study Leave – Days ..................................................................................................................... 9
Submitting Study Leave – Expenses ........................................................................................................... 10
Mandatory Training ......................................................................................................................................... 10
ECT ................................................................................................................................................................ 11
Advice for new CT1 Trainees in Psychiatry ..................................................................................................... 11
Supervisors ..................................................................................................................................................... 12
Contacts.......................................................................................................................................................... 12
If you have a problem...................................................................................................................................... 13
Contributors .................................................................................................................................................... 13
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elft.medical.education@nhs.net Establishing a culture of “All-Teach, All-Learn”
Training Timeline
This figure gives you a general guide for the common training pathway in the UK. You will be required to
attend an ST interview at the end of CT3.
MRCPsych Exams
MRCPsych specialty exams will enable you to become a member of the Royal College of Psychiatrists, which
is a prerequisite for applying to higher specialty training (ST4-6).
At present, there are two written papers and one OSCE-style exam (CASC). The sittings are;
• Paper A - July and December
• Paper B – April and October
• CASC - September and January
An up-to-date timetable of exam dates and application windows can be found on the “examinations” section of
the RCPsych website.
There are no fixed rules for when to sit which paper, nor is there any order, apart from the fact that to be
eligible for entering CASC you must have passed all the written exams and worked for at least 24 months in
post-foundation psychiatry jobs. This includes a minimum of 12 months in general adult psychiatry and two or
three other sub-specialties of psychiatry.
In terms of a general guideline, it is recommended that you pass at least one written exam every 12 months. In
an ideal scenario, be ready to sit for CASC by the start of your CT3 year, so that should you fail your first
attempt in September you still have a chance to a re-sit during the same CT3 year in time to apply for ST4-6
jobs. However there is also the possibility of extending your Core Training (now limited to a further 6 months).
You will need to pass all exams within 4.5 years of passing paper A.
To prepare you for paper A and B, you will attend weekly teaching on either Thursday or Tuesday afternoons;
this is tailored for each paper and reflects the syllabus as it is often updated by the Royal College.
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elft.medical.education@nhs.net Establishing a culture of “All-Teach, All-Learn”A portion of your study leave days (10 out of your 15 days allocated study leave days per 6 months) is
allocated to attendance at this teaching, which is mandatory, and it is ensured that trainees are supported to
attend MRCPsych teaching regularly.
Your attendance at the MRCPsych Course will be audited and if you do not attend at least 75% of the course,
this will be brought to the attention of your Clinical and Educational supervisors and may form part of the
feedback into your ARCP process. You are also expected to attend at least 50% of the Barts academic
afternoons which take place once per month (except in August). You will not be expected to attend whey you
are on holiday, ill, on nights or if an urgent or emergency issue arises, but you should inform the Medical
Education Department of the reasons for your absence, in advance if possible.
It is worth discussing concerns, difficulties relating to exams or attendance at these academic events with your
Educational Supervisor as they arise so they can be sorted out quickly.
Notwithstanding the information above, an exams review is underway and it is therefore worth keeping an eye
on the Royal College website, particularly on the examination eligibility criteria and regulations section (as per
link below), to keep abreast of changes.
Exam’s section of Royal college website: https://www.rcpsych.ac.uk/traininpsychiatry/examinations.aspx
Curriculum: https://www.rcpsych.ac.uk/docs/default-source/training/examinations/exams-syllabic-curriculum-
mrcpsych-december-2013.pdf?sfvrsn=20c35fdb_6
Portfolio
Your portfolio is a collection of documentary evidence regarding your training, learning and experience. You
must ensure that you have covered all parts of the curriculum relevant to your stage of training, so that you
can present your portfolio at your ARCP to facilitate progression. As a pre-membership psychiatric trainee you
must sign up for a portfolio on the RCPsych website. This can easily be found in the ‘Core & Specialty
Training’ section.
The main part of your portfolio is completing Work Place Based Assessments (WPBAs). You should aim to
complete these at appropriate intervals during the training year (at least one a month). Be sure you get started
early as your ARCP is likely to take place in June of each year and can come around sooner than you think!
