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Khaleej Al Arabi Branch, Abu Dhabi

T: +971 2 404 0800
F: +971 2 404 0900

PO Box 48338
Al Khaleej Al Arabi Street
Beside Zayed Military Hospital
Abu Dhabi, United Arab Emirates

Zayed Sports City Branch, Abu Dhabi

T: +971 2 404 0800
F: +971 2 404 0900

PO Box 48338
Zayed Sports City
Between entry gates 1 & 6
Abu Dhabi, United Arab Emirates

Al Ain Branch, Al Ain

T: +971 3 746 4800
F: +971 3 746 4900

PO Box 222464
Beside Tawam Hospital
Al Ain, United Arab Emirates

Fellowship Training Programme

The Fellowship Training Programme for Endocrinology and Diabetes Mellitus (FTPED) is a new training programme from Imperial College London Diabetes Centre. The three year program is approved by Health Authority Abu Dhabi (HAAD)  and sponsored by Abu Dhabi Health Services Company (SEHA). Training is based upon the UK’s Joint Royal Colleges of Physicians Training Board (JRCPTB) Endocrinology curriculum.

The post provides comprehensive training in the pathophysiology, evaluation, diagnosis, and management of the broad spectrum of endocrine diseases and diabetes. It also includes training in antenatal care, thyroid, adrenal, pituitary, neuro-endocrine tumours, gonadal diseases, calcium and bone metabolism and peri-operative management and knowledge of diagnostic endocrine investigations. 

FTPED aims to train the UAE’s next generation of diabetologists and endocrinologists to be able to tackle the growing diabetes prevalence in the UAE. Graduates Will be able to to practice independently and to high internationally recognised standards. 

The Imperial College London and ICLDC are seeking applicants. If you are interested please download and complete the application form and send it to cme@icldc.ae

Interviews will be held during 2017.

Download Application form

Download Fellowship Flyer

   
DURATION: 3 years
TIMINGS: Variable
AUDIENCE: Junior doctors wishing to specialise in diabetes and endocrinology
VENUE: ICLDC, UAE and UK hospitals
TELEPHONE : +971 (0) 3 746 4932
ACCREDITATION  Approved by Health Authority Abu Dhabi

Training Structure

Endocrine and metabolic diseases are some of the most commonly encountered medical conditions in the United Arab Emirates. They are increasing in prevalence and impact in terms of health of the nation, emphasising the need to continue to strive towards improved health care delivery in this speciality. Endocrine diseases and diabetes affect every physiological system of the body determining that specialists enjoy a wide range of skills and expertise and make a major contribution to general medicine in its broadest sense.

Endocrinology and diabetes is a broad ranging subject and therefore an enticing one for trainees and consultants alike since it encompasses basic mechanisms of physiology and pharmacology coupled with the ability to improve quality of life and long-term outcomes through effective disease control, and often cure.

 

The fellowship training experience includes:

  • Antenatal Diabetes
  • Specialised Foot Clinics
  • Diabetes Adolescent /Young Person’s clinics
  • Diabetes Renal Clinics
  • Insulin Pump Clinics
  • Diabetic Retinopathy Assessment Clinics
  • Community Diabetes/Intermediate Diabetes Clinics

 

Endocrinology speciality clinics include:

  • General Endocrinology
  • Paediatric Endocrinology
  • Transitional Endocrinology
  • Metabolic Bone Clinics
  • Lipid Clinics
  • Thyroid Nodule Clinics
  • Joint Pituitary Clinics
  • Joint Surgical Endocrinology Clinics
  • Neuroendocrine Tumours

 

Experience is also gained in all aspects of inpatient hospital management of both endocrine and diabetes disorders including peri-operative management and knowledge of diagnostic inpatient investigations.

All trainees should have the opportunity to attend and observe structured education courses such as DAFNE / BERTIE / DESMOND etc.

 

Research will be incorporated within the clinical training.

There are a wide range of opportunities for research in a supportive and enjoyable environment within the various hospitals and we have strong academic departments within the Hammersmith Hospital, including a full range of cell and molecular biology laboratories. The laboratory is internationally renowned for its work on gut hormones, carbohydrate metabolism, hypothalamic control mechanisms and regulation of cell growth.

At ICLDC research is directed to the high prevalence of diabetes in the UAE. In particular, research is being conducted to explain the reasons for the high numbers, aiming to find mechanisms to slow down and even reverse the trend.

