Geriatric Medicine Specialist Training Programme North East and Cumbria - Geriatrics Trainee Handbook

Geriatrics Trainee Handbook

      Geriatric Medicine Specialist Training Programme

                      North East and Cumbria

                                                                                   February 2020
                              Authors Dr Suba Thirugnanasothy, Dr Rebecca Wiseman, Dr Emily Lyon
                                                                    Training Programme Directors

Geriatrics Trainee Handbook

City Hospitals Sunderland NHS Foundation Trust (CHSFT)
Sunderland Royal Hospital
Curriculum opportunities (as part of standard 4 monthly rotations)
   • Orthogeriatrics and bone health
   • Frailty service
   • Community Geriatrics
   • Heart failure service
   • Falls and Syncope
   • Dementia and delirium unit
   • Movement Disorders
   • Falls and syncope
   • Stroke
Curriculum opportunities (by arrangement)
   •   Continence: monthly continence MDT, urodynamics
   •   Tissue Viability Team
   •   Palliative Care
   •   Psychiatric liaison
Leadership and management opportunities
   •   Monthly Clinical Governance Meetings
   •   Rapid Review Meetings (weekly review of incidents)
   •   Ad hoc: Root cause analysis meetings
 Co-ordination of twice weekly Care of the Elderly teaching rota
Educational supervisors
   •   Emily Lyon - emily.lyon@chsft.nhs.uk
   •   Richard Telford - richard.telford@chsft.nhs.uk
   •   Marie Bateman - marie.bateman@chsft.nhs.uk
   •   Faye Wilson - faye.wilson@chsft.nhs.uk
   •   Rob Heycock - robert.heycock@chsft.nhs.uk
   •   Anita Jones - anita.jones@chsft.nhs.uk
   •   Nik Majmudar - nikhil.majmudar@chsft.nhs.uk
   •   Catherine Barnes - catherine.barnes@chsft.nhs.uk

Clinical supervisors
   •   Emily Lyon - emily.lyon@chsft.nhs.uk

Geriatrics Trainee Handbook
   •   Richard Telford - richard.telford@chsft.nhs.uk
   •   Marie Bateman - marie.bateman@chsft.nhs.uk
   •   Faye Wilson - faye.wilson@chsft.nhs.uk
   •   Rob Heycock - robert.heycock@chsft.nhs.uk
   •   Anita Jones - anita.jones@chsft.nhs.uk
   •   Nik Majmudar - nikhil.majmudar@chsft.nhs.uk
   •   Catherine Barnes - catherine.barnes@chsft.nhs.uk
Contact for rotas
   •   Medical.Rostering.Team@chsft.nhs.uk
GIM on calls (frequency/pattern e.g. zero days)
   •   2 STs during the day: 1 “front of house”- IAU, ED, 1 “back of house” – Ambulatory
       care, wards referrals
   • 1 ST at night
   • Rota dependent on number of STs
Hints and tips (italics indicate free text from local survey 2018)
 “There are plenty of chances to do a variety of placements. There is a strong emphasis on
 training over service provision which is not very often you see in today's NHS. So please
 utilize this opportunity. But the GIM oncall rota may restrict things.”
 “Identify learning needs and discuss with supervisor early.”
 “Make the most of consultant clinics in geriatric medicine and beyond. The GIM rota
 always gets more frequent as the year goes on so do this early. You can include back of
 house on calls in your clinic numbers as week days include ambulatory care, you can also
 include consults so keep logs of both.”
 “Highlight the difficulties in getting assessments in GIM. Sometimes difficult to get to clinics
 due to lack of space or rooms”
        Examples of good learning
 “Things geris related include stroke, falls and syncope, heart failure, general clinics,
 community geris, ortho-geris, PD, acute frailty. I also did continence clinics, a day with the
 tissue viability team and a diabetic foot clinic to tick off some harder to achieve curriculum
 items, you could also spend time with the delirium and dementia outreach team.”