Tips
- At least 75% of WBPAs should be by a Consultant. According to the college website, assessments can
be done by Band 7 (or above) staff, higher trainees (SpR and above) and of course Consultants.
- Aim to get at least one WBPA in first month of each rotation (college guidelines, but not mandatory).
- Ideally equal spread of assessments between placements.
- ACEs (and sometimes mini ACEs) usually need an element of planning to ensure your supervisor is
free for the whole assessment. My community supervisor suggested I book out his clinic on the day we
were doing assessments.
- CBDs are easiest to do in the weekly one hour supervision.
- Complete case logs on the e-portfolio as you go along and link them to the relevant WBPA and parts of
curriculum. Case logs can be completed by opening the various assessments on the Portfolio and
adding a “follow-up”.
- -The College recommends WBPAs cover a variety of settings, with different types of patients and
different assessors. Bear this in mind when planning your assessments.
- If you feel you are struggling with assessments your first port of call should be to bring it up with your
Clinical Supervisor. Failing that (or if you do not feel comfortable raising this with your Clinical
Supervisor) you should discuss with your Educational Supervisor.
- The ARCP is likely to be in mid-June – aim for assessments to be completed by then, if possible.
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elft.medical.education@nhs.net Establishing a culture of “All-Teach, All-Learn”- Send WBPAs to SpRs you work with on-call.
The requirements/recommendations are as below:
Minimum number required per year
CT1 CT2 CT3
Assessment of Clinical Expertise (ACE) -
trainee should be observed making a full
assessment of a patient. This should include
2 3 3
taking a history, performing a mental state
examination and arriving at a diagnosis and
management plan
Mini-Assessed Clinical Encounter (mini-
ACE) - Different components of a patient
interaction can be used, such as negotiating 4 4 4
a treatment plan or performing a risk
assessment
Case-based Discussion (CbD) - e.g.
discussion around an admission and the
4 4 4
reasoning behind the Trainee's choice of
management plan
Directly Observed Procedural Skills (DOPS)-
assessment of practical skills e.g. As the opportunity arises
administering ECT or BLS
Mini-Peer Assessment Tool (mini-PAT) -
provides feedback from a range of co- 2 2 2
workers
Case Based Discussion Group Assessment
2 None None
(CBDGA)
Structured Assessment of Psychotherapy
None 1 1
Expertise (SAPE)
Case Presentation (CP) - for e.g. presenting
1 1 1
at academic afternoons.
Journal Club Presentation (JCP) - for e.g.
1 1 1
presenting at academic afternoons.
Assessment of Teaching (AoT) As the opportunity arises
(1 Recommended)
Direct Observation of Non-Clinical Skills
As the opportunity arises
(DONCS)
Audit / Quality Improvement
Clinical audit, as defined by NICE, is a quality improvement process which aims to improve patient care and
outcomes by comparison of current practice against established criteria and/or guidelines. As a trainee, you
are expected to participate in either an audit or QI project. Your ARCP documentation has a specific section
on this. The audit cycle moves from initial problem identification to closing the audit cycle by review when
changes are made. While it is ideal to complete the whole cycle, you can also participate in specific sections
e.g. data collection or analysis.
Here are a few pointers:
- Find an audit that interests you and one which will be clinically useful to the team. Check that the audit
has not been done recently.
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elft.medical.education@nhs.net Establishing a culture of “All-Teach, All-Learn”- Discuss your audit idea/project with your Clinical or Educational Supervisors early as they may have
specific ideas for projects relevant to your post. Be aware that you will also need a consultant to
supervise your project.
- Most, if not all, mental health trusts and hospitals have an audit department and audit leads or
facilitators. It is worth checking with them as they are a useful resource and can help to facilitate your
project.
- Pharmacists do audits frequently. There is huge scope for doing audits on medication.
- Make sure you are clear about the criteria or guidelines on which your audit is based.
- Plan your audit ahead and be realistic about what you can achieve within a specific time frame, be it
weeks or months. Don’t forget to factor in your on-calls, annual leave etc. Changing post is one of the
most common reasons why people do not finish their projects. You may want to return to complete your
project or have your successor finish the audit.
