International MEDICAL TRAINING FELLOWSHIPS

INTERNATIONal MEDICAL TRAINING FELLOWSHIPS

pOST a: pAEDIATRIC cRITICAL cARE

pOST b: pAEDIATRIC oNCOLOGY

pOST c: nEONATOLOGY

NHS GREATER GLASGOW & CLYDE

INFORMATION PACK

REF: 42259D

cLOSING DATE: 4th May 2016 at 5pm

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 specialties:

Paediatrics Critical Care (Post A)

Paediatric Oncology (Post B)

Neonatology (Post C)

Interested and want to know more? To find out more about Scotland, and what it can offer as a place of work, stay and visit go to http://www.scotland.org the official gateway to Scotland

Job Description for :
International Medical Training Fellow based in Paediatric Critical Care (Post A)
West of Scotland Deanery: based in NHS Greater Glasgow & Clyde
Outline of programme:
This two year rotational post is designed to offer senior MTI Fellows a robust training in Paediatric Critical Care. The rotation will provide 12 months of experience in the Paediatric Intensive Care Unit at Royal Hospital for Children, Glasgow. The other 12 months offers placements in some of the following areas: Paediatric Cardiology, Neonatology or General Paediatrics. There may also be an option to spend up to a further 6 months in Intensive Care (total 18 months out of 24 months).
The MTI trainee will be expected to undertake APLS and Child Protection training during the first six-months of the programme.
Supervisors: Dr Andrew McIntyre, Dr Trevor Richens, Dr Lesley Nairn, Dr C Lilley
Departmental Information:
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 in the hospital, 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. It is the centre for all paediatric cardiac surgery and the majority of the Paediatric Intensive care for Scotland
The hospital provides the major undergraduate Paediatric teaching facility for the University of Glasgow and is closely linked to the University Departments of Child Health, Child and Adolescent Psychiatry, Medical Genetics, Human Nutrition, Paediatric Pathology, Paediatric Biochemistry and Paediatric Surgery.
Activity / Workload:
Paediatric Intensive Care Unit
The Critical Care department manages 16 intensive care and 6 high dependency beds. The specialist and general intensive care provided reflects the comprehensive tertiary medical and surgical specialties and the major emergency and acute receiving services provided by the hospital.
The unit supports the Scottish paediatric cardiac surgery, invasive cardiology and ECMO services. A transport and retrieval service supports critically ill children presenting to other hospitals.
The transport and retrieval service is distinctive as it covers both the densely populated central belt as well as the remote and sparsely populated areas of Scotland. Air transport by helicopter or fixed wing aircraft is used to access these areas.
Paediatric Cardiology
The hospital provides the national paediatric cardiac centre for Scotland, serving a population of 5.5 million and undertaking all types of cardiac surgery and catheter intervention with the exception of cardiac transplantation and hypoplastic left heart syndrome surgery. Consequently the management of cardiac patients forms a significant percentage of PICU workload and experience.
General Paediatrics at Royal Alexandra Hospital, Paisley
The Royal Alexandra Hospital in Paisley is a large modern district general hospital of 830 beds offering a wide range of services to the population of 220,000. It has excellent post graduate facilities. There is a 7-bed short stay area and 24-bed children's ward admitting both medical and surgical patients. Nurse-led planned investigation clinics are in place and development of paediatric and neonatal nurse practitioners is ongoing. Ambulatory services and community children’s nursing services are well developed. The newly refurbished neonatal intensive care unit comprises 20 cots including 4 intensive care cots. There are 3,500 deliveries annually.
The Princess Royal Maternity Neonatal Unit
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 currently consists of 10 Intensive Care cots and has 23 cots for infants requiring High Dependency or Special Care.
Clinical Training and Responsibilities:
Paediatric Intensive Care Unit
The Paediatric Intensive Care and High Dependency Units occupy new built facilities that are equipped to a very high level with paperless clinical information and prescribing system, PACS radiology system and state of the art monitoring. The High Dependency Unit is managed as an integrated part of the critical care service. A variety of patients are admitted to this area including acute medical, post operative care and intensive care ‘step down’ patients. The department will offer broad training in Paediatric Intensive Care including exposure to a comprehensive range of paediatric medical conditions, post-operative surgical care and cardiac intensive care. Management of these patients is supported by full on-site renal support and both neonatal and paediatric ECMO support.
Paediatric Cardiology
During a six month attachment we would expect the trainee to take part in the preoperative preparation of patients undergoing elective cardiac procedures as well as the ward based post operative management. They would contribute to the daily PICU cardiac ward round, learning more about the ward/PICU interactions and where appropriate be involved in managing cardiac problems on PICU. To improve understanding there will be a weekly out patient clinic commitment. The attachment would also provide an opportunity for the trainee to learn echocardiography, through a weekly dedicated echo session under the supervision of a senior cardiac physiologist, and attendance at our 4 day paediatric echocardiography course.
Royal Alexandra Hospital, Paisley
The child health service is integrated with secondary and tertiary care services in the Royal Hospital for Children. Trainees will be exposed to both in-patient paediatric care and out-patient work with opportunities for consultant discussion and feedback on cases seen in out-patients. There are managed clinical networks in nephrology, neurology, epilepsy and endocrinology in place with further developments planned in gastroenterology rheumatology and diabetes. Outreach clinics are held in genetics.
The Princess Royal Maternity Neonatal Unit
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.
Non-Clinical Training and Responsibilities:
There are a number of formal teaching sessions and other learning opportunities are held every week. These include a weekly ‘grand round’; radiology meeting; protected teaching session; departmental CME session; and a cardiac liaison meeting. Other meetings and teaching sessions are held regularly in other departments throughout the hospital. The Intensive Care Department provides and intensive two week induction programme at the beginning of every six month placement. Junior medical staff have access to high quality computer, office and changing facilities within the intensive care unit. There are full opportunities for clinical research and access to laboratory facilities can be arranged as required. Trainees may also have access to teaching opportunities within the hospital in all other Paediatric subspecialties.
Particular Training Opportunities:
This rotation is specifically designed to offer trainees a comprehensive training package in paediatric critical care. The post is largely based in a very busy paediatric intensive care unit providing a full range of support therapies some of which are only available in a small number of U.K. teaching hospitals. The rotation is also designed to allow a degree of tailoring of placements to meet the needs of individual trainees.
Rota arrangements:
The rotas undergo constant review but are all European Working Time Directive compliant full-shift rotas.
Paediatric Intensive Care Unit: There are 12 junior medical staff employed in the unit. Staff members are allocated to ‘senior’ and ‘junior’ groups based on previous intensive care experience. All trainees work full shifts. The experienced group staff the retrieval service and are expected to take a supervisory role within the unit. Out of hours work is dedicated to the intensive care unit and involves 7 nights and 7 long/late day shifts every 6 weeks.
Paediatric Cardiology: Out of hours work is dedicated to the Cardiology department and involves long/late day shifts but no night shift duties. Trainees will be responsible for first line management of the Paediatric Cardiology patients between 09.00 and 21.30.
Royal Alexandra Hospital, Paisley: Out of hours cover is shared by nine trainees plus some input from Staff Grade & Specialty Doctors. There are two doctors on duty during the evening with separate responsibility for neonatal and paediatric cover but one individual is responsible for both areas overnight.
The Princess Royal Maternity Neonatal Unit
European Working Time Directive compliant full-shift rota and attracting a band 1A salary supplement.

