Congratulations – you’ve made the first step towards having the best job in the world!
Recruitment to medical specialties is currently changing, with the new Internal Medicine Curriculum. More information about this, and how recruitment to Higher Specialty Training programmes such as Respiratory Medicine will happen, can be found here.
If you're interested in Respiratory medicine, you also might want to consider attending relevant courses (e.g. thoracic ultrasound, bronchoscopy) and conferences (such as the British Thoracic Society Winter and Summer Meetings) to get more of an insight into the specialty. More information about the training programme and curriculum can be found on the Joint Royal Colleges of Physicians Training Board (JRCPTB) website.
Respiratory Medicine in the East of England - a trainee's perspective, by Odiri Eneje.
The East of England is geographically large. As a trainee, you benefit from a variety of general district hospitals that provide a range of excellent learning opportunities. Many of these provide the opportunity to learn bronchoscopy, EBUS and medical thoracoscopy. You will get exposure to a wide range of general respiratory conditions including respiratory failure and non-invasive ventilation. General medicine takes are busy so you will easily cover the GIM curriculum.
The region has world-renowned institutes such as Papworth hospital and Addenbrookes hospital. They are our tertiary centers for sub-speciality training.
We have regular training days to cover the respiratory and GIM curriculums. There is a bronchoscopy simulator available to trainees, as well as a range of helpful HEE based websites as learning aids.
Research is strongly encouraged. The Cambridge Institute for Medical Research and the MRC center provide opportunities to participate in world-class research.
East Anglian Thoracic Society (EATS) holds multidisciplinary educational meetings twice yearly. Trainees are elected members of EATS. In the morning sessions trainees present their current research and interesting clinical cases, with a prize going to the best in each category.
The East of England has a lot to offer and I am sure you will find your time in Health Education England, working across the East of England highly rewarding.
Trainees can now undertake triple CCT programmes, and train in a Medical specialty, Internal medicine and Intensive Care Medicine. Respiratory Medicine is one of the approved medical specialties for this training programme, along with Acute Medicine and Renal Medicine. The curriculum is being finalised, and due to be published soon.
Practical details (from the JCRPTB):
1. Some doctors may already be training in one of the specialties and planning to apply for the other in the 2022 recruitment round. Others may be applying for their first specialty.
2. Trainees can apply for either the Medical Specialty (for example Respiratory and Internal Medicine) or Intensive Care Medicine first.
3. Trainees can then apply for the other specialty in the following recruitment round.
4. During the transition period, some trainees in ICM may not have the required experience to apply for HST in medicine, as this now requires completion of IMY3 capabilities. With further lobbying, we have obtained approval for the window of application to the second specialty to be extended to 2 years to allow completion of IMY3 capabilities. These could potentially be completed while within the ICM training scheme but would need to be carefully planned with respective trainers in ICM and medicine.
JRCPTB update November 2021: https://www.jrcptb.org.uk/news/icmmedical-triple-cct-programmes
Faculty of Intensive Care Medicine guidance on dual/triple CCTs: https://www.ficm.ac.uk/trainingexamstrainingcurriculaandassessment/dual-...
Intensive Care Medicine National Recruitment Office: https://icmnro.wm.hee.nhs.uk/
Person Specifications for Higher Specialty Training: https://specialtytraining.hee.nhs.uk/Recruitment/Person-specifications
Training days take place in a variety of locations around the deanery, which will be emailed in advance. Attendance is compulsory and there is an attendance register. Please sign in as the attendance register is available to the ARCP panel. The Winter and Summer British Thoracic Society Meetings in December and June replace training days in those months, and there is also a twice yearly East Anglian Thoracic Society meeting which is compulsory.
If you cannot attend due to on call commitments or annual leave etc, please email either Rachel or Joe at email@example.com.
If you have any suggestions or comments on training days, please email Dr Charlie Haworth, who co-ordinates the programme.
Respiratory Regional Training Days: 2021
13th January 2021 (pm)
Occupational Lung Disease
17th - 19th February 2021
Winter BTS Meeting
|22nd April 2021||Cystic fibrosis||Virtual|
|26th May 2021||Thoracic Oncology||Virtual|
17th - 18th June 2021
Summer BTS Meeting
|6th July 2021||COPD||Virtual|
|24th August 2021||Respiratory Infectious Diseases||Virtual|
|15th September 2021||Pleural Disease||Virtual|
|13th October 2021||Pulmonary Hypertension||Virtual|
|24th - 26th November 2021||Winter BTS Meeting||Online|
|9th December 2021||Respiratory Physiology/CPET||Virtual|
Attendance at training days is compulsory for EoE respiratory trainees. Please email firstname.lastname@example.org if you are unable to attend.
General Internal Medicine Training Days
For information on GIM training days, please click here and select the 'Upcoming Training Days' box. Alternatively all upcoming GIM training days can be found via Bridge.
When starting specialty training, you need to register with the Joint Royal Colleges of Physicians Training Board (JRCPTB) to gain access to the Respiratory Medicine ePortfolio.
What is ARCP?
ARCP = Annual Review of Competency Progression, and is the process by which we ensure you are offering safe, quality patient care and to assess your progression against standards set down in the curriculum.
Majority are held in June/July, with a small number in December/January each year.
Hints and Tips
- Bronchoscopy – including frequency of lavage/brushing/biopsy and diagnostic hit rate for biopsies
- Pleural procedures
- Thoracic ultrasound- All trainees are required to be level 1 competent by CCT
- NIV setup
- Clinical logs: You need to log acute take activity and outpatient activity
BTS Guidelines: https://www.brit-thoracic.org.uk
BTS Learning hub: http://learninghub.brit-thoracic.org.uk/?bts=homepage
Cambridge Institute for Medical Research: http://www.cimr.cam.ac.uk
Cambridge Thoracic Ultrasound online tutor: http://www.camtutor.org.uk/tus/cdchome.asp
European Respiratory Society: http://www.ersnet.org
American Thoracic Society: www.thoracic.org