 “I attended the trusts weekly rapid review meeting (review clinical incidents), a root cause
 analysis meeting for CDiff and departments CG meetings to cover less clinical aspects of the
 curriculum.”
 “Ascitic drains can be signed off by arranging a session with the alcohol liaison specialist
 nurse (GIM), I think respiratory also have a pleural effusion session.”
 “Orthogeris rotation gives a lot of scope to see orthgeris presentations, attend MDT
 meetings etc”

Geriatrics Trainee Handbook
 “Multiple clinic opportunities (PD, falls and general elderly), frailty ward rounds”
 “The opportunities to do community clinics, home visits and follow up delirium clinics.
 There is also an option to orthogeris or heart failure.”

Geriatrics Trainee Handbook

County Durham and Darlington NHS Foundation Trust (CDDFT)
Darlington Memorial Hospital (CDDFT)
Curriculum opportunities
   • Falls & syncope
 Hospital based clinics and Tilt table sessions, including opportunities for DHT / Epley’s.
 Links to ENT / vestibular services. Additional community based falls clinics at Hunden’s
 Lane. Links to pacing and loop recorders services.
   • Movement disorders
 Numerous clinics at DMH and additional sessions in community hospital. Experience of
 DaT scans, apomorphine clinics and links to Dr Archibald at JCUH available.
   •   Orthogeriatrics
 Inpatient experience, including opportunities for orthogeriatric rehabilitation experience
 at Bishop Auckland Hospital. Links with rheumatology and osteoporosis nurse specialist
 teams for bone health management.
   •   Old age psychiatry
 Links with inpatient centres at West Park & Auckland Park Hospitals.
   •   General
 Acute geriatric medicine ward at DMH with opportunities for ward referrals and
 rehabilitation transfer assessments. Outpatient clinics will see a wide range of general
 geriatric presentations / conditions.
   •   Incontinence
 Links with visiting urology services and specialist faecal incontinence clinics available.
 Community continence service also available.
   •   Palliative Care
 Inpatient and community teams with opportunity for experience.
   •   Community
 Links with Nursing Home project and DMH GPwSI with opportunities to gain care home
 experience.
   •   Others
 Links with Speech & Language, Dietetics, Tissue viability teams.
   •   GIM
 Acute Medical Unit with ambulatory care unit. ITU experience can also be arranged.

 Relevant procedural experience can be arranged, including chest drains, central lines, knee
 aspirations, abdominal paracentesis, cardioversion among others.

Geriatrics Trainee Handbook
Leadership and management opportunities
 Monthly departmental clinical governance and management meetings
Educational supervisors
   •   Dr Ewan Tevendale ewantevendale@nhs.net
   •   Dr Khin Nini - khin.nini@nhs.net
Clinical supervisors
   •   Dr Khin Nini - khin.nini@nhs.net
   •   Dr Salah Abudabeeb - s.abudabeeb@nhs.net
   •   Dr Ewan Tevendale ewantevendale@nhs.net
   •
Contact for rotas
   •   Elaine Newman - enewman1@nhs.net
GIM on calls (frequency/pattern e.g. zero days)
   •   1 in 12 frequency.
   •   1 in 4 split weekend pattern, Fri & Sat / Sun & Mon
Hints and tips (italics indicate free text from local survey)
 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.

 Good learning opportunities in:
 “PD service , tilt table/Falls, mental health with liaison team, incontinence service,
 management/leadership of department, attending meetings etc”

 “Discuss areas of portfolio that need to be completed early on - there are many
 opportunities to complete nearly every section within the trust.”

Geriatrics Trainee Handbook

University Hospital North Durham (CDDFT)
Curriculum opportunities
   • Falls & syncope
 Hospital based clinics with opportunities for DHT/Epley’s. Links to ENT/vestibular services.
 Additional community hospital based clinics. Links to Tilt table testing and pacing/loop
 recorders services at Darlington Memorial Hospital.
    • Movement disorders
 Clinics based at Chester Le Street and other community sites. Nurse specialist service.
   • Orthogeriatrics
 Monday – Friday service for inpatients. Opportunities for orthogeriatric rehabilitation
 experience at Bishop Auckland Hospital. Links with osteoporosis nurse specialist teams for
 bone health management.
   • Surgical Liaison
 Opportunities to improve perioperative management of elderly surgical patients, MDT
 experience and rehabilitation assessment opportunities.
   • Old age psychiatry
 Links with inpatient centre at Lanchester Road Hospital. Inpatient liaison teams happy to
 accommodate training experience.
   • General
 2 Acute geriatric medicine wards with opportunities for MDT work, ward referrals and
 rehabilitation transfer assessments. A number of outpatient clinics will see a wide range
 of general geriatric presentations/conditions.
   • Incontinence
 Links with visiting urology services and specialist faecal incontinence clinics available.
 Community continence service also available.
   • Palliative Care
 Inpatient and community teams with opportunity for experience.
   • Community
 Links with Teams Around Patients project aiming to link up community services.
   • Stroke
 Hyperacute unit, potential to participate in thrombolysis and TIA services as well as
 rehabilitation. Strong research ethic for those with an interest.

