MEDICINE

Learn about medicine training at Medway NHS Foundation Trust, including acute medicine, cardiology, elderly care, endocrinology & diabetes, gastroenterology, haematology, respiratory and rheumatology.

“Medical Education is at the heart of life at Medway Maritime Hospital.

Welcome

Though there are multiple departments within Medicine, each providing their own induction and medical training programme, we pride ourselves in getting together and learning from the wider medical community. This is supported by the RCP College Tutor Team, consisting of the RCP College Tutor, two Associate College Tutors, a Simulation Lead and an MTI lead along with fantastic administrative team.


There is the weekly Physician Grand Round each Wednesday at lunch time that all are welcome to attend. In addition, we provide Acute Medicine teaching on Mondays and IMT teaching on Wednesday afternoons.

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Each trainee will have a named clinical and educational supervisor to support their training needs. Furthermore we have a Trainee in Action Group which is supported by trainee representatives who feed into the Medicine Local Faculty Group Meeting where the trainee experience is front and centre of everything we do.

Dr Paul Kitchen, Consultant Physician and Gastroenterologist Medicine College Tutor

 

Sub-Specialities

Acute Medicine


Acute medicine is a broad clinical speciality concerned with the timely assessment, diagnosis and treatment of adult patients with urgent medical needs. Acute physicians are involved in the immediate management of life-threatening medical emergencies, the initial 72-hours of all presenting general medical ailments and the provision of same day emergency care (SDEC) for ambulant patients.

Our growing team consists of consultants dedicated to improving patient care services, teaching and training of juniors and multidisciplinary colleagues. We are responsible for running the acute medical take 24 hours a day during the week days, have a 7 day Acute Assessment in patient consultant led service, regularly topical weekly teaching and bedside teaching and SDEC service.

Key team members:

Dr Tzvetka Tencheva-Stoencheva

Dr Ashraf Syed

Dr Katie Smith​

Dr Adeel Iqbal

Dr Uyen Tran

Dr Simon Van Pelt

Dr Ravi Ganapathy

Dr Hasan

Dr Amantullah

Dr Diana Mhonda




Cardiology


The Cardiology Department at Medway provides a full range of inpatient
and outpatient cardiac services. There is a Cardiorespiratory Unit
carrying out non-invasive investigations including echocardiography and
ECG monitoring and a Cardiac Catheter Suite for coronary angiography
and interventions including PCI and device implantation.
The CCU and the general cardiology ward is in the process of moving to
a single unit on “Bronte” Ward close to the catheter suite. The plan is to
create a cardiology village when the cardiorespiratory department are
also relocated.
The team has six permanent consultant cardiologists; up to seven junior
doctors including three cardiac registrars in training; specialist cardiac nurses in IHD, heart failure and arrhythmia; cardiac technicians and clerical staff. There is an in reach service each morning and 24hour on- call service provide by the consultants (for advice). The team is contactable via the switch board.
Cardiology Lead: Dr Debjit Chatterjee
Intervention: Dr Adrian Stewart
Dr Naveen Mudalagiri
Dr Evangelos Fountzopoulos
Heart Failure: Dr Sandeep Gandhi
Devices/EP: Dr Shaumik Adhya
Dr Debjit Chatterjee




Elderly Care Medicine


Elderly Care Department at Medway NHS Foundation Trust (MFT) has established pathways for inpatient and outpatient care of the frail older adult. There are 4 Frailty base wards in addition to a brand new short stay unit. We have recently opened an assessment unit which takes frail patients directly from the Emergency Department based on Clinical Frailty Score. A Rapid Access Clinic for Elderly (RACE) is being established as a hot – clinic for early assessment on an ambulatory pathway for frail elderly. We have a well- established Consultant led Acute Frailty Pathway which operates 12 hours 7 days. At MFT, the care of a frail older person is delivered by a specialist Multidisciplinary Team from the very beginning till they are discharged back to community.

