The Yorkshire Rotation in Respiratory Medicine provides a five year balanced training in general (internal) medicine and respiratory medicine leading to dual qualification in the form of a CCT in both GIM and Respiratory Medicine. Entry to the programme is at ST3 level. There is a total of 35 posts in two pools of jobs to allow trainees to rotate through a variety of training posts. Allocations relate to the training needs of individuals and training is roughly half in district general hospital (DGH) type posts.
There are seventeen possible jobs in district general hospitals. These provide experience in high intensity general medicine while working for physicians with an interest in respiratory medicine. We try to provide a spectrum of DGH experience. Most trainees will spend the first two years of the rotation in this part of the training spending a year in each post. All posts are EWTD compliant. Most give opportunities to develop some specialist skills.
There are eighteen posts in the specialist units in Leeds & Hull. These provide balanced training in all areas of specialist respiratory medicine with an opportunity to pursue research interests throughout these years. These jobs provide a mixture of specialised respiratory medicine and limited low intensity general (internal) medicine working in a teaching hospital environment.
All Consultants involved in the training programme are Physicians with expertise in Respiratory Medicine and General (Internal) Medicine. A three month secondment to Intensive care will be arranged. Opportunities are made available to fulfil all the requirements of the curriculum. Some trainees may take a period out of programme with a view to working towards a higher degree such as an MD thesis.
Details of the jobs are as follows:
These are busy jobs providing high intensity general medicine with an introduction and initial training in a spectrum of DGH respiratory medicine. Unselected general medical takes will give good experience to fulfil training requirements and both inpatient and outpatient general and respiratory experience is provided. All posts are attached to respiratory physicians many of whom have areas of special interest. Training in fibreoptic bronchoscopy is provided in all posts.
These posts are attached to Drs Harold Hosker, Muhammed Raashed and Dr Justin Tuggey. Dr Hosker has an interest in the management of lung cancer and Dr Raashed in sleep medicine.
This post will be with Drs Rod Taylor and Steve Thomas.
With Drs David Currie and Ian Sutcliffe. Dr Currie has a particular interest in bronchiectasis & lung infection. Good experience will be gained in management of tuberculosis. There is a service for lung cancer integrated with Pinderfields & Pontefract Hospitals and working closely with Leeds Teaching Hospitals.
A year of respiratory medicine with high intensity general medicine working for Drs Richard Heaton and Annika Graham.
A busy district general hospital working for Drs Simon E Williams, Salim Meghjee & Dr Parry Blaxill. Dr Meghjee has a particular interest in respiratory HDU and Intensive Care; Dr Williams in Asthma, COPD and patient education; Dr Blaxill in lung cancer, medical thoracoscopy and interstitial lung disease.
A year spent working in Pontefract General Infirmary for Drs Owen Johnson and Graham Smith. Dr Johnson has a particular interest in non-invasive ventilation and intensive care. The unit has a well-equipped respiratory function laboratory and an active research programme
The unit has three Consultant Physicians with an interest in respiratory medicine (Dr John White, Dr Kirsty Rodger and presently Dr Alan Hunter (retiring in early 2006 to be replaced by 1.5wte), ). Special interests include lung cancer, sleep medicine, cystic fibrosis. York has recently opened a medical school in conjunction with Hull (HYMS).
This post provides excellent GIM and Respiratory experience working in a busy DGH. The trainee will work with Dr David Ford. (Consultant Respiratory cover by Dr Mike Pond in Bridlington.)
New post working in two Consultant (Respiratory & GIM) team with Drs Tony Finnerty & Claire Taylor. Dr Finnerty has particular expertise in the management of pulmonary thromboembolic disease.
Bradford Royal Infirmary would give an opportunity to work for Drs Duncan Newton, Dinesh Saralaya and Badie Jacobs. Dr Jacobs has a particular interest in respiratory high dependency and nasal ventilation. This year provides a significant amount of general internal medicine while continuing the specialised training in respiratory medicine in a large centre with an associated university. The city has a high incidence of tuberculosis and provides good experience in this area. The centre is well supported by specialised thoracic radiology, including spiral CT and MRI.
