SPECIALTY REGISTRAR IN ORTHODONTICS
BUCKINGHAMSHIRE HOSPITAL TRUST AND EASTMANDENTALHOSPITAL
TITLE OF POST:Specialty Registrar in Orthodontics
GRADE:SpecialtyRegistrar
SPECIALTY:Orthodontics
REASON FOR VACANCY:Fixed Term Contract
SUPERVISING CONSULTANTS :Mr A Jaisinghani
Mr G Kidner
Ms H Travess
EDUCATIONAL SUPERVISOR:Ms Helen Travess
FULL-TIME/PART-TIME:Full Time
BASEHOSPITAL:BuckinghamshireHospital Trust
(Stoke MandevilleHospital, Aylesbury)
WORK PATTERN:4 days Buckinghamshire Hospital Trust,
1 day academic EastmanDentalHospital
AVERAGE NUMBER OF ADDITIONAL DUTY HOURS:n/a
(include both rotas)
INCLUDES PROSPECTIVE COVER:YES
ANNUAL AND STUDY LEAVE ARRANGEMENTS:
Duties include cover for colleagues absence on annual or study leave. Leave must be planned at least 6 weeks in advance and must be agreed with your supervising consultant. Annual leave entitlement will be 5 or 6 weeks dependent on personal circumstances.
ACCOMMODATON:This post is not compulsory resident. If accommodation is required a charge will be made.
STARTING DATE:The post will be available from 1st October 2010
TRUST PROFILE
Buckinghamshire Hospitals NHS Trust was formed on the 1 April 2003 from the merger of South Buckinghamshire NHS Trust and Stoke Mandeville Hospital NHS Trust. It operates from three hospital sites in Amersham, Stoke Mandeville and Wycombe. The hospitals offer a wide range of high quality acute services at both Stoke Mandeville and Wycombe and some specialist services including:
- The National Spinal Injury Centre (Stoke Mandeville)
- Burn Care and Plastics sub regional centre (Stoke Mandeville)
- Dermatology inpatient centre (Amersham)
The Trust serves residents in Buckinghamshire, Thame (Oxfordshire), Tring (Hertfordshire) and Leighton Buzzard (Bedfordshire) - a combined population of 550,000. It serves a much larger population of 1.5m for Burns and Plastic Services and 14m for Spinal Injuries.
Medical Education and Training
The Trust has a reputation for teaching and training excellence in medical education. There are two district clinical tutors and one director of medical education. A Modernising Medical Careers committee oversees the implementation of foundation training programmes and changes to basic specialty training.
The Trust has a strong partnership with Oxford clinical school and a number of other medical schools, and provides teaching attachments for clinical students in a range of specialties. Consultants who contribute substantially to teaching students are eligible for an honorary senior clinical lecturership. Further expansion in student numbers, with development of a faculty model for delivering undergraduate education, is planned.
There are modern, well-equipped education centres and libraries on all three sites with an active programme of continuing education for senior medical staff, training grade doctors and general practitioners. The education centres are fully equipped with lecture theatres, seminar rooms and state of the art audiovisual equipment.
The Libraries are housed within the education centres and are accessible 24 hours a day providing access to many healthcare databases and access to over 1000 journals in electronic full text that can be accessed at work or at home from any computer with internet connection.
Each directorate undertakes monthly academic, audit and governance meetings, which are multidisciplinary and involve staff from other sites. Routine clinical commitments are usually cancelled to enable all staff to fully participate.
Car Parking
On site parking is available in designated areas on all three sites with applications available through the Estates Department.
Accommodation
Both single and married accommodation is available on site and a limited amount of married accommodation is available off site.
Chilterns & ThamesValley - About the Area
Buckinghamshire is an area of outstanding natural beauty. Stretching from the outskirts of London towards the Midlands, the county includes the rolling Chiltern Hills and a section of the river Thames. Country walks run between picturesque villages, and the area offers numerous leisure facilities – golf, leisure centres, swimming, and water sports, indoor and outdoor ski slopes.
Aylesbury is the county town of Buckinghamshire, a lively market town steeped in history located at the foot of the Chiltern Hills and at the heart of the rich agriculture Vale of Aylesbury with excellent town centre shopping and entertainment facilities provide a focus in the town.
