• at least 3 positions available to basic trainees;
  
• at least three physicians who, in combination, are on site and available to supervise trainees at least half time;
  
• a physician available to serve as a Director of Physician Training (DPT);
  
• a training program, consisting of an average of at least two weekly tutorials/training sessions;
  
• an Emergency Department;
  
• an Intensive Care Unit or high dependency unit;
  
• access to diagnostic services including CT scan, with adequate basic services on site;
  
• a range of policies and procedures dealing with:
  • needle stick injuries;
  • lifting policy;
  • infection control.
    
• There will be a range of other policies dealing with other health and safety issues.
  

Hospitals are required to ensure all basic physician trainees complete a comprehensive Advanced Life Support (ALS) training course of a minimum three hours duration (as part of a continuous block) by the end of their first term as a basic trainee, if they have not undertaken an ALS course within the past 12 months. Hospitals should be providing support for their basic trainees undertaking such a course. Trainees should not be placed in a position where they are expected to manage a medical emergency or response team without adequate training.

Physician Trainees should be adequately supervised out of hours and a formal clinical handover following night duty should occur to provide education and support as well as ensure continuity of patient care. This should occur every day of the week and would ideally be consultant led involving those units who are most actively on take overnight.

Level 1 Teaching Hospital can provide up to 12 months of basic physician training. An individual trainee may not have more than 12 months training at a Level 1 Teaching Hospital. However, this can increase to 18 months if the trainee is, in addition to normal 12 months, seconded to Level 1 Teaching Hospital from a Level 2 or Level 3 Teaching Hospital for 6 months.

Level 1 Teaching Hospital (as part of a network)

A hospital may be suitable for recognition as a Level 1 Teaching Hospital (L1TH) if it substantially fulfils the above criteria required for a L1TH and the remaining criteria are fulfilled by virtue of it being part of a recognised network. In particular, adequate formal training must be available, but not necessarily on site. Such hospitals would be called “L1TH (as part of a network)”.

Hospitals are required to ensure all basic physician trainees complete a comprehensive Advanced Life Support (ALS) training course of a minimum three hours duration (as part of a continuous block) by the end of their first term as a basic trainee, if they have not undertaken an ALS course within the past 12 months. Hospitals should be providing support for their basic trainees undertaking such a course. Trainees should not be placed in a position where they are expected to manage a medical emergency or response team without adequate training.

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