The respiratory unit at Castle Hill Hospital is the sub-regional centre for cardiothoracic services for East Yorkshire. In addition to six NHS chest consultants (Drs Gavin Anderson, Tony Arnold, Mike Greenstone, Damien McGivern, Jack Kastelik and Richard Teoh) there is the academic department of Medicine with Professor of Respiratory Medicine, Alyn Morice. The unit has 4 cardiothoracic surgeons with specialised services in cardiothoracic radiology and pathology. The unit has an intensive care unit and also undertakes investigation and treatment of sleep disordered breathing and non-invasive ventilation. This unit would, therefore, continue the specialist training by providing continuing experience in all the major areas of respiratory medicine. There is a continuing commitment to acute general medicine in this attachment. Dr McGivern has a particular interest in Lung Cancer with a regular multidisciplinary clinic. Dr Greenstone has a particular interest in non-invasive ventilation and sleep. Dr Arnold in pleural disease. Professor Morice has a special interest in cough and in cystic fibrosis.
The modular training in Hull will include ITU / HDU experience and often an infectious diseases attachment. Trainees may spend 1 or 2 years in Hull depending on their training needs. Over a 2 year programme many specialised areas of the curriculum are covered.
The Respiratory diseases unit at Leeds General Infirmary consists of a 72-bedded unit in a busy teaching hospital. The principal aim of this year is to get specialised training in respiratory medicine. There are five respiratory physicians (Drs. Martin Muers, Stan Pearson, John Watson, Hilary McLoughlin & a fifth post ). Dr. Muers has an interest in lung cancer; Dr Pearson in airflow obstruction and pulmonary physiology; Dr Watson in tuberculosis and respiratory HDU; Dr McLoughlin in asthma. There are dedicated pulmonary radiologists and pathologists. The unit provides training in all aspects of respiratory medicine including non-invasive ventilation, some experience of HIV work, experience in tuberculosis and lung cancer diagnosis and chemotherapy. There are regular meetings with radiologists, pathologists, surgeons and clinical oncologists to discuss the management of patients. The unit has a well-equipped pulmonary function laboratory including exercise testing and bronchial challenge and training in pulmonary function is available. The incumbent would also be expected to gain experience in the work of the tuberculosis screening service. ICU training will be available for four trainees per year.
The Respiratory Unit in St James's University Hospital in Leeds will provide an opportunity to work for Drs Richard Page, Mark Elliott, Daniel Peckham and Paul Plant. St James University Hospital, along with the Leeds General Infirmary forms the Leeds Teaching Hospitals NHS Trust. At St James's there is a commitment to general (internal) medicine (presently counting as three months of low intensity experience per year), but the majority of the work is specialist respiratory medicine. The unit sees a large number of referrals from other specialist units providing an exposure to complex and unusual respiratory problems. SJUH is the regional thoracic surgery centre with three Consultant thoracic surgeons who work closely with respiratory physicians in SJUH, LGI and throughout the region. The oncology centre for thoracic oncology is presently based at Cookridge Hospital in Leeds with definite plans to relocate to SJUH in the next few years. Dr Page has a particular interest in occupational lung disease, Dr Elliott in sleep related abnormalities of breathing and non-invasive ventilation, Dr Peckham has an interest in cystic fibrosis and Dr Plant in lung cancer. There is a weekly sleep clinic and a monthly ventilator user’s clinic for patients on home ventilation. Dr Page holds monthly specialist clinics in a) bronchiectasis b) interstitial lung disease c) occupational lung disease. Dr Elliott does a bi-monthly joint clinic with the rheumatologists seeing patients with pulmonary complications of rheumatological disorders. These clinics are an excellent opportunity for learning about the management of some of these rarer conditions.