High Wycombe was a centre for the furniture industry and is situated 50 minutes by train from London. To the west is Oxford and to the South lies Windsor; both are major tourist attractions. Access to London on the M40, M4 and M25, Heathrow airport and the Midlands is very easy.
Amersham represents a fascinating blend of ancient and modern. Amersham is made up of two parts - top Amersham, a thriving commercial centre, and Old Amersham, a popular tourist spot with its wide sweeping High Street, half-timbered buildings and picturesque period cottages. The OldTown is famed for its shopping with a wide selection of antique and craft shops, designer boutiques, and an impressive range of restaurants, snack bars and coaching inns.
Schools
The area is well served with good schools, for both primary and secondary education, including several grammar and independent schools. The Trust provides childcare advice for pre school age children and there are linked nurseries on site.
Transport
There are good public transport links to London (Chiltern Line to Marylebone), BirminghamOxford.
For further information about this post and to make arrangements to visit the department please contact Helen Travess, Giles Kidner or Aneel Jaisinghani on 01296 315692
1.DUTIES OF THE POST
a.Principal responsibilities.
This post is based in Buckinghamshire Hospital Trust which comprises of 3 hospitals; StokeMandevilleHospital, Aylesbury, Wycombe GeneralHospital, High Wycombe and Amersham GeneralHospital, Amersham. The majority of the clinical aspect of this post will be based in the Department Of Orthodontics in Stoke Mandeville, although occasional visits to the department in Amersham may also be required in the final year. The academic portion of training is completed through the EastmanDentalHospital and University College of London (UCL)
Candidates will be expected to have three years postgraduate experience in either Hospital or General Dental Practice, having obtained a Fellowship from one of the Royal College of Surgeons of Great Britain or Ireland. The appointed candidate will be expected to participate in New Patient Clinics for diagnosis, advice and treatment planning, treat a wide range of malocclusions, including multi-disciplinary cases, ie orthognathic and restorative patients. They will attend and fully participate in the multi-disciplinary clinics, participate in tutorials, lectures, journal clubs and postgraduate courses as directed. They will be required to undertake an active role in personal research and participate in audit projects both interdepartmentally and regionally.
An NTN is allocated to the post holder, and with successful ARCP/RITA outcomes will lead to the award of a CCST and entry onto the Specialist list. Candidates will be entered for the MSc in Orthodontics through the University of London and Membership in Orthodontics through a RoyalCollege to complete their training in orthodontics and be entered onto the specialist list.
b.Daily commitment
See timetable attached
c.Administration/Management
As required.
2.TRAINING AND RESEARCH
a.Training Scheme
The post is based in Buckinghamshire Hospital Trust and the EastmanHospital, London. It is part of the UCL training programme in Orthodontics.
b.Research
The post holder will be encouraged to undertake an active role in personal research leading to the achievement of an MSc. The department also undertakes regular Audit and clinical governance projects which the post holder will be expected to participate in.
c.Facilities for study and training
Good library facilities are available at StokeMandevilleHospital, and the EastmanDentalHospital. On line access is also available through the Eastman Dental hospital Library.
d.Postgraduate Medical Education Courses Available
There are excellent Postgraduate facilities at all Hospitals.
3.SPECIALTY
1. BUCKINGHAMSHIRE HOSPITAL TRUST
Stoke MandevilleHospital
The Orthodontic Department shares the facilities with the Oral & Maxillofacial Surgery Department. There are five well equipped surgeries and the Laboratory is on site.
A full range of orthodontic techniques is undertaken. Most cases are treated with 2-arch fixed appliances, mainly Straight-wire and some Tip-edge systems being used. The department also has some self ligating appliances, which the candidate would be encouraged to try. A large number of cases are treated with functional appliances. Multidisciplinary planning extends to both orthognathic, cleft and restorative treatments and joint clinics are held with the appropriate clinicians on a regular basis.
The radiology department is situated in the Outpatient department and has full radiological facilities including OPT, Lateral Ceph machines and Intraoral views. The radiology department has recently converted to digital images and are available through networked computers in surgery’s and offices.
Clinical photography is undertaken by the Medical Illustration Department although the post holder will also be encouraged to take digital images of their patients in the chair. A digital camera is available in the department. OPAL image is available for analysis of Lateral Cephalograms.
The laboratory employs a Senior Chief Technician, a Chief Technician and a Senior Technician. There is a dedicated orthodontic secretary and reception staff dedicated to the combined Departments of Oral Surgery and Orthodontics.
