Urology 

Introduction

Thank you for your interest in Urology Training in London. We are delighted that you are considering a career in Urology and considering the opportunities in the London region. We are fortunate to have nationally and internationally renowned teaching departments and excellent district hospitals all geographically close together.

Training in London is centred in one of three regions, North West, North East/Central and South. We are the largest training region in the UK with 70 National training numbers out of approximately 290. Each year around 10-15 commence training and as the most popular region usually have ranked very highly in National Selection.

According to the ranking, successful trainees will be offered a post in their preferred sector. It is then assumed that training will continue in that region until completion of training. There can be some limited movement between regions to accommodate specific training requirements.

We are also hosting the IST run-through pilot in Urology. 5 of our trainees have been appointed at ST1 level and it is anticipated that we will have dual entry at ST1 and ST3 level in the future.

Weekly teaching occurs every Friday afternoon in 3 academic terms. It is consultant led and at present is predominantly online. Research is encouraged and a number of our trainees take an Out of Program Research period after discussion with their TPD. We have a dedicated Academic lead, Professor Caroline Moore, who supports those on OOPR along with trainees in ACF/CL positions.

At the end of training and the award of CCT, our trainees are highly competitive at consultant interviews.

The Program is run from within the London School of Surgery by the Specialist Training Committee. The core members are:

Chair: Professor Nick Watkin,

Training Program Directors: Mr John Peters, Miss Tina Rashid, Mr Paul Cathcart

Academic Lead: Professor Caroline Moore

Simulation Lead: Professor Prokar Dasgupta

Education Lead: Mr Ben Ayres

Service Lead: Mr Daniel Dennis

Head of School

Ms Celia Theodoreli-Riga is the Head of the London Specialty School of Urology Surgery.

Deputy Head of School

Mr Dominic Nielsen is the Deputy Head of the London Postgraduate School of Surgery. Mr Nielsen is a consultant orthopaedic surgeon at St George’s Hospital in London. His clinical interests are foot and ankle surgery and complex lower limb trauma. He is a keen advocate of surgical education and was previously the Training Programme Director for Higher Orthopaedics in South London.

Training Programme Directors

North Central and East London

John Peters - Consultant Urological Surgeon and Divisional Director Whipps Cross / Barts Health

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I trained at Charing Cross and then on the North West London Urology rotation before completing my training at the Middlesex/Institute of Urology. I was appointed in 2002  at Whipps Cross and am a full time Consultant with a predominantly general urological practice and an interest in Uro-Oncology, Lower Urinary Tract symptoms and Cancer Diagnostics. I have been the Programme Director for the last ten years or so and have seen the evolution of practice and training with the development of high volume centres for pelvic and renal as well as the development of core and general urology hubs.

 

North West London

Miss Tina Rashid - BSc(Hons) FRCS(Urol), Consultant Urological Surgeon, Imperial College Healthcare NHS Trust

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I qualified from University College London Medical School in 2004 and completed my post-graduate training on the North West London Urology Rotation.  I undertook a competitive fellowship in female urology at University Hospitals of Leicester and was awarded a fellowship at the European centre of excellence in functional and reconstructive urology in Belgium, Leuven University Hospital. 

I was appointed as a Consultant at Imperial College Healthcare NHS Trust in 2014 and am currently the clinical lead for the Genital Reconstructive Surgical Team and has developed the female and functional urology unit.

 

South East London

Paul Cathcart

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Paul Cathcart has been a consultant urological surgeon since 2011 practicing at Guys and St Thomas NHS Foundation Trust. He qualified from St George’s Hospital Medical School in 2000 before completing fellowships in uro-oncology and robotic surgery at The Royal Melbourne Hospital and the Peter MacCallum Cancer Centre in Melbourne. In addition to having a busy general urological practice, Paul is regarded as an expert both in prostate cancer diagnostics and the surgical management of prostate cancer.

Paul is Clinical Co-ordinator for the National Prostate Cancer Audit and Chief Investigator for a number of clinical trials including the RAFT study which assesses the effectiveness and safety of salvage robotic prostate cancer surgery after focal therapy.

Paul also enjoys being involved in teaching and training of junior urologists. He is the London training programme director for specialist urology registrar training and is a national selector for the national training programme for urology.

When Paul’s not at work he is usually found out running either training or competing!

 

South West London

Professor Nick Watkin

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Professor Watkin has been the Chair of the Pan London Urology Training Committee since 2017 and prior to that was the London South Sector Training Program Director. He is based at St George’s Hospital and is a practicing urological surgeon with a specialist interest in genito-urethral surgery. He is also the Academic Training Program Director for the London School of Surgery with responsibility for the ACF and ACL program and those trainees on Out of Program Research. He is very happy to have informal contact with any trainee wanting to know more about urological training in London or the wider Academic program (nick.watkin@nhs.net).

