SW Thames Prospectus - South Thames Diabetes and Endocrinology

Endocrine Experience:
The main emphasis for these SpR posts is Specialist Endocrinology in
an extremely active endocrine unit. The Endocrine Investigation Unit
(with two Specialist Endocrine Nurses) performs a full range of
endocrine dynamic testing with weekly endocrine results review. The
SpRs are involved in the day to day running of the Unit.
All imaging modalities are available including CT, MR and Nuclear
Medicine. There are specialist surgeons for pituitary, thyroid and
adrenal disease in addition to bariatric surgery for morbid obesity. Joint
neuroradiology meetings are held monthly.
There is close collaboration with Ophthalmic colleagues from Moorfields
which has a branch on the St George’s site. This includes integrated
visual field testing and retinal review (see below) together with
collaboration with Mr J Uddin for thyroid eye disease. There are regular
multidisciplinary team meetings with the Head & Neck team and the
Endocrine surgical team.
DIABETES EXPERIENCE:
This is a busy and well staffed unit, including 4 Specialist Nurses, 3
Podiatrists, 2 Dieticians and a full complement of support staff in a
dedicated unit.
Professor Nussey has established a programme of retinal photography
for eye screening and there is a weekly joint meeting with the
ophthalmologists for case reviews and education. An education and
quality control programme is being set up with colleagues from
Moorfields (Dr Catherine Egan) to ensure training in retinopathy
grading.
There is a busy antenatal diabetes service run by Dr Panahloo. There is
a joint weekly clinic with Mr Manyonda, and the registrar is involved
with various ongoing audit projects in the clinic. The clinic also offers a
preconception service. The registrar is involved with antenatal ward
referrals.
In foot care there is a monthly joint foot health clinic with the vascular
surgeons providing a multidisciplinary approach to foot health
Internal Education Programme:
This includes weekly seminars and Grand Rounds in addition to postclinic
meetings and the joint meetings detailed above. There is also a
weekly General Medicine teaching session. SpRs are expected to
participate actively in audit and governance projects and to produce a
poster for a National Endocrine meeting annually.
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