Training Matters Issue 3

Training Matters Issue No. 3 April 2021 Medical What is ‘normal’ anyway? Education Centre Dr Ashley Reece • Director of Medical Education  01923 217 7436  [email protected] T he road ahead toward ful resources. The Senior Librari- projects they are undertaking as normality may be an, Samuel Stormont, has provid- part of this initiative. Finally, you Dr Ashley Reece mapped out for our ed an overview of what the li- can read below about the plans Director of Medical Education home and social life, but what is brary can do and I suggest there for the Trust to change it’s name. the roadmap to get our hospital will be at least 2 or 3 things in his You may not know but an NHS Dr Michelle (Shelley) Jacobs and importantly doctors’ training article on Page 2 you did not trust is named according to spe- Postgraduate Clinical Tutor back on track? Well those running know the library did! In getting cific principles, and must include education and training at the back to some sort of normal, we the geographic region it serves. David Goodier highest levels have been getting need to support our trainees in Any changes to a Trust's name Medical Education us all back on track since before training programmes and our must be agreed in parliament by Manager the second wave hit. The Covid Educational and Clinical Supervi- changing it's Establishment Or- derogations to the Gold Guide sors are key to this. Dr Shelley der. So we hope to become the Alex Paice which details the training for Jacobs, our Postgraduate Clinical West Hertfordshire Teaching Deputy Medical Education doctors in the UK remain for this Tutor, is leading training for Edu- Hospitals NHS Trust. A small Manager academic year, but as the wave cational and Clinical Supervisors group is working very hard to recedes and restart happens once which we are both delivering make this happen. It will, as ex- Inside this issue: again there still remains many remotely in the coming months. plained below, be a great acco- months of the training year for This is an HEE accredited course lade for us because we are a Towards ‘Teaching 1 some and I hope that will allow and makes us a hub for this train- teaching institution. Once grant- Hospital’ status ‘catch up’ to keep everyone’s ing. Two of our more senior train- ed this status it will not be diffi- training on track. We have many ees were offered places on the cult to uphold because that is resources at our disposal to sup- Cambridge Chief Resident Man- what we do every day— port our learning and we have a agement and Leadership Devel- education, training, teaching and fantastic Library & Knowledge opment Programme. Ben Artman learning are our ‘normal’ normal. Service with access to many use- and Esha Khanderia share their [email protected] Clinical & Educational 2 Becoming a Teaching Hospital Supervision training New Faces 2 What you may not know is that the Trust was given an formed. What we need to so is demonstrate is how New Roles accolade by University College London Medical School we meet a significant teaching commitment. We in 2007. They designated us an ‘Associated University also need to engage widely about our ‘new’ name Library & Knowledge 3 NHS Provider’. It went largely unnoticed and while it and meet some principles set out by the Depart- Services was pleasing for the Medical Education team at the time, it did not really resonate through the ment for Health and Social Chief Residents 4 organisation. Move on 10 years and as Under- Care. For naming an NHS graduate Tutor at the time, I wanted to find out organisation We are produc- Oxford Handbooks 4 whether we could still be- ing a ‘Showcase’ publication Electronic textbooks come a ’University Hospital’. detailing ALL the great work You will notice many local in education, teaching, train- Courses: District General Hospitals have included ‘University’ ing learning and develop- Evidence searching and 4 in their name. It has been nearly 3 years and steep a ment; we are engaging with stakeholders and staff Critical Appraisal learning curve finding out how we could do this. and we hope to submit to the Trust Board by the What we learnt was the newly introduced require- end of May. For further information please click on ments for University status would not allow us to the Toward Teaching Hospital Presentation and the To- meet those criteria BUT we absolutely meet those wards Teaching Hospital website is available here. for ‘teaching hospital’ status. So with the blessing of the CEO, the Chairman and the Board, the Towards Teaching Hospital Status project committee was

