2.
the royal wolverhampton hospitals nhs trust
DIRECTORATE OF GENERAL SURGERY
JOB DESCRIPTION
FOR
EDUCATIONAL FELLOWSHIP
IN SURGERY
(MIDDLE GRADE EQUIVALENT)
1 JOB DESCRIPTION
This is a new appointment developed in response to an increase in undergraduate medical teaching at New Cross Hospital in Wolverhampton. The post has been developed in close collaboration with the University of Birmingham Medical School. It is suitable for a surgical trainee who has completed 2-3 years of general professional training at BST, ST1 or ST2 level and who wishes to gain further experience in undergraduate teaching prior to progressing to an SpR training programme in general surgery. The post also has a flexible clinical commitment including emergency on call work on the Middle Grade Rota.
1.1 Undergraduate Teaching at New Cross Hospital
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 has expanded 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 – April 42 students
Year 4 6 week blocks
Trauma, Orthopaedics, Rheumatology 20 students
Anaesthetics, Respiratory, Intensive Care 7 students
Oncology (some general surgical input) 22 students
Elderly Care, Diabetes and Eyes 6 students
Cardio/Renal/Urology 16 students
Year 5 6 week blocks (July-May)
Medicine 5 students
Surgery 5 students
Gynae & Obs 6 students
Paediatrics 6 students
1.2 Main Duties of the Post
a) To contribute to the delivery of clinical teaching of undergraduate students attending New Cross Hospital
b) To be familiar with the teaching objectives for the delivery of teaching in General Surgical specialities to Years 3, 4 and 5.
c) To contribute to the organisation of student examinations and assessments as necessary
d) To be familiar with the electronic curriculum and to be available to facilitate student’s self directed learning
e) To fulfil regular and ad hoc clinical sessions under the direction of the Department of Colorectal Surgery
f) To ensure that clinical practice is up to date and to undertake a programme of continued professional development.
g) To share responsibilities for data protection arising out of the use of computers
h) To comply with all relevant Trust policies and procedures
1.3 Teaching (Average 6 Sessions per week)
The number of students attached to the surgical firms varies throughout the year. In the autumn and winter, there are a large number of 3rd year students and during this time, the teaching fellow will devote a large proportion of their time to teaching different groups of 3rd year students, helping them to achieve clearly defined learning objectives. The 5th year students are attached to the surgical firms from July until the end of April. The teaching fellow will be expected to deliver one teaching session to the 5th years students whilst they are on attachment. During the summer months (May and June, there are no students attached to the surgical firms and the teaching fellow will spend their time on clinical activities, covering holiday absences, work towards the Certificate of Medical Education and attending relevant operating sessions and outpatient clinics.
1.4 Postgraduate Certificate of Medical Education
The Education Fellow will be expected to undertake a Certificate of Medical Education while in post. The teaching experience obtained will go towards course work required. Funding will be provided for the course fees for the Certificate.
1.5 Research, Audit and Clinical Governance
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 and will be encouraged to participate in audits of clinical practice and undergraduate teaching. 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.
1.6 Accountability
The appointee will be professionally responsible to Mr J G Williams, Lead for Undergraduate Teaching (teaching commitment and clinical commitment), and managerially responsible to Mr I Badger, Clinical Director for General Surgery.
2.0 PRINCIPLE CLINICAL DUTIES AND RESPONSIBILITIES
The appointee will have a flexible out-patient clinic commitment in the colorectal clinics and in the operating theatres, covering colorectal and general surgical lists.
There will be a requirement for the appointee to be closely involved with colorectal in-patients on the specialty wards and any outlying patients who either fall under the care of the 4 Colorectal Consultants.
3.0 ON-CALL COMMITMENT
The appointee will have a variable on call commitment covering the middle grade general surgical emergency rota ( currently 1:9). This will be negotiated with the Clinical director and post supervisor.
