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Health Education England, operating across East England: Gastroenterology
Gastroenterology covers a wide range of disorders including the entire gastrointestinal tract, liver, pancreas and bile ducts. The variety of organs affected and the numerous diseases affecting these organs make gastroenterology a particularly attractive field.
Endoscopy is a core component of gastroenterology, with specialty training in esophageal therapy, endoscopic retrograde cholangiopancreatography, endoscopic ultrasound, portal hypertension, small bowel studies, and more conventional upper and lower GI endoscopy. Gastroenterologists in East Anglia also contribute to general practice and most graduates to date have achieved dual accreditation. A major attraction of gastroenterology has been the development of critical collaborations with radiologists, pathologists, gastrointestinal surgeons, liver transplant teams, and a variety of clinical nursing specialists, nutritionists, and psychologists.
Gastroenterologists at most county general hospitals cover a variety of conditions including inflammatory bowel disease, esophageal disease, hepatology, small bowel disease, and perform most routine endoscopies. Specialties have developed in the region, including hepatology, liver transplantation, inflammatory bowel disease, intestinal failure and small bowel transplantation. Recent government initiatives have emphasized the value of promptly treating patients with potential malignancy, which is a critical part of the specialty.
training program
The denarius is typically divided geographically into East (based in Norwich) and West (Cambridge), but with the freedom to move around at will and remain in a sub-region for several years - with the program director being as flexible as possible about this respect.Bedford,Huntington,Ipswich,Grande Yarmouth,Kings Lynn,Buried St Edmunds,Basildon,colchester,Stevenage,Watford,Chelmsford,PeterborougheLuton & DunstableHospitals are smaller units with three to six senior gastroenterologists. Each offers an excellent combination of gastroenterology and general medicine, as well as variable specific training, including ERCP, esophageal manometry, capsule endoscopy, balloon enteroscopy and EMR. The units insideNorwicheCambridgeare larger and allow for exposure of subspecialties in hepatology, nutrition, inflammatory bowel disease, and advanced endoscopy (EUS and ERCP), which may be part of the rotation or a dedicated Advanced Training Program (ATP).
To search
The research opportunities are excellent and range from basic research to translational medicine and clinical studies. Most research opportunities in East Anglia are offered inCambridgeeNorwichMedical schools. Currently, there are several ACFs and NIHR/university clinical faculty at both centers, as well as many opportunities for research outside of the program. Cambridge has a Chair in Gastroenterology and a number of established academics with internationally recognized research pedigrees. Main research areas are inflammatory bowel disease, Barrett's esophagus and esophageal cancer, and various aspects of hepatology. Cambridge is aBiomedical Research CentereCenter for Experimental Medicine CRUKwith particular strengths in metabolic and inflammatory diseases as well as cancer. Norwich Medical School has a vibrantto searchProgram in gastroenterology with a range of chairs and scientists. Experience outside of the research program is encouraged provided advance notice is given to Health Education England which operates throughout East England -Information can be found here..
Essential Qualifications
- Completed basic medical training or equivalent.
- Documented evidence of achievement of Level 1 competencies in general (acute) internal medicine and generic curricula.
- FullMRCPmitSTEPSit is now essential for progression to ST3.
additional advice
additional advice | Position | Location |
DR. Arun Shankar | head of the training program, | University Hospital of Norfolk and Norwich |
Dr. Ian Gooding | Chairman of the Education Committee | Colchester University Hospitals NHS Foundation Trust |
Dr Fraz Mir | Director of the Faculty of Medicine | Health Education England, operates across East England |
Dra. Rebecca Fitzgerald | Academic Representative and MRC Program Director | Hutchison Research Center/MRC, |
Professor Alastair J. M. Watson | Academic Representative, Director of Research and Hon. Board in Gastroenterology | Norwich Medical School, Norfolk & Norwich University Hospital. |
Detailed guidance on the assessment plan and gastroenterology syllabus are available on the JRCPTB website –
Coming days with multi-specialized training and courses
A complete list of upcoming continuing education events and courses for all medical specialties in the region can be found under the following links:
- The upcoming events page, where you can find information about a number of upcoming courses
- Faculty of medicine calendar, where you can see events and courses by month
GASTROENTEROLOGY FROM AN INTERNAL PERSPECTIVE by Dr. Richard Warburton and Dr. Kiran Bundhoo (internal representative)
GASTROENTEROLOGY FROM THE PERSPECTIVE OF THE INTERNSHIP
Introduction to the subject from the perspective of the intern
Gastroenterology is an extremely rewarding specialty that allows you to choose from a variety of sub-specialties. The Ostdekanat offers a balanced education with the two renowned teaching hospitals in the region for research as well as an excellent education in gastroenterology.