There are 14 Consultants (13 full time and 1 part time) established in the department with a range of subspecialty interest such as Falls and Syncope, Movement Disorder, Dementia and Community Geriatrics to name a few. There is an established weekly teaching program, Consultant led with opportunities for junior doctors to present, it is very well attended and feedback for quality has been very good. The department undertakes a number of quality improve projects and actively encourages junior colleagues to both participate and lead on. A recent quality improvement project was presented at an International Conference.

The Elderly Care Department provides a unique opportunity for comprehensive training in frailty management in a friendly, cohesive and well led environment. There are opportunities to participate in a variety of settings and to engage in quality improvement projects. Clinical and Educational supervision is provided directly by experienced Consultants.




Diabetes & Endocrinology


Welcome to the Diabetes and Endocrinology department at Medway hospital.

The Diabetes and Endocrinology department currently has 4 full time consultants: Dr Victor Oguntolu (Clinical lead), Dr Andrew Gough, Dr Nalin Wijesekera and Dr Sameer Sighakoli.

We have 4 WTE specialist nurses (2 specialist in-patients nurses and 2 specialist pump nurses) and 2 support nurses.

Our departmental out-patients, education and research are based in Peter Simons diabetes centre (Residence 9) and our in-patients ward is located on Will Adam ward.

Our team provide specialist services that cover Medway and Swale; our specialist services are: Insulin pump, MDT foot clinic, Transition diabetes clinic, Ante-natal diabetes, Joint Adrenal MDT, Thyroid and pituitary clinics.

There is also opportunity for research within the department for interested doctors.

In-patients activities are based on Will Adam ward, the ward is covered by 2 consultants at a time with specialist registrar and junior doctors’ support. The consultant conducts a comprehensive daily ward round on the ward which usually starts with a multispecialty board round.

There is ample opportunity for education within the department. We run a weekly diabetes journal club a biweekly endocrine journal club and a monthly mortality meeting at Peter Simon diabetes centre. Junior doctors have opportunity to present interesting endocrine at the journal club and to participate in our mortality meeting.




Gastroenterology


The Gastroenterology Department consists of 9 Consultant Gastroenterologist, a specialist nutrition nurse, IBD Nurse and two hepatology nurses. In addition, we currently have two specialist registrars and a middle grade doctor. We have a two roomed JAG accredited award winning endoscopy unit which supports two therapeutic endoscopy lists including ERCP, three bowel cancer screening lists, dedicated slots for Upper GI bleeding patients along with a number of lists for symptomatic patients requiring OGD , flexible sigmoidoscopy and Colonoscopy.

We are based on Keats ward for gastroenterology and general medical patients: this is a male ward but we are able to utilise side rooms for female patients but our vision is to have a mixed sex gastroenterology ward. The ward is supported by the consultants on a rotational basis along with a junior doctor team. The clinic activity serves general gastroenterology patients along with dedicated hepatology clinics, viral hepatology clinics, biologic and IBD Clinics. We provide a 24/7 GI bleed rota and support the weekend Speciality GIM on-call rota.

We have a weekly gastroenterology governance meeting on Monday from 12:30 to 13:30 and an Educational Meeting which follows between 13:30 to 14:00 which is a trainee focused meeting to review interesting cases presented by our trainees and other members of the team and review research papers, audits or new national guidelines.




Haematology


Welcome to the Haematology department at Medway Maritime Hospital.

Our team is made up of 5 consultants, 1 specialty doctor, 2 clinical nurse specialists and one specialty trainee (and we look forward to welcoming a 2nd specialty trainee later this year).

We provide a BSH level 2 Haematology service based on Lawrence ward and Galton Day Unit (our Macmillan outpatient chemotherapy unit), treating patients with myeloma, lymphoma, acute leukaemias, other bone marrow failure and sickle cell anaemia.

We work closely with the team at Kings College Hospital which is our tertiary referral centre for bone marrow transplants, cellular therapy and haematological malignancy diagnostic services. We are part of the Kent and Medway Cancer Network and participate in a weekly MDM which we encourage our trainees to attend, and we enthusiastically recruit patients into clinical trials.

We run a busy outpatient service treating acute and chronic, benign and malignant haematology conditions, and enjoy providing excellent care and continuity of care for our patients.

