East of England
This information was provided by:
Mr Ignatius Liew, ST3
Mr Niel Kang, Consultant
1. Who is the training programme director?
Mr Anish Sanghrajka
Miss Lora Young (Deputy TPD)
Mr Niel Kang (Education Director)
2. Please list all of the hospitals in your deanery.
Addenbrooke's Hospital, Cambridge
James Paget Hospital, Great Yarmouth
Lister Hospital, Stevenage
Luton and Dunstable Hospital
Norfolk and Norwich Hospital
Peterborough City Hospital
Princess Alexandra Hospital, Harlow
The Queen Elizabeth Hospital, King's Lynn
West Suffolk Hospital
3. Where do trainees generally live?
“Mostly in Cambridge, Norwich or Bury St Edmunds. It is possible to commute from North London or Hertfordshire.”
4. How easy is it to commute to different sites, and is there car parking available?
5. How are rotations are allocated?
“Rotations are allocated for the full six years. Trainees generally can give a preference.”
6. Is there a trauma focussed ST3 year?
"Yes. All posts within the region have a trauma component, which is unique to East Anglia as most hospitals are trauma units due to the large geography. There are plenty of opportunities to develop trauma skills and during the rotation, trainees are sent to the major trauma centre to manage major and complex trauma patients."
7. Does the deanery offer an ST3 bootcamp or equivalent induction?
"Yes. The ST3 boot camp is also paired with cadaveric training - 'Fingertip to shoulder', 'Pelvic to Toe' and the Smith and Nephew lab at Watford. This is also revisited annually to revise approaches, progress knowledge and develop clinical practice. Besides this, it is also useful for the FRCS viva."
8. Is there an arthroplasty focussed ST4 year?
"No. The ST4 year will depend on the hospital that the trainee rotates through. There are plenty of opportunities to take advantage of the sub-specialties allocated. Arthroplasty indicative numbers are easily achieved within the region."
9. Is there a post-exam dedicated teaching program (i.e. preparation for consultant)?
"Yes, there is a consultant interview course, consultant and fellowship preparation, leadership and management positions. There is an opportunity to apply for prestigious Chief Resident Scheme afficilated with Cambridge Judge Business School and the MIAD Leadership Course. Study leave funding is available for external courses. There are opportunities to develop educational skills with faculty for Mock FRCS examination and viva preparation, as well as cadaveric courses."
10. How often is deanery teaching?
"Half day weekly teaching, including full day monthly cadaveric courses."
11. Where is deanery teaching held?
"Rotating peripheral locations. Teaching is currently adapted to Blended learning with zoom and phased return of face to face, practical sessions, once a week half day. Please find teaching schedule at www.eoeortho.co.uk/teaching; http://cambridgeorthopaedics.com/ for additional teaching, as well as https://www.youtube.com/cambridgeorthopaedics (BOTA Web Award nomination and runner up for Best Webinar!)
12. Is there an annual meeting?
"Yes. With international keynote speakers throughout the Covid-19 pandemic. There are prizes available for medical student level upwards. They have also been nominated and won the runner up for Best Conference in BOTA Web Awards)."
13. Are there associated registrar presentations and prizes?
"Yes. Bi-yearly at the Cambridge Trauma & Orthopaedic Club (CTOC) and East Anglia Orthopaedic Club (EAOC)."
14. Is there an established research infrastructure for trainees?
15. What is the affiliated medical school?
University of Cambridge, University of East Anglia, Anglia Ruskin University
16. What was the overall FRCS pass rate in your deanery in the last 3 years (including both parts and all attempts)?
17. Can you name any FRCS Gold Medal Winners from your deanery?
Mark Bowditch, Paul Crossman, Lennel Lutchman
18. Are there any other interesting or important facts to mention?
"It is diverse, friendly and welcoming deanery filled with plenty of opportunities for everyone. We maintain a healthy, helpful and collaborative relationship amongst trainees and trainers.
1. Cadaveric teaching - affiliated to Watford Smith and Nephew laboratory for yearly cadaveric course - with a focus on the subspecialty interest of the trainees and ST3/4s on hip and knee arthroplasty. We also are grateful to have The Evelyn Centre Surgical Training Centre associated with University of Cambridge and Royal College of Surgeons - we have the 'Fingertip to shoulder', basic science and 'Pelvic and lower limb trauma' workshops available yearly for cadaveric teaching. Besides that, we also provide the NNUH/UEA Cadaveric Spinal Approaches Teaching.
