str lat/clinical fellow in clinical haematology
NHS GREATER GLASGOW & CLYDE
Information pack
reF: 34042d
Closing Date: noon 8th august 2014
SUMMARY INFORMATION
Post: str lat/clinical fellow in haematology
Base: nhs greater glasgow & CLYDE
Applications are invited for Locum Appointments for Training (LAT Specialty registrar ST3) or Clinical Fellows in Haematology. Posts are available from 6th August 2014 until 3rd February 2015. This programme provides training in Haematology and integrates fully with the specialty training programme at an appropriate level. The successful candidates will receive an excellent introduction to the specialist care of patients with Haematological disorders and malignant diseases along with the appropriate laboratory training.
For appointment to a LAT post you must possess full MRCP (UK), or equivalent,and all candidates must have core medical training competencies, or equivalent. Previous experience in Haematology is desirable though not essential. The post has educational approval from the Postgraduate Dean. Applicants who do not meet the above LAT essential criteria may be considered for appointment to a similar post as a Clinical Fellow (a post which would not be recognised for training).
NHS EDUCATION FOR SCOTLAND, WEST REGION
LOCUM APPOINTMENT for TRAINING / CLINICAL FELLOW
IN HAEMATOLOGY
JOB DESCRIPTION
REF: 34042D
1.INTRODUCTION
These posts post provide training in Haematology and integrates fully with the Regional Specialty Training Programme at the appropriate level. The successful candidate will receive an excellent introduction to the specialist care of patients with Haematological disorders of a malignant and non-malignant nature along with training in the appropriate diagnostic and laboratory investigations. The West of Scotland region covers a wide geographical area and a total population of 2.55 million in 5 major health boards. The rotation involves periods in specialist areas such as paediatrics, blood transfusion, bone marrow transplant and coagulation with time spent in both North and South Glasgow, or surrounding Health Boards for generalist haematology training. Applicants to be appointed to a LAT post must possess MRCP UK,all candidates must have core medical training competencies or equivalent. Previous experience in Haematology is desirable, but not essential. Glasgow offers a wide range of culture and sporting opportunities. The West of Scotland Postgraduate Deanery confirms that these placements and/or programme have the required educational and Postgraduate dean’s approval. If appointed as a Clinical Fellow these posts will not be recognised for training.
After entering the programme, an Educational Supervisor fromthe allotted rotational attachment and hospital will meet with the traineeand set training targets; draw up a learning agreement; arrange three monthly assessments; and provide feedback to trainee as required. Performance assessment is on a regular basis throughout training.
The training programme is supervised by the Haematology Sub-committee of the West Region NHS Education for Scotland (NES) with a dedicated Training Programme Director- Dr Mark McColl (CrosshouseHospital). Each segment of the rotation is overseen by a named Educational Supervisor.
2ENTRY REQUIREMENTS
The Trainee will be appointed by a Committee comprising representatives of the Postgraduate Dean, Speciality Training Committee, and involved hospitals. Candidates must have had satisfactory completion of Core Medical Training / General Professional Training, including at least 2 years of experience in acute medical specialties. Experience in haematology or oncology specialties is desirable. Possession of the full MRCP is essential for appointment to a LAT post.
3 COUNTING PERIOD TOWARDS A CCT-CERTIFICATE OF COMPLETION OF TRAINING
Appointees to a LAT Post who envisage the possibility of later entry to a Type I Higher Training Programme in a medical specialty, and wish this period to be counted, must enrol with JRCPTB. Unless approval by JRCPTB is obtained prospectively, training undertaken during tenure of a LAT cannot count towards a CCT. Trainees who enroll must
- meet the entry requirements for Higher Training in their specialty
- occupy posts which have been approved for inclusion in a Higher Training programme in their specialty
- have been appointed for a minimum of three months and maximum 1 year. Appointments of shorter duration will not be countable for CCT purposes.
- declare to the Postgraduate Dean (or Deputy) at the time of appointment the intention to seek educational recognition of time in post for CCT purposes
- obtain the Postgraduate Dean's signature on the enrolment form
- undergo such assessments and appraisals as may be required by the Postgraduate Dean and Educational Supervisors during tenure of the post
4DUTIES OF THE POST
(i) Training
The Trainee must make full use of the training opportunities provided in each placement.
LAT posts have educational approval from the Postgraduate Dean. If appointed as a Clinical Fellow these posts will not be recognised for training.
