SW Thames Prospectus - South Thames Diabetes and Endocrinology
SW Thames Prospectus - South Thames Diabetes and Endocrinology
SW Thames Prospectus - South Thames Diabetes and Endocrinology
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<strong>Endocrinology</strong><br />
The department provides not only broad experience in General<br />
<strong>Endocrinology</strong>, but also offers specialist clinics in Pituitary <strong>Endocrinology</strong>,<br />
<strong>and</strong> a Joint Paediatric <strong>Endocrinology</strong> with Prof. Peter Hindmarsh from GOS<br />
Hospital, London. In addition, there is a weekly Thyroid Nodule “One-Stop-<br />
Shop” clinic run by Dr. Prentice, where patients undergo thyroid ultrasound<br />
<strong>and</strong> fine needle aspiration biopsy. SPRs are encouraged to attend to learn<br />
the rudiments of these procedures. In addition, the department organises a<br />
quarterly study day, accredited by the Royal Colleges of Medicine <strong>and</strong><br />
Radiology, <strong>and</strong> SPRs are encouraged to attend this in addition to their<br />
practical sessions.<br />
In addition to out-patient clinics, there is a dedicated weekly session for<br />
dynamic endocrine testing, (usually supervised <strong>and</strong> organised by the SPRs),<br />
a quarterly Joint Thyroid Pathology Results meeting, <strong>and</strong> a weekly Joint<br />
Biochemistry/Endocrine meeting with Dr. Tarn to review all endocrine test<br />
results.<br />
General Internal Medicine<br />
The department participates in a busy on-take rota for General Internal<br />
Medicine, with each consultant being on-call on an approximately 1 in 10<br />
basis. Takes last a full 24 hours, <strong>and</strong> are currently supported by two<br />
consultant physicians in our Emergency Assessment Unit during working<br />
hours.<br />
There are currently 12 Registrar Grade doctors working on the medical rota,<br />
<strong>and</strong> a system of internal cover operates for both annual <strong>and</strong> study leave.<br />
This is a shift system, whereby the day shift (8am until 9 pm) is worked<br />
with one of the consultants within the department, <strong>and</strong> a separate registrar<br />
covers the night shift (8pm until 9 am). Day shifts are worked singly, while<br />
the night shift rota is split so that one registrar works Monday through<br />
Thursday nights (with Friday as a day off), <strong>and</strong> a second registrar working<br />
Friday through Sunday nights, with the Monday as a day off. Clinics are<br />
generally cancelled during an SPRs night shift weeks.<br />
In-patients are distributed by a “Zoning” system, based on team “home<br />
wards”, <strong>and</strong> this usually ensures that the inpatient load for each SPR is no<br />
more than 15-20 patients at any one time. Current “base” wards are<br />
Ashburton 1 (male) <strong>and</strong> Ashburton 2 (female).<br />
SPR Posts<br />
Currently the two SPR posts are arranged such that one post is assigned to<br />
each consultant, with rotation six months into the job. Clinics are<br />
distributed such that each SPR can undertake at least one <strong>Diabetes</strong> <strong>and</strong><br />
one <strong>Endocrinology</strong> clinic each week in each half of the job, with some<br />
flexibility to allow attendance at specialist clinics as needed.The two SPRs<br />
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