Page 2 Medical Clinical and Educational Supervision Training Training Contacts West Herts is providing local training as par of HEE Hub days Programme Directors Our Postgraduate Clinical Tutor, Dr Shelley Ja- done every 5 years. We have & College Tutors cobs, has worked with Health Education England held 2 training days on Zoom, Undergraduate Tutor (University College London) to provide Clinical & Educational Supervisor training over 30 consultants and Dr Raj Shah [email protected] Training for this important role in looking after are planning a further session Programme Director trainees in the Trust. This means we will be a before hoping to run face to face training later in (St George’s International Medical School) ‘local hub’ for this training. Any Consultants the year. The On Line course included quizzes, Mr David Gaunt [email protected] wanting to be an Clinical and/or Educational Su- breakout rooms and we played Medical Educa- Foundation Years 1 pervisor will need to complete this local training, tion Hierarchy Tenable! The feedback was excel- Dr Latha Thangaraja [email protected] ’HEI’ training and Electronic Learning for Health lent and a word cloud of how the candidates felt Dr Mamatha Kumar modules to after the [email protected] be regis- training Foundation Years 2 Dr Deepan Vyas tered by showed [email protected] the GMC ‘support’ Dr Claire Shine [email protected] as an Edu- and confi- Locally Employed Doctors’ cational dence’ as (LED) Tutor Mr Vimo Arumuham Supervisor. key attrib- [email protected] Training utes of the Less Than Full Time (LTFT) Tutor has to be day. Dr Michelle (Shelley) Jacobs [email protected] New colleagues in the MEC team Anaesthetics Introducing colleagues appointed to education and training Dr Rupinder Kaur [email protected] Dr Latha Thangaraja has been appointed as the College Tutor in Medicine Emergency Medicine My interest in Medical Education has allowed me to take on training roles in the Trust and I am one Dr Rajesh Vasiraju of the one Foundation Programme Directors. So I feel very privileged to have been appointed to the [email protected] Royal College of Physician’s Tutor for Medicine as well. In my short time in post I have worked on with the MEC Managers to secure the medicine training posts for the Trust form HEE. The future of Medicine training is very exciting and I look forward to working with the trainees and education team. Dr Latha Thangaraja [email protected] Dr Mamatha Kumar is the new Foundation Year 1 TPD O&G I am delighted to be appointed as one of the Training Programme Directors for the Foundation Year Mr Leye Sanu 1 doctors. As the anaesthetics’ College Tutor for the last 6 years, I have looked after trainees in [email protected] anaesthetics supporting them progress through training toward consultant appointment. As the FTPD, I look forward to supporting training our new generation of doctors as they begin their career Ophthalmology and transit from medical school to specialty training. I am looking forward to working with the en- Miss Stacey Strong thusiastic team support providing an incredible foundation training program at West Herts. [email protected] Mr Girish Girish has been appointed as the Surgical Lead for Undergraduates Paediatrics Dr Nirmala Costa-Fernandes I am pleased to be the undergraduate surgical lead for both undergraduates from UCL and SGU. I nirmala.costa- have been involved in supporting the surgical clinical teaching and the training programme, includ- [email protected] ing allocation of students to individual units, induction, pastoral support as well as direct clinical and educational supervision of students. I am a UCL medical school examiner. Radiology Dr Uday Mandalia Introducing new colleagues in the MEC admin team [email protected] Zaynah Shah has joined the team as a MEC administrator Before joining the Medical Education team, I studied Public Services. This helped me become more aware of the work that goes into the NHS from all aspects and pushed me to research administrative roles within the NHS. I started at the beginning of this year. I will help with resuscitation courses, specifically eILS and PILS courses, working alongside Dr Shelly Jacobs with LTFT and SuppoRRT network and support the team with UCL students. Natalie Sharp has joined the team as a GP trainee coordinator Hello! My name is Natalie and I have recently started in the MEC as GPST Programme Coordinator covering for Esen’s Maternity Leave. Prior to starting with the NHS in March, my background has been within the events industry, most recently at Twickenham Stadium. Previous to this, I have worked across a number of London venues including a hotel and private member’s club. Some of the most notable events that I have worked on include globally streamed e-sports tournaments and a 1500 delegate conference who wanted to zip wire across the famous pitch at Twickenham! Ann Holmes has joined the team as a Senior Training Trade Coordinator I worked in occupational pensions for a tech firm for many years, then took a job as Learning Support Assistant in a village primary school. I came back into the world of the grown-ups in 2015, as Occupational Health & Wellbeing Coordinator here at the Trust. I’m very happy to now be working as IMT coordinator in Medical Education. It’s a great team and I’m very much looking forward to meeting everyone I’ll be helping to support.

