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Attachments

General Guide to Attachments at SJUH

Your training is by a series of attachments to specialist groups.  While here, ensure you gain experience of specimens only available in the specialist centre, as well as more routine cases. 

You are responsible for making the most of these opportunities.  Aim to see and do as much as possible. As a guide, you should aim to report at least 15 cases per week during year 1-2 rising to at least 25 per week from year 3.

In the week before starting each new specialty attachment:

• Read the specialty information on the G drive
• Review your previous experience in the specialty in Leeds and at DGHs and identify any gaps
• Go to the named consultant the week before the attachment starts to introduce yourself; let your consultant know early on of any planned absences
• Discuss how the team organises its cut ups and how consultants in the specialty like to supervise trainees
• Discuss MDTs – which days they are on and the extent of the trainee’s role during meetings

During the attachment:

• Keep a record of specimens you have cut up, make sure your name is written in full in the ‘trimmed by’ box on the request form, and that you see the slides
• Make sure you get experience of specialised cases that would not be part of DGH experience
• draft reports promptly on all cases that you have cut up; time-manage to ensure this is not delayed by attending teaching sessions.
• liaise closely with the supervising consultant
• attend MDTs and seek opportunities to present cases.
• Make the most of multiheader sessions – attend other specialties if you have time, but reporting your own cases takes priority

At the end of the attachment:

• expect to complete all cases that you began during the attachment – this work will overlap with the beginning of your next attachment.
• If going away on leave make sure there are clear hand-over arrangements for any unfinished cases (e.g. with the next trainee on the attachment or the Consultant). 
• give your consultant plenty of notice of your last day
• ask for feedback