University Hospital of North Durham
North Road, Durham. DH1 5TW
Anaesthetic Department, Level 2, UHND
Director Telephone: 0191 333 2360
Email address: firstname.lastname@example.org
University Hospital of North Durham is a medium sized district general hospital with 486 beds covering all the major acute specialities.
Speciality training is available in the following areas:
- General surgery including major colorectal surgery
- Plastic surgery with reconstructive surgery
- Vascular surgery
- Dental/Maxillo-facial Surgery/ENT
- Trauma and orthopaedics
- Paediatric Surgery (General surgery, ENT, Plastics and Orthopaedics)
- Intensive Care Medicine
- Acute and Chronic Pain
The department is comprised of 28 consultants (7 ICM consultants), 7 trust grade doctors and between 11 and 14 trainees at any one time.
We can offer:
- All components of basic training
- Intermediate training including intermediate paediatrics, vascular, major colorectal, plastics, and chronic pain modules.
- Higher training including vascular, major surgery, obstetrics and some components of the higher plastics module plus many of the general duties modules (see curriculum attachment).
- Advanced training module in major surgery with pre-operative assessment.
- An excellent track record of exam success with many of our speciality doctors completing the exam and re-entering training.
Intensive Care Medicine training
UHND has a 10 bed combined critical care unit funded for up to 5 ICU and 4 HDU patients at any one time. Day time cover is provided by one of 6 consultants with an interest in Intensive Care Medicine.
During the week there is a second ‘HDU’ consultant in the morning. These sessions are covered between the core ICU consultants and the HDU consultants who provide the out of hours cover.
At weekends there is a consultant specifically on call for ICU for the 24 hour period.
At night, there is a Consultant specifically for ICU
Upon commencement of UHND attachment, trainees receive an ICU specific induction. They also receive a critical care handbook which details the way that the unit runs, gives advice regarding the management of common ICU conditions, details guidelines and protocols and suggests further reading.
Weekly teaching takes place on Wednesday with a programme mapped to the ICM curriculum.
There are opportunities to get involved in a unit based teaching programme with the nursing staff.
The trust has invested in a dedicated simulation based teaching unit, and we will be working on integrating ICM teaching with that.
We have Consultants interested in ECHO/USS. The cardiology department has approved FICE mentors
Obstetric Anaesthesia Training
- Consultant delivered obstetric anaesthetic sessions covering Labour Ward 08:00-18:00 Monday to Friday.
- Audit: Trainees are encouraged to participate in on-going projects during their time at Durham.
- Consultant antenatal outpatient clinics for high risk pregnancies. There is one clinic per week that trainees are free to attend.
- Elective LSCS sessions in a dedicated elective theatre. There are two sessions each week with one to three LSCS’s per list. These sessions are excellent training lists. More than 90% of the elective LSCS’s in Durham are carried out on these dedicated lists.
- Labour ward training scenarios. From time to time we run mock scenarios during normal working hours on the delivery suite.
- Labour ward forum. Trainees can attend these monthly meetings in order to experience how the maternity unit is managed and run. The meeting is attended by a Consultant Anaesthetist, Obstetricians, Neonatologist and midwives.
- Clinical risk meetings. These meetings are every Friday AM.
Dr Randles is currently our Trust Lead for simulation training.
UHND can offer basic and intermediate paediatric blocks. This has been derived by looking at skill requirements as defined in the RCOA curriculum, case mix and numbers. Higher and advanced training is only offered the RVI at present.
We provide elective general surgery, orthopaedic (including specialist work), plastic surgery (including hypospadias repair), community dental and ENT. Emergency theatre work is largely general surgery, orthopaedics and plastics.
Preoperative Assessment Training
UHND has a well-established Preoperative Assessment (POA) service with all patients undergoing nurse led Preoperative Assessment. High risk patients are referred to the Consultant clinic for formal assessment and risk stratification. In addition, all patients undergoing major abdominal surgery have Cardiopulmonary exercise testing (CPET) as part of the preoperative work up, which helps better plan their perioperative care.
- 4 Consultant clinics a week
- 2 review clinics (4 patients per clinic)
- 2 CPET clinics (3 patients per clinic)
- Clinical skills gained
- Running the test
- Interpreting the results
- Discussion of the test results and risks with the patients
- Participation in Vascular MDT
- Non-clinical CV enhancing opportunities
- Audit and service improvement projects
- Research activity pertaining to POA
- Teaching for POA nursing staff
Senior trainees doing the Major Surgery module get listed for regular Preoperative Assessment sessions. A typical POA module would include
- 2-4 POA clinics where the trainees observe the running of the clinic and are entirely supernumerary.
- 2-4 POA clinics where the trainees are directly observed running and interpreting the test, followed by discussion of risk with patients and family.
- Independent clinics with indirect supervision.
The informal feedback from trainees completing this module has been very positive. We have had several trainees complete our POA module and move on to Consultant positions with a substantial POA commitment.
UHND has a research active anaesthetic department. We have recruited patients to several perioperative studies from the NIHR portfolio in the last 4 years:
UHND also collaborates on studies initiated within the local network (two studies with James Cook University Hospital):
- Validation of the postoperative morbidity survey in abdominal aortic aneurysm repair – a prospective observational pilot study. (Goodman et al. Perioperative Medicine (2015) 4:10)
- Changing health behaviors prior to surgery: What are your views?
The major surgery module provides an excellent opportunity to get involved with perioperative research, with many participants recruited through pre assessment clinics prior to major colorectal or vascular surgery. Good Clinical Practice (GCP) training for trainees interested in recruiting patients into portfolio studies can be arranged through our research and innovation department.
Critical appraisal, statistics and research teaching sessions are included in the departmental annual teaching programme.
Trainees interested in fulfilling some of the competencies in the research part of Annex G will be supported in the department with supervision by named research active consultants.