Training Programme Directors
| East | TPD | Martin Chanayireh | Martin.chanayireh@hey.nhs.uk |
| West | TPD | Elizabeth Garthwaite | elizabethgarthwaite@nhs.net |
| South | TPD | Veena Reddy | Veena.Reddy@sth.nhs.uk |
| Pan Deanery | Deputy Head of School | Sunil Bhandari | sunil.bhandari@hey.nhs.uk |
Renal Medicine training takes a minimum of 5 years after entry at ST1 level, following completion of level 1 G(I)M acute training.
There are three years of training commencing at ST3 level to achieve competence in Nephrology, although the majority of trainees choose to dual accredit with General (Internal) Medicine which prolongs the training time. Nephrology training will include an attachment to the Transplant Unit at St James’s University Hospital in Leeds of at least 3 months duration to allow acquisition of competence in the management of acute transplantation.
Trainees will rotate between the four centres Bradford, Hull, Leeds and York and there is also significant interaction with the training programme in the South of Yorkshire with a combined Specialty Training Committee. In addition to training in all aspects of in and outpatient renal medicine which is available in all 4 centres, training in General (Internal) Medicine is available in Bradford, Hull and York whereas acute transplantation is provided in Leeds. Transplant patients are repatriated to the care of the non-transplanting units at an early stage meaning that significant transplant experience is available in all 4 units. There are opportunities during the rotation for additional sub-specialist experience in all 4 units. A non-exhaustive list of special interests/additional training opportunities within the region includes- combined renal stone clinic, collaborative CKD management, PD access, native and transplant renal biopsy, acute transplantation including live donor programme, HLA-incompatible donor programme, combined renal diabetes clinic, adolescent transition, shared and self-care dialysis and non-dialytic/conservative management of ESKD and end of life care.
All 4 units run a local induction programme for new ST trainees and will send out induction information in advance of rotation dates.
There are two medical schools within the region giving plenty of opportunity for both formal and informal teaching of undergraduates. Many recent trainees have taken a particular interest in medical education in recent years and have been supported to obtain specific training and qualifications in education. Postgraduate training is also strong and over the last couple of years there has been a huge investment in state of the art simulation facilities for postgraduate medical training in Yorkshire. In September 2013Health Education - Yorkshire amd the Humber ran the inaugural simulation-based training day for renal ST trainees and it is now a regular event focusing on both procedures and scenario-based simulation.
All 4 of the renal units run a regular internal education program with a mixture of histology CPCs, x-ray conferences, journal clubs and curriculum-based educational meetings. In addition the region runs the highly regarded Northern Postgraduate Nephrology Course which consists of 6 study days each year in a rolling two year program featuring local and national speakers. There is also a similar program of General Medicine study days run by the Leeds office of the Royal College of Physicians. All 4 units will make arrangements for trainees to attend these events such that only on call commitments or annual leave should prevent attendance. The programme also supports trainees to attend a number of approved local and national courses both clinical and non-clinical throughout their training.
At least one consultant in each unit is trained to act as Educational Supervisor for STs and will be available for regular appraisal and education meetings. Following merger of the two STCs the annual ARCP process to assess trainee progress is run jointly with colleagues from the South Yorkshire rotation. Following the ARCP all trainees are offered an informal face to face meeting with members of the STC to review training and in particular to focus on the next phase of training and offer career advice where appropriate.
A number of trainees have undergone additional training out of programme in recent years (OOP) some taking the traditional research route whereas others have taken advantage of the Future Leaders Programme run by Health Education England working across Yorkshire and the Humber and other innovative schemes. Both within and outside of the programme there are opportunities at all 4 units to get involved in research, there are thriving laboratory and clinical research teams throughout the region.
The programme has successfully supported trainees in negotiating Inter-Deanery Transfers (IDT) and also trainees wishing to train on a less than full time basis (LTFT) have been accommodated within the region. Several recent CCT holders from the programme are now consultants within the region!
Renal Medicine training takes a minimum of 5 years after entry at ST1 level, following completion of level 1 G(I)M acute training.
The competencies required to gain CCT in Nephrology are usually achieved in three years of training commencing at ST3 level. Most of the posts on the South Yorkshire Nephrology rotation offer training in Nephrology and General Internal Medicine. The renal training posts are in Sheffield Kidney Institute at the Northern General Hospital, part of the Sheffield Teaching Hospitals NHS Foundation Trust and Doncaster Royal Infirmary. Both renal units provide experience in general nephrology, peritoneal and haemodialysis, acute kidney injury and chronic kidney disease and follow up of renal transplant patients. The acute renal transplantation attachment is in Sheffield Kidney Institute. For more information on the trusts please visit the websites (http://www.sth.nhs.uk http://www.dbh.nhs.uk )
The rotation is managed by the Training Programme Director (TPD) who allocates posts appropriate to the trainees’ training requirements. Specific trainee requests are considered and accommodated when appropriate and feasible. The trainees attend induction training at each new location. They are encouraged to provide feedback on the posts and it is mandatory to complete the deanery end of placement feedback questionnaire (please see deanery website).
The trainees are allocated a Consultant Nephrologist Educational Supervisor who offers guidance and supports the trainee through their training. If trainee and supervisor agree this partnership is maintained throughout the rotation to allow the development of a supportive mentoring / coaching relationship. As the trainee rotates through other hospitals they are allocated local educational supervisors. Trainees are encouraged to arrange regular meetings with their educational supervisors. Clinical supervisors working with the trainees on the attachments assist the acquisition of renal competencies as outlined in the curriculum and the completion of work based assessments. The progress of the trainees is formally assessed by initially a remote ARCP and a further informal meeting between TPD and trainees. Trainees with an adverse outcome will have a formal ARCP with a panel including an external trainer and lay member.
Weekly Hisopathology meeting is held at Northern general Hospital followed by guest lectures from time to time. The trainees are encouraged to attend the Northern postgraduate Nephrology course run by the West, East and North Yorkshire renal rotation. Attendance at national courses and meetings is encouraged. Sheffield has active laboratory based and clinical research programmes and out of programme experience is encouraged. For more information on the activities at Sheffield Kidney Institute please visit http://ski-nephrology.org/home .
The trainees are encouraged to be actively involved in the development of the training programme. They identify a trainee representative to attend School of Medicine meetings, the Specialty Training Committee meeting and act as liaison between the TPD and trainees. The trainees are also encouraged and assisted to develop an in house teaching programme for the academic vacations to cover areas of the curriculum not routinely covered in traditional courses. Attendance at all departmental meetings, clinical, educational and management (e.g. clinical management team, governance and IT development) is encouraged.
We have supported trainees successfully gaining less than full time training posts and those seeking interdeanery transfers. Senior trainees have been successful in gaining experience acting up in a consultant nephrology role. Our trainees have been successful in gaining Out of Programme experience, some based in Sheffield some in other units. Please refer to the policies section of the website using the link below.
https://www.yorksandhumberdeanery.nhs.uk/learner_support/policies/training_guidance