Core Training forms the first stage of specialty training for many doctors, preparing them for leading patient care at senior level. At BSUH we provide comprehensive core training for medicine, surgery and acute aspects of medical care, including acute medicine, critical care, anaesthetics and emergency medicine.
The 2-3 year programmes produce doctors with the generic professional and clinical capabilities needed to manage patients presenting with a wide range of symptoms and conditions. The programmes qualify trainees to apply for a variety of programmes at higher specialist training level.
The training programme is broken down into four component parts. Trainees complete six months in emergency medicine, acute medicine, anaesthesia and intensive care medicine. The anaesthesia training in ACCS is identical to the first six months of training core anaesthesia trainees receive.
All trainees must pass the initial assessment of competence in their anaesthesia placement. On completion of the two years ACCS programme, trainees return to their parent specialty for a third year, to meet the entry requirements detailed for Higher Specialty Training.
BSUH trainees will be based in the Emergency Departments of both hospitals, the Royal Sussex County Hospital (RSCH) and the Princess Royal Hospital (PRH). CT1 ACCS trainees will also rotate to Medical Wards and the Medical Assessment Ward in both hospitals.
The first six months ACCS trainees will spend in the Emergency Department or Acute Medicine where as the second year will be Anaesthetics and ICM.
The more acute aspect of emergency work can be experienced in the resuscitation room and time in the Medical Assessment Unit where trainees will see and assess GP admissions and regularly undertake ward rounds with the Acute Assessment Medical team.
The training period in Acute Medicine currently split into 3 months in ACU and 3 months in Respiratory Medicine will give a broader picture of life behind the acute floor, with insight into clinics and ward rounds and interaction with other medical specialties. The CT2 year consists of nine months Anaesthetics and three months Intensive Care –aiming to move towards a six months split each by 2021 as per Royal College of Anaesthetists recommendations.
There is a huge range of cases to be seen in the Emergency Department, making it uniquely valuable in training for all hospital specialties as well as General Practice. Trainees also benefit from the opportunity to work with a wide range of other health care professionals such as psychiatry, ancillary services, GPs and ENPs.
The ACCS curriculum is delivered through trainee led, protected weekly teaching sessions which is two hours a week for EM and equivalent for Acute Medicine teaching. Weekly Grand Round lectures at the RSCH and monthly Grand Rounds at the PRH complement the teaching programme.
Core Surgical training usually takes two years and prepares doctors for ST3 selection. The training at Brighton and Sussex University Hospital NHS Trust will prepare junior doctors for the MRCS examinations part A and part B and help them expand their portfolio, take part in audits and research, as well as involve them in presentations and publications.
Within the early years of training and prior to entry into ST3, much of the content is shared across all the surgical specialties. During this period, trainees will acquire the competences that are common to all surgical trainees (defined as common competences) together with a limited range of competences that are relevant to their chosen surgical specialty.
At BSUH core surgical training covers trauma and orthopaedics, urology, otolaryngology, hepatobiliary surgery, colorectal surgery, upper GI surgery, paediatric surgery and maxillofacial surgery.
Year 1 rotations cover three posts and include either general surgery coupled with two posts in trauma and orthopaedics, or paediatric surgery with two posts in otolaryngology.
Year 2 rotations cover two six-months posts and include general surgery combined with paediatric surgery, trauma and orthopaedics with plastic surgery (in East Grinstead), or two six months posts in either general surgery, trauma and orthopaedics or urology. The majority of posts are a year in one specialty.
The Surgical Faculty at BSUH runs five core surgical training days per year, of which two are teaching days and three are simulation days.
On the three simulations days we provide an opportunity to practice basic surgical skills using animal tissue and specially made models. On the teaching days there will be simulated scenarios.
In addition to bedside teaching, teaching at MDTs, seminars and journal clubs, the Trust offers a variety of training in basic surgical skills, Care of the Critically Ill Surgical Patients (CCrISP) Courses, and Advanced Trauma and Life Support (ATLS) courses.
At BSUH IMT trainees will rotate through a set of 6-months placements, developing their skills and abilities for managing patients with acute and chronic medical problems in outpatient and inpatient settings. Training is overseen by the Royal College of Physicians Tutors, with Educational Supervisors, and Clinical Supervisors in each medical specialty.
IMT replaced Core Medical Training (CMT), a programme composed from a sub-set of the curricula for General Internal Medicine (GIM) and Acute Internal Medicine (AIM). Pending further review, CMT will be continued as the approved core training programme for specialties, including medical microbiology and medical virology, clinical oncology and occupational medicine.