All fellows are expected to become involved with research activities and to publish at least one case report per year. All are encouraged to present their work at a regional or national professional meetings.


This is a 3 year fellowship training programme. The programme will follow the JRCPTB Diabetes and Endocrinology curriculum.

The trainee will spend two years rotating between the Imperial Healthcare NHS Trust Sites (Hammersmith, Charing Cross and St Mary's Hospitals.  One year will be spent in the UAE, with six months at a SEHA hospital and six months at ICLDC.

Trainees will be able to develop their personal development plans and chart their training progress, ensuring they are gaining the appropriate experiences. This contributes to appraisal, self-assessment, self-directed learning and educational meetings.

Trainers will be able to ensure their trainees are developing in the correct areas and ensure their teaching covers the right areas. It will also help them complete their appraisal. 

 

Charing Cross Hospital

  Monday Tuesday Wednesday Thursday Friday
AM Brain Injury Clinic or SPR ward round X-Ray meeting Consultant ward round SPR Ward round SPR ward round Endocrine Results Review Post pituitary surgery patients
lanch     Grand round Journal Club  
PM Diabetes Clinic Thyroid MDT Endocrine Clinic Post endocrine meeting Review Inpatient referrals Admin Work New Endocrine Clinic Administrative work

Hammersmith Hospital

  Monday Tuesday Wednesday Thursday Friday
AM SPR ward Round Metabolic Bone clinic or thyroid clinic Fertility clinic XRay meeting Consultant ward round Endocrine results meeting Diabetes clinic
lanch   Pituitary MDT once a month Grand round Journal Club Diabetes foot MDT
PM Audit / Research Thyroid MDT 5pm In-patient Referrals Endocrine Clinic (Multiple Endocrine Neoplasia clinic) New patient Endocrine clinic Post clinic meeting Administrative work

St Mary's Hospital

  Monday Tuesday Wednesday Thursday Friday
AM Diabetic clinic / Endocrine clinic Endocrine clinic Antenatal diabetic clinic Diabetic clinic Endocrine clinic
lanch Endocrine Result Meeting MDT pituitary Journal Club Ground round  
PM Thyroid clinic (MDT setting) 3rd week/month Growth Hormone clinic Adolescent Diabetic clinic Or Lipid clinic 4th week/month Neuroendocine clinic Foot Clinic (MDT setting) Metabolic Bone clinic Osteoporosis Clinic

ICLDC Al-Ain

  Monday Tuesday Wednesday Thursday Friday
AM Diabetic clinic Diabetic clinic Diabetic clinic Research / Audit Diabetic renal clinic
lanch     Case discussion (MDT 3 centres including Imperial London) Journal Club  
PM Diabetes clinic Diabetes pump clinic ( Dr Amani) Diabetic clinic Diabetes Eyes clinic Fellowship Teaching And radiology teaching Research / Audit Foot clinic Diabetic clinic

Tawam Hospital:

There are a wide range of training opportunities in Tawam hospital,  affording experience in both general and sub-specialty aspects of diabetes and endocrinology.   Experience is also gained in all aspects of inpatient hospital management of both endocrine and diabetes disorders including peri-operative management and knowledge of diagnostic inpatient investigations.

Fellows are expected to participate in In-patient diabetes and endocrine ward rounds, in patient consultations and the diabetes and endocrine on-calls service which will also include  the out of hour service.  General medicine on calls will be kept to a bare minimum.  

There is plenty of opportunity for continuous learning and you are encouraged to attend the teaching programmes, they include:

  • Endocrine Journal Club (bi-weekly) generally focuses on controversial topics and new therapies. You will be expected to participate in presentations
  • Pituitary Disorders MDT meeting   Monthly, last Thursday- of the month
  • Thyroid Cancer MDT meeting  Monthly,Third Wednesday of the month,with occasional cases added to the weekly Wednesday
  • Head & Neck MDT meeting; the fellow will be notified in advance of those cases

Tawam Hospital Core Faculty

Dr Ali El Houni                    Clinical supervisor for Imperial College Endocrinology & Diabetes Fellowship programme. Seha Hospitals Coordinator, Con.Endocrinologist

