INTERNATIONal MEDICAL TRAINING FELLOWSHIPS
IN nEONATOLOGY
NHS GREATER GLASGOW & CLYDE
INFORMATION PACK
REF: 49694D
cLOSING DATE: 5th January 2018
www.nhsggc.org.uk/medicaljobs
SUMMARY INFORMATION RELATING TO THIS POSITION
Post: international medical training fellowships
Base: nhs greater glasgow & clyde
The Scottish International Medical Training Fellowships offer a unique opportunity to develop and share your skills with other motivated doctors as part of an internationally renowned service. The posts are designed for doctors who have completed or are close to completing training and allow you to experience working within the highly regarded NHS while furthering your own expertise. Working under the supervision of experienced trainers within NHS Scotland in key clinical areas, the International Fellowship posts offer exciting opportunities to gain experience and develop specialist interests following completion of formal training. Nationally agreed educational components of the post allow applicants to agree relevant and beneficial educational outcomes, after appointment.
Opportunities are available in the following specialty:
· Neonatology
Closing date: 5th January 2018
Interested and want to know more about working as a doctor in Scotland?
www.scotmt.scot.nhs.uk – for information on working/training visit our case studies
/www.scotland.org – for information on working, living and visiting Scotland
https://beta.gov.scot/publications/chief-medical-officer-scotland-annual-report-2015-16-realising-realistic-9781786526731/ - Read our Chief Medical Officer’s Annual Report ‘Realising Realistic Medicine’
For more information on the opportunities available, relocation policies and visa requirements, and to apply, visit our website:www.medicaljobs.scot.nhs.uk/imtf
Job Description for :International Medical Training Fellow in Neonatology
West of Scotland Deanery: based in NHS Greater Glasgow & Clyde
Outline of programme:
This post is designed to offer senior IMTF trainees a robust training in Neonatology. The rotation will provide up to 24 months experience rotating through placements in different neonatal units designed to provide a comprehensive exposure to all aspects of neonatal training. The initial placement (year 1 of training) is based in the Princess Royal Maternity. This is a level 3 neonatal unit attached to a large maternity unit offering substantial experience in the management of preterm infants. The second year of training will be based in the neonatal service of the Royal Hospital for Children. This neonatal service is co-located with the regional paediatric and surgical services and with the maternity unit of the Queen Elizabeth University Hospital which provides the regional fetal medicine service. The service provides substantial exposure to the medical and surgical management of infants with congenital abnormalities and complications of prematurity. The second year of training can also offer the opportunity to gain some exposure to neonatal transport.
The MTI trainee will be expected to undertake NLS, and Child Protection training during the first six-months of the programme.
Supervisors: Dr C Lilley, Dr L Jackson, Dr D Anand
Departmental Information:
The Princess Royal Maternity (year 1 placement)
The Princess Royal Maternity (PRM) is a modern purpose built specialist tertiary Neonatal and Maternity unit on the site of Glasgow Royal Infirmary The integrated on-site service includes an active Fetal Medicine Unit and a tertiary referral unit delivering expert care for maternal illness. The Neonatal Unit consists of 10 Intensive Care cots, 23 cots for infants requiring High Dependency or Special Care and an additional transitional care unit.
Royal Hospital for Children & Queen Elizabeth University Hospital (year 2)
The Royal Hospital for Children, (Glasgow) is the largest paediatric teaching hospital in Scotland. It provides care, not only for children resident within Greater Glasgow, but is also a tertiary referral centre for children from the West of Scotland and, in some sub-specialties, from the whole of Scotland. All paediatric medical and surgical subspecialties are represented, including general medical paediatrics, cardiology, neonatology, neurology, nephrology, respiratory medicine, endocrinology, gastroenterology, immunology and infectious diseases, dermatology, haematology/oncology, audiology, ophthalmology, ENT surgery, orthopaedics and general paediatric and neonatal surgery. The hospital provides the Scottish national ECMO service, is the centre for all paediatric cardiac surgery and the majority of the Paediatric Intensive care for Scotland. It is co-located with the Queen Elizabeth University Hospital (a large adult hospital). The maternity unit delivers 5,500-6,000 infants per year and incorporates the regional Fetal Medicine Unit.
Neonatal Transport Service (year 2)
The National Neonatal Transport Service (SCOTSTAR) is an independent service led by Consultant Neonatologists, supported by registrar-equivalent Neonatal Transport Fellows and Advanced Neonatal Nurse Practitioners. The service undertakes 800 transfers per annum by road and air, including the transfer of critically ill infants for ECLS and neonatal surgery.