   • Frailty
 Close links with CREST service and opportunities to develop competencies around frailty,
 acute elderly care, developing services for older people.

Geriatrics Trainee Handbook
   • Others
 Links with Speech & Language, Dietetics, Tissue viability teams.
   • GIM
 Acute Medical Unit with ambulatory care unit. ITU experience can also be arranged.

 Relevant procedural experience can be arranged, including chest drains, central lines, knee
 aspirations, abdominal paracentesis, cardioversion among others.
Leadership and management opportunities
 Monthly departmental clinical governance and management meetings
Educational supervisors
   •   Dr David Bruce - david.bruce10@nhs.net
   •   Dr Mohamed Shamoon - m.shamoon@nhs.net
   •   Dr Andrew Deane - andrewdeane@nhs.net
   •   Dr Gemma Smith - gemmamarie.smith@nhs.net
   •   Dr Andy Kirby - andrew.kirby3@nhs.net
Clinical supervisors
   •   Dr David Bruce - david.bruce10@nhs.net
   •   Dr Mohamed Shamoon - m.shamoon@nhs.net
   •   Dr Andrew Deane - andrewdeane@nhs.net
   •   Dr Gemma Smith - gemmamarie.smith@nhs.net
   •   Dr Andy Kirby - andrew.kirby3@nhs.net
   •   Dr Mariwan Omar - momar1@nhs.net
Contact for rotas
   •   Edith Sutherland - edith.sutherland@nhs.net
GIM on calls (frequency/pattern e.g. zero days)
 1 in 12 frequency.
 1 in 4 split weekend pattern, Fri & Sat / Sun & Mon
Hints and tips (italics indicate free text from local survey)
 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.
 “Good variety of clinics, surgical liaison, ortho geris, acute frailty.”

Geriatrics Trainee Handbook

Gateshead Health and Foundation Trust
Queen Elizabeth Hospital Gateshead
Curriculum opportunities:
 We will create a rotation aimed at meeting your educational needs comprising four-month
 blocks working with three of our four clinical teams:
   •   Wards 22/23: General COTE on Ward 22 and dual-care COTE/Old-age Psychiatry unit
       on Ward 23 working jointly with psychiatry colleagues. Includes Parkinson’s clinics.
   •   Ward 24: General COTE and community experience, including home visits.
   •   Ward 25: General COTE with Orthogeriatrics and Osteoporosis Clinics.
   •   Ward 4: Stroke medicine including TIA clinics.

 Extensive teaching programme including weekly COTE teaching and weekly medicine
 ‘grand round’. Opportunity to participate in undergraduate teaching if desired.
Leadership and management opportunities
 Opportunity to attend departmental consultant management meetings if desired.
Educational supervisors
 One of the consultants on your first base ward of the year (details below)
Clinical supervisors
   •   Dr Richard Athey (Ward 22) - richard.athey@nhs.net
   •   Dr Vicky Marrison (Ward 23) - victoria.marrison@nhs.net
   •   Dr Jenny Hogg (Ward 22/23) - jenny.hogg1@nhs.net
   •   Dr Donna Bell (Ward 22) - donna.bell4@nhs.net
   •   Dr David Beaumont (Ward 24/25) - david.beaumont@nhs.net
   •   Dr Yousif Shanshal (Ward 25) - yousif.shanshal@nhs.net
   •   Dr Louise Crabtree (Ward 24) - louise.crabtree@nhs.net
   •   Dr Helena Maddock (Ward 24) - helena.maddock@nhs.net
   •   Dr Claire McDonald (Ward 24) - claire:mcdonald2@nhs.net
   •   Dr Hannah Filler (Ward 25)
   •   Dr Stephen Louw (Ward 4) - stephen.louw@nhs.net
   •   Drs Utpal Naghotra & Idris Ibrahim (Ward 4) - Locums

