Wishaw General Hospital

wishaw

Consultants

Dr Barbara Macpherson (Clinical Director)   Breast radiology.

Dr Susan Reid                                                      Upper GI, Haemato-oncology imaging, TV US.

Dr Manoj Mohan                                                               Breast, Thoracic and Paediatric imaging.

Dr Muhammad Rashid                                      MSK and lower GI radiology.

Dr Ananth Shenoy (College tutor)                    Thoracic and Paediatric imaging.

Dr Marcel Strauss                                                Neuroradiology, Emergency radiology.

Dr John Addison                                             MSK, Emergency and vascular imaging

Dr David Steele                                              Upper and lower GI radiology

Dr James Harper                                             Abdominal / GU imaging, Neuroradiology, MSK

Dr Laura Hinksman                                        Gyn. Radiology, Oncology imaging

 

All of the consultants are involved in cross-sectional imaging and are committed to the training scheme. There is a degree of specialisation and this will provide the trainee with a broad range of examination types in the department.

The MRI service provides a wide range of examinations including MSK, liver, angiography and pelvic cancer (including lower GI, urology, gyn.) staging, in addition to the ‘routine’ type of work.

The CT service is typical of most departments, there is a large general workload with a significant number of guided biopsies (especially chest) and cancer staging generally. With the acquisition of a 64-slice CT scanner in mid-2010 and a new 128-slice CT in 2013, peripheral limb angio / carotid vascular work and CT Colonoscopy services are being provided.

The ultrasound department provides a comprehensive non-cardiac, non-obstetric service. A part of the routine scanning is carried out by sonographers, allowing the radiologists to tailor their lists to special interests (e.g. breast, carotid, musculoskeletal, paediatric work).

 

The Department and its Equipment

 

Most of the equipment in the radiology department was supplied new when the hospital opened in 2001. There is an agreed and contracted programme of replacement. A Siemens hospital wide PACS system had been in place since the hospital opened, which has been replaced in 2009 by Carestream RIS-PACS. Carestream Voice Recognition is integrated with the RIS. The hospital is virtually ‘filmless’.

 

Colleagues in Hairmyres Hospital provide the interventional radiology service, both vascular and non-vascular. CT / ultrasound guided biopsies and certain image guided drainage procedures are carried out in Wishaw.

The nuclear medicine service is provided mostly by Glasgow Royal Infirmary although some patients attend Monklands Hospital.

 

The equipment consists of:

5 general x-ray rooms. (2011-12)

Digital Mammography (2011)

 2 x Siemens 64/128 slice CTs (2010, 2013)

 MRI – Siemens Aera 1.5T scanner (2013)

 Ultrasound:          GE x 2 (2015)

                              Siemens Acuson (2012)

                              Siemens Acuson x 2 (2009)

                                 Sonosite portable (2009)

 Siemens multipurpose screening room (‘bariums’) (2012)

 Lunar bone densitometer.

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Core training Modules

 

Speciality                            Supervisors / Supervising clinicians

 

Breast radiology                                      Drs. B. Macpherson / M. Mohan

Thoracic radiology                                  Drs. A. Shenoy / M. Mohan

MSK radiology                                        Drs. J. Addison / M. Rashid  / J. Harper

G.I. radiology                                          Drs. S. Reid / D. Steele

Emergency radiology                              Drs. J. Addison / M. Strauss

Neuroradiology                                        Drs. M. Strauss / J. Harper

Oncology imaging                                   Drs. D. Steele / L. Hinksman

Gyn. Imaging                                           Drs. L. Hinksman / S. Reid

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Level 1 training modules

  • Thoracic Radiology

               Trainers: Dr. Ananth Shenoy and Dr. Manoj Mohan

There is a busy Respiratory unit on-site headed by 5 Consultant Chest Physicians, with varied specialist interests including lung cancer, asbestos-related disease and interstitial lung disease – offering an interesting case-mix.