- Audits generate a load of data and paperwork along the way. Be well-organised and remember to
respect patient confidentiality.
- Feed your findings back to the team and include recommendations for change, if relevant.
- Don’t forget to register your audit with the audit department and collect evidence of your project for
your portfolio- e. g. audit templates, results etc. You may be able to get a certificate on completion.
- The Royal College of Psychiatrists website has a step-by-step guide if you are new to the audit
process. NICE guidelines also often have audit implementation tools at the end.
Psychotherapy Experience
An ability to appreciate the psychological aspects of mental illness is an important skill for a psychiatrist. To
help you develop this understanding, the RCPsych has various psychotherapy requirements which you will
need to meet by the end of CT3.
Your psychotherapy learning experience begins when you attend a Balint group/case-based discussion group
once a week. This takes place normally on the academic afternoon and is facilitated by a local psychotherapist
psychiatrist. At the group, cases are discussed in order to explore underlying psychological factors, including
countertransference, which facilitates your developing awareness of psychotherapeutic principles.
Attendance at a separate weekly supervision group is also compulsory while giving the therapy. Most trusts
have a specifically designated psychotherapy tutor who advises on the best time to start taking on cases for
therapy, and who facilitates the supervision group. This person may also supervise the Balint group.
Area Psychotherapy Leads
Anastasia Apostolou
Newham
anastasia.apostolou@nhs.net
Tennyson Lee
Tower Hamlets tennyson.lee1@nhs.net and Bessie
Venables evenables@nhs.net
City and Hackney Maria Eyres maria.eyres@nhs.net
Ideally, after attending 30 CBDG sessions, you begin to treat patients using psychotherapy modalities. To fulfil
RCPsych psychotherapy requirements you will need to have completed two cases using psychological
treatments.
- Short case – CBT, CAT (cognitive analytical therapy), or group therapy (12 – 20 sessions)
- Long case – Psychodynamic psychotherapy (10 months – 1 year)
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elft.medical.education@nhs.net Establishing a culture of “All-Teach, All-Learn”The modality of therapy is not specified and both cases need to be completed by the end of CT3. The two
cases need to be in two different modalities, for example a trainee might take on a short case in a cognitively
derived therapy and then might take on a long case in a psychodynamic psychotherapy.
The therapy cases need to be supervised by a supervisor trained in and practicing in that modality, with the
oversight of the psychotherapy tutor.
Any difficulty anticipated in meeting the requirement needs should be raised at the earliest opportunity. There
should be a psychotherapy tutor who can be contacted in case of difficulty.
Research Experience
Innovation is central to delivering ELFT’s strategic aims and numerous opportunities are available during Core
Training. Speaking to your clinical and educational supervisors is a good place to start. They (or their
colleagues) may have audits, evaluations, or Quality Improvement (QI) projects in which you can get involved.
Always keep an eye out for interesting cases which may be suitable to write up as a case report or case series
for publication.
ELFT is a very research-active Trust and you are encouraged to talk to your patients about studies in which
they can enrol. There are also opportunities for you to become a principal investigators or local collaborator for
research projects. Contact the research department at ELFT to express an interest and they will endeavour to
match you with relevant projects.
There is one Bart’s academic meeting each year dedicated to research taking place in East London. There is
also a research page on the staff intranet (internal web page) with answers to your questions about research,
including:
Resources to help you talk to patients about research
What studies are taking place in ELFT?
How do I get permission to undertake a study?
Research-related training and funding opportunities
Who to contact
When undertaking a project, you should look out for opportunities to disseminate your findings. There are
many local conferences at which you may be able present your study. The National Trainee Conference
usually held in the autumn of each year – this is a useful forum to present papers. If your project is suitable,
you can also look out to present your findings at other national and international fora, including academic
journals and conferences.
Teaching Experience
Developing the ability to teach, assess and appraise is part of the Curriculum for Core Training in
Psychiatry. Under the teaching section the curriculum states that we must ‘develop the skills, attitudes,
behaviours and practices of a competent teacher’.