Dr B Afandi                         Consultant Endocrinologist

Dr K Al Dahmani                Consultant Endocrinologist

Dr J Al Kaabi                      Consultant Endocrinologist  CMHS; UAEU

Dr W Kaplan                       Consultant Paediatric Endocrinologist

Dr A Malik                           Senior Sp. Endocrinologist

Dr Paul Craggs                  Consultant Podiatrist

 

CSII 'insulin pump therapy'          CSII staff >>> 3 CDE's

Volunteer Faculty: We have over 10 consultants and senior clinicians who will provide interdisciplinary endocrine & diabetes related education (GIM, surgery, ob/gyn, oncology; paediatrics and radiology-Nuclear Medicine and interventional radiology)


Education  Opportunities

Trainees attend a dedicated teaching programme in diabetes and endocrinology consisting of 12 half days per year covering all aspects of the JRCPTB Curriculum and are delivered by Education Trainers. This is hosted at various hospitals. Individual trusts also run regular training programmes which trainees are encouraged to attend.

 There are also a number of excellent educational events that take place in the UAE and the UK. These include:

 

  • Insulin Pump Course (Held once a year at Charing Cross Hospital)
  • Imperial MRCP SCE (Designed to prepare trainees for the Specialty Certificate Examination) in Endocrinology and Diabetes
  • Hammersmith Multidisciplinary Endocrine Symposium (MES)
  • Advanced Diabetes Conference (ICLDC Abu Dhabi)
  • Foundation course in diabetes
  • Young Diabetologists Forum annual day 
  • Diabetes UK Annual Professional Conference
  • British Endocrine Society Annual Meeting
  • Association of British Clinical Diabetologists meeting
  • Society for Endocrinology Clinical Update
  • International meeting such as EASD,ECE,AES,ADA
  • Management course
  • National Obesity Forum or International Society for study of Obesity meeting

All trusts have an actively supported programme of auditing; Trainees are expected to undertake an audit and are actively supported to do so.

 

Trainees are expected to participate in patient education collaboratively with other members of a multi-professional team.  There also expected to participate in the teaching of allied health professionals as part of their on-going professional development and as preparation for postgraduate exams.

 

There are a number of 'teaching the teacher' courses that trainees are supported to attend.

Assessment

The following methodsare used as part of the integrated assessment system:

1-SpecialtyCertificate Examination (SCE)

 The aim is to assess atrainee’s knowledge and understanding of the clinical sciences relevant tospecialist medical practice and of common or important disorders to a levelappropriate for a newly appointed consultant.  Information about SCE, includingguidance for candidates, is available on the MRCP(UK) website www.mrcpuk.org


2- Workplace-based assessments (WPBA)

Workplace-basedassessments (WPBA) will take place throughout the training programme to allowtrainees to continually gather and demonstrate evidence of learning and toprovide informative feedback. They are not individually summative (i.e. notpass/fail) but will form overall outcomes from a number of such assessments andprovide evidence towards decision making. The WPBAs must be spread evenlythroughout the training year. 

 

Assessment Tools: 

Multi-source feedback

This tool is a method of assessinggeneric skills such as communication, leadership, team work and reliability.  This provides objective systematic collectionand feedback of performance data on a trainee, derived from a number ofcolleagues. ‘Raters' are individuals with whom the trainee works, and includesdoctors, administration staff, and other allied professionals. The trainee willnot see the individual responses by raters. Feedback is given to the trainee by theirEducational Supervisor.

 

Mini-Clinical Evaluation Exercise (minimum 4 per annum)

The mini-clinical evaluation exercise (mini-CEX)  is a tool which evaluates a clinicalencounter with a patient to provide an indication of competence in skills whichare essential for good clinical care such as history taking, examination andclinical reasoning. The trainee receives immediate feedback to aid theirlearning. The mini-CEX can be used at any time and in any setting when there isa trainee and patient interaction and an assessor is available.  

 

Case-Based Discussion (minimum 4 per annum)

The case-based discussion (CbD)assesses the performance of a trainee in their management of a patient toprovide an indication of competence in areas such as clinical reasoning,decision-making and application of medical knowledge in relation to patientcare. It also serves as a method to document conversations and presentationsabout cases by trainees.

 

TheCbD should focus on a written record (Such as written case notes, out-patientletter, discharge summary).  A typicalencounter might be when presenting newly referred patients in the out-patientdepartment.