Contact for rotas
   •   Angela Corbett - angela.corbett1@nhs.net

Geriatrics Trainee Handbook
GIM on calls (frequency/pattern e.g. zero days)
 Compliant SpR acute rota with frequency varying between 1:10 & 1:13 depending on
 number of incumbents. Night shifts split into blocks of three or four days.
Hints and tips (italics indicate free text from local survey)
 Each unit timetable includes two weekly outpatient clinics including a SpR-led acute clinic.
 Opportunities exist for experience in falls clinics, palliative medicine and on our old-age
 psychiatry wards if desired. Extensive acute GIM experience is available when on-call. Our
 SpRs have an office with computer facilities and secretarial support is provided.

Geriatrics Trainee Handbook

Newcastle upon Tyne Hospitals NHS Foundation Trust
Freeman Hospital and Royal Victoria Infirmary
Curriculum opportunities (as part of standard 4 monthly rotations)
    • Acute and rehabilitation elderly care inpatient care
    • Community Geriatrics
  Including step and step-down units
    • Day Hospital
  Two multidisciplinary day hospitals
    • Dementia and memory clinic
    • Falls and Syncope Service
  The largest unit of its type in Europe, seeing patients of all ages with multifactorial falls,
  syncope, complex dizziness with opportunities to evidence skills in CSM, carotid sinus
  studies, autonomic function testing, vestibular assessment including Dix-Hallpike and
  Epley manoeuvres
    • Movement Disorders
  Both geriatrician and neurology linked
    •  Orthogeriatrics and bone health – acute orthogeriatrics, orthogeriatrics
       rehabilitation ward, musculoskeletal bone health clinic
    • Pre-op and Peri-operative Surgical Liaison
  Pre-op assessment clinic, opportunities to be involved in TAVI MDT, acute surgical ward
  CGA assessment
     • Stroke
  Hyperacute stroke unit with thrombolysis and thrombectomy, active research
  involvement, rapid access TIA clinic, stroke rehabilitation
Curriculum opportunities (by arrangement)
    • Continence: continence nurse specialist, urology clinics, urodynamics
    • Palliative Care
    • Psychiatric liaison
Teaching opportunities
    •   Wide range of undergraduate teaching opportunities within the Medical School,
        including course delivery, student teaching and supervision, involvement in
        undergraduate examinations

Leadership and management opportunities
    •   Departmental consultant meetings

Geriatrics Trainee Handbook
     •   Organisation of departmental teaching meeting schedule
     •   Morbidity / mortality meetings
     •   Quarterly Clinical Governance meetings
     •   Ad hoc: Root cause analysis meetings
Educational supervisors
     •   John Davison - john.davison@nuth.nhs.uk
     •   Anand Dixit - anand.dixit@nuth.nhs.uk
     •   Richard Frearson - Richard.frearson@nuth.nhs.uk
     •   Akif Gani - akif.gani@nuth.nhs.uk
     •   Kelly Hunt - Kelly.hunt@nuth.nhs.uk
     •   Ahmed Jaafar - ahmed.jaafar@nuth.nhs.uk
     •   Roger Jay - roger.jay@nuth.nhs.uk
     •   Simon Kerr - simon.kerr@nuth.nhs.uk
     •   Amanda Kilsby - Amanda.kilsby@nuth.nhs.uk
     •   Jane Noble (Head of Department) - jane.noble@nuth.nhs.uk
     •   Belgin Ozalp - belgin.ozalp@nuth.nhs.uk
     •   Fiona Shaw - Fiona.shaw@nuth.nhs.uk
Clinical supervisors – in addition to educational supervisors above
     •   Terry Aspray (Bone clinic) - terry.aspray@ncl.ac.uk
     •   Richard Dodds (Research) - Richard.dodds@nuth.nhs.uk
     •   James Frith (Falls research) - james.frith@ncl.ac.uk
     •   Steve Parry (Community falls) - steve.parry@nuth.nhs.uk
     •   Avan Sayer (Research) - avan.sayer@ncl.ac.uk
     •   Alison Yarnall (Movement disorders, memory clinic) - Alison.yarnall@nuth.nhs.uk
     •   Naomi Warren (Movement disorders - neurology) - naomi.warren@nuth.nhs.uk
     •   Miles Witham (Research) - miles.witham@ncl.ac.uk
Contact for rotas
     •   Rachel Fletcher - Rachel.fletcher@nuth.nhs.uk