Training programme

NCEL – North Central and East London Rotation

Our training rotation covers the central and eastern part of North London. There are three teaching units in the rotation at Royal London, Royal Free and UCH and we have six district general hospitals (Queens/King Georges, Whittington, North Middlesex, Barnet/Chase Farm and Whipps Cross). The opportunities  from having a large number of specialist complex centres allied to large busy acute units means we can provide a flexible training to cater for core ST3/4/5 trainees and more specialist opportunities in pelvic, renal, andrology and reconstruction. Paediatric subspecialist opportunities are available at Whipps, Queens, North Middlesex and the Whittington amongst the DGHs. The last ten years have seen changes in hospital configurations which have resulted in high volume Renal surgery (400+ cases per yr) at the Royal Free and centralisation of all Pelvic (Bladder and Prostate) at UCH.

There is a rotation meeting twice a year called URAM ( Urology Regional Audit Programme ) when there is an opportunity to present audit and QI projects and there is a strong track record of this leading on to publication and presentation and national and international conferences. Research is strongly supported with strong link s to UCL and QMUL academically. There are strong links with the North West and South London rotations and movement between the three rotations is a common event to support training opportunities.

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NWLU - North West London Rotation

NWLU offers training opportunities for 16 trainees (ST3-7) across 7 hospitals:

Imperial College Healthcare NHS Trust is a large teaching hospital which offers 6 training posts in all urological sub-specialties.  It is a high volume centre for pelvic, renal and prostate cancer, offering training in open, laparoscopic and more recently robotic-assisted techniques. It hosts an internationally renowned focal therapy service for prostate cancer.  The endourology service offers PCNL, mini-PCNL, ‘hot’ ureteroscopy, ESWL and all options for BPH including Rezum, HoLEP and Urolift. It is the only NHS Trust in the UK to offer feminising genital surgery and offers a world class fertility service. ICHNT has a sacral nerve stimulation service and provides prosthetic surgery for urinary incontinence and erectile dysfunction. There are plenty of opportunities for academic progression linked to Imperial College Healthcare NHS Trust.

The Royal Marsden Hospital offers 2 posts in pelvic, retroperitoneal, renal and prostate cancer surgery.  Training is offered in open, laparoscopic and robotic-assisted techniques.  This unit offers high quality urological cancer management training and the opportunity to be part of cutting edge clinical trials.

There are 7 high volume core urology posts shared between Wexham Park Hospital (2 posts), Northwick Park Hospital (2 posts), Chelsea & Westminster Hospital (1 post), West Middlesex Hospital (1 post) and Hillingdon Hospitals (2 posts).  These posts are supervised by experienced Education Supervisors who have a passion for training.

The post at Northwick Park Hospital offers the chance to be involved with complex reconstruction under the St Mark’s Colorectal Team. Paediatric training opportunities have been developed with the Paediatric Surgeons as part of the rotation with Chelsea and Westminster Hospital.

The annual regional meeting offers potential for networking with peers and presentation of research and quality improvement projects.  Each year, we choose a theme for the meeting and invited speakers share their experiences and knowledge with our trainees. Examples of previous themes are ‘Innovation’ and ‘Leadership’.  The NWLU trainees run their own mentoring group to offer each other career advice and support. 

We are proud to help our motivated and innovative trainees reach their full potential.

Specialty Training Board Information

The London Specialty School of Surgery holds Specialty Training Board meetings three times per year. The purpose of this group is to bring together specialty leads from postgraduate medical training programmes across the three London local education and training board areas to consider issues of mutual interest in relation to surgical training, and to foster and share good training practice on a pan London basis.

Vision

The vision for the London School of Surgery is to provide the highest quality of training using the vast wealth of clinical resources across London. London has a population of almost eight million. With its rich variety of cultures, nationalities and social backgrounds, the capital offers any trainee a full and rewarding experience in emergency medicine.

The London School of Surgery also seeks to provide:

  • World class education for world-class healthcare
  • Excellence of postgraduate training and education
  • Producing clinical leaders of tomorrow

Useful Information and Links

Curriculum - https://www.gmc-uk.org/education/standards-guidance-and-curricula/curricula/urology-curriculum

ePortfolio - https://www.iscp.ac.uk/

Exams - https://www.jcie.org.uk/content/content.aspx?ID=1

JCST Guidelines and Checklists - https://www.jcst.org/quality-assurance/certification-guidelines-and-checklists/