Core Medical Training, Weston General Hospital, Weston-super-Mare
Trainees currently spend a year at Weston-super-Mare, before completing a second year at either the Bristol Royal Infirmary or Southmead Hospital. The posts at the Trust provide broad general medical experience including on-call as part of the medical on-call team and Medical Admissions Unit (MAU) staff. The Medical take runs on an overlapping shift system, currently under review due to the European Working Time Directive. The Trust admits 20 to 30 patients per day via a dedicated MAU staffed by the Acute Medicine team including Acute Medicine Consultants and Specialist Registrars. Out of hours the on-call team comprises a Registrar, CMT/F2 and F1 doctor. Post-take ward rounds occur twice a day (morning and afternoon/early evening).
The speciality experience is three 4-month rotations. Current Core Medical Trainee rotations are Medical Admissions Unit, High Care, Endocrinology, Respiratory Medicine and Care of the Elderly.
GP trainees are currently allocated Cardiology and Gastroentrology. If Core Medical Trainees wish to undertake these specialty rotations, they need to be swapped with GP trainees with the agreement of the GP School and swaps cannot always be guaranteed.
Medical Admissions Unit
Dr A Kamour, Dr P Mamilla – The post is based on the Medical Admissions Unit and gives excellent experience to a broad range of acute admissions.
A dedicated five-bed High Care Unit gives excellent exposure to patients requiring escalation of care and closer monitoring than ward-based patients.
Dr O Perello-Bosch, Dr R Srivastava – The post is based on the specialist respiratory ward, with 1 Specialist registrar, 2 F2 and 2 F1 doctors. The CPAP/BiPAP service is based on this ward and usually patients needing this therapy are managed by the respiratory team.
Dr P Singal, Dr K John - The post is based on the dedicated endocrinology ward as part of a team of 1 Specialist registrar, 1 trust grade, 2 CMT/VTS trainees and 2 F1 posts. Diabetic emergencies are managed on this ward.
Care of the Elderly
Dr H Al-Mahdy, Dr A George - with Acute Medicine on-call - The post involves acute elderly care, stroke, and dementia. On-call for this post is currently 1 in 5 weekends covering Medical Admissions Unit day shift.
Formal and informal teaching opportunities
- Grand Rounds occur weekly on Wednesday lunchtimes. Each team as well as consultant only specialties take turns to present cases of interest. The aim is to have each acute team present once per 4-month rotation
- Scheduled CMT teaching sessions occur weekly on Thursday lunchtimes.
- PACES teaching is organised locally depending on trainee needs.
- Morbidity and mortality meetings occur monthly.
- Additional training occurs via Severn PGME scheduled training days and a developing local programme.
Weston Area Health Trust has developed a North Somerset Health and Social Care Academy in partnership with the Regional Workforce Confederation. This Academy helps to deliver and facilitate the training and development of all Health and Social Care Workers but in particular the professionals. Facilities include lecture theatre, conference and seminar rooms and the medical library.
Quality Improvements Projects
A dedicated Quality Improvement Project Hub provides excellent support for staff undertaking audit and quality improvement projects.
Weston has a good track record with MRCP especially with PACES for those who want to take the exam.
Royal College of Physicians Tutor
Dr Tom Wells, Consultant Medical Oncologist
Director of Medical Education
Dr Gavin Stoddart, Consultant Radiologist