GIM on calls (frequency/pattern e.g. zero days)
     •   Choice of whether to be on acute medical rota at RVI, or elderly care specific cover
         rota for acute, rehab and orthogeriatrics wards at Freeman & RVI
     •   5 STs contribute to Freeman out of hours rota – Mon 5-10pm, Fri 5-10pm, Sat &
         Sun 9am-8pm
     •   Other STs contribute to RVI acute medical assessment unit – 1 in 20 full shift

Geriatrics Trainee Handbook

North Cumbria University Hospitals Trust (NCUH)
Cumberland Infirmary
Curriculum opportunities (as part of standard 4-6 monthly rotations)
 Rotations are designed to aim to meet your curriculum needs
   •   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
   •   GIM
Curriculum opportunities (by arrangement)
   •   Continence
   •   Tissue Viability Team
   •   Palliative Care
   •   Psychiatry liaison and old age psychiatry
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:
   •   Able to undertake own ward rounds and supervision of junior doctors
   •   Welcome to attend directorate/ business meetings
   •   Participation in morbidity and mortality meetings
 Welcome to involvement in RCA reviews

Educational supervisors
   •   Dr Paul Davies - DPaul.Davies@ncuh.nhs.uk

Geriatrics Trainee Handbook
   •   Dr Ailish O’Callaghan - Ailish.O’Callaghan@ncuh.nhs.uk
Clinical supervisors
   •   Dr Paul Davies - DPaul.Davies@ncuh.nhs.uk
   •   Dr Ailish O’Callaghan - Ailish.O’Callaghan@ncuh.nhs.uk
   •   Mr Yogendrasinh Jagatsinh - Yogendrasinh.Jagatsinh@ncuh.nhs.uk
Contact for rotas
   •   Chris Carroll - Chris.Carroll@ncuh.nhs.uk
GIM on calls (frequency/pattern e.g. zero days)
   •   1 in 11-12, rolling rota
   •   Long days/ nights. Zero days to ensure compliance
   •   2 weekends per rolling rotation (1 long days, 1 nights)
Hints and tips (italics indicate free text from local survey)
 “Able to choose at least one fixed weekly slot in orthogeriatrics and the frailty clinic as well
 as option for PD clinic.”
 “Was able to make my own timetable.”
 “Invited to teach at the CMT, A+E and F2 teaching programme.”
 "Set your goals and time table early and stand by it.”
 “GIM consultants are very helpful in general, try to get as much WBPA against the GIM
 curriculum as possible.”
 “Stroke, Frailty, Palliative care, delirium, movement disorder, intermediate care (There are
 a few community hospitals in the region).”
 “Get involved in F1/F2/CMT teaching, they provide formal feedback and certificate.”
 “Get teaching observation done here as well.”
 “Enquire about accommodation early if you want to stay in hospital accommodation or at
 least start there until you find somewhere else. Enquire early about travel/accommodation
 expense reimbursement.”