Finally we provide clinical supervision of the Haematology and Blood Transfusion laboratories, reporting blood films and bone marrows, advising our colleagues in primary care, and supporting all hospital specialty teams with the management of thrombosis and bleeding and all haematology disorders.

It’s a busy service, but we are a friendly and supportive team and encourage all our trainees to take part in clinical research and quality improvement and contribute to our weekly departmental teaching sessions.




Respiratory


Welcome to the Department of Respiratory Medicine at Medway Maritime Hospital. Download the Respiratory Induction Booklet.




Rheumatology


The rheumatology department is staffed by 5 Consultant Rheumatologists, 1 associate specialist, 1 Higher Specialty Trainee, 1 MTI Registrar, 1 IMT shared with haematology and 3 full-time Rheumatology Nurse Practitioners. There is a newly built day case infusion suite for biologics. Our staff work on two sites with one main base.

Consultants

  • Dr Srinivasan Srirangan Clinical lead

  • Dr Sunethra Wijesooriya MTI Lead

  • Dr Shrawan Aggrawal

  • Dr Yasser El Miedany (Fleet)

  • 1 vacant post

  • Dr Amjad Jilani (Associate Specialist at Fleet)

Rheumatology SpR Bleep 994 (for ward referrals)

  • Currently Dr Panos Kamperidis

Rheumatology Nurse Practitioners

  • Mrs Lyn Ryan – Lead specialist nurse

  • Mrs Vanessa White CNS

  • Mrs Gincy Nitesh CNS

Service provision

  • Predominantly outpatient clinics

  • Biological immunotherapies infusions in the day case infusion

  • Suite

  • Inpatient ward consultations

  • Clinical Trials

Hospitals served

  • Medway Maritime Hospital (Base)

  • Darent Valley Hospital cohorts via Fleet campus clinics

  • Sittingbourne Memorial Hospital

  • Sheppey General Hospital

Specialty clinics run

  • Nerve conduction studies

  • Joint injection

  • Musculoskeletal ultrasound

  • Muscle biopsy

  • Osteoporosis/metabolic bone (Dr Wijesooriya metabolic bone

  • lead)

Current activities

  • Diagnosis, investigation and management of the full complement of musculoskeletal disorders

  • Special interest and combined clinics

  • Teaching and training junior doctors

  • Clinical rheumatology research

Rheumatology Nurse Practitioners

  • Clinics in conjunction with consultants

  • Provide weekly emergency clinics

  • Perform joint injections

  • Provide a telephone helpline for patients and staff

  • Run educational programmes

  • Metrology for clinical trials

  • Co-ordinate biologics treatment

Rheumatology departmental meetings

  • There is a monthly combined departmental meeting alternating between the two main sites.

  • Clinical cases presented

  • Rheumatology topics discussed

  • Service provision discussed

Allied departments

There are close links with allied health professionals.

Trainee Rota & Roles

  • The Time table will be provided separately to the trainee(based on seniority)
  • Currently there is 1 HST post which rotate every 12 months
  • There is one IMT post that rotates every 4 months
  • There is 1 MTI registrar post subject to service provisions
  • This SpR is overall in charge of referrals and inpatients and has Outpatient clinics as detailed in the timetable.

Ward Round

  • This is led by the Ward SpR, who is responsible for daily review of inpatients and updating the inpatient ward list.
  • The excel list of current patients is used and should be updated at regular intervals.
  • The SpR will discuss all patients with the Rheumatology Consultants who will review the patients and provide an appropriate management plan.

Daytime On Call Bleep

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The daytime on call bleep is and should ALWAYS be carried by the SpR.

Trainee responsibilities: Queries arising from nurses in clinic or the helpline; admitting patients from clinic; referrals from A&E/Wards; Infusion suite enquiries; biological coordinator enquiries; secretary queries.





 
 

IMT Curriculum - June 2019

The Joint Royal Colleges of Physicians Training Board has produced a Rough Guide to Internal Medicine Training (left), featuring guidance for training programme directors, supervisors and trainees. It also includes the IMT Stage 1 ARCP Decision Aid.

IMT Curriculum

For more information visit the JRCPTB website.

Visit the RCP website

Visit the RCP training board's website