(ii) Clinical
Under the supervision of the Haematology Consultants, the Locum Appointment for Training (LAT)/ Clinical Fellow will be expected to participate in all clinical duties as the St3s as detailed in Appendix2 - commensurate with their experience. The successful appointee will be expected to join in the provision of the on call service once deemed competent.
(iii) Administration
The Trainee will be expected, when appropriate, to participate in the day to day running of the department in administrative activities such as organisation of undergraduate training, patient reports and letters. The Trainee will have the opportunity to develop management skills as required.
(iv) Communication
This will include:
Discussion with Haematology Consultants regarding clinical problems.
Communication with General Practitioners - this will include telephone discussion of problems and writing of letters about cases seen in the Department.
Liaison with Specialists in other disciplines and hospitals
Liaison with external agencies, such as district nurses, ambulance, police etc.
5EDUCATION
(i) Continuing Education
In each department, each trainee will have dedicated periods of training with the trainer consultant and a minimum of a half day per week for self learning. Attendance at relevant departmental and hospital meetings is expected. In addition, there is a rolling programme of selected topics of teaching/CME provided over a two year cycle on Wednesday afternoons during term time covering specialist areas in haematology, management, medical audit and quality assurance. Participation is also expected at regular local and Regional Educational meetings. During the second phase of the programme, registrars will attend a formal management course.
(ii) Teaching
At the appropriate stage of training, the Trainee will be expected to participate in both undergraduate and postgraduate teaching.
6RESEARCH AND AUDIT
(i)Research
There is a strong tradition of research in the West of Scotland. Facilities and support for research activities are available through the University academic department and within hospital departments. The trainee will be encouraged to participate in clinical research and time will be allocated consistent with current Terms & Conditions.
During training for the Part 1 FRCPath Exam, trainees will be introduced to the discipline of research. Opportunities exist for original work especially in the fields of haemostasis and haematological oncology. Approved “out of programme experience” for research in grant funded posts is often available e.g. LRF Clinical Research Fellowships. Work towards a higher degree is encouraged.
(ii)Audit
Audit is an essential component of Haematology practice and the Trainee will be required to participate in local and national audit activities.
7LOCATION OF DUTIES
The hospitals (detailed in Appendix 1) involved in the training programme are as follows:
Glasgow Royal Infirmary Beatson West of Scotland Cancer Centre
West Glasgow HospitalsMonklandsHospital
Victoria InfirmaryRegional Transfusion Centre
Southern GeneralHospitalCrosshouseHospital
StobhillHospitalRoyalAlexandraHospital
RoyalHospital for Sick Children
ForthValleyRoyalHospital
8ASSESSMENTS For LAT PostHolders
Assessments will be tailored to successful candidate’s requirements and may include:
(i)The Trainee will be continuously assessed by the trainers (Clinical & Educational Supervisors) at their place of work with local appraisal every 6 months
(ii)Throughout training their will be regular assessment of trainees by their Educational Supervisors through:
Mini Clinical Evaluation Exercise (Mini-CEX)
– assesses core clinical skills (approx 4-6 per year)
Case-based Discussions (CbD)
- to assess a variety of clinical, problem-solving and laboratory skills and knowledge
Directly Observed Procedures (DOPs)
- assesses technical ability for procedures (approx 2-4 in total)
- procedures to be assessed will include BM Aspirate & Trephine, IT-chemotherapy
Multi-Source Feedback Analysis (MSF)
- allows structured feedback about a trainees overall performance in post
- undertaken towards end of year 1 and again during year 4
(iii) If in the opinion of the Training and Assessment Committee, the Trainee fails to show adequate commitment or progress, career guidance will be arranged, and exceptionally, in the absence of satisfactory progress, the committee may recommend that the contract be terminated.
(iv) Trainees are required to keep an electronic portfolio following the requirements laid down by the JRCPTB.
9GENERAL INFORMATION
Hours and Salary
The standard hours of duty shall be the working week of forty hours for which the salary scale currently applicable is appended under general information.
On call is non residential and banded at 2B. (Banding is subject to change).