Geriatrics Trainee Handbook

North Tees and Hartlepool NHS Foundation Trust
University Hospital of North Tees
Curriculum opportunities
   •   Acute elderly care wards
 The trainee will attend consultant ward rounds, lead their own ward rounds and supervise
 juniors. There are daily “huddle” MDT handover meetings on all wards.
   •   Stroke unit
 Consultant and Specialist nurse management of direct admissions to 31 bed hyper-acute
 ward delivering thrombolysis on-call 24 hours a day, daily TIA clinics and post-stroke
 follow-up
   •   Ortho-geriatric service
 Mon-Fri Elderly Care Consultant ward rounds on orthopaedics and trauma ward
   •   Surgical Liaison
 Regular review of acutely unwell surgical patients with input into NELA. Also, opportunity
 to be involved in high risk MDT pre-assessment clinic.
   •   Movement disorders
 Dedicated Movement Disorders clinics and inpatient liaison service which is consultant-led
 with specialist nurse support.
   •   MRDU
 Daily clinics to see patients referred for rapid access, TIAs, falls and general elderly care at
 both North Tees and Hartlepool sites.
   •   Old age psychiatry
 Regular liaison input from Old Age Psychiatry team, with active involvement in the
 management of delirium and ongoing development of a Frailty Unit.
   •   Quality Improvement and Audit
 Opportunity to conduct local and national audit, which is supported by Audit Department
 for data collection and analysis
   •   Teaching
 Regular opportunities to deliver teaching to medical students, nurses & AHPs and other
 medical staff at Departmental and Division of Medicine teaching. Active SIM teaching

 within the hospital, with opportunity to deliver and receive teaching in a Simulation
 setting.

Geriatrics Trainee Handbook
Leadership and management opportunities
   •   Regular meetings within Medicine Directorate which trainees are welcome to
       attend, including Patient Safety meetings.
   •   Involvement in RCA meetings at ward level

   •   Support attendance at Regional and other mandatory training courses
   •   Rota planning for cross-cover across Elderly Care and Stroke wards
Educational supervisors
   •   Dr Arun Annamalai - arunkumar.annamalai@nth.nhs
   •   Dr Ijaz Anwar - Ijaz.Anwar@nth.nhs.uk
   •   Dr Rachel Hodson - Rachel.Hodson@nth.nhs.uk
   •   Dr Isabel Tresham - Isabel.Tresham@nth.nhs.uk
Clinical supervisors
 As above plus:
   •   Dr Helen Blackett
   •   Dr Chris Ward
   •   Dr Steve Yeomans
Contact for rotas
   •   Kelly Townsend - kelly.townsend@nth.nhs.uk
   •   Kirsty Warrington - kirsty.warrington@nth.nhs.uk
GIM on calls (frequency/pattern e.g. zero days)
 Acute medical on-call is delivered in an active unit including Rapid Assessment,
 Ambulatory Care and Emergency Admissions Unit. Consultant support is provided by 9
 Acute Medicine consultants and also by 2 Physicians of the Week (POW). During on-call
 weeks, Registrars provide daily input into Acute Medicine Ambulatory Clinic (diary room)
 and receive feedback including observed ward rounds and ACATs.
 On-calls include a 30 minute handover at the start and end of each shift.
 The current on-call is on an 18-week rolling rota pattern.
 Please note 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 2 weeks working on the Resilience ward as your normal working duties
 alongside an allocated Consultant and F1/F2.

Hints and tips (italics indicate free text from local survey)
 “Opportunities in acute and chronic stroke, surgical liaison, palliative care. Individual clinics
 can be set up for registrars (controlled supervision) which are a good way of developing
 independence of running clinics.”

Geriatrics Trainee Handbook
 “GIM represents 50% of the clinical work, having rest days post on call allows less than 50%
 of the time to be spent within specialty (leave can only be taken off in specialty time) GIM is
 well organised and effectively run however it would be beneficial to be able to gain more
 geriatric experience.”