Activity / Workload:
The Princess Royal Maternity (year 1 placement)
This busy Intensive Care Unit provides full neonatal intensive care services to a maternity unit with over 6000 deliveries per annum, many of which are high-risk pregnancies. Facilities include the latest means of respiratory support and monitoring including inhaled nitric oxide. There are six out-patient clinics per week, including the multidisciplinary dedicated neurodevelopmental follow-up of preterm and high risk infants.
Royal Hospital for Children & Queen Elizabeth University Hospital (year 2)
Royal Hospital for Sick Children houses the inpatient facilities of all the major paediatric subspecialties. This is one of the largest neonatal units in the country with 30 ICU/HDU cots and 24 SCBU cots. The workload for the neonatal unit involves the management of newborn children with surgical and cardiac conditions as well as those requiring input from the paediatric subspecialty services based on the RCH site. The maternity unit delivers around 6,000 births/year and contains the Ian Donald Fetal Medicine Unit which provides diagnostic and interventional fetal therapy for Scotland. All neonatal intensive care is provided on this site including neonatal cardiology for all of Scotland, the Scottish neonatal ECMO service (one of four centres in the U.K.), renal support therapy, complex airway surgery and comprehensive neonatal surgical services. Newborns are transferred to this unit from across Scotland because of the specialist services offered on this site. Due to the size and complexity of the clinical service there is a consultant available on-site at all times. Consequently the unit can provide an exceptional breadth of neonatal clinical experience and trainee support.
Neonatal Transport Service (year 2)The service undertakes 800 transfers per annum by road and air, including the transfer of critically ill infants for ECLS and neonatal surgery. The West of Scotland Neonatal Transport service has the most experience of air transfers in the UK and has a CAA approved system for delivering iNO in the air.
Clinical Training and Responsibilities:
The Princess Royal Maternity (year 1 placement)
The busy Intensive Care Unit provides training in a full range of neonatal intensive care including the latest means of respiratory support and monitoring including inhaled nitric oxide and therapeutic neonatal hypothermia. There are six out-patient clinics per week, five of which are Consultant led, the remainder led by an Associate Specialist. The associate specialist leads the dedicated developmental team and follow-up. There is a well organised and comprehensive teaching programme available to all junior staff. There are weekly joint obstetric and neonatal high risk meetings and bimonthly perinatal morbidity and mortality meeting with regular external educational meetings accessed by telemedicine, The Department is academically active, with established links with the department of Vision Sciences Glasgow Caledonian University and is actively involved in original and multicentre clinical research projects.
Royal Hospital for Children & Queen Elizabeth University Hospital (year 2)
Many infants with a broad spectrum of congenital anomalies are delivered on this site to provide immediate access to surgical and post-operative care. Neonatal trainees (and consultants) will work across all aspects of the service thus providing trainees with a comprehensive neonatal clinical training including: medical & surgical care of extremely premature infants, preoperative management of congenital heart disease, care of infants with complex airways, diaphragmatic hernias, abdominal wall defects and management of infants referred for consideration of ECMO therapy due to failure of conventional respiratory management. There is a multidisciplinary neurodevelopment clinic for the follow up of preterm and high risk infants. Our developmental physiotherapist, our speech and language therapist and one of the clinical psychologists attend this clinic and input from a dietician is available.
Neonatal Transport Service (optional 6 month placement in year 2)
Trainees will gain experience in neonatal transport as well as being encouraged to participate in on-going research and audit projects that the service undertakes. Clinical training and teaching pertinent to neonatal transport will be provided.
Non-Clinical Training and Responsibilities:
There are a number of formal teaching sessions and other learning opportunities provided every week in each department. Other relevant meetings and teaching sessions are held regularly in other departments locally. Junior medical staff have access to library, computer, office and changing facilities. There are full opportunities for clinical research and access to laboratory facilities can be arranged as required. Trainees also have access to other relevant paediatric subspecialty teaching opportunities within the Royal Hospital for Children element of the rotation.
Particular Training Opportunities:
This rotation is specifically designed to offer trainees a comprehensive training package in neonatology balancing exposure to medical and surgical problems and problems of both term and preterm infants. It achieves this by offering a number of placements in units that have a varied and complementary case-mix. Trainees will have exposure to some therapies and interventions that are only available in a very small number of U.K. centres. The rotation is also designed to allow a degree of tailoring of placements to meet the needs of individual trainees.
Rota arrangements:
Rotas undergo continual review but are all European Working Time Directive compliant full-shift rotas and generally attract a band 1A salary supplement. The exception is the placement in neonatal transport where out-of-hours duties take the form of non-resident on-call.
Links
This post consists of multiple placements that are already linked in a rotation.
