2.
the royal wolverhampton Hospitals nhs trust
DIRECTORATE OF MEDICINE
JOB DESCRIPTION
FOR
EDUCATIONAL FELLOWSHIP
IN DIABETES & ENDOCRINOLOGY
(MIDDLE GRADE EQUIVALENT)
(2 posts)
MARCH 2011
1. JOB DESCRIPTION
For candidates aspiring to specialise in Diabetes & Endocrinology, these posts offer an excellent opportunity to enhance their clinical experience while having protected time to take up academic projects with proven potential to present and publish. In addition, the candidates will be involved in the organisation and delivery of medical undergraduate teaching at New Cross Hospital for students of University of Birmingham Medical School. It is suitable for a doctor who has completed 2-3 years of general professional training at SHO level and who wishes to gain further clinical and academic experience in Diabetes and Endocrinology and undergraduate teaching prior to progressing to a Specialist Registrar training programme.
1.1 PRINCIPLE DUTIES AND RESPONSIBILITIES
The three academic fellows will complement the two Specialist Registrar trainees to provide middle grade support to the department. The academic fellows will rotate through two month blocks of general clinical duties including in-patient support, specialist clinical duties and academic/teaching sessions. Each of these blocks will have protected time for academic activities (research and audit) and necessary support, guidance and supervision would be provided. The department has an excellent track record with projects resulting in presentations and publications. In addition, previous appointments have universally moved to specialist training in Diabetes and Endocrinology.
1.2 Main duties of the post
a. To enhance specialist clinical experience and provide middle grade support in diabetes and endocrinology
b. To pursue academic projects in Diabetes and Endocrinology with proven potential to present in national and international meetings and publish
c. To contribute to the delivery of clinical teaching of undergraduate students attending New Cross Hospital
· To be familiar with the teaching objectives for the delivery of teaching in medical specialities to Years 3, 4 and 5.
· To contribute to the organisation of student examinations and assessments as necessary
· To undergo training in teaching methods as agreed with the Clinical Sub Dean with credit level leading to a minimum of post graduate certificate in medical education
· To be familiar with the electronic curriculum and to be available to facilitate student’s self directed learning
d. To ensure that clinical practice is up to date and to undertake a programme of continued professional development
e. To share responsibilities for data protection arising out of the use of computers
f. To comply with all relevant Trust policies and procedures
1.3. Speciality Training in Diabetes and Endocrinology
The three academic fellows will complement with the two Specialist Registrar trainees to provide middle grade support to the department. The academic fellows will rotate through two month blocks of general clinical duties including in-patient support, specialist clinical duties and academic/teaching blocks. The academic fellows will have excellent clinical experience through exposure to general and specialist diabetes and endocrine clinics. In addition, in-patient diabetes care experience will be provided through the diabetes outreach service and through support of diabetes ward patients. The middle grades will have excellent consultant supervision and mentorship and in turn will be expected to support and train junior medical trainees attached to the firm. The details of various out-patient and in-patient duties are outlined in the sample timetables for the various two month blocks they will rotate over.
1.4. Research, Audit and Clinical Governance
There will be protected time for undertaking research and audit projects in Diabetes and Endocrinology and the candidates will be expected to actively participate and complete them. They will have a nominated Educational and Academic supervisor who will provide support and guidance during the project. The department has a proven reputation for undertaking and publishing quality research work and previous post-holders have universally presented and published their projects and attained Specialist Registrar positions.
The successful candidate is expected to participate in all aspects of clinical governance. Clinical audit is an established facet to the Hospital’s work. The appointee is required to participate actively. The post holder will ensure that all services are provided in an effective and efficient manner and that the principles of risk management and clinical governance are maintained at all times.
1.5. Undergraduate Teaching
The Hospital has a long tradition of undergraduate teaching in association with the University of Birmingham Medical School. It has excellent educational facilities in the Wolverhampton Medical Institute with lecture theatres and tutorial rooms, a well equipped library including an IT suite. There is an Undergraduate Coordinator (Miss Jackie King) and a Directorate Manager – Medical Education and Training (Mrs Louise Nickell).
Birmingham Medical School is expanding its intake of medical students to a number of new sites around the Black Country. There is a comprehensive network of teaching general practices, which together with the Teaching Hospitals and the Medical School constitute a virtual campus. Both the Hospital and the Medical School have invested heavily in information technology. These facilities are supported by Education/IT Facilitators.