Geriatrics Trainee Handbook

Northumbria Health Care Trust
North Tyneside General Hospital
Curriculum opportunities
   •   2-month rotation to NSECH
           For experience of acute elderly care and frailty assessment unit.
   • Opportunities for training in stroke (acute and rehab)
   • Orthogeriatrics (acute and rehab)
   • Falls and syncope (including tilt table)
   • Parkinsons
   • Palliative Care
   • Old age psychiatry
   • Intermediate care
   • Care of the elderly
   • Outpatient clinics
 No specific perioperative service at present but experience could be arranged through the
 orthogeriatricians or during placement at NSECH
Leadership and management opportunities
   •  Undertaking own ward rounds. Supervision of junior staff.
   •  Attendance at clinical governance and medical directorate meetings
   •  Arrangements can be made for attendance at other management
      meetings/assistance with investigation of incidents and complaints if required
   • Involvement in Grand Rounds organisation
   • Lead Registrar role
   Educational supervisors
  •    Francis Collin - francis.collin@nhct.nhs.uk
  •    Jenny Yeo - jenny.yeo@nhct.nhs.uk
  •    Jane Wallace - jane.wallace@nhct.nhs.uk
  •    Catherine Dotchin - catherine.dotchin@nhct.nhs.uk
  •    Tarquin Cross - Tarquin.cross@nhct.nhs.uk
  •    Joanna Cox - joanna.cox@nhct.nhs.uk
  •    Rhian Jones - Rhian.jones@nhct.nhs.uk
  •    Henry Woodford - henry.woodford@nhct.nhs.uk

Clinical supervisors
  •    Francis Collin - francis.collin@nhct.nhs.uk

Geriatrics Trainee Handbook
   •   Jenny Yeo - jenny.yeo@nhct.nhs.uk
   •   Jane Wallace - jane.wallace@nhct.nhs.uk
   •   Catherine Dotchin - catherine.dotchin@nhct.nhs.uk
   •   Tarquin Cross - Tarquin.cross@nhct.nhs.uk
   •   Joanna Cox - joanna.cox@nhct.nhs.uk
   •   Rhian Jones - Rhian.jones@nhct.nhs.uk
   •   Henry Woodford - henry.woodford@nhct.nhs.uk
Contact for rotas
   •   Lesley Kell - Lesley.kell@nhct.nhs.uk
GIM on calls (frequency/pattern e.g. zero days)
 1 in 18 Night shifts, long days, twilight shifts with zero days off to ensure hours compliant
Hints and tips (italics indicate free text from local survey)
 ‘Useful to be effectively supernumerary and able to access whatever session I need to
 complete training. Clear that training is prioritised. Has been excellent.’
 ‘Be organised’
 ‘Good access to psych liaison, delirium/dementia ward - MDT, time with nurses and
 consultants, Parkinson's clinics very good, good exposure to acute geriatrics and NSECH,
 frailty assessment service at NSECH good exposure but often used as extra ward in Winter.
 Due to on call/teaching/training committees limited exposure to clinics.’

Wansbeck Hospital
Curriculum opportunities
   • Opportunities for training in:
   • Stroke (acute and rehab)
   • Orthogeriatrics (acute and rehab)
   • Falls and syncope (including tilt table)
   • Parkinsons, Palliative Care
   • Old age psychiatry
   • Community hospitals/MDTs
   • Care of the elderly
   • Outpatient clinics
 Attachments with tissue viability and continence nurses can be arranged.
 2-month rotation to NSECH for experience of acute elderly care and frailty assessment
 unit.
 No specific perioperative service at present but experience could be arranged through the
 orthogeriatricians or during placement at NSECH

Geriatrics Trainee Handbook
Leadership and management opportunities
   • Undertaking own ward rounds
   • Supervision of junior staff
   • Attendance at clinical governance
   • Medical directorate meetings
 Arrangements can be made for attendance at other management meetings/assistance
 with investigation of incidents and complaints if required
Educational supervisors
   •   Cath Huntley - Cath.huntley@nhct.nhs.uk
   •   James Morton - James.morton@nhct.nhs.uk
Clinical supervisors
   •   Cath Huntley - Cath.huntley@nhct.nhs.uk
   •   James Morton - James.morton@nhct.nhs.uk
   •   Andrew Chaplin (during NSECH placement) - Andrew.chaplin@nhct.nhs.uk
Contact for rotas (please include email addresses)
   •   Lesley Hood - Lesley.hood@nhct.nhs.uk
GIM on calls (frequency/pattern e.g. zero days)
 1 in 18. Night shifts, long days, twilight shifts with zero days off to ensure hours compliant

