Specialist Diabetes and Endocrine Clinics
These are the specialist core hospital clinics that a trainee should have had experience with at the end of their training programme in order to qualify for a CCST:
Diabetes Eye/Medical retinal Clinics
Adolescent Diabetes
Diabetes Foot Clinics
Paediatric Diabetes
Lipid Clinic
Obstetric/Medicine clinics to include Diabetes and Endocrine as well as GIM
Diabetes Renal
Paediatric Endocrinology
Reproductive Endocrinology
Joint Pituitary
Bone Clinic
Other specialist clinics, such as thyroid cancer, thyroid eye and neuroendocrine tumour clinics are the icing on the cake.
Do not forget about training in Community Diabetes that can be provided by most units.
With the new curriculum, attending specialist clinics is no longer a tick box exercise. For the trainee to gain the maximum benefit from specialist clinics it is essential that background reading be undertaken before attending the relevant specialist clinic. We would strongly recommend that trainees construct a list of objectives for each specialist clinic and try and fulfil them.
A separate specialist clinic rota exists for trainees who are based at Freeman Hospital and in special cases for some based at the RVI. This rota covers diabetes eye, gynae-endo, paediatric endocrinology and diabetes foot clinics. There are opportunities to gain training in insulin pump therapy (NDC), adolescent diabetes (NDC), lipids (FRH), bone diseases (FRH), obstetric medicine (RVI) and MDT management of pituitary disease (RVI/FRH) when based in Newcastle.
It is important for trainees to realise that the majority of the above clinics are available through out the region. It is up to the trainee to identify at the beginning of a particular post what specialist clinics are available and with agreement from their Educational Supervisor an effort should be made to attend these clinics. To aid in this process we have detailed below which core specialist clinics are available (from the information that we have) at each of the peripheral posts in the region. Hopefully this process should mean that no undue pressure is made on the central rotation posts to provide all core endocrine and diabetes specialist experience, which is a myth.
BISHOP AUCKLAND Diabetes eye (Darlington), paediatric endocrine and diabetes, diabetic foot, infertility, adolescent diabetes, diabetic antenatal and lipid clinics.
CARLISLE Renal diabetes, diabetic antenatal, young diabetes and diabetic foot clinics.
MIDDLESBROUGH Renal diabetes, diabetes eyes, diabetic antenatal, adolescent diabetes, adolescent endocrine, paediatric endocrine and diabetes, infertility, combined pituitary, diabetic foot and bone (Dr Fordham) clinics.
NORTH DURHAM Renal Diabetes, Obstetric/Medicine, Diabetes pre-conception, Adolescent and patient education/insulin workshop clinics
NORTH TEES/HARTLEPOOL Renal diabetes, diabetes eyes, diabetic antenatal, adolescent diabetes, adolescent endocrine, paediatric endocrine and diabetes, bone (Dr Harvie), lipid and endocrine-gynaecology clinics.
NORTH TYNESIDE/WANSBECK Diabetic antenatal, lipid, adolescent diabetes, community diabetes, DAFNE MDT, Psychology(behaviour change/communication skills) and foot clinics.
QUEEN ELIZABETH Diabetic pregnancy, preconception diabetic, diabetic foot, paediatric diabetes, joint adolescent diabetes, renal, metabolic, lipid, infertility, bone, one-stop community diabetes annual review clinics.
SOUTH TYNESIDE Obstetric Medicine (including diabetic pregnancy), young persons, diabetic renal, diabetic foot, diabetic pre-pregnancy, diabetic eye, paediatric diabetes, joint community diabetes, joint paediatric diabetes, radio-iodine and osteoporosis (Dr Rodgers) clinics.
SUNDERLAND Paediatric diabetes, diabetic renal, diabetic foot clinic, diabetic pregnancy, bone (Dr Wright), diabetes eyes, lipid, adolescent diabetes, PCOS, thyroid eye and reproductive endocrinology clinics.
Other Specialist clinics in the region
Although the following clinics are not essential for CCST purposes they are very useful to attend for further information and do provide important learning opportunities. Also, for trainees who wish to develop a special interest they can be invaluable. If trainees want to attend these clinics please contact the relevant Consultant.
Thyroid Eye Clinic: RVI Eye Dept. every Friday afternoon apart from the 3rd Friday of the month. Contact Dr Petros Perros (Freeman Hospital).
Thyroid Cancer Clinic: NCCT Newcastle General Hospital (Dr U Mallick) every 3rd Monday of the month. Contact Dr Petros Perros (Freeman Hospital).
Neuroendocrine Tumour Clinic: Freeman Hospital out-patients every 1st and 3rd Thursday of the month from 11am. Contact Dr Petros Perros (Freeman Hospital).
Adult Turner’s Clinic: RVI Leazes out-patients every 3 months. Contact Dr Richard Quinton (RVI).
Diabetes Cardiovascular Clinic: James Cook University Hospital every week. Contact Dr Steve Jones (JCUH, Middlesbrough).
Insulin Pump Clinics: (1) James Cook University Hospital every 3 months; contact Professor Rudy Bilous (JCUH, Middlesbrough). (2) Newcastle Diabetes Centre every 2 months; contact Dr Jim Shaw.
Teenage Endocrinology Clinic: (1) RVI every 6 weeks. Contact Dr Steve Ball (RVI). (2) JCUH every 4-months. Contact Dr Bill Kelly (Diabetes Care Centre, JCUH)
Young Patient Oncology/Endocrinology Clinic: NCCT Newcastle General Hospital (Professor A Pearson) every 3 months. Contact Dr Steve Ball (RVI).
Paediatric Metabolic Bone Clinic: Childrens OP RVI every 3rd Wednesday every 2nd month. Contact Dr Simon Pearce (RVI).
Obesity Clinic: University Hospital of Hartlepool. Contact Dr Sue Jones (UHH).
Joint MEN clinic: RVI every 5 months with endocrinology, genetics and surgery input. Contact Dr Steve Ball (RVI)
Pancreas transplant clinic: Freeman Hospital every 6-weeks. Contact Professor Mark Walker.
Shaz Wahid & Richard Quinton
February 2005