How do we do this?
The curriculum breaks it down into three areas:
1. Knowledge:
- Demonstrate an understanding of the basic principles of adult learning
2. Skills:
- Identify learning Outcomes
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elft.medical.education@nhs.net Establishing a culture of “All-Teach, All-Learn”3. Attitudes demonstrated through behaviours:
- Demonstrate a professional attitude to teaching
- Ensure that feedback from teaching activities is used to develop (and if necessary change) teaching
style
In practical terms this means we must learn how to teach, identify what we want to teach and then teach it!
During Core training you will have will numerous opportunities to teach others such as:
- Medical students attached to your ward / team
- Other health professionals e.g. nursing staff on your wards
- Other core trainees e.g.: academic afternoons)
- External opportunities e.g.: teaching students at medical schools
You will not need to be assessed every time you teach, but at some stage you will need to have your teaching
observed and assessed. This is done in a workplace based assessment (WPBA), the AoT (Assessment of
Teaching). Your AoTs are held in your Portfolio with your other WPBAs and can then be shown at your ARCPs
as well as at interviews for Higher Training posts.
This form gives a good guide on what you need to think about when organising a teaching session. Have a
look at it and happy teaching!
The AoT form can be obtained from your online e-portfolio account.
Management
It’s not too early to start thinking about the management skills required of a consultant psychiatrist – you will
need to develop skills for managing people, teams and a clinical service. Some trainees will develop these
skills further, moving into NHS management and leadership.
At CT1, consider standing as trainee representative, or as part of local negotiating committee of BMA. Find
opportunities to lead CPA meetings, and MDT meetings, as part of your clinical work. Reflect (actively!) on the
management styles to which you are exposed and on how you function in a team.
At CT2 and CT3, design and lead patient safety initiatives (e.g. improving handover between doctors or
designing physical health training), or audit your own service to improve patient care or experience. For ST4
shortlisting and interviews you will want to be able to show evidence of projects you have initiated, and show
you can negotiate change.
Management may seem a distant task, but many of the skills required to be an effective manager and an
inspiring leader are inherent to your clinical effectiveness. They include self-knowledge, effective peer and
team relationships, understanding what commissioners are looking for, ability to manage the resources
available and the ability to make improvements in your work.
More information:
http://rcpsych.ac.uk/workinpsychiatry/leadershipmanagement.aspx
https://www.fmlm.ac.uk/
http://www.leadershipacademy.nhs.uk/discover/leadership-framework
https://www.londonleadershipacademy.nhs.uk/
Page 8 of 13
elft.medical.education@nhs.net Establishing a culture of “All-Teach, All-Learn”Study leave
Mandated and Optional List
The study leave lists have been constructed by the relevant Heads of Speciality Schools/Training Programme
Directors with oversight and approval of the Post Graduate Deans. You can view these here: https://s3.eu-
central-1.amazonaws.com/euc-
cdn.freshdesk.com/data/helpdesk/attachments/production/7029864729/original/Psychiatry.pdf?X-Amz-
Algorithm=AWS4-HMAC-SHA256&X-Amz-Credential=AKIAIOZ45EDCGR6ICVCA%2F20190531%2Feu-
central-1%2Fs3%2Faws4_request&X-Amz-Date=20190531T153927Z&X-Amz-Expires=300&X-Amz-
Signature=056de4a47b025d04afc63d45548a83d816ad6d499908f04e0ffb742049f7f4d3&X-Amz-
SignedHeaders=Host&response-content-type=application%2Fpdf
Mandatory courses have been described in curriculum documents by the relevant Royal College or Faculty
and should assist educational supervisors to ensure that the trainee is meeting the requirements mandated by
the curriculum in the first instance.
Optional courses are complementary to the curriculum, the Head of School or Training Programme Director
being of the opinion that attendance at these events is of benefit to the trainee.
