The diversity of specialist and general neurological and musculoskeletal training opportunities offered in London provide the best learning experience in the UK. Academic Medicine is encouraged and trainees have the opportunity to have out of programme experience for research or service development projects.
Training Programme Management Commitee (TPMC) Chair
Dr Jan Gawronski
Rehabilitation Medicine TPMC Chair/TPD
T 0208 909 5596
Training Programme Directors (TPDs)
Dr Jan Gawronski
Dr Sara Ajina (North London)
Dr Anton Pick
Dr Anton Pick (South London)
Training at UCLPartners (A trainee representatives perspective)
“Rehabilitation medicine is an inspiring, absorbing, varied, and little known area of medicine, with four main subspecialties. Currently training in London lasts for four years, spending time in each of neurorehabilitation (including stroke, traumatic brain injury, cerebral palsy and progressive conditions e.g. MS, MND); spinal cord injury rehabilitation (both traumatic and non traumatic); prosthetic and amputee rehab; and musculoskeletal rehab.
Training in RM in London delivers all of possibilities that the specialty can offer and being in the capital, much of the training can take place in units of national or international standing.
For example, Royal National Orthopaedic Hospital in Stanmore (spinal cord injury rehab, musculoskeletal rehab, pain management, amputee and prosthetics); the National Hospital for Neurology and Neurosurgery, Queen Square (neurorehabilitation); the Regional Rehabilitation Unit, Northwick Park Hospital (neurorehabilitation including early post acute care, polytrauma, ventilated patients); the national military rehabilitation centre, Headley Court (musculoskeletal, working with injured service personnel); and the Douglas Bader Rehabilitation Unit at Queen Mary’s (a centre of excellence for amputee and prosthetic care, where survivors of the 7/7 bombings and more recent victims of explosions in Libya have been rehabilitated). London is also a major hub for trauma networks, an area into which RM consultants are increasingly involved. The tertiary experience is balanced by posts in district general hospitals or level 2 units, and with community rehabilitation teams. Living and working in London also offers every possible social and cultural experience, both in and out of working hours.”
An example of a typical day as a doctor in neurorehabilitation might include:
- 8am ward round of rehab inpatients with team – assessing progress, trouble shooting, addressing medical issues (ranging from common medical problems such as wounds, pain or infection, to complex rehab specific areas such as spasticity, ventilator weaning, treatment of mood disorders or acquired epilepsy)
- 10am assessing a new referral for suitability for rehabilitation (this could be in an ambulant patient for largely speech and/or cognitive rehabilitation e.g. following CVA or traumatic brain injury, for a hemiplegic patient with speech and swallowing difficulties, or for a minimally conscious patient including evaluation of their level of arousal over time
- 11am MDT meeting with team to discuss inpatients and waiting lists, or case conference/family meeting with patient and their family
- 2pm outpatient clinic of new patients and review (could be general rehab clinic, specialist spasticity clinic including injections and pump refills or a special seating clinic)
Other activities might include community and outreach rehab (to patients on acute wards, in nursing and residential homes and their own homes), work with vocational rehabilitation teams, environmental control system assessments in a patient’s home, audit and research, teaching medical students, junior doctors or in service training for team, medico-legal work, liaison with commissioners re services. BESbswyBESbswyBESbswyBESbswyBESbswyBESbswyBESbswyBESbswyBESbswyBESbswyBESbswyBESbswyBESbswyBESbswyBESbswyBESbswyBESbswyBESbswyBESbswyBESbswy
Rehabilitation medicine could be for you if:
- You would like to work with a variety of medical and surgical conditions
- You enjoy working with a team of people but also relish opportunities to lead
- You like the idea of an individualised and holistic approach to treatment
- You can find small details that make a big difference to a patient
- You want to develop new skills including practical procedures
- You enjoy getting to know your patients and their families over time
- You would like a career with the opportunity for flexible, family friendly hours
- You want to have the option to train in a variety of settings with variably complex patients
- You like to find practical solutions to problems
- You want to be able to engage comfortably in teaching or research alongside clinical activities
- You are looking for a truly inspiring career
Further information on the specialty and training can be found at: www.rcplondon.ac.uk/specialty/rehabilitation-medicine www.jrcptb.org.uk/specialties/ST3-SpR/Pages/Rehabilitation-Medicine.aspx www.bsrm.co.uk/Education/Career.htm http://careers.bmj.com/careers/advice/view-article.html?id=2597 www.bmj.com/content/317/7169/S2-7169.full And via the trainee reps who are happy to be contacted directly: The trainee rep for North London is Sara Ajina – email@example.com The trainee reps for South London are Clare Mehta – firstname.lastname@example.org and Anton Pick – email@example.com
UCLPartners Training Programmes Manager (TPM)
Ms Laxmi Harding
T 020 3108 2321
Health Education South London (HESL) Operations Officer
T 020 7866 3146 For rotations, ARCPs, OOP.
Rotations & Local Education Providers (LEPs)
London has implemented the National Training Programme study days which take place on monthly basis, for about 9 months of the year. These are centrally co-ordinated, consultant led and rotate between the various training centres in London. A trainee led session is often incorporated, offering the opportunity for different styles of learning, peer support and trainee selected topics.
An up to date timetable of teaching days can be obtained from a trainee rep.
Academic training opportunities
Academic Medicine is encouraged and trainees have the opportunity to have out of programme experience for research or service development projects.
There are two existing Academic Clinical Fellow Posts in London.
A Forum for Academics in Rehabilitation Medicine (FARM) facilitates this further and provides an academic network. Links to this will be provided on the BSRM website.
Specialty specific research and special interest opportunities
Research opportunities are available through collaboration with academic rehabilitation medicine consultants through the Cicely Saunders Institute at Kings College Hospital, and the Institute of Neurology / National Hospital for Neurology and Neurosurgery, Queen Square, UCL.
Special interests can be pursued in many of the nationally renowned institutions and settings that make up the training posts.
Specialty specific external courses
Speciality specific courses are offered via the British Society of Rehabilitation Medicine www.bsrm.co.uk – each of the below course runs annually:
Advanced Prosthetic and Amputee Rehabilitation Court, Stanmore
Specialist Rehabilitation Medicine Course, Derby
Electronic Assistive Technology Course, Liverpool
Advanced Spinal Injury Medicine Course, Sheffield
In addition two UK delegates per year can attend the Posture and Movement Analysis Course, European School Marseille (free course, accommodation and food – only cost to delegate is travel)
Out of programme information
Out of programme (OOP) experiences are permitted for trainees and are agreed at the discretion of the TPD and ARCP committee on an individual basis. They must be approved prospectively. OOPs may be taken to pursue research, (OOPR), training in area outside of the regular training programme, either in the UK or overseas (OOPT), or acting up as a consultant (OOPT).
Other specialty specific information
There is currently no Knowledge Based Assessment in rehabilitation medicine. There is a European Board examination which is open to trainees in their final year of training, and new consultants. Trainees can opt to take this exam but it is not mandatory for training or attainment of CCT.