AmershamGeneralHospital
The Orthodontic Department is shared with Maxillofacial Surgery and has three well equipped surgeries. Two full time secretaries are based in the department and reception is shared with general outpatients.
Full range of orthodontic treatments are undertaken in the department, as in Stoke Mandeville. Radiology is fully digital with networked access in both surgeries and offices. OPAL image is also available for analysis of cephalograms. The hospital has an excellent Medical Illustration Department for all photographic requirements.
WycombeGeneralHospital
There is no outpatient department for either Orthodontics or Maxillofacial surgery.
NB. All In-patient work is undertaken at Oxford Radcliffe Hospitals Trust under the care of the appropriate Consultant Maxillofacial Surgeon.
STAFFING OF THE DEPARTMENT
The staffing of the Department currently includes :
Mr A JaisinghaniConsultant OrthodontistSMH/SAGH
Mr G Kidner Consultant OrthodontistSMH/ORH
Ms H Travess Consultant OrthodontistSMH/AGH
Mr A CurrieConsultant Maxillofacial SurgeonSMH/ORH
Mr N SaeedConsultant Maxillofacial SurgeonAGH/ORH
Mr S BondConsultant Maxillofacial SurgeonAGH/ORH
Mr M HodgeConsultant Maxillofacial SurgeonSMH/ORH
Mrs N Worthington Specialty Doctor in OrthodonticsSMH
Miss S TanStR in Orthodontics (this post)SMH/EDH
Mr A CurtisAssociate Specialist in Oral Surgery SMH/AGH/WGH
Mr S MooreAssociate Specialist in Oral SurgerySMH/AGH/WGH
Miss A JunaidStaff Grade in Oral Surgery SMH/AGH/WGH
Mr B BagdhadiLocum Staff Grade Oral SurgerySMH/AGH/WGH
Mrs C Stafford Orthodontic Secretary SMH 01296 315692
Most staff work cross site within the Trust, or with theJohnRadcliffeHospital, Oxford.
SMH Stoke MandevilleWGHWycombe
AGHAmershamORHOxford
EDHEastman
2. EASTMANDENTALHOSPITAL
EastmanDentalHospital and Institute For Oral Health Care Sciences
The Eastman Dental Institute and Hospital is a unique postgraduate centre for oral health care sciences offering first class research, teaching and clinical training. The Institute is part of University College London and the Hospital is part of University College London Hospitals NHS Foundation Trust. Together they are able to enhance the experience of those working and training at the forefront of clinical research and patient care.
The Eastman is comprised of 5 Divisions:
Clinical DivisionsCraniofacial and Development Sciences
Maxillofacial, Medical and Surgical Sciences
Restorative Dental Sciences
Research DivisionsBiomaterials and Tissue Engineering
Microbial Diseases
The Eastman covers all aspects of dentistry and medically related fields. Various training programmes are available particularly those recognised as contributing to specialisation which include:
- conservative dentistry
- endodontics
- oral pathology
- oral and maxillofacial surgery
- oral medicine
- orthodontics
- paediatric dentistry
- periodontology
- prosthetic dentistry
- special needs dentistry
- surgical dentistry
In addition to the traditional subjects novel academic units supporting clinical advancements and new areas of training include continuing professional development, biomedical informatics and implantology.
The hospital also incorporates the Burkhart School of Dental Hygiene and Dental Therapy, the School of Dental Nursing and a TechnicianTraining School dedicated to high quality training of all members of the dental team.
Research facilities
The Institute has extensive dedicated research facilities on site readily accessible to clinicians with an interest in research as well as those employed as researchers. Its research activity is focused on the two themes of Microbial Diseases and Biomaterials and Tissue Engineering.
There are facilities for:
- Anaerobic bacteriology
- Impedence measurement
- Materials testing
- Nucleic acid technology
- Tissue and cell culture
Collaborative research is encouraged within UCL and beyond.
Other facilities
The Institute and hospital have been steadily improving facilities and technology to enhance the learning environment. As part of UCL there are also close links with other departments within the university.
The following are available on site:
- An Information Centre with 34 computers for access to academic networks and the world wide web, a wide range of contemporary audio visual materials and an extensive collection of books and journals.
- Well equipped lecture theatres and seminar rooms.
- A Refectory for use by staff, students and patients.