The following groups of students attend New Cross Hospital for clinical training:
Year 3 Medicine and Surgery – September – June 42 students
Year 4 6 week blocks
Trauma, Orthopaedics, Rheumatology 20 students
Anaesthetics, Respiratory, Intensive Care 7 students
Oncology 22 students
Elderly Care, Diabetes and Eyes 6 students
Cardio/Renal/Urology 16 students
Year 5 8 week blocks
Medicine 5 students
Surgery 5 students
Gynae & Obs 6 students
Paediatrics 6 students
There are 7 teaching firms in the Department of Medicine. During the academic/teaching block, the appointee will be expected to devote up to half their time to support undergraduate teaching in medicine. It is likely that the Fellow would support some of the teaching firms which are teaching in years 3, 4 and 5. A regular teaching commitment will be developed with each of these firms and the Fellow will work with a group of students to help them achieve clearly defined learning objectives. In addition it is hoped that the appointee will undertake some training in medical education either by attending several short courses or by registering for a more prolonged programme of learning.
1.6 Postgraduate Education Training
The post holder will be expected to embark on or continue further training in medical education with a view to achieving a minimum credit level for postgraduate Certificate in Medical Education.
1.7 Honorary University Appointment
The post holder will been given the title of “Honorary Lecturer, University of Birmingham”.
2.0 Accountability
The appointee will be professionally and managerially responsible to the Clinical Lead in Diabetes & Endocrinology, Dr BM Singh and to the Sub Dean, Dr PB Rylance, for their educational responsibilities.
3.0 ON-CALL COMMITMENT
The post holder will work a 1:8 (prospective cover) rota in the Emergency Assessment Unit. The rota is designed to provide 7 day cover from 11 am to 10 pm weekdays and 10 am to 10 pm on Saturday.
The on-call rota will be published each 6 months (February and August). Prospective cover is included in the overall hour’s assessment. It will be the appointees’ responsibility to “swap” on-calls when they are on annual leave or study leave. (Reasonable notification of leave must be given in line with the Directorate leave guidelines to ensure timely changes to out-patient clinics.).
4.0 PROPOSED SAMPLE TIMETABLES
Block 1 – General clinical block (2 months)
1a. Outreach (1 month)
AM / PMMonday / Admission triage / Outreach clinic
Tuesday / Admission triage / High risk wards/sweep
Wednesday / Admission triage / High risk wards/sweep
Thursday / Admission triage / Outreach clinic
Friday / Admission triage / High risk wards/sweep
1b. D16 (1 month)
AM / PMMonday / Diabetes new clinic / Consultant Ward Round
Tuesday / Endocrine clinic / Self Ward Round
Wednesday / Diabetes f/u clinic / Study
Thursday / Self Ward Round / Study
Friday / Diabetes f/u clinic / Consultant Ward Round
Block 2 – Specialist Diabetes and Endocrine block (2 months)
AM / PMMonday / Diabetes Foot clinic support / Study
Tuesday / Endocrine new clinic / Study
Wednesday / Diabetes Foot clinic support / Study
Thursday / Rolling weekly between
a. Combined foot clinic
b. Pump clinic
c. New therapies clinic
d. Renal dialysis clinic / Study
Friday / Diabetes Foot clinic support / Study
Block 3 – Academic/Teaching block (2 months)
AM / PMMonday / Diabetes new clinic / Undergraduate Teaching
Tuesday / Undergraduate Teaching / Study
Wednesday / Diabetes FU clinic / Undergraduate Teaching
Thursday / Undergraduate Teaching / Undergraduate Teaching
Friday / Antenatal Diabetes clinic / Study
5.0 The City of Wolverhampton
Wolverhampton is a modern industrial City situated on the western fringe of the Black Country. It is approximately a 30 minute drive to Birmingham (15 miles) and 1 hour 20 minutes to Manchester (60 miles). The counties Shropshire and Staffordshire are only a few miles away, where some of the most beautiful countryside in the country is to be found.
Wolverhampton is an urban multiethnic city with a population of around 250,000. This is made up of 80% of Caucasian, 12% indo-asian and 8% afro-Caribbean people at the 1990 census. The wider catchment area has a population of in excess of 350,000.
Shopping in Wolverhampton offers a varied selection of facilities and amenities. There is a modern shopping precinct (The Mander Centre) with further shopping areas in Darlington, Victoria and Dudley Street along with Queen Square.