4.0 PROPOSED EXAMPLE TIMETABLE (Undergraduates in Wolverhampton)
AM / Teaching 3rd Years / Teaching 3rd Years / Teaching 3rd Years / Teaching 3rd Years / Teaching 5th Years
PM / Colorectal Grand Round / Outpatients
Mrs Elgaddal / ½ day / Theatre Mrs Elgaddal / Miss Soulsby
PROPOSED EXAMPLE TIMETABLE (No Undergraduates)
MONDAY / TUESDAY / WEDNESDAY / THURSDAY / FRIDAYAM / Outpatient Clinic
Mr Williams / Theatre D/C, In patient Mr Badger / Theatre or endoscopy / Theatre or day case list / Ward Work
PM / Colorectal Grand Round / Outpatients
Mrs Elgaddal / ½ day / Theatre Mrs Elgaddal / Miss Soulsby
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 offers 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, 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.
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 the old buildings 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 Renal Unit comprising 21 Dialysis stations. There is a purpose built Day Surgery unit and large Endoscopy unit. There is a purpose built Cancer Centre housing all Radiotherapy and Oncology Services. There is a dedicated Emergency Admission Unit for medical and surgical emergencies with attached short-stay wards..
The Cardiac Centre opened in 2004. This purpose built unit has 167 beds, coronary care beds, outpatient facilities, catheter labs and operating theatres. The building also houses the combined Critical Care Unit for the Hospital, which includes cardiac and general level 3 intensive care beds and a high dependency unit. In total there are 36 Critical care beds serving the whole hospital.
6.2 Wolverhampton & Midland Counties Eye Infirmary
A 28 bedded Unit dealing solely with Ophthalmology and providing eye casualty facilities during the day. This has recently moved from its original site on the other side of the city, to a purpose built unit on the New Cross Hospital site.
6.3 West Park Hospital
This is run by the community trust and provides rehabilitation for the elderly as well as a young rehabilitation unit.
6.4 Penn Hospital
This is also run by the community trust, and provides long stay care for elderly patients as well as the local psychiatric services.
7.0 Support Services
7.1 Radiology
The Radiology Department is housed in a new purpose built unit, funded by PFI. The Radiology Department provides expertise and facilities that one would expect from a large district general hospital. There are 2 CT scanners, one of which provides high resolution images. There is one MRI scanner. A range of therapeutic interventional radiology is provided, including Luminal Vascular Stents, Vascular Dilatation, and Percutaneous Biliary Stenting. There is a nuclear imaging department with a gamma camera.
7.2 Pathology
There are excellent fully developed services in all departments of pathology covering most aspects of clinical biochemistry, haematology and microbiology. The latter includes facilities for rapid assessment of suspected TB material. A new Histopathology department has recently been opened and clinical chemistry is sited in a modern well-equipped department. There is an excellent and rapid histology service.
7.3 Paramedical Staff
Both New Cross and West Park sites are supported with Physiotherapy and Occupational Therapy staff. Speech Therapy is available on the New Cross Hospital site and in the community. There is a Placement Officer, a Liaison Nurse and a Support Team to facilitate early discharge (Support Team for the Elderly).
8.0 GENERAL INFORMATION
8.1 Clinical Audit & Effectiveness
The culture of clinical audit and effectiveness has seen considerable advances over the last 4 years. We have a dedicated team of audit officers, each of whom has gained specialist knowledge of the directorates within which they work.
A Director of audit and effectiveness in liaison with the clinical audit co-ordinator steer the department in ensuring that clinical audit is:
- Undertaken by multi-professional teams
- Focused on patients
- Driven by evidence-based medicine, clinical effectiveness and outcome closely involved with the production and evaluation of guidelines and patient pathways.
The department liases closely with risk management, complaints and R&D. There is increased promotion of patient/carer involvement in the development of audit projects and path analysis. Training packages in audit, critical appraisal skills and governance are being developed. A number of integrated care pathways have been developed throughout the Trust and a dedicated lead is identified for this initiative.