Rotations
Currently Rheumatology has 20 training posts in the East of England
All Rheumatology training posts are in combination with General Internal Medicine, resulting in a dual CCT in Rheumatology and G(I)M. The 5 year rotation is normally split with 3 years training in both Rheumatology and GIM, and 2 years in pure Rheumatology. At least 12 months will be in a tertiary centre either Addenbrooke’s or Norfolk and Norwich.
Although the East of England is a large Deanery geographically, rotations are constructed to prevent excessive commutes or moves between jobs. The following are illustrative of our usual rotations. They were constructed in conjunction with our existing Registrar body who have indicated that these rotations strike a good balance between training experience and acceptable commuting distances. (For those new to the East of England, the maps below might help decisions regarding where to settle in the region).
Individual rotations are not set prior to appointment to the training programme, to allow a degree of flexibility. Successful candidates will be approached by the Training Programme Director shortly after starting to discuss the rotation.
Map of East of England Rheumatology Rotation Sites
West Rotations (not in order of placement)
Watford, Hemel Hempstead, Luton, East and North Hertfordshire, Cambridge (blue)
Hemel Hempstead, Luton, East and North Hertfordshire, Cambridge, Hinchingbrooke (purple)
Luton, East and North Hertfordshire, Cambridge, Hinchingbrooke, Peterborough (yellow)
East and North Hertfordshire, Cambridge, Hinchingbrooke, Peterborough, West Suffolk (red)
South East Rotations
Southend, Basildon, Mid-Essex, Cambridge, East and North Hertfordshire (burgundy)
Southend, Basildon, Mid-Essex, Cambridge, West Suffolk (blue)
Southend, Basildon, Mid-Essex, Cambridge, Colchester (yellow)
Basildon, Mid-Essex, Cambridge, Colchester, Watford (orange)
North Rotations
Norfolk (x2), West Suffolk, Cambridge, Peterborough (pink)
Norfolk (x2), West Suffolk, Hinchingbrooke, Colchester (red)
Norfolk, West Suffolk, Ipswich, Colchester, Mid-Essex (orange)
Norfolk, Hinchingbrooke, Peterborough, East and North Hertfordshire, Luton
Click below for maps of potential West, South East and North Rotations
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Pure/GIM |
GIM |
Hospital Type DGH/Teaching hospital/Outpatient only |
DGH |
On call commitments Rheum or GIM, day/night/weekend/ACC cover |
GIM, nights and weekends |
Inpatient Work Rheum or GIM, if GIM what type of ward |
GIM on a respiratory/cardiology ward with 3 ward rounds per week. Respiratory teaching Wednesday morning (will be asked to present rarely). |
Rheum ward reviews per week |
5 |
Clinics/week |
2 Rheumatology Respiratory clinic once per fortnight |
USS access and supervision |
Not available |
Unique Selling Points e.g. specialist clinics and OOPR and OOPE opportunities |
Combined rheum/respiratory clinics for CTD-ILD occurring once per month. Plenty of teaching opportunities. Excellent one to one feedback from consultant on seeing rheumatology patients in clinic, so very easy to acquire WPBA's, well suited to early training. |
''Hinchingbrooke Hospital Rheumatology Department is a small friendly department which provides a general rheumatology service to patients in the Huntingdon area (where the hospital is based). We are closely linked with Peterborough Hospital (as part of North West Anglia Foundation Trust) and many of the doctors and nurses work on both sites.
Pure/GIM |
Pure |
Hospital Type DGH/Teaching hospital/Outpatient only |
DGH |
On call commitments Rheum or GIM, day/night/weekend/ACC cover |
Nil |
Inpatient Work Rheum or GIM, if GIM what type of ward |
Rheumatology ward reviews only, no base ward |
Rheum ward reviews per week |
5 reviews per week |
Clinics/week |
5 |
USS access and supervision |
1 machine shared across clinics, no formal supervision |
Unique Selling Points e.g. specialist clinics and OOPR and OOPE opportunities |
No on calls or routine inpatient work allows for a lot more outpatient clinic experience to be gained. Relatively good amount of admin time enables other interests/CPD to be pursued. Great deal of teaching opportunities with students from 2 different medical schools present.
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Pure/GIM |
Pure |
Hospital Type DGH/Teaching hospital/Outpatient only |
DGH |
On call commitments Rheum or GIM, day/night/weekend/ACC cover |
On call for rheum every weekday until 5 |
Inpatient Work Rheum or GIM, if GIM what type of ward |
Nil |
Rheum ward reviews per week |
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Clinics/week |
3-4 |
USS access and supervision |
1-2 sessions/month |
Unique Selling Points e.g. specialist clinics and OOPR and OOPE opportunities |
Good CTD and USS clinic exposure |
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