Health Education England, working across the East of England: Haematology
Haematology in the United Kingdom encompasses both clinical and laboratory aspects of the specialty. Award of the CT will require evidence of satisfactory completion of training in both of these aspects.
Attractions of the Specialty
A major attraction of haematology is the comprehensive clinical care offered to patients. Haematologists provide a complete diagnostic and therapeutic service for a wide variety of pathological disorders. Additional attractions are the challenges of intensive patient care on the one hand (for example, stem cell transplantation) and the operational challenge of delivering high quality care to large numbers of patients on the other (for example, anticoagulation). In addition, consultant haematologists are responsible for the strategic development of laboratory aspects of haematology and in conjunction with a senior technologist or clinical scientist have day-to-day involvement in laboratory management.
Haematology is a science-led discipline and is a clear example of the early application of advances in medical knowledge to clinical care. Finally, and in addition to the responsibility for their own patients, haematologists are frequently asked to advise on diagnostic and therapeutic problems in a wide range of specialties. Consultant haematologists typically have extensive knowledge of how the hospital operates and will inevitably work in conjunction with all consultant colleagues in their hospital. A haematologist is therefore a central figure in the hospital-wide delivery of clinical care and for this reason they often play a major role in service development.
Higher medical training will occupy not less than five years. The rotation in East Anglia comprises a 2 centre model based on Addenbrooke’s Hospital, Cambridge University Hospitals NHS foundation trust with a second centre at Norfolk and Norwich University Hospital. Addenbrooke’s Hospital includes the regional stem cell transplant unit, the comprehensive care centre for haemophilia and the paediatric haematology and oncology unit. Those trainees placed at Norfolk and Norwich University Hospital will spend a year at Addenbrookes for specialist experience. All trainees will rotate to district general hospitals which are in Bury St Edmunds, Peterborough, Ipswich, Kings Lynn and Great Yarmouth.
The rotation into Essex includes placements in Basildon, Southend and Broomfield Hospitals, which offer exposure to haematological complications associated with co-located specialist services in Essex including cardiothoracic surgery and burns & plastic surgery. All trainees in the Essex rotation will also have placements in a tertiary unit, most likely, in Addenbrookes Hospital.
The training posts in Hertfordshire are currently part of a London training programme but are likely to be incorporated into the East of England training programme from 2020.
The training programme provides experience and guided learning in all aspects of clinical and diagnostic haematology. In addition, dedicated time for training in transfusion medicine and paediatric haematology is included.
Cambridge University is the foremost biomedical research centre in Europe and the department is the leading academic centre for haematology in the United Kingdom. There are numerous opportunities for training in research during higher medical training and the opportunity to consider protected time training in research leading to a higher degree. The programme includes academic training posts at clincal fellow and lecturer levels .
- Completion of a core medical training programme or equivalent.
- Documented evidence of achievement of level 1 competencies in general internal medicine (acute) and generic curricula.
- Full MRCP is required.
- Non-UK graduates without the MRCP who compete for higher medical training posts must provide evidence of appropriate knowledge, training and experience, particularly in the care of acute medical conditions.
- Broad general medical interest and experience
- Ability to offer consultative advice to a wide variety of different specialties
- A flexible approach to working methods
- The ability to continually develop and change
- A desire to undertake a major management component within their routine practice
- The ability to work as a member of a team and communicate effectively with colleagues, patients and relatives
|Chair of Regional Training Committee||Cambridge University
Hospitals NHS Foundation Trust
|Dr Emma Gudgin||Training Programme Director,
Training Committee Chair
& Consultant Haematologist
Hospitals NHS Foundation Trust
|Dr Ian Barton||Head of School of Medicine
& Associate Postgraduate Dean
|East of England
Detailed guidance on the Haematology curriculum is available from the JRCPTB website.
Introduction to specialty from a trainee perspective
Welcome to haematology in the East of England.
Haematology training in the East of England comprises of two rotation blocks, one based at Addenbrooke’s Hospital and the other at Norfolk and Norwich Hospital. Trainees based at Addenbrooke’s typically spend 3 years at Addenbrooke’s and 2 years in one of the local DGHs (Peterborough, Ipswich, Great Yarmouth or West Suffolk). Trainees based at Norfolk and Norwich typically rotate through Norfolk and Norwich, King’s Lynn, Great Yarmouth and Addenbrooke’s.
Core rotations undertaken at Addenbrooke’s include coagulation, paediatric haematology and bone marrow transplant.
Regional training days are scheduled every 2 months and take place at the Newmarket Cytology Centre. More information about the content and structure of these events can be found under the 'Training Days' tab in the right hand menu.
Training Programme Director Emma Gudgin
Admin SpR / Trainee Rep Tom Bull
- Ipswich Andrew Hodson
- King’s Lynn Martin Lewis
- Peterborough Kanchan Rege
- West Suffolk Mamatha Karanth
- Great Yarmouth Shalal Sadullah
- Norfolk and Norwich Angela Collins
There is a shared dropbox folder for trainees with information about and resources for the regional training days. Contact Tom Bull
- Personal development plan updated for each rotation
- Regular reflective writing (at least 8 per rotation)
- Regular work place based assessments (see decision aid)
- CV, presentations, audits uploaded
- Record of attendance at teaching
- Link evidence to curriculum items
- Record competence against curriculum and add supporting comments, including areas that need further development
Annual review of eportfolio and progress against training decision aid
- Eportfolio up to date with required assessments (see decision aid)
- Completed Form R
- Up to date CV
- Summary of experience, achievements and progress during the year
- Academic trainees have an additional form to record academic progress
Please see the 'Trainee Resources' tab in the right hand menu