SW Thames Prospectus - South Thames Diabetes and Endocrinology

obstetrician with a particular interest in diabetes pregnancy and runs
a Joint Ante-Natal Clinic together with Dr. John Wright on a weekly
basis, the registrar will also take part in this. It is also hoped that
every registrar will take part in a research project which will lead to an
abstract or small publication during the year of their stay in the
academic department.
Description of Service:
(a) General Medicine – the on call general medical rota is 1:10.
There is easy access to CT scanning and an enlarging modern
casualty and most people find they enjoy the general medicine as
there is good back up, particularly with on call MRI services, etc.. It is
envisaged that General Medicine does not take up a large part of the
SpRs time during the week as the SpR is encouraged to attend all of
these other specialist clinics, leaving the general medicine to be run
by the SHOs and the consultant, apart from the on take. As there are
two SpR’s one, both rotate on and off the GIM beds, this allows
excellent training opportunities, not too much general medicine.
(b) Diabetes and Endocrinology – there is a general Diabetes Clinic
on a weekly basis which involves the SpR seeing new and follow up
patients, there is full on-line blood testing such that patients are seen
with all of their results whilst they wait (HbA1C, creatinine, lipids,
albumin/creatinine ratio). Every other week there is an additional
Young Persons’ Clinic with similar backup. On alternate weeks there
is a dedicated Pituitary Clinic which is multidisciplinary involving
input from the radiotherapists and neurosurgeons, the hospital has
become a regional centre for pituitary disease and has many patients
who are on growth hormone replacement.
There is an active programme supporting the Pituitary Foundation
self-help group and the referral rate for this dedicated Pituitary Clinic
is increasing, providing excellent training in pituitary disease. This
clinic is supported by a full Investigation Unit Service run by the
chemical pathologists so all dynamic function tests can be performed
easily and efficiently.
There is a general Endocrine Clinic once a week and every fourth week
a Joint Thyroid Clinic with the surgeons. The SpR will take an active
role in the Ante-Natal/Diabetes Clinic run jointly. In addition to these
clinics, it is envisaged that the SpR will on rotation attend the
Andrology Clinic run by Mr. Raj Nigam, a Renal/Diabetes Clinic run
by Dr. Bending from St. Helier and an Intertility Clinic run by Mr.
Paul Curtis.
In addition to these, full paediatric and endocrine training is expected
with the SpR attending Dr. Mike Ryalls for paediatric diabetes and for
paediatric Growth Clinic. If required, the SpR can also attend the
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