Aspirational courses are applied for in the rare event where a trainee wishes to undertake a course or event
that is not included on the Mandated and Optional Lists, the trainee should discuss with their educational
supervisor and Training Programme Director to ensure that the course or event is relevant to their professional
development, and that sufficient funds are available. The Head of Speciality School will have final sign off for
such aspirational events depending on current funding available.
Please refer to the process map regarding authorisation and claims. Trainees MUST follow local trust
processes regarding applying for study leave time.
More information can be found here: https://lasepgmdesupport.hee.nhs.uk/support/home?studyleave
Submitting Study Leave – Days
All doctors in postgraduate training at ELFT are required to submit applications for study leave online
(intrepid/Access). Log in credentials will be sent to your Trust email address in the first few weeks of August.
Log into your user account on www.intrepidv10.co.uk/LDN using the account credentials that were sent to your
Trust email. It is recommended that you save this website to your favourites.
You must submit a Study Leave Application for all courses (including weekend, evening and on-line courses),
conferences, meetings, seminars, presentations or special events that you wish to claim expenses for, in the
future.
Separate study leave application for each course (including on-line courses) need to be submitted.
Study leave applications must be submitted at least 6 weeks prior to the start of the study leave. In
exceptional circumstances, late applications will be considered. Please use the comment section on the
Intrepid/accent application to provide a reason, if you submit your application later than this.
Please attach the course programme or agenda to all study leave applications except for private study leave.
You should upload scanned or electronic documents to your Intrepid application using the Documents
Manager. Once you have uploaded the document, on the leave details page, scroll down to the Documents
section and expand it. You can then browse to find your document and add it to your application.
You will be emailed by the Medical Education Department if any issues arise with your application (e.g.
programme not attached).
Page 9 of 13
elft.medical.education@nhs.net Establishing a culture of “All-Teach, All-Learn”If your TPD approves of your aspirational course, they will forward your request to your Head of School, who
will contact the Study Leave Team with their approval. If your Head of School does not approve, they will
contact you directly to confirm this.
Once your Head of School has confirmed their approval, please complete the Aspirational Study Leave
Application Form on the PGMDE Support Portal here:
https://lasepgmdesupport.hee.nhs.uk/support/tickets/new?form_d33=true.
Once the Study Leave team has received your completed application form we will issue you with an approval
code to make your claim. Once you have received Head of School approval, you are guaranteed to receive
reimbursement and can go ahead and book your course. The approval code issued by our team will enable
you to claim back your funding after you have attended your course.
Submitting Study Leave – Expenses
All doctors in postgraduate training at ELFT are required to submit claims for study leave expenses online via
Intrepid/Accent
Log into your user account on www.intrepidv10.co.uk/LDN using the account credentials that were sent to your
Trust email. You may only claim expenses for study leave you have previously applied for and has been
approved by the Director of Medical Education.
You should upload scanned or electronic receipts to Intrepid using the Documents Manager. Once you have
uploaded the document, on the leave details page, scroll down to the Documents section and expand it. You
can then browse to find your document and add it to your application.
As part of your online study leave application, you may have provided an estimate of costs/expenses. In order
to claim expenses you must now enter the “claim” amount to be claimed, save and submit your leave
expenses.
All claims must be authorised by Medical Education. The Medical Education Administrator will notify the
claimant of any issues with the claim that prevent it from being authorised. S/he will also advise the applicant
of the outcome of their expense claim and it will be forwarded on to the Finance Department, once approved.
Only claims submitted within three months of attending the course will be valid. Claims relating to study
undertaken more than three months prior to submission will not be accepted by the Finance
Department/Payroll Consortium. Please allow at least two weeks before the end of this three month period for
your claim to be received, authorised and sent on to finance by Medical Education.
Payments are made in a month arrears.
For support/guidance please contact elft-study.leave@nhs.net
Mandatory Training
Statutory and Mandatory Training: You can complete training via e learning using OLM, you can contact the
training department on elft.trainingdevelopment@nhs.net. You can get an up-to-date list of all the mandatory
training required on the trust website.
If you have completed training in another Trust, you can email your training record to the T&D department to
be marked as compliant in ELFT so you do not need to complete again.