Study LeaveStudy leave is available for up to 30 days per annum on the same conditions as apply to the Paediatric ST trainees
Salary
Salary is paid on the Specialty Registrar salary scale. Starting point on this scale will be dependent on previous experience.
TERMS AND CONDITIONS OF SERVICE
The conditions of service are those laid down and amended from time to time by the Hospital and Medical & Dental Whitley Council.
TYPE OF CONTRACT / Fixed TermNeonatology - 1 year contract
GRADE AND SALARY / International Medical Training Fellowship
£ 31,220 - £ 49,091 per annum (pro rata)
New Entrants to the NHS will normally commence on the minimum point of the salary scale, (dependent on qualifications and experience). Salary is paid monthly by Bank Credit Transfer.
HOURS OF DUTY / 40
SUPERANNUATION / New entrants to NHS Greater Glasgow and Clyde who are aged sixteen but under seventy five will be enrolled automatically into membership of the NHS Pension Scheme. Should you choose to "opt out" arrangements can be made to do this via: www.sppa.gov.uk
REMOVAL EXPENSES / Assistance with removal and associated expenses may be given and would be discussed and agreed prior to appointment.
EXPENSES OF CANDIDATES FOR APPOINTMENT / Candidates who are requested to attend an interview will be given assistance with appropriate travelling expenses. Re-imbursement shall not normally be made to employees who withdraw their application or refuse an offer of appointment.
TOBACCO POLICY / NHS Greater Glasgow and Clyde operate a No Smoking Policy in all premises and grounds.
DISCLOSURE SCOTLAND / This post is considered to be in the category of “Regulated Work” and therefore requires a Disclosure Scotland Protection of Vulnerable Groups Scheme (PVG) Membership.
CONFIRMATION OF ELIGIBILITY TO WORK IN THE UK / NHS Greater Glasgow and Clyde (NHSGGC) has a legal obligation to ensure that it’s employees, both EEA and non EEA nationals, are legally entitled to work in the United Kingdom. Before any person can commence employment within NHS GGC they will need to provide documentation to prove that they are eligible to work in the UK. Non EEA nationals will be required to show evidence that either Entry Clearance or Leave to Remain in the UK has been granted for the work which they are applying to do. Where an individual is subject to immigration control under no circumstances will they be allowed to commence until the right to work in the UK has been verified. ALL applicants regardless of nationality must complete and return the Confirmation of Eligibility to Work in the UK Statement with their completed application form. You will be required provide appropriate documentation prior to any appointment being made.
REHABILITATION OF OFFENDERS ACT 1974 / The rehabilitation of Offenders act 1974 allows people who have been convicted of certain criminal offences to regard their convictions as “spent” after the lapse of a period of years. However, due to the nature of work for which you are applying this post is exempt from the provisions of Section 4 of the Rehabilitation of Offenders Act 1974 by virtue of the Rehabilitation of Offenders Act 1974 (Exceptions Orders 1975 and 1986). Therefore, applicants are required to disclose information about convictions which for other purposes are “spent” under the provision of the act in the event of employment, failure to disclose such convictions could result in dismissal or disciplinary action by NHS Greater Glasgow and Clyde. Any information given will be completely confidential.
DISABLED APPLICANTS / A disability or health problems does not preclude full consideration for the job and applications from people with disabilities are welcome. All information will be treated as confidential. NHS Greater Glasgow and Clyde guarantees to interview all applicants with disabilities who meet the minimum criteria for the post. You will note on our application form that we ask for relevant information with regard to your disability. This is simply to ensure that we can assist you, if you are called for interview, to have every opportunity to present your application in full. We may call you to discuss your needs in more detail if you are selected for interview.
GENERAL / NHS Greater Glasgow and Clyde operates flexible staffing arrangements whereby all appointments are to a grade within a department. The duties of an officer may be varied from an initial set of duties to any other set, which are commensurate with the grade of the officer. The enhanced experience resulting from this is considered to be in the best interest of both NHS Greater Glasgow and Clyde and the individual.
EQUAL OPPORTUNITIES / The postholder will undertake their duties in strict accordance with NHS Greater Glasgow and Clyde’s Equal Opportunities Policy.
NOTICE / The employment is subject to one months’ notice on either side, subject to appeal against dismissal.
MEDICAL NEGLIGENCE / In terms of NHS Circular 1989 (PCS) 32 dealing with Medical Negligence the Health Board does not require you to subscribe to a Medical Defence Organisation. Health Board indemnity will cover only Health Board responsibilities. It may, however, be in your interest to subscribe to a defence organisation in order to ensure you are covered for any work, which does not fall within the scope of the indemnity scheme.
FURTHER INFORMATION