Subrotations & Units
The school comprises of over 36 Specialty Training (ST) posts across 13 different units. The two main teaching hospitals are:
1.Addenbrookes, Cambridge Universtity Hospital, Cambridge
2.Norfolk & Norwich University Hospital, Norwich.
We run 3 sub-rotations to reduce commuting distances (East, South and West), which can be applied for individually when it comes to National Recruitment. This way you can plan your lives, family and still balance this with excellent training in a more localised geographical area. There is huge flexibility with this on an individual basis, upon discussion with the Training Program Director, Narman Puvanachandra.
Typically trainees will start in a smaller unit and then rotate through to a teaching hospital in Year 2 or 3. Overall a trainee can expect to spend 2-3 year in a teaching hospital throughout their training allowing them to experience more super-specialist care. However one of the strengths of our rotation are also the 11 smaller units that allow trainees in pairs to enjoy the benefits of a quieter unit with significant surgical and clinical training opportunities. Large volumes of cataract and other surgical procedures make our rotation particularly popular and trainees can expect to finish training as independent highly experienced surgeons with over 1000 cases under their belt.
Further Advice |
|
Dr Rachel Quail | Acute Medicine Training Programme Director & Chair |
Dr Fraz Mir | Head of School of Medicine |
Please follow this link for the Acute (internal) Medicine 2012 GMC National Training Survey report.
Useful links
Further Advice |
|
Dr Rachel Quail | Acute Medicine Training Programme Director & Chair |
Dr Fraz Mir | Head of School of Medicine |
Please follow this link for the Acute (internal) Medicine 2012 GMC National Training Survey report.
Useful links
Further Advice |
|
Dr Rachel Quail | Acute Medicine Training Programme Director & Chair |
Dr Fraz Mir | Head of School of Medicine |
Please follow this link for the Acute (internal) Medicine 2012 GMC National Training Survey report.
Useful links
Further Advice |
|
Dr Rachel Quail | Acute Medicine Training Programme Director & Chair |
Dr Fraz Mir | Head of School of Medicine |
Please follow this link for the Acute (internal) Medicine 2012 GMC National Training Survey report.
Useful links
This busy eye department provides a wide range of medical and surgical ophthalmology services to the population of East Suffolk and Essex.
The department offers comprehensive training in general and sub-specialist ophthalmology.
We have nine consultants. Mr Edelsten is the clinical director. Miss Murthy is the college tutor and also an educational supervisor. Mr Kostakis is the other educational supervisor.
Consultants
Consultant |
Specialist interest |
Mr Simon Hardman-Lea |
Cornea and neuro-ophthalmology |
Mr Clive Edelsten |
Medical retina, medical ophthalmology and specialising in JIA-associated uveitis with clinical sessions at Great Ormond Street Hospital |
Mr Richard Goble |
Vitreo-retinal surgery |
Mr Deepak Vayalambrone |
Vitreo-retinal surgery |
Mr William Kiel |
Glaucoma |
Miss Rachna Murthy |
Oculoplastics and adnexal surgery and specialising in thyroid eye disease clinics at Addenbrooke’s Hospital |
Mr Vasileios Kostakis |
Paediatrics and adult motility |
Dr Grazyna Porter |
Medical retina and ocular oncology |
Mr Kuranageri Poornesh |
Medical retina and neuro-ophthalmology |
Intermediate Grades
- Mr A Moreira
- Dr S Poovali
- Dr D Vite (part time)
- Dr M Goswami
Current Training Grades
- Specialist Registrars x2,
- 2 LAT ST 1
- Junior Clinical Fellow
Equipment
Facilities at the eye department include:
- 2 well equipped eye theaters
- YAG/SLT laser
- Pascal laser
- Humprey and Goldmann visual fields
- 2 modern OCT scanners
- Anterior segment and fundus cameras.
- Electrodiagnostics (Visual evoked potentials)
- A dedicated centre (Garrett Anderson Eye Suite) which offers a one-stop service for medical retina conditions requiring anti-VEGF therapy, such as AMD and diabetic maculopathy.
Library and Education Centre
The department has access to a comprehensive postgraduate medical education centre that runs regular courses and weekly teaching. There is a well stocked medical library that stocks many ophthalmic texts and journals.
Specialty Trainee Timetable
The timetables are flexible to allow trainees to meet their interests and training needs, given enough notice. All time tables offer at least one cataract surgery list and one other specialty surgery list per week (paediatric, cornea, vitreoretinal, glaucoma, oculaplastics). There is also the opportunity to attend a laser clinic and minor-op or intravitreal injection list. All trainees will have the opportunity to attend at least one specialty clinic (paediatric, cornea, vitreoretinal, medical retina, glaucoma, oculoplastics , ocular oncology and inflammatory eye disease). Trainees will be required to perform at least one Eye Casualty clinic per week and be part of the on call rota on a 1 in 6 basis. The non-resident on call commitments are from 5pm to 9am Monday to Friday, and 24 hour on call at weekends.
Teaching and Audit
There is a weekly in-house teaching on Thursday mornings where trainees are encouraged to bring in and discuss difficult cases. Monday lunchtime teaching focuses on paediatrics and strabismus. There is also a bi-monthly journal club where trainees are encouraged to present an article they have appraised. Study leave for attendance at Addenbrooke’s monthly teaching is incorporated into the timetable. There is also a bi-monthly clinical governance and audit meeting, and trainees are encouraged to participate.