The Civic and Wulfrun Halls are used for concerts and promotions. In addition, there is a gallery, good public library and a theatre in the City centre has recently undergone extensive refurbishment. The City Centre has an active nightlife, offering a variety of nightclubs, bars, restaurants and a cinema. Sporting facilities include Wolverhampton Wanderers Football Club, several health and fitness clubs as well as clubs for cricket, hockey, rugby, tennis, squash, athletics, and sailing. In addition there is an all weather racetrack for horses and at least six golf clubs are within easy reach of the City.
5.1 Accommodation and Education
The main residential areas within the borough are situated on the western boundary and include Tettenhall, Wergs, Wightwick, Compton, Finchfield, Merry Hill and Penn. In addition there is a modern housing development at Perton, which offers housing at all price levels. The development has its own supermarket and supporting shops, schools and churches which make this area a self contained community.
Outside the town there are numerous villages, both small and large, which offer attractive opportunities for housing. Such villages include Beckbury, Ryton, Burnhill Green, Pattingham, Worfield, Claverley, Seisdon, Trysull and Albrighton to the west, Brewood and Codsall to the north and Womborne to the south.
Education is well catered for with many excellent maintained schools and colleges of further education, including Wulfrun and Bilston Colleges and Wolverhampton University. Independent schools include the Wolverhampton Grammar School, the Royal Wolverhampton School, Tettenhall College, St Dominics, Brewood, Birchfield Boys Preparatory and Newbridge Girls Preparatory School.
5.2 The Environs
To the southeast is the Black Country, the industrial heartland of England. There is a working museum (The Black Country Museum) at Dudley which offer an opportunity to see the cultural heritage of the Industrial Revolution. In addition, Birmingham another major cultural centre in the West Midlands is only 15 miles away. Facilities include theatres, concert halls and the major sporting facilities of Aston Villa and Birmingham City Football Clubs, West Bromwich Albion Football Club, Warwickshire County Cricket Club and the Alexander Athletics Stadium. There is also the National Indoor Arena and National Exhibition Centre, which host many events.
The surrounding countryside of Staffordshire, Shropshire and Worcestershire is delightful. To the north are Cannock Chase and the west the Shropshire borders with attractions of Bridgnorth, the Clee Hills, the Long Mynd, Wenlock Edge, and the Severn Valley. South of Wolverhampton, the City of Worcester is easily accessible.
5.3 Communications
Travel communications to Wolverhampton are excellent, the area being well served by the motorway network, with the M1, M5, M6 and M54 within easy access. There are regular and frequent intercity rail services to London Euston and Manchester. Birmingham International Airport is 30 minutes away by road and Manchester Airport can be easily reached within 1 hour 20 minutes.
6.0 The Royal Wolverhampton Hospitals NHS Trust
The Royal Wolverhampton Hospitals Trust successfully achieved Trust status in the Fourth Wave of Trusts [1994-95]. However the main characteristics of a NHS Trust had been in place for some considerable time before achieving Trust status. The Royal Wolverhampton Hospitals NHS Trust adopted a Directorate Management structure in 1990.The Trust is striving to obtain Foundation status.
6.1 New Cross Hospital
New Cross Hospital first opened in 1905, stands in 65 acres of land two miles from the centre of Wolverhampton and was originally the Local Authority Hospital.
A number of buildings and units have been upgraded or replaced with modern units and the building programme continues. Specialities include ENT, Oral Maxillo Facial Surgery, General Surgery, Orthopaedics, Urology, Obstetrics and Gynaecology, Paediatrics, Psychiatry, General Medicine, Haematology, Coronary Care, Dermatology, Neurology and G.U. Medicine. There is a modern well-equipped Out-patient Department, a purpose built Diabetic Centre, as well as a new purpose built Accident and Emergency Department. There is a 19 bedded CCU and a Renal Unit comprising 21 Dialysis stations. A purpose built Day Surgery Unit opened in August 1995 and endoscopy work is undertaken there. There is a purpose built Cancer Centre housing all Radiotherapy and Oncology Services, and more recently an EAU and ESS departments have been built.
The Eye Infirmary was located to a purpose built Ophthalmology Unit at New Cross in 2007 and provides extensive services to patients in the Black Country and Staffordshire.
New Cross Hospital has been designated as the midlands fourth cardiac centre and opened to surgery in October 2004 and cardiology in December 2004. The centre comprises of 167 beds with the appropriate level of ITU, HTU and surgical facilities. In addition it accommodates a Hyper Acute Stroke Unit now providing care for Stafford patients. Within the next 3 years a 150 medical students will undertake their clinical teaching at New Cross Hospital and it will therefore have very close links with the University of Birmingham.