Hepatology ATP Yorkshire: 6-Month Rotation in Sheffield" (74 characters)
This description includes details about a hepatology training program in Yorkshire, wherein trainees alternate between Sheffield and Leeds. The program at Sheffield involves covering hepatology at the Northern General site, providing specialist advice to South Yorkshire Hospitals, and attending various teaching sessions and MDT meetings. The typical ward and non-ward based timetables outline the daily schedule for trainees, including meetings, clinics, MDTs, and educational activities. Sheffield offers a supportive environment with opportunities for learning, teaching, endoscopy training, clinic attendance, and MDT involvement, all without an on-call component. Trainees can develop leadership and management skills, attend specialist clinics, and receive valuable guidance from consultants. Overall, the program aims to provide a comprehensive learning experience in hepatology.
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Hepatology ATP Yorkshire - 6 months in Sheffield
Overview Yorkshire rotation - 2 trainees alternating 6 months in Sheffield and 6 months in Leeds Sheffield Post - 3-4 registrars covering hepatology at predominantly Northern General site in Sheffield (3-4 also covering Luminal Gastroenterology) - Specialist non-transplant advice to South Yorkshire Hospitals (including TACE and TIPSS) - Sheffield NHS teaching Trust is 2 hospitals (Northern General and Royal Hallamshire) - Job is predominantly based at the Northern General
Typical ward based timetable (1 in 3-4 weeks) Ward week AM 08.00 Consultant meeting 08.30 Histopathology meeting 09.00 SpR led WR 08.00 CNS meeting 08.30 TACE MDT 09.00 SpR led WR 11.30 Benign radiology MDT 12.30 Cons / SPR Liver teaching 09.00 SpR-led WR Robert Hadfield 3 and 4 (each 26 bedded) Patients split between luminal (2 teams) and liver (1 team) Liver usually has 30-45 patients (which is often double the number of luminal patients) Outliers (between 0 and 10) PM Monday Support ward team / SPA time Tuesday 13.30 Varices list Variable junior staffing (2-3 juniors covering liver and liver outliers) SPRs may need to help with jobs on wards i.e. paracentesis, consenting patients Wednesday 13.30 Hepatology New Ward Discharge clinic Support ward team / SPA time Support ward team / SPA time Consultants do 2 weeks on ward at a time Thursday 08.30 AIH MDT 09.00 SpR-led WR 09.00 SpR led WR Complex mix of inpatients and good opportunity to discuss with consultants (and do WBPAs) Friday
Typical non-ward based timetable (2-3 weeks in 4) Ward week AM 08.00 Consultant meeting 08.30 Histopathology meeting 09.00 SPA time 08.00 CNS meeting 08.30 TACE MDT 09.00 10.30 Upper GI MDT 11.30 Benign radiology MDT 12.30 TIPSS MDT (1 in 6) 12.30 Cons / SPR Liver teaching On call Gastro (09.00 17.00) Answering online referrals and bleep 08.30 AIH MDT 09.00 Mixed OP clinic (predominantly HPB) SPA time PM Monday Mixed OP clinic (predominantly autoimmune) 13.30 Varices list Flexibility in SPA time depending on clinical commitments to attend other educational activities - Endoscopy lists - Specialist clinics - Audit / Management - In house training (UGIB course) - Regional and national training Tuesday Wednesday Thursday 13.30 Optional Endoscopy list Friday SPA time
Pros of Sheffield Supportive consultant body with opportunity to discuss difficult cases and opinion is valued. Educational activities common so opportunity to teach and be taught Good Opportunity to continue endoscopy training (once weekly varices list and other lists through discussion) On non-ward week, 2 clinics, 1-2 endoscopy lists and 1 gastro on call day (with 4 SPA days) Can attend specialist MDTs including TIPSS, TACE and develop leadership & management skills* opportunity to attend OP clinics (including specialist clinics i.e. Wilson s, transplant clinics) No on call component and no GIM (9-5 Monday to Friday) *IMTs predominant on SPR rota so seen as senior SPR for advice
Drawbacks No on call supplement No direct transplant experience (but will get in Leeds and opportunity to do outreach clinics if required) Ward weeks can be hard (30-45 inpatients with limited junior cover) Changes to clinics during COVID mean you rarely do a clinic physically alongside a consultant limiting direct learning opportunities
Key Contacts Current Hepatology ATP Trainee (September 2021-March 2022) Dr Barbara Hoeroldt (barbara.hoeroldt1@nhs.net) Clinical Lead for Hepatology and Education Supervisor for Hepatology ATP trainee Other consultants Dr Amer Al-Joudeh Dr Yasser El-Sherif Professor Dermot Gleeson Dr Laura Harrison Dr Claire Salmon For rota based queries, katie.bowes2@nhs.net James Morgan James.morgan18@nhs.net nt