Further Information
For further information on these posts, please contact
Dr Mark Drummond, Consultant Haematologist, Beatson, West of Scotland Cancer Centre, Glasgow Telephone 0141 301 7712
For information on the training programme, please contact:
Dr M McColl,Chair and TPD, Postgraduate Sub-Committee in Haematology, CrosshouseHospital, Kilmarnock - Telephone: 01563 577416
APPENDIX 1
Glasgow Royal Infirmary(Approximately 1000 beds)
Glasgow Royal Infirmary is one of the main teaching hospitals in Glasgow and houses most major acute medical and surgical specialties, together with a number of University Departments. The Haematology Department is organised in 4 sections:
General Haematology
Hospital Blood Banking
Haemostasis (Coagulation and Thrombosis) including the Regional Adult Haemophilia Centre
Obstetric and Perinatal Haematology
The West of Scotland Comprehensive Care Haemophilia Centre and Thrombophilia Service is one of the largest such services in the UK with more than 1000 patients with inherited bleeding disorders registered and a very busy clinical service for patients with thrombotic disorders. This major subspecialty is supported by the Regional Haemostasis specialist laboratory and research interests include anticoagulation, haemophilia and allied bleeding disorders, thrombophilia, thrombosis prevention, thrombosis risk prediction and management of high risk pregnancies.
The department also services a large number of medical and surgical beds and provides a clinical and laboratory service for patients with congenital haemoglobin disorders.
West Glasgow Hospitals [Western Infirmary & Gartnavel General Hospital including West of Scotland Beatson Cancer Centre] (Approximately 946 beds)
The Western Infirmary, Gartnavel GeneralHospital and WoSBCC complex is the other major teaching hospital complex. In addition to providing comprehensive clinical, laboratory and hospital blood banking services, there is a large acute leukaemia service and lymphoma practice. There is close integration between haematology and the Beatson Oncology services. The Haemato-oncology service has relocated along with the Regional Bone Marrow Transplant Unit to a new build Beatson Oncology Centre at Gartnavel GeneralHospital in 2007.
The laboratory facilities at Gartnavel GeneralHospital provide regional service for immunophenotyping of haematological malignancies.
Research interests include erythroblast and haem iron metabolism and in association with Beatson Institute for Cancer Research: research into stem cell biology, and the regulation of haemopoesis and cord blood haemopoeitic progenitors.
Bone Marrow Transplant Unit /West of Scotland Beatson Cancer Centre
This is the largest in Scotland performing approximately 50 allogeneic or unrelated and 50 autologous transplants per year. This is the only Unit carrying out unrelated donor bone marrow transplants for adults in Scotland. This unit is co-located with the West Glasgow Haemoto-oncology service in the new build Beatson Oncology Centre at Gartnavel GeneralHospital.
The Department has major research programmes in stem cell biology, transplant techniques, chronic myeloid leukaemia and myeloma.
There is also on site a busy Apheresis Unit (including photophoresis) run by the Scottish National Blood Transfusion Service.
RoyalHospital for Sick Children(Approximately 300 beds)
RoyalHospital for Sick Children is the largest paediatric teaching hospital in Scotland. The department treats two-thirds of the cases of childhood leukaemia and cancer in Scotland, houses the National Paediatric Bone Marrow Transplant Unit and the Regional Haemophilia Centre, provides diagnostic and counselling service for haemoglobinopathies and cares for children with a wide range of benign haematological problems. The bone marrow transplant programme is heavily weighted towards unrelated transplants, and a haplo-identical programme is being developed. A molecular biology laboratory supports the leukaemia and bone marrow transplant service, and has a particular interest in the monitoring of minimal residual disease and provides a resource for research activity. A laboratory diagnostic and consultative service is provided to all paediatric specialties including medical and surgical, neonatal intensive care units, cardiothoracic surgery, and theECMO programme.
Southern GeneralHospital(Approximately 1100 beds)
This department provides a comprehensive clinical and laboratory haematology and transfusion medicine service for this single site teaching hospital. Specialties included general medicine, general surgery and the sub-specialties; vascular and orthopaedic surgery, urology, ENT, ophthalmology, psychiatry, dermatology and geriatric medicine.
There is a large obstetric unit serving South & West Glasgow and in addition to the routine haematology and blood bank support, the laboratory provides a comprehensive ante natal haemoglobinopathy screening service.
The Institute of Neurological Sciences provides a tertiary referral service, and the National Spinal Injuries Unit provides a service for all of Scotland.
The nuclear medicine department provides experience in the use of radio-isotopes in haematology.
