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Generic Training Prospectus

Staffing: Twelve (12) Consultant Anaesthetists supported by eleven (11) Specialist Registrars. Three (3) SpRs on rotation from Addenbrooke's Hospital, Cambridge and the Norfolk & Norwich University Hospital for 3 month attachments.

Induction: On the first day of your attachment to Papworth Hopspital, please report to the Anaesthetic Department Office at 08:00. You will be shown around the Department and Theatre facilities, and issued with a personal pager. It is strongly recommended that you observe anaesthesia for the first case of the day at 08:30, before reporting to the Personnel Department at 09:30. In addition to other procedures, the Personnel Department will issue you with a photo-ID card (which allows access to the Hospital Library) and a security card-key (for access to the operating theatres, the intensive care unit and the transplant unit.

Your theatre assignment will be printed on the Departmental rota, a copy of which can be obtained from the secretaries in advance.

After you visit to the Medical Personnel Department, one of the cardiothoracic anaesthesia fellows will give you a guided tour of the hospital wards, intensive care unit, Respiratory Support and Sleep Centre (RSSC), radiology and pathology departments, on-call facilities, lecture theatre and theatre seminar room. A number of key hospital access points are locked between 22:00 and 06:00 - a digital code is required to gain access to the hospital during these hours. Access to the theatre changing rooms is also controlled by digital locks.

During your first day, you will be shown examples of the types of anaesthetic machines, breathing circuits, defibrillators, temporary cardiac pacemaker generators and drug infusion pumps. You will also be shown where routine and emergency drugs are stored.

Personal Tutor: You should provide your Personal Tutor with an up-to-date copy of curriculum vitae. You should aim to meet your Personal Tutor within 2 weeks of starting at Papworth Hospital.

The generic training prospectus is based on the second edition of the Royal College of Anaesthetists CCST Training Manual. Trainees requiring an individual training programme (e.g. extra weekday experience on the ICU or RSSC) should discuss this with either their personal tutor or the College Tutor.

CCST in Anaesthesia III: Competency Based Specialist Registrar Years 1 and 2 Training and Assessment. A manual for trainees and trainers (Second Edition April 2003). Refer to page III-7 for "Work Place Assessments" and page III-15 for "Key Unit of Training - Knowledge and Skills in Cardiac & Thoracic Anaesthesia". (PDF 2.0 Mb)

All trainees undergo appraisal. In addition, all appointees entering an SpR training programme after February 2003 will be required to undergo in-theatre assessment.

Educational Activities - Departmental: Educational meetings take place at 08:00 on Monday (TOE Tutorial), 08:00 on Wednesday (Consultant lead), 08:00 on Thursday (Trainee Presentations), and 08:00 on Friday (ICU Journal Club). It is expected that trainees with clinical commitments that immediately follow Departmental educational meetings arrive at 07:50 in order to allow sufficient time to change into the operating theatre clothing. Titles of past and future meetings.

Educational Activities - Hospital: Monthly audit meetings take place at 09:00 in the lecture theatre on the third thursday of the month. Monthly morbidity and mortality meetings are held at 14:00 on a rotating weekday. Attendance at these meetings is considered to be mandatory.

The hospital has a multi-disciplinary library with a good supply of Anaesthetic and Intensive Care journals. There are on-line facilities for Medline literature searches and access to the internet is available. The librarians will provide you with a photocopying allowance upon request. The anaesthetic trainee room is equipped with a personal computer and there is a small collection of CD-ROMs containing teaching material for Transoesophageal Echocardiography.

Educational Activities - Regional: Rotating SpRs are released for Friday teaching at Addenbrooke's Hospital and the Norfolk & Norwich University Hospital except when they are due to be on-call during the day on Friday, Saturday and Sunday. Trainees on-call on the Thursday night preceding Regional Training meetings may be able to leave Papworth Hospital earlier than usual. In each instance this must be arranged in advance with the Consultant on call providing another trainee agrees to provide earlier cover.

Annual / Study Leave Requests: Details of the trainee leave policy and the procedures for booking leave can be obtained from the Specialist Registrar page.

Commuting: The Department does not encourage trainees to spend more then two (2) hours daily commuting to and from Papworth Hospital. For this reason accommodation is provided for trainees during their short rotation at Papworth Hospital.

Duties of the trainees: It is the trainee's responsibility to participate fully in the training and clinical programme, maintaining a personal log-book and appropriate records of progress, and participating in performance reviews.

The first on-call trainee is resident to provide immediate support for the critical care areas and resuscitation. A second on-call trainee assists the on-call consultant with out of hours theatre cases, assists the first on-call trainee on the ICU when requested, and is also responsible for hospital transfers and management of organ donors.

Trainees will be required to observe all hospital policies and procedures and appropriate clinical protocols

On-call duties: The rotas is 1:6 (first on-call) - partial shifts with prospective cover for annual and study leave. Daytime shifts currently start at 08:00 seven (7) days a week. Night shifts start at 18:00 hours (Monday to Friday) and 20:00 (Saturday and Sunday). Morning ICU ward rounds typically end before 10:00. It is expected that an evening hand-over round will take place between 18:00 and 19:00 on weekdays (Consultant lead) and between 20:00 and 21:00 at weekends.

The first on-call SpR is resident on-call for the ICU (1:6) and holds the cardiac arrest bleep. Under no circumstances should the cardiac arrest bleep be taken to the MRI or CT scanner. Arrangements must be made for another SpR or the ICU Consultant to hold the bleep in your absence.

The second on-call SpR is expected to remain resident in the hospital during the week until 21:00.

Due to the intensity of night work produced by the ICU, operating theatres and organ donor excursions, the posts are currently in pay Band 3. It is very likely that new working patterns will be introduced during 2004 to make the posts compliant with the 'New Deal'.

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