Each year new trainees are allocated to a ‘host trust’, which is their base for the duration of the five year training. It is intended that registrars will carry out the majority of their training and service provision at their ‘host trust’ but there are plenty of options to undertake core and higher curriculum modules at neighbouring trusts.
We will soon be incorporating Chelmsford, West Herts, Stevenage/Lister and Peterborough.
For physics teaching EBH trainees currently join Cambridge trainees at Addenbrooke’s hospital (although this is under review) on a fixed weekly teaching rota every Tuesday afternoon from September onwards (but not during term holidays of course). Whilst it involves a commute, trainees are taught by researchers and experts in their field and previous trainees have commented positively on their experience. It also serves as a good weekly catch up with other trainees in the deanery. An example of the physics timetable is shown below.
Anatomy teaching is usually held locally and teaching arrangements can be organised with consultants. The current batch of registrars in southend hospital also hold weekly Thursday afternoon anatomy teaching which is highly recommended as they would have fresh experience of having sat the exam and can advise on the type of images you will encounter.
The rest of your training week in the first six months involve getting a basic grounding in the main imaging modalities, focussing particularly on plain films, ultrasound and fluoroscopy. You will usually have an additional study session. Having prepared provisional reports you will then go through these with a consultant who teaches you as well as advising on any corrections. Ultrasound will be similar and you should have a dedicated training list with appointments lasting around 30 minutes (as opposed to the usual 15 minutes). During this time your supervisor will probably let you perform the initial scan before taking over. You will then discuss your findings and decide on how to formulate the report. Each session is primarily on a one to one basis. At a DGH trust you rarely have to compete with other registrars for work to do!
ST1 trainees will be on call and banded from the start. Although independent reporting is obviously not expected you are required to shadow on call sessions. Previous trainees have found this an invaluable and will help to prepare you for independence. Whilst banding will be contract compliant the frequency of on calls will be arranged on a local basis. Please refer to individual trusts on rotation for more details of on call intensity.
An example rota is shown below:
Participation on the on-call rota is expected and is locally agreed with the educational supervisor but is usually a 1 in 4 or 1 in 6 weekend day with an evening oncall every week. On-call reporting is supervised by a consultant.
The FRCR 2A is now sat as a single exam with the first sitting in December of your 3rd year of training. The FRCR 2B is then sat in the Autumn of your 4th year of training. Once final the FRCR is completed trainees are expected to enter higher specialist training.
From 2016 onwards there is a new structured protected teaching timetable for the Final FRCR 2A exam which takes place on a monthly basis around the various DGH’s in the scheme. This is a 2 year rolling teaching programme which aims to cover the majority of the core curriculum. Topics are allocated to consultants who provide the lectures and there is usually a trainee presentation at the end of the session. This is an excellent way to develop presentation skills and the opportunity to research deeper into a topic.
At the end of Year 5 trainees will be eligible to apply for a Certificate of Completion of Training (CCT). At this stage they will enter the “Gap” and be expected to apply for Consultant posts. Rotations at this stage will be determined by individual consultation with the Training Programme Director, the College Tutor for the appropriate Hospital, and relevant Consultants.