There is an extensive clinical and laboratory service for patients with thrombotic and haemorrhagic disorders including the management of pregnancy-associated thromboembolic disease. There is the opportunity to gain experience in the management of patients with a wide range of haematological malignancies.
Victoria Infirmary (approximately 485 beds)
Exposure to a wide variety of clinical and laboratory haematology including lymphomas and autologous bone marrow transplant is available. In the laboratory setting there is an interest in thrombophilia screening, immunocytochemistry in haemopoietic malignancies and in haemoglobinopathies.The unit will provide general haematology laboratory experience including blood film and bone marrow morphology, general haemostasis and blood banking. The nuclear medicine department provides experience in the use of radio-isotopes in haematology.
There will be opportunities for publication of case reports and for audit and research during placements at this site. During changes in provision of acute health care in Glasgow, 2 major Outpatient centres have been built on the Stobhill and Victoria sites. The new centre at the Victoria Infirmary along with the West of Scotland Beatson Cancer Centre will be the only sites for Outpatient Intravenous Cytotoxic therapy.
StobhillAmbulatoryCareHospital
Stobhill ACH provides a day case and outpatient facility, with no acute beds and only a small number of rehabilitation beds. All clinical activity at this site is supported by the laboratory services at Glasgow Royal Infirmary.
Haematology outpatient clinics and day case activities at Stobhill ACH are supervised by Dr M Leach and Dr L McIlwaine. Any trainees attached to Stobhill will be linked with the parent unit at either Glasgow Royal Infirmary or Gartnavel GeneralHospital.
District General Hospitals
In addition to rotation within the Glasgow Hospitals, there are training posts recognised in Monklands GeneralHospital (Airdrie), WishawHospital, RoyalAlexandraHospital (Paisley), ForthValleyRoyalHospital (Larbert) and CrosshouseHospital (Kilmarnock). These hospitals offer trainees a wide variety of clinical and laboratory experience in a District General Hospital setting whilst maintaining the academic environment necessary to stimulate training and discussion together with an interest in research.
Regional Blood Transfusion Centre
Rotation of Higher Specialist Trainees is arranged to provide the necessary experience required in transfusion medicine as specified in the PMETB Haematology Curriculum. The RTC also provides a regional Apheresis Service.
HAEMATOLOGY CONSULTANT STAFFING
Glasgow Royal InfirmaryWOSCC /West Glasgow Hospitals
Dr R C Tait Dr E J Fitzsimons
Dr C Bagot Dr M Drummond
Dr L McIlwaine Dr R Soutar
Dr A Parker Dr P McKay
Dr G McQuaker Dr M T J Leach
Dr A Clark Dr N Heaney
Paul O’Gorman Leukaemia WOSCC/Bone Marrow Transplant Unit
Research Laboratories Dr A Parker
Professor T Holyoake Dr G McQuaker
Professor M Copland Dr A Clark
Dr M Copland
Dr D Irvine
South Glasgow-Southern GeneralSouth Glasgow-Victoria
Dr A E Morrison Dr A Hart
Dr I McDonald Dr G Loudon
Regional Transfusion CentreRoyalHospital for Sick Children
Dr R GreenDr B Gibson
Dr U PaulusDr. E.A. Chalmers
Dr K DouglasDr N Heaney
Dr K Bailey Dr C Halsey
Dr R Soutar
Wishaw HospitalMonklands Hospital
Dr J LairdDr JA Murphy
Dr A HungDr I Singer
Dr C ThomasDr A Raafat
Dr P Paterson
Dr L Mitchell
Dr A Fyfe
RoyalAlexandraHospitalCrosshouseHospital
Dr F PatrickDr M McColl
Dr C StirlingDr. P Eynaud
Dr A SefcickDr J Gillies
Dr A McCaigDr F Cutler
Dr P MacLean
Dr W Gordon
ForthValleyRoyalHospital
Dr R Neilson
Dr M Hughes
Dr C Brammer
Appendix 2 Specialty Registrar Duties
The post of Specialty Registrar (StR) in Haematologyprovides up to 5 years of graduated, but flexible, experience in all aspects of clinical and laboratory haematology, including hospital blood banking and training in transfusion medicine, as indicated in the specialist curriculum published by the Postgraduate Medical Education and Training Board (PMETB) in 2010. It is delivered in a succession of rotational posts of six months’ duration which may be extended to one year to suit the needs of the individual trainee. The programme is divided into two parts - pre- and post-FRCPath Part 1.