Local Education and Training Boards (LETBs) introduced from 01 April 2013 subsumed deaneries and are responsible for the education
and training of health and public health workers at a regional level. There are 13 LETBs in England.
The East of England covers the counties of Norfolk, Suffolk, Cambridgeshire, Bedfordshire, Hertfordshire and Essex serving a population of 5.5 million.
17 acute Trusts across the region.
The region is divided in 4 sectors. Each sector has 4-5 acute Trusts. A trainee will be allocated in one sector through out the rotation. So, a trainee would only rotate through a maximum of 5 hospitals during the whole of the training period.
You will initially be appointed for your ACCS training to a sector/ hospital by the national selection process. Please ensure you preference your hospital(s) of choice and sector appropriately when you apply. You will usually spend 3 years in that hospital(s) completing the core training – ACCS ST1 & ST2 and the EM ST3 years.
At the level of ST4-6, you will be asked to choose the sector you wish to go and give appropriate rationale. The Training Programme Directors with the consultation of the Head of School will try their best to give you the sector of your choice. But if there is more than one applicant for a number of posts, the second best choice may be allocated.
Addenbrooke’s hospital in the only major trauma centre in the EoE trauma network.
Yes, every trainee has to rotate through the MTC for at least for 6 months at some point of the training period.
There are 14 Trauma Units across the region. Unlike London, all the TUs are capable of dealing with trauma patients in their units. The trauma triage tool in EoE allows the Ambulance crew to take the patients to the TUs. All the units follow the same trauma care protocol called TEMPO.
Every hospital has an in-house training programme for the trainees. The EM College Tutor (CT) of the respective trust has the responsibility to deliver required education and training to the local trainees.
Yes, There are regional training programmes for all grades: ACCS, ST3/DRE-EM and ST4-6. There are 12 training days in year from August to July, held at various hospitals in the region. For the ACCS, ST3/DRE-EM, higher trainees and SAS doctors, there are individual training days.
The local College Tutors are advised to let the trainees organise and run such days. The CTs may be able to help in sorting out any local issue or challenge.
You must attend 75% of the training days. The dates are decided well in advance, so that you may apply for study leaves to your local department. They are supposed to release you if you have given them sufficient notice for the study leave.
Prior to both the exams, there are Mock OSCEs, which are run by the consultant colleagues (for FRCEM) and consultant with previous successful trainees for MRCEM. The MRCEM Mock OSCEs are held within the region. At present the venue for the FCEM Mock OSCEs is Addenbrooke's Hospital.
At Addenbrooke’s Hospital, Dr Adrian Boyle has on line support and advice set up for the preparation of Critical Appraisal and CTRs for FCEM trainees.
You may contact one of the following consultants:
Mr Chris Maimaris – Head of School (HoS) - firstname.lastname@example.org
Dr Cilla Reid – TPD, ACCS (ST1-2) – email@example.com
Mr Pawan Gupta – TPD, ST3 & DRE-EM – firstname.lastname@example.org
Dr Nam Tong – TPD, Higher specialist trainees – email@example.com
Mrs Anna Frost, Admin Manager, School of EM – firstname.lastname@example.org
There are two committees dealing with training: The ACCS and the EM regional training committees. They meet 2-3 times a year and are attended by the CTs and TPDs. The trainee representatives (ACCS and Higher) are also invited to attend and produce a report. This is the best forum where the issues are discussed and minuted. The trainee representatives may discuss issues at the regional training days or regional trainees forum.
The respective TPD and HoS.
To disseminate any decisions taken at the STC/ACCS meetings to the trainees. To discuss with the STC members of any training issues in the region. To be part of the LETB team visiting other emergency departments in the region.
The LETB has very good support for SAS doctors in the region. Dr Aman Khan is the TPD for SAS doctors who may provide advice if required. The SAS doctors are encouraged to attend the regional training days organised separately by Dr Khan. They are also encouraged to apply for DRE-EM training posts at the national level. We have a number of SAS doctors who have been successful in getting the training posts at a national level.