There are 7 Thoracic physicians who each lead a team of specialist doctors and nurses. Excellent training in respiratory medicine with close consultant supervision is present on both sites. An excellent pulmonary function laboratory and sleep lab enhances the training opportunities and trainees can observe (and if interested learn) bronchoscopy.

There are 6 Haematologists who each lead a team of specialist doctors and nurses. There is a strong Consultant presence on the wards and there are excellent opportunities for training in a multidisciplinary environment.

It teaches:                      

• Advanced airway management
• Recognition and stabilisation of the critically unwell patient
• Resuscitation skills and techniques
• Invasive monitoring procedures -set up and interpretation of Sedation skills
• Inotropic support
• Renal replacement therapy including establishment of haemofiltration

General & Old Age Medicine

There are 10 General and Old Age Medicine Physicians who each lead a team of specialist doctors and nurses. The department is dedicated to maintaining and improving the health, independence, and quality of life of older persons and focuses on reducing the burden of dependent persons through learning and discovery. The post provides an opportunity to learn about all aspects of acute elderly care medicine, while also appreciating the wider multidisciplinary nature of long-term conditions and their associated disability.

There are 7 Cardiologists who each lead a team of specialist doctors and nurses. The Cardiology department is a dedicated multi-disciplinary team that provides an effective and efficient service, who all work tirelessly to improve the health of the people of Gloucestershire. Trainees are welcome to observe angiography as well as primary PCI, echocardiography and stress testing.

Neurology

There are 4 Neurologists who each lead a team of specialist doctors and nurses. The small medical team work closely together in looking after the neurology in-patients. There are many learning opportunities as part of the everyday clinical work on the ward. The very closely supervised out-patient clinics provides experience of out patient neurology

Rheumatology

The Rheumatology multidisciplinary team is led by 4 consultants. The team also includes a staff grade doctor, specialist nurses, specialist physiotherapists, occupational therapists and clinical psychologist. Considerable experience will be gained in a broad range of Rheumatological disorders, both on the ward and in the outpatient clinic, where there will be the opportunity to see both new and follow-up patients under close supervision. Training in musculoskeletal examination skills and joint injection techniques will be given.

Oncology

The Gloucestershire Oncology Centre is located on the Cheltenham General Hospital site and provides comprehensive cancer services for a catchment population of just over 1 million people. There are 12 Oncologists who lead a team of specialist doctors and nurses.

Endocrinology

There are 5 Consultant Physicians in Endocrinology who each lead a team of specialist doctors and nurses. There is the opportunity to gain experience in performing a range of dynamic endocrine testing & learning how to interpret those results. Trainees are encouraged to spend time with the multidisciplinary diabetes team to gain greater insight into the management of diabetes for both in and outpatients in particular with a view to becoming more experienced in the management of insulin treated diabetes.

Gastroenterology

There are 9 Gastroenterology consultants who each lead a team of specialist doctors and nurses. The inpatient work includes caring for patients on our 4 bedded GI bleed unit, as well as looking after patients with Inflammatory bowel disease and Liver Disease. The team works closely with the GI surgical unit and there are regular histopathology and radiology meetings. The weekly outpatient clinic provides experience of the less acute aspects of Gastroenterology including chronic liver disease, functional bowel disease and less acute IBD.

Renal

There are 5 Nephrology consultants who each lead a team of specialist doctors and nurses. Post provides excellent experience in all aspects of renal medicine except transplantation so that doctors leave with an awareness of the differential diagnosis of causes of renal failure as well as how to investigate it and manage common complications.

Considerable general medical training is also provided both in the care of renal patients with other diseases and a substantial number of general medical in-patients.

Teaching Facilities

There are two main educational facilities for Gloucestershire Hospitals as part of the Academy at Sandford Education Centre situated in Cheltenham and Redwood Education Centre situated in Gloucester. The Academy is made up of the Gloucestershire Hospitals Foundation Trust, 2getha Trust, Gloucestershire PCT and the Ambulance Trust working with the University of Bristol, the University of the West of England and the University of Gloucestershire.

Core Medical Teaching

There is a weekly teaching programme for the CMT ST1s and ST2s is on a Thursday afternoon. Teaching alternates between Cheltenham and Gloucester on a monthly basis and runs for 2 hours each week from 2.15pm and close at 4.30pm

PACES Teaching

There is a regular PACES Teaching at both sites and Mock PACES Exam is held 3 times a year. We have an excellent pass rate for the PACES.

Gloucestershire Academy

The Gloucestershire Academy is one of seven bodies of teachers that delivers the 3rd, 4th and 5th year of the University of Bristol Undergraduate Medical Student Curriculum. It is the largest provider outside Bristol itself.

http://www.gloucestershireacademy.nhs.uk/index.htm

Other Information

There is an active Staff Social Committee who organise a wide range of social events for all staff as well as events organised by the Mess Presidents. An open air swimming pool and gym are situated next to Cheltenham General Hospital. A short distance from Gloucestershire Royal Hospital is the local leisure centre which offers free swimming to Trust staff as well as a gym. Both gyms offer reduced membership rates.

About the Area
For further information on our Trust and the local area please visit the Gloucestershire PGME Website via the links below:

http://www.gloshospitals.nhs.uk/PGMEC/Trainee/WhyGlos/WhatGlos.htm

http://www.gloshospitals.nhs.uk/PGMEC/Trainee/WhyGlos/OnOffer/index.htm