East of England

Regional Advisor: Dr Natasha Lawrence

Number of posts available: 6

Advertising and interview process:

Posts are advertised as part of the annual National Recruitment process for posts commencing in August. This is organised by the West Midlands Deanery. More information can be found here:

http://icmnro.wm.hee.nhs.uk

Locality

The Eastern deanery has a strong history of delivering excellent training in Intensive Care Medicine. We have particular strengths in academic training, echocardiography, advanced respiratory support, transfer training, neurosciences and trauma. FICE and CUSIC accreditation and supervision is available across the region. Regional ICU ultrasound courses for both occur at least twice a year.

The Eastern region is geographically and demographically large with 14 training units across Norfolk, Suffolk, Cambridgeshire, Peterborough, Hertfordshire and Essex. The region has major teaching centres and busy DGHs where experienced trainers in ICM will guide you through your training. Please see the related Unit Training Briefs below for more information on individual ICM training units, or contact the Regional Advisor.

The region is varied but boasts a high standard of living with beautiful cities, towns, coastline and countryside.

Clinical component

The training needs of both single and dual (acute medicine, anaesthesia, emergency medicine, renal medicine, respiratory medicine) specialty trainees can be supported.   We support less than full time training and, within the limits of the program, support Out of program training, experience and research. The support of our deanery provides funding for a large number of training courses.

Trainees will work with the Training Program Director (Dr Jurgens Nortje jurgens.nortje@nnuh.nhs.uk) and Regional Advisor in Intensive Care Medicine (Dr Natasha Lawrence Natasha.Lawrence@meht.nhs.uk) to develop an integrated clinical training program that, as well as achieving the aims of the ICM curricula, will address your individual training needs. 

Stages of training and where will I be based

Stage 1 training - With a large region and the need to co-ordinate with partner specialties for dual training we try not to dictate where people train in stage 1. Instead, early after appointment at national recruitment, we meet with you and discuss how your ICM training in Stage 1 can integrate with any personal circumstance and any existing training plans. While it is not feasible to allow total freedom of choice this system means that you are able to plan accommodation and commuting and we will always try to minimise travelling distances where we can.

Stage 2 training - The specialty ICM year is predominantly spent in Cambridge, with 3 month modules each in neurosciences ICM and cardiac ICM (Papworth). To ensure excellent exposure to paediatric ICM we arrange a dedicated block of PICM at Addenbrooke’s in Cambridge (note for dual CCT anaesthesia trainees the dual counting of the paediatric anaesthesia block is enhanced by specific day release to PICM during this block). The region has a good FFICM pass rate and we run local exam preparation days ahead of the FFICM exam.

Stage 3 training - Similarly to stage 1 we do not have hard and fast rules about which units stage 3 trainees attend.  We are in the process of expanding the number of units accredited for Stage 3 training, however currently you should expect to spend most of the year at larger centres such as Addenbrooke’s (general and neuro units), Norwich, Chelmsford or West Suffolk. We specify that at least a 6 month block be spent in one centre during stage 3 so that you have time to contribute to a team and develop skill required as a senior ICM Doctor. During stage 3 support can be provided for you in pursuing additional skills in echocardiography, teaching and research, and you will be encouraged to attend National and International meetings.

Regional Teaching

There is an established regional ICM study day programme, targeting the FFICM exam, specific skills and knowledge and ICM competencies. The program has been designed to align with the ICM curriculum. Beyond the core regional program study days also extend into topics which go beyond the curriculum and have recently included research techniques, ethics, boundaries of transplantation and the future of healthcare delivery. All units have a strong commitment to education, research and quality improvement, and actively involve trainees in study recruitment and QI projects.

Research Environment

Our region provides an exceptional environment for biomedical research, and the areas of institutional excellence are outlined elsewhere (see http://www.medschl.cam.ac.uk/ and http://www.cuh.org.uk/research/research_index.html). Examples of research include internationally recognised programs of research in neurosciences (traumatic brain injury, consciousness, and neuroanaesthesia), the biology of critical illness (cell biology, epigenetics and translational / early phase clinical studies) and pain.  The programs are supported by a diverse range of wider collaborations, which allow us to accommodate almost all clinical interests relating to intensive care medicine.