Medical Education

Medical training at SaTH

Welcome to the Medical Education department at Shrewsbury & Telford Hospital NHS Trust. The department provides education, support and guidance to trainees based within the Princess Royal Hospital, Royal Shrewsbury Hospital and the Community. Our aim is to ensure trainees have an excellent training experience whilst based with us. We thrive on being accessible and have an open door policy.

The department is responsible for co-ordinating all Postgraduate Medical and Dental training programmes including the management of the Foundation Programme, Induction, and Study Leave. We also organise a number of in-house training programmes and Regional teaching days.

Each speciality has a dedicated Educational Lead/College Tutor who also provides support and guidance to trainees, this lead also provides a link into the relevant Postgraduate Specialty School.

We run monthly Educational Leads meetings and regular Educational Governance meetings where training issues are discussed and fed back to the Trust Board. We are keen to ensure that trainees are represented on a number of committees throughout the Shrewsbury & Telford Hospital NHS Trust.

We have an active multi-disciplinary Education Centre, as well as a Library and a Clinical Skills Laboratory on both hospital sites. Both Education Centres are used for local teaching sessions by a number of specialities throughout the Trust and we also host Regional Teaching days. We have a 250 seat lecture theatre, a number of dedicated seminars rooms, and access to video conferencing from site to site. On the Royal Shrewsbury Hospital site we have a Simulation Suite which again is used by specialities to compliment in-house teaching programmes and provide multiprofessional education.

Following a successful pilot session carried out in January 2015, Foundation Doctors within the Trust now receive a full day of simulation training around the management of the deteriorating or acutely unwell patient.

This form of training uses the SimMan 3G manikin with state of the art technology which interacts with the trainees and displays neurological and physiological symptoms, which responds appropriately to treatment, enabling a more realistic learning experience in a safe environment.

The full day now allows a more extensive introduction to the running of the session and a thorough familiarisation of the manikin which has improved the trainees’ experience. It allows the scenarios, 6 in total, to run in real time as much as possible, each followed by an extensive debrief, allowing the trainee a greater opportunity to observe and reflect on their behaviour when immersed in a stressful situation.

However the biggest advantage of a full training day is that we invite registered nurses to attend. This has received a positive reaction from both disciplines, highlighting an understanding of each other’s roles and challenges and assists with breaking down barriers. The fact that it is now an interprofessional training day adds more value and realism to the scenarios, as it takes a collaborative approach to care for a critically ill patient and frequently it is the nurse who is in prime position to notice a deterioration in a patients’ condition and escalate concerns to the medical team. We have also been able to incorporate a session on Human Factors and error avoidance and to discuss in detail the non-technical skills seen throughout the scenarios, such as communication, situational awareness, leadership, delegation and teamwork which are paramount to high quality and safe patient care.

Trainees of both disciplines highlighted that they found this form of training provided an opportunity to practice in a safe environment, with many expressing an increase in confidence when dealing with medical emergencies, largely due to the fact that the simulation sessions enabled a learning experience where mistakes and experience were discussed and analysed in a safe environment. Feedback also suggested that there was an increased understanding of the part human factors play in safe patient care.

On 28th January 2016 a Clinical Skills Laboratory was officially opened in the Education Centre at Princess Royal Hospital, Telford.

The facility is led by one of the Shrewsbury & Telford Hospital NHS Trust’s Clinical Practice Educators and is used by a number of clinical staff throughout the hospital.

Trainees can have the opportunity to fine tune and practice a number of Clinical Skills including:-

  • Lumbar puncture
  • CVP lines
  • Catheterisation
  • Cannulation
  • Chest Drains

Doctors allocated to Shrewsbury and Telford Hospital NHS Trust are entitled to claim a certain amount of Study Leave and Financial support (speciality dependant) as set out by Health Education England working across the West Midlands (HEEWM).

Study Leave Guidelines

We will approve study leave requests if they are educationally viable, meet Speciality Schools guidance and meet rota requirements (see link to HEEWM study leave).  It is, however, the Trainee’s responsibility to ensure that appropriate notice and approval is sought before booking a place on a course.

A number of Speciality Training programmes are now managed centrally and study leave applications are processed and managed by Training Programme Directors / Regional Administrators.  It should be noted that the same principals apply, as above, for ensuring leave is approved and signed off by the Trust before leave is booked.

Study leave forms are available from the Medical Education Department and can also be printed off the Trusts Intranet pages once in post.

For more information, please see the West Midlands Deanery Guidelines.

In line with the General Medical Council (GMC) Accreditation of Trainers implementation plan, the system for approval of trainers has changed; Clinical and Educational Supervisors are now required to collect evidence for inclusion in their Trust annual appraisal in order to maintain their GMC accreditation, and newly appointed supervisors will be required to undertake specific training in order to be GMC approved for the role without which they cannot supervise trainees. For further information please visit the GMC site directly.

Shrewsbury & Telford Hospital NHS Trust actively supports its Trainers.  All Trainers that are approved and accredited have time recognised as part of their SPA allowance in their Job Plans.

We run an active “Continuing Professional Development” (CPD) events calendar for Consultant and Specialty and Associate Specialist (SAS) doctors.  Each session scheduled is mapped to the GMC 7 domains and relevant for trainers.

We have a dedicated internal faculty that runs regular accredited Train the Trainer courses (again mapped to the GMC domains).  Senior Medical staff are encouraged to attend one of these courses which are free to attend if you are employed by the Trust. SAS doctors and Senior ST doctors approaching Certificate of Completion of Training level are also encouraged to attend.

Dr Tieng Toh – Foundation Year 1 Doctor – Shrewsbury and Telford Hospital NHS Trust – August 2015 – August 2016: 

Working at SaTH is really wonderful, as you get to know the nurses, HCA, registrars and even the consultants really well! It is really good to be here as FY1 as it will increase your confidence levels, improve communication and handover skills! Also, you will get a lot of opportunities with audits, quality improvement projects and even research – national and international! All you need is some hard work and perseverance! The consultants are really supportive and will guide you in both clinical and non-clinical problems! I would highly recommend SaTH to all medical students and doctors alike!

Dr Chidi Nzekwue- Foundation Year 1 Doctors – Shrewsbury and Telford Hospital NHS Trust – August 2015 – August 2016: 

Shrewsbury and Telford Hospital Trust was my first venture beyond the M25 and it sat as quite a daunting prospect at the outset. Very quickly however I was drawn in and welcomed to an inclusive and enthusiastic team, a community. From Consultant to Radiographer, from Secretary to Porter it was a pleasure to work with so many driven and caring individuals. I struggle to pinpoint any single aspect that put me at ease during my time at the Royal Shrewsbury Hospital, in broad terms it’s just a feeling, a shift from hierarchical verticality to horizontal harmony with all professionals and staff mucking in to ensure patients receive the best care they can.

An absolute pleasure; sad to leave.

Dr Michelle Madigan – Foundation Year 1 Doctor – SaTH – August 2015 – August 2016

I worked as an FY1 at Shrewsbury and I really enjoyed it. It is a really sociable hospital, I could go into the doctors mess and know there will be someone to chat to. People work hard and consultants are always approachable, and the patients are lovely also. The area itself is beautiful, it has a youthful vibe with nice bars – there’s always a good choice for mess parties. I would quite happily work here again.