Breakaway and CPR training (annually): You will need to book onto these. Dates, locations and the booking
form can be found on the Trust website.
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elft.medical.education@nhs.net Establishing a culture of “All-Teach, All-Learn”GMC National Training Survey (NTS): You are required to complete this for ARCP. You will be notified via
email from May.
London Deanery Competencies Checklist (for CT1s only): This should have been emailed before starting
your post and is also available on the London Shared Services (formerly Deanery) website.
Local and Trustwide (Bart’s) teaching: Attendance is monitored with a register and confirmation of your
attendance can be requested via the Medical Education email elft.medical.education@nhs.net.
ECT
You are expected to observe and administer ECT before you are signed off for ARCP. This should be done
during CT2 or CT3. The college now has a set of ECT competencies which you will be required have signed
off for your ARCP.
You will need to sign up to the ECT rota with Dr Angela McGilloway, Consultant Liaison Psychiatrist and ECT
Lead, on angela.mcgilloway@nhs.net. You are expected to have background understanding of ECT prior to
attending ECT sessions and complete all ECT competencies as per the royal college guidelines:
https://www.rcpsych.ac.uk/docs/default-source/improving-care/ccqi/quality-networks/electro-convulsive-
therapy-clinics-(ectas)/ect-competencies-for-psychiatrists-sep17.pdf?sfvrsn=f62e329_4
Advice for new CT1 Trainees in Psychiatry
What is your role?
Clerk new admissions and discuss with SpR/consultant who will generally arrive swiftly to review.
All new admissions will need:
- History and MSE
- Risk assessment
- Physical exam (using the proforma)
- Bloods and ECG
- Capacity and consent form
- Urine preg test and Urine Drug Screen
- Drug chart (Discuss this including PRN and rapid tranquilisation with a senior doctor)
- Decision regarding level of nursing/physical jobs and leave
Also on the ward you will be asked to review patients mental and physical health problems, help with day to
day management, circulate the ward round list, take notes during ward rounds, complete initial discharge
summaries, and assign patients ‘clustering’ (but ask for help with this).
You should not discharge patients. If an informal patient attempts to leave the ward the duty doctor should be
called who can place them on a 5(2) if necessary.
On-call:
Generally you will either cover the mental health wards or psych liaison (A&E and medical inpatients) during
the day and both sites at night. The wards will call for a mixture of issues, and do not be afraid to call the on-
call psych or medical SpR if you feel at all out of your depth. If patients need to go to A&E they can be
discussed with the A&E consultant and should be sent with an accompanying letter if you have time.
It is good practice to email the day team to update them if you have reviewed their patients over the night,
including any outstanding issues. In Hackney and Tower Hamlets this is included in the electronic handover.
Page 11 of 13
elft.medical.education@nhs.net Establishing a culture of “All-Teach, All-Learn”Every patient you see should be discussed with a senior member of the team. To avoid mistakes I would
discuss every patient you see with the on-call SpR who is available on their mobile via switch. If a patient is
brought in by police on a section 136, and should be contacted at the point of arrival in order to allow them to
arrive promptly. You should check that the patient is in an assessable condition and start a review while you
wait for their arrival. Again it is good practice to let consultants know if you have seen their patients in the RLH
by emailing them.
Overall my main piece of advice is to discuss patients with senior doctors, especially on call as there are
complicated and unfamiliar decisions which need to be made. You may have had very limited experience of
psychiatry and the hierarchy of decision making will be very different to your other medical or surgical jobs.
They are a friendly and approachable team, and you will be supervised at all times. It should be an interesting
and enjoyable job, and there is no need to feel out of your depth - just ask!
Supervisors
You will have two types of supervisor throughout your core training;
- Educational Supervisor (ES) – This person will be allocated at the beginning of training and will
remain your Educational supervisor throughout CT1 – 3. You will be expected to meet with him/her at
least four times per year to discuss your training and any problems you may have. It is important to
meet before ARCP as they will need to review your progress and sign you off so you can progress to
the next stage of your training.
