NPRR711 IDR Meter Protocol Requirement Threshold Update
RMS/COPS Workshop VI update on NPRR711 IDR Meter Protocol Requirement Threshold, including workshop details, voting outcomes, market discussions, and recommendations for further actions."
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Presentation Transcript
GUM/GIM Training Sasha Payagala ST7 Chelsea & Westminster Hospital
Curriculum New curriculum starting in 2022 Geared towards CiPs GIM competencies DFSRH recommended SDI and IUT recommended
Benefits to GUM/GIM training Good foundation in general medicine Well rounded clinician Contributes to many aspects of HIV/GUM training Complex GUM Inpatient HIV Outpatient HIV care frailty, co-morbidities, polypharmacy Exposure to other specialties Close interplay between microbiology/ID/gynae/urology
Case examples - GUM Syphilis case Post-infectious autoimmune glomerulonephritis Required renal biopsy and renal team input Testicular mass requiring urology review Neurological involvement requiring ophthalmology and neurology input Transaminitis with USS liver showing possible liver lesions MPOX case Penile lesions, fever, tonsillar swelling, rash lymphadenopathy Admitted: MPOX +ve, E Coli bacteremia, Peptoniphilus lacrimalis bacteremia and diptheria
Case examples - HIV Inpatient HIV Patients with advanced HIV Toxoplasmosis, CMV retinitis, cryptococcal meningitis, disseminated MAC Lymphoma, multicentric Castleman s disease, KS Outpatient clinic Cognitive impairment HIV/non HIV related Frailty osteoporosis, polypharmacy CV risk Management of co-infections Hepatitis/TB/STIs
What does training involve? GUM/HIV rotations with GIM in blocks per year Separate GIM/GUM competencies on portfolio GIM ES and GUM/HIV ES Specialist clinics gynae, penile and vulval derm, antenatal, TB DFSRH recommended can do implant/coil training Exams: DipGUM and DipHIV
What does training involve? Active involvement in the care of 750 patients presenting with acute medical problems by the end of IMS2 12 months of experience and training in continuing ward care of patients admitted with acute medical problems by end of IMS2 At least 12 hours simulation training 75 hours IM study leave Practical procedures
Thank you for listening spayagala@nhs.net
