Royal Alexandra Hospital

paisle

General Information


The Royal Alexandra Hospital, Paisley, sited only 20 minutes from Byres Rd, is a large Acute Hospital, which is unique in GGC in offering Radiology Trainees experience in the full gamut of medical imaging including Medicine, Surgery, Orthopaedics, Urology, ENT and Ophthalmology, Paediatrics and Obstetrics.  Whilst it was opened in 1986, its layout incorporating low rise buildings and glass connecting corridors ensures that it retains the feel of a much newer structure. Furthermore, whilst it employs over 2000 staff, making the RAH one of the largest of its kind in Scotland, it retains the feel of a working DGH in which inter-departmental communication is frequent and effective.   Annually the hospital treats over 30,000 inpatients and 102,000 outpatients and day cases. It has a busy A&E unit whose Consultants play lead roles in the Emergency Medical Retrieval Service for Scotland.  There are comprehensive Post Graduate Training Programmes in all the clinical specialities with an active CME programme organised by the Post-Graduate Tutor, Dr. A. Renwick.

The Radiology Department 

The Radiology Department has the first 128 slice MDCT scanner in GGC, a Toshiba Aquilon CXL and a Siemens 1.5 Tesla Harmony MRI Scanner.  A second CT scanner, to incorporate the increase in cross-sectional activity, is on our wishlist and would be incorporated into pre-existing room. There is a dedicated mammography/ ultrasound suite with a GE Seno-Advantage 2.0 Digital Mammography Unit installed in April 2007.  There are 4 recently refurbished ultrasound rooms with modern Siemens Antares units and a Siemens Artis Zee fluoroscopy unit installed in May 2009.  Plain radiography rooms are all CR and DR.  There is a main reporting room with 4 Carestream PACS workstations.  There are also 2 quieter reporting rooms with a further 5 PACS workstations.

The 19 consultant staff are responsible for providing radiology services at RAH, The Vale of Leven Hospital in Alexandria and Inverclyde Royal Hospital in Greenock: this accommodates a population in excess of 400000, over 40% of GGC as a whole.  As a group, we believe that the service provision should be at a Consultant level.  Our trainees therefore have always a named consultant to supervise their activities as required by their experience and furthermore, we are flexible about rota changes to maximise training opportunites.  Although all trainees will be based at Paisley, both other Hospitals are accredited for training with the RCR and the GMC, and if requested by the trainee, there would be opportunity to visit Inverclyde Royal Hospital to take advantage of specialist procedures/ lists as and when they arose.

Subspecialty Interests

  • Dr M-L Davies – General, breast, DGH Paediatrics
  • Dr A D Wallace – General, oncology
  • Dr C J Adams – General, head and neck, musculoskeletal
  • Dr S M Evans – General, pelvic MRI, musculoskeletal
  • Dr A B Pover – General, non-vascular intervention, hepato-biliary
  • Dr A MacLennan – General, paediatrics, chest, musculoskeletal
  • Dr N Corrigan – General ,head and neck musculoskeletal
  • Dr A McCall – General, breast, oncology
  • Dr L Wilkinson – Breast
  • Dr I McGlinchey – General, breast
  • Dr P Walsh – General, musculoskeletal
  • Dr D M McCarter (Clinical Lead) – General, vascular intervention, chest
  • Dr S Datta – General, paediatrics, head and neck
  • Dr S Koteswaran – General, vascular intervention, chest
  • Dr T Coyle – General, non vascular intervention, urology
  • Dr A Hunter (Educational Supervisor) – General, neuro,head and neck, GI
  • Dr S Hepple – General, breast, gynaecology
  • Dr C. Cameron – General, musculoskeletal, gastroenterology
  • Dr G. Simpson – General, non-vascular intervention, Urology and GI
  • Dr C. Smith – To commence late 2013.
  • Radiographers (RAH)

We have 4 fully trained ultrasonographers, 3 radiographers fully trained in barium enema and 1 in performing swallow examinations.  We have rolling programmes for CT training and IV contrast injections by radiographers.  Mammography is supported by radiographers undertaking the BSC mammography course, four qualified. 1 of our radiographers is training in Plain Film Reporting.