The eye clinics provide a wealth of clinical signs and pathology with excellent learning opportunities in the specialty clinics. The department’s emphasis is to support trainee’s learning needs in surgery and clinical skills and provide ample opportunities and encouragement for research and audit.
Click here to find out about training in Ophthalmology at the James Paget University Hospital
Click here to find out about training in Ophthalmology at the James Paget University Hospital
Introduction to the Department
The Ophthalmology Department offers a comprehensive range of ophthalmic subspecialties and comprises the following medical staff:
8 consultants, 2 staff grades, 2 specialty trainees, 3 LAS doctors, 2 FY2 doctors, 2 nurse practioners, 3 orthoptists and 1 optometrist.
The specialty trainee timetable is flexible and there may be the opportunity to modify sessions to suit the trainee’s needs if given sufficient notice. Luton & Dunstable Hospital offers excellent surgical exposure. There is a dedicated Eye Day Surgery Unit which runs 12 theatres sessions per week. All timetables offer at least 1 cataract surgery list per week and 1 subspecialty surgery list per week. There is also the opportunity to attend a laser clinic, minor ops/cyst clinic, intravitreal injection clinic and a botox clinic. All trainees will be required to perform 1 casualty session per week and participate in the on-call rota.
The corneal service is a tertiary service which takes referrals from all over the UK for complex surgical cornea, anterior segment reconstruction and laser refractive surgery for NHS disease indications.
Consultants and Subspecialty
The consultants and their sub-specialty include:-
Mr Jonathan Barnes |
Paediatric ophthalmology and strabismus |
Mr Allon Barsam |
Cornea, cataract & laser refractive surgery |
Miss Binnie Sandhu |
Medical Retina and Uveitis |
Miss Susie Sarangapani |
Oculoplastics |
Mr Martin Snead |
Vitreo-retinal service (main appointment at Addenbrooke’s hospital) |
Miss Mala Subash |
Medical Retina |
Mr Venki Sundaram |
Medical Retina |
Mr Andrew Waldock |
Glaucoma |
|
|
Clinical Director |
Mr Jonathan Barnes |
College Tutor |
Mr Allon Barsam |
Audit Lead |
Mr Venki Sundaram |
Teaching
There is informal weekly teaching arranged within the department which is both trainee and consultant led. These sessions are flexible and dependent on the timetable of the trainees.
Regional teaching takes place at Addenbrooke’s Hospital and Ickworth House. There are 10 sessions per year run by each of the different subspecialty firms at Addenbrooke’s as well as 3 regional study days held at Ickworth House, Bury St Edmunds. These study days are hosted by each of the hospitals in the region on a rolling basis.
Ophthalmology Clinical Governance Meetings are held bi-monthly at Luton & Dunstable Hospital. Trainees are expected to undertake and present at least 1 audit during the year. Following each of these meetings, there is a consultant led teaching session.
Prize presentations
All trainees and fellows in the region are invited to present their clinical or laboratory research to compete for the annual Marie Comer or John Cairns prizes. These competitions are usually held in December. Information about these presentations are circulated prior to the time of the event.
Acute clinic and On-call commitments
Weekday daytime eye casualty referrals are generally directed to either the doctor covering the acute session or one of the nursing staff (between 9am-5pm).
Out of hours (between 5pm-9pm Monday to Friday and 9am-9pm Saturday & Sunday) is covered by the on call doctor. The current rota is a 1-in-5 to 1-in-6 commitment and is non-resident on call.
The acute clinic doctor is well supported by the consultants in clinic and out of hours by the ophthalmology consultant on call. The on call consultant rota is covered by all of the Luton ophthalmology consultants as well as those at Bedford Hospital.
Ophthalmology on call after 9pm is covered by the A&E department who are advised to consult with Moorfields Eye Hospital or Addenbrooke’s Hospital for any ophthalmic problems. There is also an acute diary into which A&E can refer patients.
Library
The COMET centre provides for both postgraduate and undergraduate medical education. The Trust’s Library can be found on the first floor in COMET and is stocked with a comprehensive and up to date selection of ophthalmic textbooks including the AAO basic and clinical science course text, as well as some CD ROMs. It also holds the following Ophthalmic Journals: Current Opinion in Ophthalmology (1993 to 2011), Eye (1990 to 2000), Ophthalmology (current year only - donation) and the Journal of Cataract & Refractive Surgery (2007 to current issue). Most texts which are not available as a hard copy should be available through your Athens account. COMET provides 24 hour access to these resources in addition to computing facilities.There are also a selection of departmental books, these can be accessed by asking one of the nursing staff.
Click here to find out more about training in Ophthalmology at Norfolk & Norwich University Hospital
Click here to find out more about training in Ophthalmology at Norfolk & Norwich University Hospital
Click here to find out more about training in Ophthalmology at Norfolk & Norwich University Hospital
Click here to find out more about training in Ophthalmology at Norfolk & Norwich University Hospital
Click here to find out more about training in Ophthalmology at Norfolk & Norwich University Hospital