Speciality Training Posts in Palliative Medicine, Oxford Deanery

Speciality Training Posts in Palliative Medicine, Oxford Deanery

JOB DESCRIPTION

SPECIALITY TRAINING POSTS IN PALLIATIVE MEDICINE, OXFORD DEANERY

The specialty training posts in palliative medicine in the Oxford Deanery are designed to provide a comprehensive training programme in Palliative Medicine over a four-year period. The aim of training is to equip a trainee with the knowledge, skills and behaviours necessary to work as a Consultant in Palliative Medicine in specialist in-patient units, community based teams and / or hospital support teams. The curriculum in Palliative Medicine will provide the structure for training.

Rotations

Each trainee will spend one year at four different units, which will include a year in Oxford.

The training units on the oxford rotation are

  1. Sue Ryder Care Centre, Nettlebed, Henley on Thames, Oxon, RG9 5DF
  2. Florence Nightingale Hospice, Stoke MandevilleHospital, Mandeville Road, Aylesbury, Bucks, HP21 8AL

3. Sir Michael Sobell House, ChurchillHospital, Oxford,OX3 7LJ

4. Duchess of Kent House, DelwoodHospital, Liebenrood Road, Reading, RG30

2DX

5. Katherine House hospice, Adderbury, Banbury, Oxon OX17 3NL

Educational opportunities

  • There is an extensive educational programme provided by the Oxford Deanery
  • There is access to grand rounds and other opportunities at the teaching hospitals
  • Attendance at one of the annual advanced courses in palliative medicine is encouraged
  • Attendance at the biannual Palliative Care Congress is encouraged
  • Attendance at study days arranged by the Doyle Club and Association of Palliative Medicine is encouraged
  • Some trainees undertake postgraduate qualifications which the training scheme endeavours to support
  • Library facilities are available in the individual units, Sobell House and the Cairns library, Oxford Radcliffe Trust.

Study leave

The trainee will receive protected study time as part of their timetable at a rate of 30 days per year to cover monthly registrar training meetings, courses attended and private reading time. A study leave budget is available to help toward costs of courses. All trainees will be required to attend an advanced communication skills course.

Teaching

The opportunities for teaching include:

  • Staff teaching within the palliative care units, formal and informal
  • A diverse range of requests for external teaching e.g. primary health care teams, hospital medical teams, allied health professionals etc
  • Training courses in the study centres of the specialist palliative care centres, e.g. ENB and District Nurse training programmes, PGEA approved courses.
  • Medical student courses at Sobell House (six times per year)
  • The Advanced course in Pain and Symptom Management by invitation

Training courses on teaching skills and educational theory are available at deanery level.

Attachments available

Trainees will have the opportunity to undertake clinical placements that reflect identified training needs. Attachments may be undertaken in medical oncology, clinical oncology, pain relief, primary care and rehabilitation medicine.

All attachments need to be discussed in advance with the training unit in which you are working and with your educational supervisor.

Research opportunities

There is ample opportunity for the Speciality Trainee to undertake research during the course of the rotation. Some do so as part of an MSc. The scheme also has links with the Cochrane collaboration. Trainers, in partnership with the trainee will explore links for support with a research project as necessary. There is a research champion in place to support trainees undertaking research.

Small grants and statistical advice is available through the Oxford Radcliffe Trust.

A trainee who so wishes to do so may spend a year of the rotation in research subject to achieving a successful bid for funding. Applicants who are interested in undertaking this option should refer to the document “Specialist Registrars Research – The Way Ahead” published by the Association for Palliative Medicine March 2001.

Audit

You will be encouraged to undertake an audit project per year and to understand the link between clinical governance and audit.

Management experience

The trainee will be invited to join management meetings in the final year of their training programme. They will be encouraged to be familiar with the current management arrangements and issues within the health service and the voluntary sector.

Management courses are available within the Deanery.

Appraisal

Work based assessments will take place with your nominated clinical supervisor throughout each year as necessary. You will also have an educational supervisor to identify your training needs, plan training and check progress.

Assessment toward CCT

Trainees will undertake an ARCP on an annual basis.

