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I would like to take this opportunity to introduce myself as the new Director of Medical Education for CMFT. For those who don’t know me, I’m Mark Forrest and I have been a Consultant in Cardiac Anaesthesia and Intensive Care here since 1998 and have been extensively involved in Training and Education most of that time. I have been an Educational Supervisor, College Tutor, Associate Foundation Programme Director and Associate Director of Education in that time and have experienced successes and challenges in all those roles.
I think that training and education at CMFT has come a long way in recent years. There is no doubt, however, that significant challenges and areas for improvement still remain. Within PGME we will be working hard to overcome those challenges using the tools we have, and the quality improvement framework devised by my predecessor Professor Simon Carley and the management team..
There are also, and we too easily overlook this, some excellent examples of the very best of educational practice within the confines of this trust. I want to spread that good practice as far and wide as possible within CMFT and beyond. I hope to do this using this blog and other social media platforms, but also with Quality Improvement forums where I would like to give those who have demonstrated excellent practice a platform to share their expertise and educate us all.
On top of this there are external influences that we must be cogniscent of. There is plenty of evidence that morale amongst trainees is low and falling. The BMA announced three more periods of industrial action over the coming months and even the government’s negotiator has pointed out the need for a coherent strategy to improve junior doctor morale. Service reconfiguration with Healthier Together and DevoManc will bring changes to our trainee establishment that are currently difficult to foresee. The same can be said of “Shape of Training” possibly a little further down the line.
How can we assess whether we are moving in the right direction? What measure might be considered as success? No red flags in the GMC survey? This might be difficult to achieve in what can be a capricious tool. Certainly to have more green flags than red, that would certainly be a start. To have every specialty scoring above average, for say overall satisfaction when compared to other hospitals in the UK. I would like to think that ought to be an aspiration for one of the premier teaching and research trusts in the country.
I look forward to working with you towards some of these goals.
After lots of perseverance and hard work; I am pleased to inform that Induction for International Doctors is now a nation-wide programme and available on e-lfh website (www.e-LFH.org.uk) and is available to all employers to use for their new non-UK qualified doctors; employed or sponsored by them. e-LfH is a Health Education England Programme in partnership with the NHS and Professional Bodies. All the national high-impact e-Learning is now hosted on it; including RCoA, RCEM etc; so this programme is now available for all new Non-UK qualified doctors (about 7000/year) in the UK.
‘Spread the NEWS’.
Consultant Anaesthetist and Hon. Sr. Lecturer
Central Manchester University Hospitals NHS Foundation Trust
THE DICKINSON TRUST SCHOLARSHIP FUND applications are now open and will close on
the 25th September 2015. This is the last call for applications!!!
More on the trust here and info below.
Information and Guidance
The Dickinson Trust Scholarship is administered by the Central Manchester and Manchester University Hospitals NHS Foundation Trust’s Department of Postgraduate Medical Education on behalf of the Dickinson Trust, a charity that funds this scheme. Where study leave funding is not available, bursaries can be applied for:
- To fund travel at the start and end of the placement only, and living expenses of up to £400 a month for those wishing to spend time at another centre or organisation for educational purposes, either at home or abroad, for periods of up to a year.
- Consideration will also be given to fund learning opportunities where no other financial support is available. Accommodation and subsistence expenses will be funded for 2 days only up to a maximum of £100 a day.
The scheme is open to:
- All CMFT employees. (For consultants, please see below.)
- Newly appointed CMFT consultants within 2 years from taking up their first substantive consultant post and who might benefit from short periods of study elsewhere.
- Graduates who have received their clinical training as students at one of the Teaching Hospitals of the University of Manchester (CMFT, South Manchester, Salford or Preston). This includes healthcare graduates outside medicine and nursing.
- Those who hold a post-graduate training post at any level up to and including registrar, in one of the University of Manchester Teaching Hospitals.
Previous awards have successfully supported the following attachments and courses:
- Postgraduate Diploma in Paediatric Infectious Diseases
Specialty Registrar in Paediatrics
- Visit to Istanbul Faculty of Medicine to gain experience of the complications of Behcet’s syndrome and to use the experience to promote the regional Behcet’s service.
- Research/clinical training fellowship at the University of Toronto Head & Neck Surgical Oncology Fellowship Program.
THE CLOSING DATE FOR RECEIPT OF APPLICATIONS IS FRIDAY 25 SEPTEMBER 2015
PLEASE NOTE THAT EVENTS FOR WHICH FUNDING IS BEING APPLIED FOR MUST TAKE PLACE AFTER THE NEXT MEETING OF THE DICKINSON TRUSTEES ON MONDAY 19 OCTOBER 2015. RETROSPECTIVE APPLICATIONS ARE NOT ACCEPTED
For further details and for application forms, please contact:
Belinda Nethercott, Deputy Medical Education Manager,
Central Manchester University Hospitals NHS Foundation Trust:
[email protected] or tel: 0161 276 8712
Please click on the link below to download the latest on promoting excellence in medical education from the GMC. These new standards will come into effect from January 2016 and will replace Tomorrow’s Doctors (2009) and The Trainee Doctor (2011).
Please note that these are now unified standards for undergraduate and postgraduate education. I think this is a good idea as there are clear similarities between UG and PG education and where one is working well it tends to be working well for the other.
