Indicative Job Plan
The STC understands the importance of the training of StRs and will aim to provide this tailored to individual requirements whilst recognising that any post will also have a service commitment. In addition, all DGHs will have a contribution to the medical rota. We regard this as an important exposure to all aspects of GIM, particularly as this will be limited in ST5 to ST7. We recommend the following job plan (based on 4 hour sessions) during weeks which are not spent on call for general medicine:
1. 2 catheter lab sessions performing angiography and/or pacemaker implantation or pacing programming in the pacing clinic
2. 1 echo lab session for transthoracic echocardiography
3. 1-2 OPCs with a mixture of reviews as well as new referrals
4. 1-2 Consultant-led ward rounds
5. 1 StR - led ward round
6. Exposure to in-patient referrals as well as CCU/HDU patients
It is important that all cases are logged in the enclosed logbook. There is some uncertainty as to what constitutes a case but it is the view of the STC that all invasive cases where gloves come into contact with the patient can be counted. This also applies to echoes where any images are obtained. There is an expectation that you would have completed at least 100 angiograms, 40 permanent pacemakers and 75 transthoracic echoes per year during ST3 and 4. Not all units offer pacing on site but we would expect those that do not to compensate with greater numbers of other procedures. Whilst the ARCP requirements for ST3 and 4 are relatively light, the ST5 year is quite onerous.
It is important that you discuss/draw to the attention of your local Education Supervisor, any difficulties in achieving these numbers. Alternatively the Training Programme Director is also available to provide support.
Indicative Job Plan for James Cook University Hospital
Indicative Job Plan for Freeman Hospital