Patient Survey (PS)* (Not a mandatory assessmentmethod)

PatientSurvey address issues, including behaviour of the doctor and effectiveness ofthe consultation, which are important to patients. It is intended to assess thetrainee’s performance in areas such as interpersonal skills, communicationskills and professionalism by concentrating solely on their performance duringone consultation.

 

Appraisal

A formal process ofappraisals and reviews underpins training. This process ensures adequatesupervision during training provides continuity between posts and different supervisors and is one of themain ways of providing feedback to trainees.

 

Induction Appraisal

The trainee and educationalsupervisor should have an appraisal meeting at the beginning  of each post to review the trainee’s progressso far, agree learning objectives for the post ahead and identify the learningopportunities presented by the post. Reviewing progress through the curriculumwill help trainees to compile an effective Personal Development Plan (PDP) ofobjectives for the upcoming post. This PDP should be agreed during theInduction Appraisal. The trainee and supervisor should also both sign theeducational agreement in the e-portfolio at this time, recording theircommitment to the training process.

 

Mid-point Review

This meeting between traineeand educational supervisor is mandatory (except when an attachment is shorterthan 6 months), but is encouraged particularly if either the trainee or educationalor clinical supervisor has training concerns or the trainee has been setspecific targeted training objectives at their ARCP. At this meeting traineesshould review their PDP with their supervisor using evidence from thee-portfolio. Workplace-based assessments and progress through the curriculumcan be reviewed to ensure trainees are progressing satisfactorily, andattendance at educational events should also be reviewed. The PDP can beamended at this review.

 

End of Attachment / End ofYear Appraisal

Trainees should review thePDP and curriculum progress with their educational supervisor. Specificconcerns may be highlighted from this appraisal. The end of attachment / end ofyear appraisal form should record the areas where further work is required toovercome any shortcomings.  If there aresignificant concerns following the end of attachment / end of year appraisalthen the programme director should be informed.

 

Certification

The certificate on completion of the programme will be provided by Imperial College UK and the RCP.  Trainees must complete the Specialty Certificate Examination in Endocrinology and Diabetes.  This exam meets the  requirements for knowledge-based assessments that are a part of the curriculum.   Trainees should have made at least one attempt at the examination during their rotation in the UK. The Specialty Certificate Examination is a prerequisite for attainment of the exit certificate.

 

Trainees must also show evidence of  the following:

 

  • Log book of outpatient clinics and patient numbers
  • Workplace-based assessments (WPBA)
  • Attendance at specialist training courses in diabetes and endocrinology run by the Royal College of Physicians or specialist societies
  • Audit activity

UK Visa

To obtain a UK visa, trainees will be enrolled in a Medical Training Initiative programme. This is a  national scheme designed to allow a small number of doctors to enter the UK from overseas for a maximum of two years, so that they can benefit from training and development in NHS hospitals before returning to their home countries.

The visa will be sponsored by the Royal College of Physicians (RCP).  In order to be considered for sponsorship, the doctors must satisfy the RCP that the following key criteria have been met:

  • * Applicants have been engaged in clinical practice/training for 3 or more years since obtaining their primary medical qualification.
  • * Have obtained a postgraduate qualification MRCP (UK).
  • * Have achieved a minimum score of 7.5 in all categories of the International English Language Testing System (IELTS).
  •  
  • In addition to completing the RCP application form and documentation, applicants to the Medical Training Initiative must produce:
  •  
  • * Attested (Translated into English) copies of medical qualifications where appropriate.
  • * Attested copy of IELTS certificate.

Sponsorship

Trainees can't self-pay and MUST be sponsored, either by SEHA (in the UAE) or by any health authority or relevant body.

Sponsorship through SEHA (Abu Dhabi Health Services Company) will include salary, study leave budget and annual leave.

To be sponsored by SEHA you must be  in current employment at SEHA and have successfully completed your Arab Board certification.

Successful applicants will be enrolled in a Medical Training Initiative programme in order to obtain a UK visa. This will be sponsored by the Royal College of Physicians.

In order to be considered for sponsorship you must possess a degree in medicine (MBBS or equivalent),  have obtained a postgraduate qualification (MRCP Part 1 and Part 2 written ) and have achieved a minimum score of 7.5 in all categories of the International English Language Testing System (IELTS). 

If you don't hold a full MRCP you will start the rotation in the UAE and  have 12 month to complete the MRCP and get the required IELTS score.

Interested candidates should contact cme@icldc.ae