Geriatrics Trainee Handbook

South Tees Hospital NHS Foundation Trust
James Cook University Hospital
Curriculum opportunities
   •   Stroke including thrombolysis
   •   Orthogeriatrics
   •   Tissue Viability
   •   Community Hospitals
   •   Psychiatry of Old Age
   •   Palliative Care
   •   Movement disorders
   •   Urology clinics
   •   Urogynecology clinics
Leadership and management opportunities
 Attendance at directorate management and centre risk meeting
Educational supervisors
   •   Adrian Bergin - Adrian.Bergin@NHS.net
   •   Rachel Murdoch - Rachel.murdoch@nhs.net
Clinical supervisors
   •   Adrian Bergin - Adrian.Bergin@NHS.net
   •   Rachel Murdoch - Rachel.murdoch@nhs.net
Contact for rotas
   •   Kerry.mckeown1@nhs.net
GIM on calls (frequency/pattern e.g. zero days)
 On number of SpR’s – approx. 1 in 16 to 1 in 20. Includes weekends and nights.
Hints and tips (italics indicate free text from local survey)
 “It's a large hospital, good GIM opportunities. Fewer clinic opportunities than other
 hospitals. The department are keen to improve the experience of registrars, e.g. we now
 have a registrars office.”

Geriatrics Trainee Handbook

South Tyneside NHS Foundation Trust (STFT)
South Tyneside District Hospital (STFT)
Curriculum opportunities:
You will spend 6 months on 2 acute elderly care wards, wards 19 and 2. Both wards have a
mixture of acute elderly care and some rehabilitation. Ward 19 has a specialist interest in
falls, syncope and orthogeriatrics whilst ward 2 has specialist areas of interest in dementia,
delirium and frailty.
We will create a post aimed at meeting your specific educational needs. There opportunities
to develop your skills and knowledge in:
   •   Falls and syncope – general falls clinics, participate in carotid sinus massage and tilt
       testing, opportunity to attend specialist vestibular assessment and rehabilitation
       clinic
   •   Old-age psychiatry – sessions with the liaison team and consultant psychiatrist
   •   Urogynaecology – clinics and observing urodynamic investigations
   •   Parkinson’s disease clinics
   •   Orthogeriatrics – we can arrange for you to attend orthogeriatric ward rounds if this
       is part of your training goals.
   •   We are developing a surgical liaison/frailty service and would welcome trainees to be
       involved with this.
 There is an extensive teaching programme including weekly Care of the Elderly teaching,
 grand round and radiology meeting.
 We host medical undergraduates so there are plenty of opportunities to develop teaching
 skills during third year and final year placements.
Leadership and management opportunities
 Trainees are welcome to attend COTE business meetings and are invited to take part in
 monthly mortality and morbidity reviews.
Educational supervisors
 Your first Clinical Supervisor is likely to be your Educational Supervisor – see list below
Clinical supervisors
   •   Dr Suba Thiru (Ward 19) - Suba.Thirugnanasothy@stft.nhs.uk
   •   Dr Ann Carson (Ward 19) - Ann.Carson@stft.nhs.uk
   •   Dr Roxana Taranu (ward 2): Roxana.taranu@stft.nhs.uk
   •   Dr Rebecca Wright (Ward 2): Rebecca.Wright@stft.nhs.uk
   •   Dr Jon Scott (Stroke physician) - Jon.Scott@stft.nhs.uk

Geriatrics Trainee Handbook
Contact for rotas
   •    Alison.Graham-Smith@stft.nhs.uk
GIM on calls (frequency/pattern e.g. zero days):
 1 in 9 GIM on call.
 Night shifts split into blocks of four (Mon - Thurs) or three (Fri-Sun); 2 zero days after
 weekend nights.
 Afternoon off before weekend days on call with 1 zero day after (usually Monday,
 although this day can be flexible)
Hints and tips (italics indicate free text from local survey)
 We always aim to invite trainees to meet us prior to starting at STFT. This is a great
 opportunity to find out about your previous experience and what specific training needs
 you have for your next year.

 ‘Very GIM heavy’
 ‘Very friendly hospital and supportive staff, lovely place to work in. Good GIM experience,
 frequent on-call rota but not as busy EAU as other hospitals.’
 ‘Good exposure to clinics, consultants encouraging of study leave time’
 ‘Very good experience in falls and syncope with clinics and tilt-table testing. Opportunities
 to attend vestibular assessment clinics. Many opportunities to get involved in audit,
 teaching and work-related projects