There are several hubs in the region - Cambridge, Norwich, the M1 corridor and Essex. You receive at least 1 year at one of the two teaching hospitals. Geographical restrictions are honored, but you should look out for specific training opportunities.
useful contacts
- TPD– Arun Shankararun.shankar@nnuh.nhs.uk
- Trainee representative- Currently Hemant Laxaman at Ipswich (hemant.laxaman@gmail.com,hemant.laxaman@ipswichhospital.nhs.uk) and Charelle Manning in Norwich (Charelle.manning@nnuh.nhs.uk)
- BSG representative– Charelle Manning is the BSG Apprentice Representative for the region
- Contact the Dean-
curriculum
1. ARCP Decision Support
2. Curriculum
Endoscopy training:
- Unless you are doing a very specialized attachment, you should have access to at least 1 training plan per week, with the option of an additional ad hoc plan based on other clinical engagements.
- For starters, you should be reasonably on the learning curve for OGD (at least 50 OGDs) before your colonoscopy and you can start Flexi-Sigs early.
- OGD and Colon core courses are compulsory but reduced if taken in Norwich. Your lists should be tailored to your needs.
- Before attempting ERCP, you must be accredited for OGD by the JAG and have appropriate therapeutic experience with OGD.
- You must have an endoscopy instructor and record all procedures via JETS.
- Please note that anything you are not already accredited for requires 10 DOPs per year.
- 2 DOPs per year to show you have maintained your skill level once accredited.
- JAG accreditation is required for CCT in diagnostic upper endoscopy and colonoscopy for non-hepatologists. Therapeutic OGD, ERCP and EUS are not yet accredited by JAG but may very well be in the near future
GIM
- If you do GIM, which is the majority, then your CCT will match Gastro. You will get separate PYAs and ARCP results. Please direct GIM matters to Dr. Gareth Corbett (gareth.corbett@addenbrookes.nhs.uk).
academic
- Postgraduate training (NTNA, usually a CL position) is competency-based, although there is a minimum training period of 48 months – 24 gastromonths if you are an postgraduate hepatologist. In order to be ready on time, your training layout must be discussed well in advance. Leaving GIM is an option, but the decision must be made in advance.
ATPs
- If you look at the Gastro 2010 syllabus, you will see a chart showing that year 4 should be a subject year. Hepatology and Nutrition are administered nationally (November through NHS recruitment sites) but there are now established IBD and Endoscopy ATPs in Norwich and Cambridge, recruiting around February/March ahead of the ST3 round. They can be done in ST5-ST7 - lastly when there are no other pending training requirements other than some GIM calls
E-Portfolio
- For each position you need a specific educational supervisor. He/she must carry out an initial, intermediate and final assessment.
- In addition, a Supervisor Report must be completed at the end of each position and prior to each ARCP, whether preliminary, standard or face-to-face. This is required for GIM and Gastro (i.e. 2 reports per year) if you are dual accredited.
- If you have an educational oversight issue, please email TPD.
- There are some new guidelines (JRCPTB website) so the general competencies don't necessarily need to be sanctioned, but most of them exclude the advanced CVs which are only intended for those doing the relevant ATP.
- Check out the latest decision support to see how much needs to be signed per ST year and note that there is now a limit on how much evidence you can disclose.
- Competencies require trainee and supervisor assessments (red and blue icons).
- You must have the latest GIM and Gastro syllabi loaded
- EXEC– Annually held Europe-wide specialist examination (formerly called SCE), passing is required for CCT. Usually attempted on ST4 or ST5. There are training courses in Nottingham and St Marks.
- Audits- You must have an annual Gastro/Hep audit and 3 GIM audits throughout your lifetime as a SpR. Experiment and improve different aspects of your curriculum as you progress - teaching, leadership, management (basic course but save for later years), courses/meetings, presentations/publications
- CCT- Now there is a CCT calculator that you must use. This will be checked in the ARCP and you will receive a copy from the dean's contact person. If you're new and trying to count past LATs, this needs to be sorted by your NTN within a few months. Note that you can no longer count 3 months for the Mat license and all time counted by OOP requires prospective approval by JRCPTB and GMC. The 6-month grace period is currently being reviewed and may be terminated.
Read list
Read list:Join BSG and BASL (if interested in hepatology) or BAPEN (if interested in nutrition).
Daily
Trainingstage:
- These are must-sees, but so are the East Anglian Gut Club (one afternoon twice a year) and the Cambridge Liver Symposium (late September).
- It is necessary to sign a registration form to confirm attendance and if they are unable to attend, the intern representatives must be informed in advance by email.
- The list of training days is published well in advance, so there is no excuse not to cancel routine appointments, although on-call duty is a given. If you don't know when the days are, the prospective salespeople should be your first port of call.
AOB
- Visit our Facebook page; EoE Gastro SpRs
Tuesday, November 13, 2018