A large number of suspected lung cancers undergo CT scanning, with a ‘fast track’ lung cancer service firmly entrenched in the departmental guidelines. Percutaneous lung / pleural, mediastinal and chest wall biopsies are performed regularly on dedicated slots by 3 Consultant radiologists (Drs. Rashid,  Shenoy and Hinksman) – providing ample trainee experience. The trainee has the opportunity to participate actively (under supervision) at a weekly lung cancer meeting involving a large established multi-disciplinary team.

The department receives a good number of HRCT scan referrals, which are assigned to the ‘Cold’ CT reporting list. Relevant interesting cases get discussed at a bimonthly respiratory meeting.

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  • Breast radiology (excluding screening)

               Trainers: Dr. Barbara Macpherson and Dr. Manoj Mohan

 Breast imaging training is currently being provided by two Consultant Radiologists. Mammograms are also being reported by two Radiographers.

The department has a Digital Mammography Unit and four Ultrasound Machines. Stereotactic biopsies are being performed on the Mammography unit. Ultrasound guided aspiration, biopsies and J wire localizations are also performed regularly.

Sessions take place throughout the week, with a one stop Breast clinic on Tuesdays and MDT meetings conducted once a week on a Monday.

The service is mainly a Symptomatic service, however, screening of high risk Breast patients and of postoperative patients is also performed routinely.

Trainees will have opportunities to take part in reporting of Mammograms, performing US and assisting and performing breast biopsies and aspiration.

They will also have opportunity to participate in the Breast MDT.

 Timetable

 A suggested working week will have five to six cross-sectional imaging sessions, two to three general sessions and two ‘study’ sessions.  The rota might consist of:

  • CT scanning                2 sessions
  • Ultrasound                   2 sessions.
  • MRI scanning             1 session.
  • General reporting       2 sessions.
  • Screening studies       5 session.
  • MDT attendance        5 – 1.0 session.
  • 2 sessions of study (Trainees choice).

Please note that the above is a guide only and can be tailored to meet the needs and preferences of the individual trainee.

 A consultant supports all sessions. Routine reporting is supervised, the extent of this depending on the seniority and experience of the individual trainee. All reporting is carried out on PACS. The trainees will share office space – with desktops provided (with internet / email access). There is a central reporting room with PACS workstation and another reporting room linked to CT.

Trainees are encouraged to be involved in audit during their attachment and are also invited to the CME/teaching sessions, discrepancy, risk management and other clinical or MDT meetings.

List of educational clinical / radiology meetings / MDTs

 Weekly

Monday 1.00 – 2.00 pm CME / Interesting Cases / Audit / Discrepancy / Risk management meetings

Monday 1.30 – 2.30 pm Breast MDT

Monday 3.30 – 5.00 pm Lymphoma MDT / General Haematology

Tuesday 12.00 – 1.00 pm Lung MDT

Tuesday 12.45 – 1.30 pm General medical

Tuesday 5.00 – 6.00 pm Adult Critical Care

Wednesday 8.30 – 9.15 am Trauma / Orthopaedics

Wednesday 12.00 – 1.00 pm Upper GI MDT

Wednesday 12.30 – 1.30 pm Stroke / General Geriatric

Thursday 12.00 – 12.30 pm Respiratory bimonthly

Thursday 8.30 – 9.00 am General surgical

Friday 8.30 – 10.00 am Lower GI MDT

Friday 10.30 – 11.00 am Radiology registrar teaching

Friday 12.30 – 1.45 pm Hospital meeting

Monthly   1st or last Thursday 12.45 – 1.45 Paediatric

Thursday 12.30 – 1.30 IBD meeting

All enquiries to Dr Ananth Shenoy, Consultant Radiologist, telephone 01698 366527 (Direct dial)

                                                                                                01698 366878 (Secr); 6550 (Reception)

                                                                                Email:  ananth.shenoy@lanarkshire.scot.nhs.uk

 

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