CMT Training Programmes - Hull
The Deep
Why work in Hull ?
Hull may not be the first place you have thought of as a choice of centre for your postgraduate training. But the city has shaken off its grimy industrial past to become a dynamic regional centre, and this is also reflected in our medical services and postgraduate training infrastructure. Development programmes have created new shopping centres, train and bus Terminals, the Hull Truck Theatre, waterfront living, and new office and hotel complexes. Within the next five years the city will have seen over £250 million of further investment. There are world class amenities such as The Deep (still the world’s only submarium) and the KC Stadium, home of Hull FC rugby league (and Hull City Football Club. The University of Hull is regularly voted as being among the most student-friendly institutions, and the social opportunities for young people play a large part in this.
The region has a diverse coastline, with award-winning sandy beaches and dramatic cliffs. Try Googling ‘Bempton Cliff gannets’, ‘Spurn Point’, ‘Whitby, Fossils’, or ‘William Wilberforce’. Within five miles of the city centre are miles of unspoilt countryside and woodland, perfect for walking, cycling or horse riding. There are numerous historic towns and picture postcard villages within a short drive. Housing is cheap compared to most of the UK, with a good selection of primary and secondary state and independent schools. There are excellent transport links with regular direct train services to Leeds, Manchester/Manchester Airport and London, a motorway link on the M62/A63 (recently upgraded into Hull), the ferry terminal for overnight travel to Europe, and Humberside airport (short haul European and charter flights).
The Medical Division
The development of the city is mirrored in the growth in our medical services. Hull Royal Infirmary and Castle Hill Hospital have always been large and busy District General Hospitals, and in the last fifteen years a comprehensive range of tertiary services have evolved alongside the secondary care functions. The establishment of the Hull York Medical School in 2003 has brought further change and stimulus; the first graduates start Foundation Year 1 in 2008. In the medical division we offer a very wide range of experiences and educational opportunities at all levels, and the rotations that we have developed for Core Medical Training illustrate this diversity. We have deliberately avoided having too strong a sense of ‘theming’, preserving the quality of general training. All the posts are supervised and administered educationally by the Yorkshire Deanery School of Medicine through the newly formed North Yorkshire and East Coast School, which will organise the rotation structure, guarantee educational support for trainees, and deliver quality control mechanisms.
The MMC agenda is introducing many new ideas and processes into postgraduate training, with many uncertainties, but the core qualities of training will remain the same; an early emphasis on embedding generic skills; a large component of experiential learning; guidance, feedback and mentorship from senior figures; and the chance to reflect on experiences.
After some more detail on the hospitals and facilities, the specific rotations are listed below; follow the links to each department for more detailed information. I hope you find something which you find attractive.
The Hospitals
The Trust is based across three sites, Hull Royal Infirmary (HRI), Castle Hill Hospital (CHH) and Princess Royal Hospital (PRH) and operates Outpatient Clinics on numerous other peripheral sites. It is one of the largest Trusts in England, providing acute care for over 550,000 local people and tertiary services for up to 1.2 million. The Trust employs ~6,700 people, with an annual budget > £300 million.
The Trust is in the middle of a large capital investment programme which has already seen a new Women and Children’s Hospital and Eye Hospital opened at HRI. New investment is ongoing for cardiac and elective surgery facilities on the CHH site. The state-of-the-art cardiac centre will bring 1,400 more operations a year - a 33% rise, and will significantly increase the number of beds available for cardiac patients. The Oncology and Haematology Hospital is also being built on the CHH site. It will be a UK Centre of excellence for the treatment and care of patients with cancer, utilising the most up-to-date technology available, serving a wide catchment area from Scarborough in the north, Scunthorpe and Grimsby in the south and Goole to the west.
Hull Royal Infirmary (752 beds)
This hospital is the major Acute hospital in East Yorkshire and serves a population in excess of 600,000. It has the only Accident and Emergency department and the following specialities:-
- Cardiology
- Neurosurgery
- Clinical Haematology
- Neurophysiology
- Diabetes/Endocrinology
- Ophthalmology
- ENT & Head & Neck Surgery
- Oral Surgery & Orthodontics
- General Medicine
- Orthopaedics
- General Surgery & Vascular Surgery
- Paediatric Medicine
- Gastroenterology
- Paediatric Surgery
- Medicine for the Elderly
- Rheumatology
- Neurology
- Renal Medicine
- Obstetrics and Gynaecology
Acute Admissions Unit - The Acute Admissions Unit is situated adjacent to the A & E Department. The Unit allows greater integration of the General Medical teams with the Department of Medicine for the Elderly, at junior and senior level to cope better with the growing pressures on emergency admissions. Close working relationships are established between the Admissions Unit and the A & E Department.
A ten-bedded Intensive Care Unit is in close proximity to the 9 main Operating room complex, with a 14 bedded High Dependency Unit adjacent to the ICU. There is a separate Neurosurgical Intensive Care Unit and a Cardiac Monitoring Unit.