Assessment will be in accordance with national guidelines and follow the recommendations set out in Palliative Medicine Curriculum

PRINCIPAL RESPONSIBILITIES

These will be dictated by the location in which you are working. They will be clarified by your clinical supervisor at the start of each year. For most posts the following responsibilities apply:

Clinical

1 To work as part of a multidisciplinary team and liaise with other professionals

within the team as appropriate

2 The Specialty Trainee will be responsible with the other medical staff for the day-to-day care of the in patients under the supervision of the Consultant

3 To supervise junior staff and other medical staff on secondment to the unit.

4 To participate in providing advice on symptom control for doctors and other staff seeking advice and reviewing patients at home as appropriate

5 To communicate rapidly and accurately with the patient’s GP regarding the

patient’s condition and treatment decisions

6 To attend the outpatient clinics attached to the post

7 To provide medical support and advice to patients attending the day unit/hospice

8 To provide advice and support to the community palliative care team

9 To be available for hospital ward referrals when requested by the Consultant.

On call

At present, the on-call is one in six weekends (48 hours) and three nights every six weeks, which is New Deal compliant.

TERMS AND CONDITIONS

The terms and conditions of service will be those agreed between the Appointee and the appropriate trust.

Reading PCT will hold contracts for trainees working in Duchess of Kent and Sue Ryder.

Oxford Radcliffe NHS Trust will hold contracts for trainees working in Sobell House and Katharine House.

Buckinghamshire Hospital NHS trust will hold the contract for the trainee at Florence Nightingale Hospice.

  1. Salary scale MN25 / Pay Banding 1B
  1. Hours

40 hours per week. Cover is prospective for annual and study leave.

  1. Health

The successful candidate will be required to have a medical examination prior to appointment or complete a medical questionnaire.

  1. Annual Leave

The successful candidate will be entitled to annual leave at full pay for five or six weeks a year, depending on the candidate’s incremental point at appointment.

  1. Driving

The appointee will be required to have a full driving licence.

  1. Rehabilitation of Offenders Act 1974

All medical posts are exempt from the provision of Section 4(2) of the Rehabilitation of Offenders Act 1974 by virtue of the Rehabilitation of Offenders Act (Exceptions) Order 1975. Applicants for this post are therefore NOT ENTITLED to withhold information about convictions which for other purposes are “spent” under the provision of the Act, and in the event of employment, any failure to disclose such convictions could result in dismissal or disciplinary action by the Authority. Any information given will be completely confidential and will only be considered in relation to an application for positions to which the Order applies.

List of consultants involved in training

Oxford:

Dr Mary Miller/ Dr Bee Wee/ Dr Tim Harrison / Dr Astrid Adams

Sir Michael Sobell House, ChurchillHospital, Headington, Oxford OX3 7LJ

Tel: 01865 225867 Fax: 01865 225 770

Reading:

Dr Paul Howard

Duchess of Kent House, DellwoodHospital, Liebenrood Road, Reading, Berks RG30 2DX

Tel: 0118 9550 488 Fax: 0118 9550 496

Banbury

Dr Charlie Bond/ Dr Beth Macgregor

Katherine House, Adderbury, Banbury, Oxon OX17 3NL

Tel: 01295 811 866 Fax: 01295 810 593

Nettlebed

Dr Maeve McKeogh / Dr Pat Strubbe

Sue Ryder Home, Nettlebed, Oxon RG9 5DF

Tel: 01491 641 384 Fax: 01491 641 169

Aylesbury

Dr. Helen Pegrum

Florence Nightingale Hospice, Stoke MandevilleHospital, Mandeville Road, Aylesbury, Bucks, HP21 8AL

Tel: 01296 332600 Fax: 01296 392 813

Regional Specialty Advisor

Dr Helen Pegrum

Florence Nightingale Hospice, Stoke MandevilleHospital, Mandeville Road, Aylesbury, Bucks, HP21 8AL

Tel: 01296 332600 Fax: 01296 392 813

Programme Director

Dr. Tim Harrison

Sir Michael Sobell House, ChurchillHospital, Headington, Oxford OX3 7LJ

Tel: 01865 225867 Fax: 01865 225 770

Post-Graduate Dean

Dr Michael Bannon

Director of Postgraduate Medical Education and Training, PGMDE, The Triangle, Headington, Oxford OX3 7XP

Tel: 01865 740 600 Fax: 01865 740 690

Dean for Flexible Training

Dr Barbara Thornley

PGMDE, The Triangle, Headington, Oxford OX3 7XP

Tel: 01865 740 602 Fax: 01865 740 699

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