- Clinical Supervisor (CS) – The Clinical Supervisor is the consultant who supervises your work and
training while you are in each 6 month post. You must have one to one supervision for one hour once a
week with your CS (excluding annual leave, nights etc.) in which you can discuss cases, educational
topics, problems with clinical work or other issues.
If you are unsure of who your Clinical and Educational supervisor is, please contact the Medical Education
Department on elft.medical.education@nhs.net
Contacts
Medical Education Department is based at: Trust Headquarters, Robert Dolan House, 9 Alie Street, London,
E1 8DE.
The Medical Education admin team is made up of:
Neetu Klair - Medical Education Manager - neetu.klair@nhs.net
Marius Johnston - Deputy Medical Education Manager - marius.johnston@nhs.net
Mesha McNeil - Medical Education Coordinator (Tower Hamlets) - mesha.mcneil@nhs.net
Sharmin Khonij - Medical Education Coordinator (City & Hackney) - sharmin.khonij@nhs.net
Mamta Misra - Medical Education Coordinator (Newham) - Tues to Thurs - mamta.misra1@nhs.net
Jo Saunders - Medical Education Coordinator (Luton & Bedfordshire) - jo.saunders4@nhs.net
Christal Hallal - Medical Education Administrator - chevez.martinez@nhs.net
Medical Education: elft.medical.education@nhs.net
Study leave: elft.study-leave@nhs.net
The Medical Education (London) Medical Management team is made up of:
Director of Research, Innovation and Medical Education – Dr Frank Röhricht - frank.rohricht@nhs.net
Deputy Director of Medical Education – Dr Seanna Eisenhandler - s.eisenhandler@nhs.net
City and Hackney College Tutor – Dr TBC
Tower Hamlets College Tutor – Dr James Lee-Davey - james.lee-davey@nhs.net
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elft.medical.education@nhs.net Establishing a culture of “All-Teach, All-Learn”Newham College Tutor – Dr Iyas Assalman - iyas.assalman@nhs.net
Training Programme Director for Core Trainees - Dr Dewi Pritchard - dewi.pritchard1@nhs.net
Training Programme Director for Gen Adult/Old Age Higher Trainees – Dr Sheraz Ahmad -
sherazahmad@nhs.net
Associate Director for Undergraduate Education – Dr Helen Bruce - helen.bruce5@nhs.net
City and Hackney Undergraduate Lead – Dr Khadijah Hussain - khadijahhussain@nhs.net
Tower Hamlet Undergraduate Lead – Dr Jan Falkowski - jan.falkowski@nhs.net
Newham Undergraduate Lead – Dr Kaz Iwata kazuya.iwata@nhs.net
Guardian of Safe Working – Dr Juliette Brown - juliettebrown@nhs.net
Flexible Training Champion – Dr Laura Checkley - laura.checkley1@nhs.net
Foundation Year Tutor – Dr Ian Hall - ian.hall4@nhs.net
MRCPsych Course Director – Dr Rahul Bhattacharya - rahul.bhattacharya@nhs.net
Training Programme Director for CAMHS Dr Birgit Westpal birgit.westphal@nhs.net
Training Programme Director for Intellectual Disabilities - Dr Nicole Eady nicole.eady2@nhs.net
Medical staffing: elft.medical.staffing@nhs.net
If you have a problem
In the first instance discuss with your Clinical Supervisor or Educational Supervisor (depending on the
problem). You can also discuss with your local or East London Trainee representative. If you feel that you
cannot discuss it with these people or it has not been dealt with, discuss it with your local College Tutor,
Clinical Director for your Borough/Directorate, Training Programme Director or Director of Medical Education.
The Shared Services (Deanery) and Royal College can also offer impartial advice.
Contributors
Andrea Meredith – Editor, Flora Greig, Aruna Sahni, Ivan Zammit, Leah White, Juliette Brown, Kuljit Hunjan,
Ben Lewis, Han-Wei Lim, Tracy Barry, Moira Walker, Rosanna Bevan, Jack Hubbett, Vishni Balakrishnan
Page 13 of 13
elft.medical.education@nhs.net Establishing a culture of “All-Teach, All-Learn”You can also read
