A Career in Haematology in the West Midlands

A Career in Haematology in the West Midlands

Speciality training in Haematology Contents Haematology Overview Advantages / Disadvantages Career Pathway Examinations - FRCPath Recruitment Commitment to Specialty Competition ratios Further Information

What is Speciality Training in Haematology? FRCPath Part 2 FRCPath Part 1

Speciality Training in Haematology Consultative advice for all medical and surgical specialties Problem solving and multidisciplinary team working Practical procedures; o Lumbar puncture, bone marrow biopsy etc. Interesting and diverse variety of sub-specialty areas of training benign and malignant disorders: o Diagnostic laboratory training o Morphology of blood and bone marrow o Consultative haematology advice o Haemato-oncology o Haemoglobinopathies (red cell haematology) o Blood transfusion o Coagulation abnormalities and haemophilia o Bone marrow transplantation o Inpatients / outpatients and day case as well as emergencies

Leadership and team working Care, empathy and support of patients close therapeutic relationship Why choose haematology? Ideal mix of diagnostic skills, benign and malignant disease, complex patient management, managing the whole patient journey, team working and excellent research opportunities Blood transfusion Laboratory interpretation skills Genetics and basic cell biology Morphology and research

Haematology: exciting prospects at the cutting edge of innovation, research and development an incredible wealth of new treatments and translational research Nilotinib Carfilzomib Chemotherapy, targeted drugs, antibodies, conjugates.. Ibrutinib

Haematology Work across different environments Laboratory and interpretation of results Ward Day Unit Outpatients Consultation across all specialties including obstetrics, surgery, A&E, medical specialties, GPs Wide variety of patients Young to elderly patients Benign and malignant Acute and chronic Team working nursing, biomedical scientists, radiology, histopathology, cytogenetics, pharmacy

Typical Day on the ward / clinic 8:40am 9:00am 11:30am 12:00pm 1:00pm 2:00pm Identify new patients that have been admitted, update list Start ward round with Consultant Ward jobs or laboratory reporting Departmental teaching Lunch/Teaching Outpatient clinic or laboratory work/teaching or MDT meeting Home

Typical Day weekend on call 9:00am Handover from night staff 9:20am Liase with nursing team Manage ward inpatients (prioritising; good communication; time management; work well under pressure) Arrange transfusion support Delegate jobs Provide support to junior team members 11:30am 2:00pm Take calls for consultative advice Ward work with consultant or laboratory reporting, liaise with nursing team Review admissions

Advantages & Disadvantages Variety Uniquely combines laboratory diagnostics and patient care Challenging Patient contact Continuity of care Excellent research opportunities high level of PhD participation Possibility for LTFT/ flexible hours Requirement of MRCP for entry Requirement for FRCPath part 1 and 2 for CCT Competitive entry

Career Pathway MRCP 5 years specialty Haematology training Includes: paediatric haematology, haemoglobinopathies, stem cell transplantation, blood transfusion, coagulation and haemophilia

Proposed outline model for physician training (starting 2018) Position of haematology is likely to be excluded from unselected acute medical take during specialty training but will have specialty take and currently under discussion around length of training

Career Pathway Haematology training leads to Certificate of Completion of Training (CCT) in haematology Currently 5 year programme (Annual rotations with specialty blocks) Haematology trainees complete o a structured curriculum o an e-portfolio o different competencies rotations through paediatrics, transfusion, coagulation, haemoglobinopathies, stem cell transplantation o workplace-based assessments o FRCPath part 1 and 2 exam o Opportunities for research via OOPR Following haematology training Consultant opportunities include specialist haematology roles and more broad generalist roles in DGH settings.

West Midlands Haematology Training 5 year programme - Trusts delivering haematology training include: Heart of England - Heartlands Hospital City Hospital Specialist haemoglobinopathies University Hospital Birmingham(UHB) Coventry (UHCW) Staffordshire (UHNS) Russell s Hall Hospital, Dudley Worcester (WRI) Wolverhampton (RWH) Birmingham Children s Hospital Paediatric haematology

West Midlands Haematology Programme Dedicated and enthusiastic trainers across the West Midlands training scheme High quality training across all areas of curriculum Excellent sub-specialty training in paediatric haematology, haemoglobinopathies, stem cell transplant, coagulopathies Dedicated regional training sessions Very high success rate at FRCPath examination High level of research and PhD opportunities, excellent ACL/ACF programme West Midlands trainees and Consultant trainer enjoying 2017 BSH Conference, Brighton

West Midlands Haematology Programme High quality laboratory training in West Midlands both at induction stage and across training programme to FRCPath part 2 preparation Opportunities to undertake subspeciality interest areas e.g. transplant, coagulopathies Needs of trainees supported and programme quality monitored to ensure continual programme improvement West Midlands haematology trainee enjoying Consultant Laboratory Morphology training session at Birmingham Heartlands Hospital

West Midlands Haematology Programme Exams in haematology The FRCPath exam only examines haematology aspects and involves 2 parts: Part 1: consists of an essay paper and an MCQ paper. This can be taken after 18 months of speciality training Part 2: consists of a clotting paper, a transfusion paper, blood film and bone marrow interpretation and a viva. Trainees are supported throughout in their preparation for the examination with high success rates. West Midlands trainee preparing for FRCPath

Personal Qualities Click here to get the personal specifications

Demonstrating Commitment to Specialty Tasters Exams - MRCP Career fairs Attending conferences Presentations o Conferences o Grand Rounds o Departmental Audits Research / publications Teaching Medical student SSA

Recruitment Application through the national recruitment o Shortlist score calculated from points o Undergraduate degrees and qualifications o Postgraduate degrees and qualifications o Additional achievements o Presentations o Publications o Teaching and experience o Quality improvement Require three references 2 rounds of recruitment o Round 1: Interviews Feb-April o Round 2: Interviews Nov-Dec

Vacancy / application numbers 2013 2015 (round 1) Post vacancies Competition ratio o Calculated simply by dividing the number of applicants by the (total) number of posts available

Consultant posts after CCT Generalist haematology posts e.g. in DGH Most haematologists will have a specialist interest area Specialised haematology posts in larger Trusts e.g. Haemato-oncology specialist e.g. lymphoma, myeloma Transplant consultant Laboratory specialist Haemoglobinopathies consultant Haemophilia and clotting consultant role Transfusion consultant specialist

Where to get more information Royal College of Pathologists British Society of Haematology Joint Royal Colleges of Physicians Training Board NHS Healthcare Careers Health Education England, West Midlands Contact: West Midlands Haematology STC Chair Dr Joanne Ewing Joanne.ewing@heartofengland.nhs.uk