2. GMC survey - we were outstanding for teaching since 2012.
3. ST3s - we provide the ST3 Bootcamp yearly to welcome all the new registrars. Besides that, we provide an esteemed faculty yearly for the East of England Trauma and Orthopaedics ST3 Interview Simulation Course for those interested in higher surgical training in Trauma and Orthopaedics.
4. Collaborative - Orthopaedic Research Collaborative east Anglia (ORCA) is a trainee-led research collaborative. We provide the yearly Research Methodology day and led the monthly journal club, having also published our first collaborative paper in August 2020 in The Surgeons Journal. All requirements for CCT!
5. Affiliations - East of England rotation is affiliated to University of Cambridge, University of Anglia Ruskin and University of East Anglia and the likes of Professor Andrew W McCaskie, Mr Vikas Khanduja (who leads the Young Adult Hip Research meeting), Professor Iain McNamara. Consequently there is strong academic trainee presence and MD/PhD opportunities.
6. Bi-yearly regional meetings - We have the Cambridge Trauma and Orthopaedic Club as well as East Anglian Orthopaedic Club, providing opportunities for registrar presentation, prizes, networking and industry involvement.
7. Notable Alumni - Professor Matt Costa and Professor Benjamin Ollivere, and Dame Clare Marx to name a few.
8. Inter-deanery collaboration - We have established an inter-deanery collaboration with Royal National Orthopaedic Hospital and Royal London Hospital/Potts rotation to facilitate teaching and placement swaps.
9. Abundance of fellowship opportunities with high volume, including pelvic and acetabular, lower limb reconstruction, shoulder and elbow, hand TIG, lower limb arthroplasty, foot and ankle.
10. Educational fellowships with development of teaching programmes locally. We have trainees involved in the design and delivery of teaching. No other deanery has the online learning management system and we are leading the number of resources available online amongst other specialties within the deanery - https://surgery-heeoe.bridgeapp.com/, Panopto/Bridge platform to upload all Zoom teaching sessions.
11. Bursaries towards PGCertificate in medical education with University of Cambridge, University of Anglia Ruskin, University of East Anglia.
12. Other opportunities within the deanery through Health Education England such as the Simulation Fellow, SuppoRTT fellow to name a few - https://heeoe.hee.nhs.uk/faculty-educators/tiered-approach/tier-1/trainee-fellowships
13. Plenty of regional courses yearly, such as Lister Upper Limb Shoulder Arthroplasty course, Cambridge Cadaveric Elbow Arthroscopy course, arthroscopy courses through the ICENI centre, Cambridge FRCS Orth Basic Science course, NNUH/UEA Cadaveric Spinal Approaches, Norwich FRCS Revision Course etc. We have consultants trainers affiliated to plenty of Orthopaedic Research UK courses such as the paediatric viva course and consultant interview course. We also provide a mock FRCS Viva course yearly along with the yearly UKITE.
14. Possibly one of the most diverse deaneries in the UK, with 41/73 (56%) BAME as of August 2020, 19/73 (26%) female trainees.
15. We will have a mentoring programme lead by Miss Helen Chase (Mentoring) currently led with two trainees
16. Coaching sessions have been provided by faculty to incorporate development of non-technical skills, going through trainee's PDP in detail to help them achieve their goals
Special thanks to Mr Neil Kang (current Director of Education, Trauma and Orthopaedic High Surgical Training East of England Deanery) for compiling the information together."
19. Useful links:
CLINICAL TRIALS UNIT
NIHR ACADEMIC CLINICAL FELLOWSHIP
REGULAR RESEARCH MEETINGS
Easy across Easy across Only appropriate Not easy
all sites most sites in some sites at all
Car parking availability
We have recently published through Orthopaedic Research Collaborative east Anglia in peer-reviewed journal (Pub-med indexed) and multiple podium presentation. Please find them here and join us at firstname.lastname@example.org, www.orcapaedics.co.uk https://pubmed.ncbi.nlm.nih.gov/32830040/ https://pubmed.ncbi.nlm.nih.gov/34419343/