Library and Knowledge Services Page 3 DLideysosu kthnoawn...? SaFmuuel SltlormTonitme Senior Library Assistant and Education Centre Manager If you require evidence to support best practice, inform service development, for research or for a “ course, let the library save you time by providing high-quality information for your needs. Their aim is to provide evidence when and where you need it. There are a variety of ways you can access the Library and information you require: Knowledge Services aim to You can visit the library to browse the selection of books and journals, as well as using its provide infor- computers and study space mation when and where you You can email or call to request copies of journal articles, and for books to be collected. You can even request and renew books online. Books from other hospitals can be request- need it. ed too, and all for free You don’t need to visit You can access a selection of e-books online, as well as journal subscriptions and data- the library to bases with a free OpenAthens account use it, so let them save You can save time as the library team can find collections of evidence, academic publica- your valuable tions and references on a topic of your choosing time. They can help you setup automated alerts with the latest updates and developments in your specific specialism and at a frequency of your choosing “ They produce their own bulletins to provide updates in certain areas, such as palliative care, dementia and management. You can access encyclopaedic point-of-care tools on many devices, designed for use at the bedside and beyond They can attend your team meetings or huddles and take information requests that arise out of the session They provide training to support staff in developing their skills and confidence in finding and using evidence For many of these services , you do not need to visit the library to use the library There are libraries on all three West Herts sites. They are located within the Education Centres in St Albans and Hemel Hempstead, and on the ground floor of Willow House in Watford. St Albans and Watford are fully staffed and open Monday-Friday 9am-5pm, with Hemel Hempstead being a self-service library. For staff who have registered with the library for free, the Watford library can be accessed 24/7, and St Albans 24/7 on request. To register for a library account http://wghintra01/library OpenAthens allow access to many journals an resources - to register www.eel.nhs.uk Watford extension 7437 • St Albans (or Hemel) Library call St Albans Extension 4818 [email protected] • [email protected]. @whhtlibraries [email protected] http://whhtlibraries.weebly.com

Page 4 Chief Residents at West Herts The Chief Resident Clinical Leadership and Management Development Programme is a joint programme between The Judge Business School, Cambridge University, and Cambridge University Hospitals Post Graduate Medical Centre sponsored by the East of England Deanery. It is a one-year programme aimed at doctors working in local Trusts in their final training years prior to taking up consultant roles and General Practitioners seeking leadership roles within commissioning. It is a one year pro- gramme with three main components: a taught \"mini-MBA\" programme delivered by The Judge, a service improvement pro- ject and a supported leadership role within sponsoring organisations. Dr Benjamin Artman Rheumatology & General Medicine Registrar The Chief Resident programme has been a fantastic learning resource. I have gained much needed skills in leadership and understanding of the workings of management and NHS service provision. I am currently working on a project to improve patient access to appointments in the Rheumatology service. I am also exploring other ways to optimise the Rheumatology referral process as well as help- ing other juniors with their audit projects. Miss Esha Khanderia Surgical Registrar The aim of my project is to establish a medical liaison service for the Division of General Surgery to improve the quality of care for patients. Many surgical patients have multiple co-morbidities and complex medical needs in addition to their surgical conditions. There is currently no formalised medi- cal liaison service at the Trust to enable referral for medical review or takeover of patients that are admitted under the general surgical team. There are a number of different systems employed such as making an electronic referral to individual specialties, bleeping the on-call medical registrar, the “buddy ward” system or contacting a Consultant from a particular medical specialty via the hospital Switchboard. The methods used for the process of referral vary widely between different medical specialties and were often experienced to be haphazard by members of the surgical teams. Literature reflects that a medical liaison service embedded in surgical care reduces length of hospital stay and improves patient care. Through this project, I hope to formalise a new pathway for medical liaison in order to provide better care and outcomes to patients. service. I am also exploring other ways to optimise the Rheumatology referral process as well as helping other juniors with their audit projects. Oxford handbook collection available Can you search and appraise evidence? The Oxford Medical Handbooks are the market leading series of pocket handbooks, written for a broad medical readership, from stu- dents, junior doctors and specialist trainees, to nurs- es, dentists, paramedics, and allied health profes- sionals. They are available to us in the Trust FREE! Click on oxfordmedicine.com and choose ‘NHS in England’ as your institution. Free digital textbooks To book: [email protected] A wide range of digital textbooks are available. Or Extension 3313 4818 from Watford Click on read.kortext.com and choose ‘NHS England and NHS Improvement’ as institution. Log in with your OpenAthens account. If you do not have one, please contact the library.