King’s College Hospital

TPD

Dr Stephen Gregory

Subspecialties offered

Major Trauma, Musculoskeletal, Adult HPB / Liver Transplantation, Paediatric HPB/Liver Transplantation, Paediatrics, Gastrointestinal Imaging, Interventional Radiology – HPB/Vascular/Oncology, Neuroradiology, Neuro Interventional Radiology, Renal/Urology, Breast Imaging, Nuclear Medicine, Dental, Cardio-Thoracic Imaging

Hospitals rotated through

  • King’s College Hospital (Base Hospital)
  • Croydon University Hospital
  • Princess Royal University Hospital
  • The Royal Brompton Hospital

Overview of Core Training (ST1-3)

ST1: Our ST1s are contacted before their start date by their paired ‘buddy’ SpR, the TPD, RCR College Tutor and admin team. Our Buddy system was introduced in 2021 where junior SpRs are paired with a new ST1. As well as the trust induction, we have a dedicated 2 week ST1 induction program where you will get to know the department including its staff of Consultants, Admin staff, Radiography Super-intendants, Radiographers, Sonographers and Nursing team.

The initial 2-week induction period is followed by a 9 month ST1 block rotating through the department with a ‘modality’ focus in CT/US/Fluoro/Plain Film/Acute Imaging. You will receive full support in preparing for the FRCR Part 1 exam – March of ST1 year. From May ST 1 year, you will commence ‘Core Training’ in the subspecialties.

Throughout the year, there are US teaching and simulations sessions organised by the South London US academy that is based at Guy’s Hospital. The central HEE lecture program for Physics and Anatomy is fully supported with guaranteed time off during the week to attend these.

All registrars get 5-years of access to STAT-Dx, a fantastic radiology learning tool.

ST2-3: You will rotate through all major sub-specialties as listed above, being trained by experts in the field. We embrace an Apprenticeship style of Radiology training at King’s. You will be working closely with consultants during your attachments with an emphasis placed on active discussion around cases encountered as part of the daily clinical workload. This will be conducted with close consultant contact as part of a ‘firm’ with an emphasis in clinicoradiological training, real-life clinical problem solving and shared clinical decision making. STs rotate through our two DGH sites as well as The Royal Brompton, the latter providing experience in tertiary-level specialist Chest Radiology. Emphasis in ST3 should be obtaining Part 2A of the FRCR examination.

Overview of Specialty Training (ST4-5)

We pride ourselves as a department in delivering world-class Sub-Specialist Radiology training. Kings’ Radiology Department recently received International recognition as such gaining the European Board of Radiology’s ‘ETAP 2.0 Platinum status’.

STs will get almost unparalleled experience in particular fields with up to 80% of the time dedicated to subspecialty training sessions.

King’s serves its local population by providing our local community the acute services you would expect of a large inner city acute teaching hospital. At the same time, King’s is a world-leading centre in many sub-specialist services eg. King’s is the largest adult and paediatric liver transplant centre in Europe and one of the UKs largest Cardio-Thoracic, Endocrine and Haematological service providers as well as a world class Neuroscience centre. We are one of London’s four Major Trauma Centres and a major Breast Screening Service for SE London and the neighbouring counties. We are also one of the few training centres to offer contrast-enhanced ultrasound.

Subspecialty training is conducted whilst retaining skills in acute radiology by weekly sessions in the ‘acute hub’ managing ED, Inpatient and Major Trauma throughput.

Every King’s trainee gets a free place on the bi-annual King’s FRCR 2B Course. In addition to the course there is an almost limitless number of tutorials and viva practice sessions delivered by the consultant body in the months leading up to the FRCR 2B exam.

On Call Commitments

Weekday on call: 17:00 – 21:00 (1 senior SpR and 1-2 juniors SpRs)

Weekend on call: 12 hour shift pattern (7.30 – 19:30 and 09:00 – 21:00). There are 3-4 SpRs on call with at least 1 senior SpR. NO NIGHTS 3 rest days after a weekend on call.

Local Teaching

Recently revamped.

As of Jan 2022:

  • Daily teaching
    • Mornings 08:15-09:00 (Consultant Rota)
  • King’s Thursday Meeting – KTM
    • Every Thursday afternoon 3pm – 5pm
    • All STs attend (inc those on attachment at DGHs)
    • 2 hours of educational content
    • 360 engagement – delivered by both STs and Consultants

Other information

Contact TPD via email for further details.