Patient safety is prioritised throughout the document, with five themes to deliver this.
- Learning environment and culture
- Educational governance and leadership
- Supporting learners
- Supporting educators
- Developing and implementing curricula and assessments
If you are involved in UG or PG education then this is a must read before the standards come into force next year.
As ever, please get in touch with any questions.
A thought for all those preparing to welcome our new doctors in August. Train them so well that they want to stay here or come back as a consultant. It’s no small task and we are not an airline, but there is truth in those words. As DME it’s pretty clear to me that although there is clearly a link between workload and satisfaction there is a also a strong association between satisfaction and being valued. We need our trainees to feel part of a team, to feel valued and to feel they are learning here in a hospital with fantastic developmental opportunities.
One to think about in the last few weeks before the biggest induction of the year.
The Postgrad team is looking forward to welcoming you to our Trust in a few weeks if you are one of our new starters. Thank you for choosing us to work with. Its a great place to work and train and, if you are returning to us having been here before, a warm welcome back. Whether you are in a training post or one of our valued ‘Trust’ grade members of staff, the Postgrad team is responsible for making sure you are given all the training and information that you need to start work effectively and safely.
Take a look at our personal welcome to you here:
Emails are going out at the moment inviting you to induction, so keep an eye on your in-box. Induction is vital to patient safety and we take it very seriously at CMFT.
We are introducing an Induction WebPortal this August for you to access everything you need to know about your first days and how to hit the ground running. We hope you find it useful and will be asking you how we can make it even better once you get here. We’ll send you details on how to access the website in our email to you.
Induction can be considered as comprising two main areas.
Firstly, there are elements that extend across the entire Trust. All new members of the hospital need to be familiarised with how we work. This includes how we work as an organisation (corporate induction) and specific information for clinical groups (clinical induction).
1. You can find the link to the e-learning modules on corporate and clinical induction http://www.elearning.cmft.nhs.uk/. We will be sending you your user name and password shortly
Secondly, all new starters need to be introduced into their local areas. Local induction is essential to safely welcome new starters into the Trust, orientating them to how things are done here so that they can work safely and efficiently from day one.
Local induction will usually be co-ordinated by a consultant in the department where you will be working. You should complete local induction as soon as possible after you start, and we’ll direct you to the right place after you have attended the Welcome Session (details in your forthcoming email).
Your Division and the Postgraduate department will task you to fill in a self-declaration form during your first month to let us know that you have completed all elements of your induction. You’ll be able to do this quickly and easily on the WebPortal.
Finally, we will be giving you a phone call in the days leading up to you starting here to say hello and make sure you are happy that you have all the information you need to get started on your first day.
Take a look here for an overview of what we stand for here at CMFT, our values and how we put our hearts into what we do.
You’ll see many of these faces on the shop floor when you get here!
We look forward to meeting you.
By Dr Rachael Challiner, Consultant in Nephrology and Intensive Care Medicine CMFT & Chair of the AKI group for the Strategic Clinical Network for Greater Manchester, Lancashire and Cumbria
We are excited to announce the launch of the AKI Care app; a mobile application for iOS and Android that assists medical staff in the identification, treatment and real-time documentation of episodes of acute kidney injury (AKI).
The app moves beyond working as a simple risk calculator and helps users assess for, and then treat, the life-threatening complications of AKI.
Why should clinicians use the AKI Care app?
AKI complicates up to 20% of hospital admissions and is strongly associated with an increased risk of death. An NHS report last year suggested up to 40,000 people may be dying each year from this preventable condition. Key to improving these outcomes is early identification.
The AKI Care app is simple-to-use and analyses patient data to provide instant guidance. It follows NICE clinical guideline on acute kidney injury (CG 169) and immediately identifies whether a patient has suffered an AKI episode. This standardisation of care allows clinicians with differing levels of experience (and spread over a large geographical area) to manage AKI in the same, optimal manner.
In addition to the life-threatening complications of AKI, these patients have an increased risk of becoming systemically unwell often due to the underlying condition that is causing their AKI. The app recognises this and encourages users to consider the patient as a whole rather than focusing entirely on the AKI.
Referral to specialist kidney units is a vital step in managing AKI. If the patient needs referral the app uses the smartphone’s location to identify the appropriate local specialist unit and helps the clinician assess the patient’s suitability for transfer. It then provides contact details allowing the referral process to begin.
The app will email a summary of each assessment, allowing clinicians to append a summary to patient notes; and will anonymously records details of AKI cases in which the user has been involved. Providing evidence of this kind is a key aspect of medical training.
The AKI Care app is regulated by the MHRA in the UK and carries the CE mark.
Who has created the app?
The Greater Manchester, Lancashire and South Cumbria Strategic Clinical Network which includes the renal departments of Central Manchester University Hospitals NHS Foundation Trust, Lancashire Teaching Hospitals NHS Foundation Trust and Salford Royal NHS Foundation Trust. All information has been provided by consultant nephrologists from within these hospitals and follows NICE (National Institute for Health and Care Excellence) clinical guideline on acute kidney injury (CG 169).
How do I get it?
The app is free-to-use. Simply download and register your details.