The International Centre for Excellence in Dentistry is housed a short walk away and is one of the most modern for the provision of Continuing Professional Education and development and includes lecture theatres, seminar rooms and a skills laboratory with state of the art facilities and communications.
ORTHODONTIC UNIT
The Orthodontic Unit is part of the Division of Craniofacial and Development Sciences, is linked with the Paediatric Dentistry Unit and has combined clinics for craniofacial anomalies.
The Eastman orthodontic training programmes are world renowned as representing the highest level of teaching and training leading to careers either in the practice setting, the hospital service or academia.
Academic Senior Staff
Professor N P Hunt – Head of Division and Hon. Consultant
Dr S J Cunningham – Senior Clinical Lecturer and Hon. Consultant
Dr P Thomas – Senior Clinical Research Fellow
Full time Hospital Consultants
Miss S J Hodges – Lead Clinician
Mr D S Gill
Mr S P Jones
Part time Hospital Consultants
Miss S M Cochrane
Mrs M J Gaukroger
Mr H C Moseley
Mr J H Noar
Specialist Orthodontic Practitioners
Mrs S Bennett
Mr J Evans
Mr G Gilbert
Mr M Hadj-Bagheri
Mr L Joffe
Miss L Kneafsey
Mr J Miller
Mr C Wallis
Other professional staff
3 WTE FTTAs linked with other hospitals
11 SpRs (full time)
8 SpRs linked with other hospitals
Nursing staff
Mrs A Moss (Head Nurse)
Miss J Cook (Senior Dental Nurse)
Miss M Bubb (Senior Dental Nurse - Education)
Miss M Moynihan (Senior Dental Nurse - Operations)
Mrs A Robinson (Senior Dental Nurse – Operations)
12 Dental Nurses
Technical staff
Mr E Payne (Chief Technical Instructor/Laboratory Manager)
Mrs K Lancaster (Deputy Chief Technical Instructor)
Mr N Valder (Senior Chief Technician)
3 Technicians
Administrative and Clerical staff
Ms G Thompson (Reception Manager)
5 Receptionists/Records Clerks
Miss K Burke (PA to HoD and Secretarial Manager)
2 Secretaries
Facilities
Clinical
The unit is located in the basement of the main Eastman building and has extensive clinical facilities consisting of 17 dental chairs in an open plan clinic and 3 separate surgeries. The larger enclosed single surgeries are used for multidisciplinary consultation clinics and teaching clinics. Most new patient clinics are held in the side surgeries and patient treatment is in the open clinic.
There is a recently opened dedicated 2 chair craniofacial suite.
Orthodontic Laboratory
There are good technical facilities with a recently refurbished postgraduate trainees’ laboratory and a production laboratory with a separate area for the Institute Instructor Technicians. Although much of the technical work is done within the laboratory some of the less technically demanding work is sent to an outside laboratory.
Computer Cluster Room
The unit has its own computer cluster room for image processing and computerized surgical planning using the Dolphin™ package. All computers are equipped for standard word processing, clinical data collection and spreadsheets for statistical analysis.
Research Laboratories
The basic science research is undertaken in collaboration with staff from the research divisions. There are dedicated research facilities in the Sussex wing. The research teams help with the supervision of MSc projects for those based at the Eastman undergoing clinical training.
Records stores
Orthodontic records for those undergoing active treatment are held within the unit in the reception area. There are separate areas for storage of models and an archive of treated case records is held for research purposes.
Offices and Other facilities
The secretarial offices are housed adjacent to the main clinical area. Other staff offices include facilities for all senior staff and communal office space for trainees. Computer, printing and photocopying equipment is available together with relevant equipment for clinical photography, radiographic digitization and cephalometric analysis.
The work of the Unit
Clinical
Patients are referred to the unit from various sources, a large proportion of those referred being from specialist practitioners and an increasing number require a multidisciplinary approach. The unit has set criteria for acceptance of patients including the most difficult cases and those deemed to be of value for teaching purposes.
A large proportion of the treatment carried out in the unit is done by Specialist Registrars and postgraduates in training under the supervision of the teaching staff.
A variety of multidisciplinary clinics are held with the senior staff having individual areas of interest and many of the combined clinics are formally organised as teaching clinics in order to give trainees access to some of the more complex clinical problems. Some clinics are held jointly with consultant staff for other centres, for example, GreatOrmondStreetHospital.