NHS Health Education East Midlands

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Nottingham Training Programme

The Nottingham based Training programme comprises:

  1. Clinical experience of all aspects of diagnostic histopathology, cytopathology autopsy practice, paediatric and neuropathology in the laboratory and post mortem rooms at the Nottingham University Hospitals
  2. Departmental clinicopathological and audit meetings .
  3. A structured training course in organ specific diagnostic histopathology based on slide seminars and lectures.
  4. Opportunities to attend microscope based teaching sessions as well as more formal departmental teaching/ meetings.
  5. Programmes of invited lectures and seminars from within the Department.
  6. Opportunities for developing a special interest through independent study and research and through specialist "elective" attachments.
  7. Participation in undergraduate and postgraduate teaching in pathology.

In addition, trainees will receive training in health and safety awareness, information technology skills, and in technical aspects of laboratory practice, including trimming of specimens, section cutting and staining, histochemistry (including immunohistochemistry), electron microscopy and molecular diagnostics. The LETB will also organise "generic" training in management, medical education, audit, clinical effectiveness and ethical issues. 

This programme is based on the trainees' educational requirements while taking laboratory service requirements into account.  However, participation in cut up, surgical histology and post mortem rotas take place under the close supervision of senior staff and forms an essential part of the training package. 

The training programme is run through the East Midlands LETB by the Histopathology School board, which include representation from each participating hospitals, the LETB and trainee representatives.

Trainees will be supervised by Departmental Consultant Pathologists under the direction of a designated Educational Supervisor. Progress will be monitored through the use of training and learning records, formal 4 monthly review meetings with the Educational Supervisor, and formal annual ARCP by a panel including  TPD, senior NHS/University staff and the Postgraduate Dean or his representative as appropriate under the aegis of the LETB.

The trainee will provide documentation prior to the meeting, including logbook and portfolio as well as feedback assessment forms which are completed by trainers at the end of each sub-speciality attachment and thus provide evidence of training progression. The format of this evidence will in future be along the lines of the training and learning record (Sept 2005) on the RoyalCollege website.

Trainees will be attached to each of the training hospitals and during these attachments they will contribute to the service work of the departments, to a level commensurate with their level of experience and proficiency. This will include participation, when appropriate, in multidisciplinary team meetings and audit.

Training posts in Nottingham

Out of the many training schools and training programmes in the United Kingdom, Nottingham at present has 18 general SpR posts on the Mid-Trent Programme rotating between Nottingham City Hospital (NCH), Queen’s Medical Centre (QMC), Nottingham and Lincoln or Derby.

Present general training posts:

QMC        -   7 SpRs, 2 Academic Clinical Fellow

NCH          -  7 SpRs,

Pathlinks  -  2 SpRs

Derby        - 2 SpRs

Subspecialist Posts:         

QMC         - 1 Neuropathology SpR, 1 Paediatric pathology SpR

NCH          - 1 Breast pathology SpR

It is envisaged that all future SpR appointments to training programmes will include 12 months at either Lincoln (Pathlinks) or Derby. The trainees will therefore rotate between NCH and QMC as well as spend 12 months during their training at Derby or Lincoln.