Women’s and Children’s Hospital
his new development opened in March 2003 and provides maternity wards and clinics, an antenatal day unit, a delivery suite, a neonatal unit with special and intensive care, theatres, an early pregnancy assessment unit, 25 gynaecology beds, a gynaecology day surgery unit, gynaecology day care and outpatients' department, a sub-fertility unit, an ultrasound department, and a children's outpatient department.
Eye Hospital
A new eye hospital was completed in October 2002, and provides three operating theatres, a pre-assessment suite, a twelve-bed inpatient ward, administrative space and a seminar room.
Castle Hill Hospital (507 beds)
The hospital is the other major hospital on North Humberside. Clinical Services currently on site include:
- Cardiology Infectious Diseases
- Cardio-Thoracic Surgery
- Plastic Surgery Service
- Gastroenterology
- Birth Centre General
- Medicine
- Orthopaedics
- Genito Urinary Medicine
- Rehabilitation
- General Surgery & Thoracic Medicine
- Medicine for the Elderly
- Urology
- North Humberside Breast Screening Service
As part of the ongoing ICU/HDU development, a new building will help provide an additional 7 beds to the existing 9-bedded Intensive Care Unit.
The Academic Surgical Unit, headed by Professor John Monson, and the Academic Medical Unit led by Professor Alyn Morice are based at this hospital.
The Princess Royal Hospital (50 beds)
The Princess Royal Hospital accommodates the departments of Dermatology and Clinical Oncology. Both will soon move to Castle Hill Hospital.
Westwood Hospital, Beverley
Outpatients and minor injuries only.
Hull York Medical School
The first students started in 2003. The annual intake of 130 students are following a five-year curriculum, making strong use of problem based learning techniques. For the first two years the students are split into two equal cohorts based in Hull and York, following the same curriculum, and some teaching is delivered synchronously to both. At the end of the second year students are pooled and undertake their clinical attachments across the wider NHS network which incorporates North Yorkshire, East Yorkshire and South Humber. In the three ‘clinical’ years approximately 50% of the teaching is hospital based and 50% community based. The Foundation Dean Professor W Gillespie has just retired, the new Dean is Professor Ian Greer.
The Postgraduate Medical School was part of the Faculty of Health until August 2002, when following re-organisation it became a ‘stand alone’ school and will become the Postgraduate Medical Institute in association with the Hull York Medical School. The Director of the Postgraduate Medical School is Professor N D Stafford.
Chairs in Medicine, Reproductive Medicine, Surgery, Psychiatry, Public Health Medicine, Radiology, Chest Medicine, Vascular Surgery, Head and Neck Surgery, Oncology and Cardiology have been appointed.
East Riding Medical Education Centre (HRI)
The centre provides the focus for education in the Trust. The medical library is based in ERMEC, as is a study room with computer and internet access (keycard access out of hours). A lecture theatre and multiple rooms with full electronic multimedia facilities are available to support education activities. Use of video linking allows simultaneous teaching on both sites. It also houses the administrative staff to support educational activities including the Medical Staff meeting, CMT training, study leave and clinical assessments. On the CHH site there is a lecture theatre and library with study room (keycard access out of hours) as well as smaller education and development training facility. The centre hosts a three day sitting of the MRCP PACES exam every year.
Specific Educational Activities in the Division of Medicine
Weekly Medicine Medical Staff Grand Round, 1-3pm Fridays, including case presentations, practice updates, audit, research and pathway development.
Core Medical Training weekly teaching programme. This follows the Royal College of Physicians Generic Curriculum for Medical Specialties and General Internal Medicine (Acute Medicine) Curriculum.
In addition, medical specialities undertake their own professional development programmes at which all trainees are welcome. These include speciality meetings,
Neurosciences Meetings
Cardiology
Dermatology Teaching Clinic
Elderly Medicine
Gastroenterology
Nephrology
Respiratory Medicine
Rheumatology
A full list of educational activity programmes is maintained by ERMEC and is available online within the Trust.
National Accredited Courses
Acute Cardiac Life Support
Acute Medical Patient Acute Care and Treatment (IMPACT)
Yorkshire Deanery Professional Development Courses (ST3 and above)
Exam Related
The College Tutor and Associate Tutors run regular Professional Exams teaching geared to passing the Royal College of Physicians professional exams. We have run two day MRCP I courses, depending on the number sitting the exam. We regularly run MRCP II Clinical Bedside Teaching, supplemented by teaching on communication and history taking skills and Mock PACES.
All of the above teaching has been highly commended by recent RCP assessment visits
General
The Trust makes use of electronic systems for results, test ordering, electronic discharge letter proformas and will soon have electronic archiving and display of radiology (PACS). All are readily available on all of the wards and clinics for the convenience of staff.