Microbiology – Clinical work and support
There are 2 Consultant Microbiologists at the Worthing site: Dr Jo Legg and Dr Janice Bates, and one Specialist Trainee in Infectious Diseases and Microbiology. At the St Richard’s site there are 2 Consultant Microbiologists: Dr Susie Jerwood and Dr Csaba Marodi, and one Specialist Trainee. The Trust Infection control team comprises 1 Nurse Consultant and 4 Infection Control Nurses. The Worthing department is also supported by a full time Antimicrobial Pharmacist.
Clinical Microbiology Service
The Microbiology team provides a very clinically focused service to the hospital and to the local community. There is a daily clinical ward round to review patients on ITU, and any patient with a bacteraemia or other significant infection. In addition, a member of the team attends a weekly diabetic foot MDT and endocarditis MDT, and a monthly TB MDT.
This depends on the previous experience of the trainee. For new trainees a period of approximately 2 months is spent in the laboratory at St Richard’s Hospital, and is followed by clinical microbiology training at Worthing Hospital. This training includes authorisation of Lab reports, clinical ward rounds, and telephone consults with hospital doctors and GP’s, all with consultant supervision. For those trainees in later stages of training, in addition to clinical consults, experience in management roles are organised including infection control and outbreak management, antimicrobial stewardship, and laboratory management. A period of time in a Regional Virology lab, and the local PHE centre can be organised if this is required. Experience in the outpatient management of HIV infected patients, TB patients and contact tracing can also be arranged locally.
Trainees are expected to participate in audit projects and presentations at the hospital medical meetings, and are given protected time to complete these, and other research projects if appropriate.
Next: Shift practice and rota