What is the Medical Training Initiative?


by Jon Sturman,

Clinical Director of Critical Care, North Cumbria.

MTI stands for Medical Training Initiative and is one way of allowing overseas doctors access to training in the UK. Applicants should have at least 3 years’ postgraduate clinical training and possess a postgraduate medical qualification – see MTI sections in the RCOA and RCP websites for more information on this. Application is facilitated by the Colleges to help with GMC registration and hospital trusts’ sponsorship on a tier 5 (2 year) visa.

Continue reading “What is the Medical Training Initiative?”

Critical Care Recovery – a new patient support website


by Dr Pam Ramsay

Post Doctoral Research Fellow, Edinburgh Medical School

Critical Care Recovery is a website to support patients and families in and after Intensive Care. The website can be customised for your own ICU or region. 

What’s the website for? This innovative website is a one-stop shop providing information, advice and support for ICU patients and their families. It’s the outcome of 10 years’ interview-based research with patients, and 5 years’ development, evaluation and quality improvement. It’s ideally placed to address a top research priority of the James Lind Alliance & ICS. To “support to help patients start living at home again”.

Continue reading “Critical Care Recovery – a new patient support website”

Are We Innovators?


by Craig Brown

I was speaking to a colleague recently who reflected that it appears we have been through the age of research, then came the age of standards and now we appear to be moving into “the age of innovation” in the NHS.

It was an interesting comment and perhaps picks up the zeitgeist where we have seen the development of “Quality Improvement” initiatives, sometimes on a local scale and sometimes on a regional or national level. The growth and expansion of Academic Health Science Networks (AHSNs) supports this regional transformation through platforms for education, supporting system wide projects and attempting to link innovators with the appropriate clinicians. Continue reading “Are We Innovators?”

Learning from Patient Safety Incidents


by Jeremy Groves, Consultant, Critical Care and Anaesthesia

I was helping out this morning with a bronchoscopy on a patient with a significant sputum load. My colleague Tim, who was supervising one of our trainees, Naomi, who was steering the scope, couldn’t see the wall mounted monitor.  I commented that the patient’s ventilation was being compromised by the presence of the scope. Tim wanted to see what was going on and asked me to turn the monitor towards him.  This I did and, with rather a large crash, a yelp from Naomi and a gasp of surprise from the rest of us, the monitor fell off the wall. Continue reading “Learning from Patient Safety Incidents”

Resuscitation to Recovery: A National Framework to improve care of people with out-of-hospital cardiac arrest (OHCA) in England

In 2013, the Cardiovascular Disease Outcomes Strategy (CVDOS), published by the Department of Health, highlighted that many lives could be saved if CPR and early defibrillation were instituted promptly, more often, and the whole pathway of care from successful resuscitation to subsequent rehabilitation were improved.

Recently, an OHCA steering group was convened Continue reading “Resuscitation to Recovery: A National Framework to improve care of people with out-of-hospital cardiac arrest (OHCA) in England”

New Standard Medication Concentrations in Adult Critical Care Area


by Mark Borthwick, Consultant Pharmacist – Critical Care

A decade ago, critical care units prepared medicines for infusion in a fashion determined by each individual unit and without reference to a central recommended list.  As a consequence, there were a huge variety of compositions of medications and fragmentation in practice, with implications for training, use of language/terminology, efficient use of resources and lack of purchasing power to influence development of medicines manufactured in a ready-to-use format. Continue reading “New Standard Medication Concentrations in Adult Critical Care Area”

Site tip: BMJ Open

BMJ Open is an online, open access journal, dedicated to publishing medical research from all disciplines and therapeutic areas. The journal publishes all research study types, from study protocols to phase I trials to meta-analyses, including small, specialist studies, and negative studies. Publishing procedures are built around fully open peer review and continuous publication, publishing research online as soon as the article is ready.

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