Links

This post consists of multiple placements that are already linked in a rotation.

Study Leave
Study 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 but is likely to be at ST3 level.
Job Description for :
International Medical Training Fellow based in Paediatric Oncology (Post B)
West of Scotland Deanery: based in NHS Greater Glasgow & Clyde
Outline of programme:
This two year post, with the possibility of extension for second year, is designed to offer senior MTI Fellows a robust training in Paediatric Oncology. The rotation will provide up to 24 months of experience in the Paediatric Haematology/Oncology Unit at Royal Hospital for Children, Glasgow. There is the option of having a 6 month placement in Paediatric Intensive Care or General Paediatrics if either of these would be appropriate for the individual trainee’s training needs.
The placement in Haematology/Oncology involves working on a dedicated subspecialty rota providing first-line out-of-hours cover to this department.
The MTI trainee will be expected to undertake APLS and Child Protection training during the first 6 months of the programme if not already completed.
Supervisors: Dr Milind Ronghe
Departmental Information:
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 in the hospital, 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’s intensive care unit provides the majority of the Paediatric Intensive care for Scotland
The hospital provides the major Undergraduate Paediatric Teaching facility for the University of Glasgow and is closely linked to the University Departments of Child Health, Child and Adolescent Psychiatry, Medical Genetics, Human Nutrition, Paediatric Pathology, Paediatric Biochemistry and Paediatric Surgery.
Activity / Workload:
Clinical Haematology/Oncology
The department provides care for children with leukaemia, solid tumours, bleeding disorders and a range of benign haematological conditions from the West of Scotland. The department houses the National Allogeneic Bone Marrow Transplant Unit and is the Regional Paediatric Haemophilia Centre. The in-patient unit consists of a mixture of single cubicles and laminar air flow cubicles for BMT. There is also a Day Care facility with consulting rooms and day care beds. The cancer service treats approximately 75 new patients annually, of whom 45-50 patients have solid tumours. The hospital is a UK CCLG Centre and eligible patients are entered into appropriate CCLG or MRC protocols. Paediatric Neurosurgery is carried out on-site. The hospital is co-located with the regional Institute of Neurosurgical Sciences and the Queen Elizabeth University Hospital. Radiotherapy facilities are at the nearby Beatson Oncology Centre, Gartnavel Hospital, where there is a full range of megavoltage linerar accelerators with CT planning and brachythearpy services. There is access to shielded cubicles for targeted radiotherapy, including therapeutic MIBG.
There are 4 Consultant Haematologists, including one Locum and 3 Consultant Oncologists. There is also 1 Associate Specialist and 3 Staff Grades.
There is a well structured induction programme supported by numerous training/educational opportunities during the week.
Paediatric Intensive Care Unit (optional):