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ERS Annual Congress 2011, Amsterdam Dr Christopher Zammit Mater Dei Hospital, Malta

RESPIRATORY TRAINING IN MALTA. ERS Annual Congress 2011, Amsterdam Dr Christopher Zammit Mater Dei Hospital, Malta. Medical School Training for M.D. Structured training with experienced clinicians / academics. 5 years of Medical School, Mater Dei Hospital, Malta 2 pre-clinical years

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ERS Annual Congress 2011, Amsterdam Dr Christopher Zammit Mater Dei Hospital, Malta

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  1. RESPIRATORY TRAINING IN MALTA ERS Annual Congress 2011, Amsterdam Dr Christopher Zammit Mater Dei Hospital, Malta

  2. Medical School Training for M.D. • Structured training with experienced clinicians / academics 5 years of Medical School, Mater Dei Hospital, Malta • 2 pre-clinical years • Anatomy and Physiology • 3 clinical years at Mater Dei hospital

  3. Recently constructed • Single General State Hospital in Malta Recognized teaching centre Full range of laboratory / imaging centre Adequate library IT facilities • Numerous sub-specialities centred • in the same location • Good exposure to numerous • medical / surgical cases

  4. Foundation Years First 2 years as Foundation years • 6 months of general medicine • 6 months of general surgery • Choice of medical / surgical specialities depending on preference, as well as on academic placement • UK-based foundation program with structured training • Introduced recently • On-line portfolio and regular appraisals, DOPs, Mini-CEX • Acquisition of warrant and licence to practise • Name placed in the EU list of the Medical Council of Malta

  5. Basic Specialist Trainee (BST) 2 years full-time Medical BST: • Following the Foundation years • General professional basic training • Prior to period of higher specialist trainee (HST) • Application by interview basis / CV presentation

  6. Basic Specialist Trainee (BST) 4-month rotations in medical specialities • Ward rounds and medical out-patients • Diverse bed-side procedures as recommended by UEMS -European union of medical specialists • On-call duties outside normal working hours • Unselected acute medical admissions • Emergency ward cover

  7. Basic Specialist Trainee (BST) 4-hours per week protected time • Weekly teaching “Grand Rounds” • Weekly teaching academic lectures • E-learning management system with online lectures • Speciality journal clubs • Radiology multi-disciplinary team meetings (MDTs) • Local and foreign conferences /courses • Involved in audits, studies, publications and local protocol guidelines

  8. Basic Specialist Trainee (BST) • Completion of MRCP post-graduate examination as evidence of completion of training. Weekly tutorials “Mock examination” • BLS / ALS certification • Clinical and academic log-book • Satisfactory consultant appraisals

  9. Respiratory Higher Specialist Trainee (HST) 4 years as Respiratory HST • Application by interview basis / CV presentation • Not an automatic progression • Competitive • Requires certificate of completion BST (CCBST) • Full registration with the EU medical council of Malta

  10. Respiratory Higher Specialist Trainee (HST) 4 years as Respiratory HST Dual Certification: Respiratory and General Medicine • General and respiratory ward rounds / out-patients • 1 year rotations between respiratory consultants • Yearly appraisals by consultant / clinical supervisor • Introduction of a separate mentor, changed every 2 years • Minimum requirement of on-call duties performed

  11. Respiratory Higher Specialist Trainee (HST) Sub-speciality clinics • Asthma clinic • Sleep clinic • Rapid-access lung cancer clinic • TB clinic Opportunities for inter-speciality consultations • Cardiothoracic surgery, oncology / radiotherapy

  12. Respiratory Higher Specialist Trainee (HST) • Weekly Flexible Bronchoscopy sessions • Thoracocentesis / Intercostal chest drain insertion • Introducing Thoracic ultrasound • Spirometry • Ventilatory support / NIV • 4 month ICU rotations - Exposure to critical care respiratory medicine

  13. Respiratory Higher Specialist Trainee (HST) Minimum of 4 hours per week protected time • Twice monthly respiratory journal clubs • Weekly Medical Grand Rounds • Monthly tutorials by respiratory consultants • Monthly respiratory meetings • Monthly radiology MDT meetings Encouraged to teach Medical students, Foundation year, BST doctors

  14. Respiratory Higher Specialist Trainee (HST) • Expected to publish and present • Minimum of 2 audits and 1 publication per trainee • Encouraged to attend local / international educational courses / conferences • Opportunities to travel abroad for research / work experience • Prospects for M Phil, Ph D, MSc

  15. Respiratory Higher Specialist Trainee (HST) • Funding / Financial Aid • Study leave • CME funding • Post-graduate funding • support for educational courses • presentationof posters abroad

  16. Respiratory Higher Specialist Trainee (HST) Thank You Certificate of completion Specialist Trainee (CCST) • Satisfactory yearly appraisals • Full academic / clinical log-book • Theoretical / Exit examination (MRCP college exam / HERMES) at the end of the specialization • Specialist Accreditation Committee (SAC) • Regulatory board for specialist training program

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