1. ERS Annual Congress 2011, Amsterdam Dr Christopher Zammit Mater Dei Hospital, Malta

2. 5 years of Medical School, Mater Dei Hospital, Malta 2 pre-clinical years  Anatomy and Physiology 3 clinical years at Mater Dei hospital Structured training with experienced clinicians / academics

3. Numerous sub-specialities centred in the same location Good exposure to numerous medical / surgical cases Single General State Hospital in Malta Recently constructed Recognized teaching centre Full range of laboratory / imaging centre Adequate library IT facilities

4. First 2 years as Foundation years 6 months of general medicine 6 months of general surgery  Choice of medical / surgical specialities depending on preference, as well as on academic placement UK-based foundation program with structured training  Introduced recently  On-line portfolio and regular appraisals, DOPs, Mini-CEX Acquisition of warrant and licence to practise Name placed in the EU list of the Medical Council of Malta

5. 2 years full-time Medical BST: Following the Foundation years General professional basic training Prior to period of higher specialist trainee (HST) Application by interview basis / CV presentation

6. 4-month rotations in medical specialities  Ward rounds and medical out-patients  Diverse bed-side procedures as recommended by UEMS -European union of medical specialists  On-call duties outside normal working hours  Unselected acute medical admissions  Emergency ward cover

7. 4-hours per week protected time  Weekly teaching “Grand Rounds”  Weekly teaching academic lectures  E-learning management system with online lectures  Speciality journal clubs  Radiology multi-disciplinary team meetings (MDTs) Local and foreign conferences /courses Involved in audits, studies, publications and local protocol guidelines

8. Completion of MRCP post-graduate examination as evidence of completion of training. Weekly tutorials “Mock examination” BLS / ALS certification Clinical and academic log-book Satisfactory consultant appraisals

9. 4 years as Respiratory HST  Application by interview basis / CV presentation  Not an automatic progression  Competitive  Requires certificate of completion BST (CCBST)  Full registration with the EU medical council of Malta

11. Sub-speciality clinics Asthma clinic Sleep clinic Rapid-access lung cancer clinic TB clinic Opportunities for inter-speciality consultations  Cardiothoracic surgery, oncology / radiotherapy

12.  Weekly Flexible Bronchoscopy sessions  Thoracocentesis / Intercostal chest drain insertion  Introducing Thoracic ultrasound  Spirometry  Ventilatory support / NIV  4 month ICU rotations - Exposure to critical care respiratory medicine

13. Minimum of 4 hours per week protected time  Twice monthly respiratory journal clubs  Weekly Medical Grand Rounds  Monthly tutorials by respiratory consultants  Monthly respiratory meetings  Monthly radiology MDT meetings Encouraged to teach Medical students, Foundation year, BST doctors

14. Expected to publish and present Minimum of 2 audits and 1 publication per trainee Encouraged to attend local / international educational courses / conferences Opportunities to travel abroad for research / work experience Prospects for M Phil, Ph D, MSc

15. Funding / Financial Aid Study leave CME funding Post-graduate funding support for educational courses presentation of posters abroad

16. Certificate of completion Specialist Trainee (CCST)  Satisfactory yearly appraisals  Full academic / clinical log-book  Theoretical / Exit examination (MRCP college exam / HERMES) at the end of the specialization  Specialist Accreditation Committee (SAC)  Regulatory board for specialist training program