Workload

Figures for last year for all 3 sites:

  • Annual examinations – 199,767
  • Annual attendances – 171,258
  • CT – 17480
  • Mammograms – 3213
  • Ultrasounds – 25039
  • MRI – 6289

Academic Programme 

There are postgraduate meetings taking place throughout the year.

Radiology Meetings

Weekly MDTs

  • Upper GI
  • Breast
  • Lung Oncology
  • Colorectal cancers.
  • Urology
  • Medicine.
  • Fortnightly meetings
  • Haematology
  • Urological oncology
  • HRCT meeting
  • Monthly A&E meetings
  • 6 Weekly Neuroradiology

We have an education meeting within the department once a month.  There are directorate meetings once monthly and weekly consultant meetings.

 

Appraisal 

Trainee aims will be established at a pre-module meeting.  Continuous appraisal by Consultants with regular feedback to trainee by Tutor.  End of module assessment with feedback to PGME Subcommittee.  Trainers End of module appraisal with questionnaire.

Modules


 

Chest & General Radiology

Trainers: Dr A MacLennan; Dr M Davies; Dr A Wallace; Dr S Datta; Dr D McCarter; Dr I McGlinchey 

Chest

2 reporting sessions “hot” reporting the chest clinic examinations

  • 2 CT sessions incorporating lists with high resolution chest CT, lung biopsies and lung Ca staging
  • Preparation and participation for the Lung Ca MDT and HRCT meeting
  • Opportunity for CT guided lung biopsies at Inverclyde Hospital  General
  • 2 Ultrasound lists
  • 1 MRI
  • 1 further as arranged

Breast & General Radiology 

Trainers: Dr M Davies; Dr A McCall; Dr L Wilkinson; Dr S Hepple 

Breast

  • 2 symptomatic clinics
  • 1 mammogram reporting session
  • Preparation and participation at the Breast MDT
  • Breast MRI, mammography reporting, ultrasound, stereotactic breast biopsy and localisation procedures

Non-vascular Intervention

Trainers: Dr G Simpson; Dr A Pover; Dr T Coyle; Dr S Koteswaran

1 General reporting session

  • 2 CT lists
  • 1 mixed MRI session
  • 1 ultrasound
  • Non Vascular Intervention

This module will offer trainees a wealth of exposure to an extensive range of interventional procedures.

As well as being timetabled for interventional sessions trainees will have the opportunity to perform ultrasound and CT guided procedures. We perform a large number of procedures annually at the RAH and we would expect trainees to be fully competent in basic procedures such as drainages, biopsies and nephrostomy by the end of this rotation. There will also be the chance to gain skills in more advanced procedures such as PTC and oesophageal/ colorectal/ureteric stenting and there is ample opportunity for teaching in our friendly department.

Sample Timetable:

 

 Mon  Tues  Wed  Thurs  Fri
 MDT/ Fluoro  CT Reporting  Fluoro Fluoro
 Study  US  Fluoro  Study  MRI

Annual Numbers of Procedures

 

  • US/CT drainage        40/18
  • US/CT biopsy           282/57
  • Nephrostomy            30
  • PTC                         26
  • Oesophageal stent    61
  • Colorectal stent         9
  • Ureteric stent            13
  • RIG                          15

Cross-sectional Imaging & General Radiolog

A unique feature of RAH and Clyde Imaging, given our size by Consultant staff and population base and our exposure to the full range of clinical and radiological specialities, is our ability to offer individual tailored mini-modules by request including:

  • GI Head and Neck (incorporating ophthalmology and neurological imaging)
  • Urogynaecology
  • MRI / CT
  • 2B preparation etc.

Any trainee opting to undertake such a module at the RAH will be given the opportunity to specify both technique based and system based preferences during the pre-attachment meeting.  All sessions will be consultant supervised and full study session entitlement and compensatory rest post on-call will be available. The trainee will be expected to attend all regular clinical MDT and academic meetings and will be encouraged to undertake a short audit or research project whilst on the attachment.

 

Enquiries Dr A. Hunter, Consultant Radiologist & Educational Supervisor Direct line to Radiology Secretary 0141 314 6799

 

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