Workforce, training and education
East of England

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.

East = Norwich, Great Yarmouth, Ipswich, Bury St.Edmunds and/or Cambridge
West = Cambridge, Huntingdon, Peterborough, Luton and/orNorwich
South = Cambridge, Southend, Watford, Welwyn Garden, Chelmsford and Colchester

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. 

 

 

Addenbrooke's (Cambridge University Hospital)

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

Chelmsford

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

Colchester

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

Hinchingbrooke

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

Ipswich

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.

James Paget Hospital (Great Yarmouth)

Click here to find out about training in Ophthalmology at the James Paget University Hospital

The Lister Hospital (Stevenage)

Click here to find out about training in Ophthalmology at the James Paget University Hospital

Luton & Dunstable

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.

Norfolk and Norwich University Teaching Hospital (NNUH)

Click here to find out more about training in Ophthalmology at Norfolk & Norwich University Hospital

Peterborough

Click here to find out more about training in Ophthalmology at Norfolk & Norwich University Hospital

Southend

Click here to find out more about training in Ophthalmology at Norfolk & Norwich University Hospital

West Hertfordshire Hospital (Watford)

Click here to find out more about training in Ophthalmology at Norfolk & Norwich University Hospital

West Suffolk Hospital (Bury St Edmunds)

Click here to find out more about training in Ophthalmology at Norfolk & Norwich University Hospital

Thursday, 22 November, 2018
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