Oxford Deanery Specialty Training Programme in Dermatalogy

HEALTH EDUCATION THAMES VALLEY - SPECIALTY TRAINING PROGRAMME IN DERMATALOGY

About Health Education Thames Valley

We are the Local Education and Training Board (LETB) for Thames Valley covering Berkshire, Buckinghamshire and Oxfordshire. Our vision is to ensure the delivery of effective workforce planning and excellent education and training to develop a highly capable, flexible and motivated workforce that delivers improvements in health for the population of Thames Valley. Thames Valley LETB is responsible for the training of some 1500 trainees

Health Education Thames Valley is a relatively small organisation with a defined geographical area which serves as a single unit of application. In the majority of cases successful candidates will be asked to preference their choice of location for either one or two years. Some programmes will require successful candidates to indicate a location and specialty. Future placements will usually be based on individual training and educational needs. Please note that applications are to the Health Education Thames Valley as a whole. This may mean that you may be allocated to any geographic location within the deanery depending on training needs.

The Dermatology Training Programme

The Dermatology training programme is a fouryear programme, starting at ST3 During this time, the trainee's work will be monitored for satisfactory progress and subject to annual reviews in the form of ARCPs. Progression on the programme will be dependent upon these reviews.

The posts on this rotation have been approved for Specialist Training by the Royal College of Physicians. The posts attract National Training Numbers and provide training towards a Certificate of Completion of Training (CCT).

The Postgraduate Dean has confirmed that this post has the necessary educational and staffing approvals.

The programme is based in several different Trusts throughout the Oxford Deanery so trainees may find themselves placed in any of the following hospitals:

Rotation Information

The Oxford Regional Dermatology training scheme is a four year program involving training in both a University teaching hospital and a large District General Hospital. Each trainee will work for a total of 2 years 8 months in Oxford and 16 months in Reading. Although trainees will rotate principally between Oxford and Reading but there is a potential that trainees will be placed at other hospitals in the future if training opportunities arise.

Consultants in the region have expertise in a number of areas including contact and environmental dermatitis, allergy, dermatopathology, photodermatology, cryosurgery, laser surgery, Mohs surgery, wound healing, blistering diseases, hair and nail disorders, vulval dermatoses, cutaneous lupus erythematosus, molecular genetics and genodermatoses.

Clinical and academic links with other specialities are encouraged. Combined clinics are held with colleagues in radiotherapy, plastic surgery, rheumatology and oral surgery. A dedicated clinic is held for the renal transplant patients Oxford.

O = Oxford R = Reading

• 3 completed training periods to complete 4 year Specialist Training Programme

An indicative training grid is shown.

The on-call arrangements vary between centres and either have a non resident on-call rota (Oxford) or no out-of-hours on call (Reading). Both centres conform with existing restrictions on Junior doctor hours.

The training committee has agreed that two sessions/week should be reserved for academic activity/Research/CME. It is an important general principle that one of these weekly sessions should be the trainees own i.e. used to reflect their own interests and attitudes. This is imperative to allow for research or extracurricular medical activities

Trust Information

Oxford Radcliffe Hospitals (ChurchillHospital)

The Department

The Oxford department is recognised as a centre of excellence, nationally and internationally, with a strong commitment to undergraduate teaching and a long tradition of research. The dermatology service in Oxford provides care for 600,000 people, including the population of Banbury. The purpose-built building, which houses the department of dermatology, was opened in 1993. Patients are admitted to beds (2-4) on the nearby infectious diseases unit.

Nurse led clinics, phototherapy and liaison nursing in the community are provided in addition to a comprehensive out-patient service. The department offers both general out-patient clinics and clinics dedicated to certain problems including allergy, eczema, psoriasis, bullous diseases, hair and nails, wound care, vulval diseases, phototherapy, photodermatology and paediatric dermatology. Surgical services include cryosurgery, laser surgery and micrographic (Mohs’) surgery. A clinical rotation ensures that registrars have an opportunity to work in each of the speciality clinics as well as develop their surgical skills.

Combined clinics are held with colleagues in radiotherapy, plastic surgery, immunology, clinical genetics, and oral surgery. A clinic is held for renal transplant patients. There are fortnightly MDT meetings

The academic programme in Oxford includes a monthly journal club, and monthly academic half day including subject reviews, audit and guest speakers. There are regular dermatopathology teaching sessions. There is a well equipped library and all registrars have office space and computer.

Clinical research is encouraged.

Consultants

Dr John ReedLead Clinician, Allergy

Dr Richard TurnerSurgical Lead, Mohs surgery, male anogenital dermatology

Dr Tess McPhersonPaediatric Dermatology,

Dr Vanessa Venning Training Programme Director, Blistering disorders ,severe psoriasis,phototherapy

Dr Susan Cooper Patch Testing, vulval dermatology

Professor Graham Ogg MRC Fellow, Academic dermatology Allergy

Dr Rubeta MatinCutaneous oncology, skin disease the immuosuppressed

Dr William PerkinsMohs surgery

Dr Sarah Felton Mohs surgery and Photodermatology

Dr Sheru GeorgePhotodermatology (1 session pw)

Locum

Specialty Registrars4

Visiting Australian Fellow 1-2

SHO (GPVTS) 2

Pre Reg House Officer (FY1)1

Duties of the Post

In addition to their out-patient work, they supervise patients attending for nurse led clinicsincluding patients receiving phototherapy and supervise the care of dermatology inpatients.Out patient clinics are based both at the Churchill Hospital Oxford and the Horton Hospital Banbury. The registrars, assisted by the SHOs, supervise the care of in-patients. Registrars perform skin surgery including cryosurgery.

On-Call

The Oxford registrars participate in the on-call.

• Links to hospital websites (Deanery to complete)

Royal Berkshire Foundation NHS Trust

The Department

The Department serves a population of 600,000, principally in West Berkshire and provides a comprehensive diagnostic and treatment service. Inpatient beds are on general medical wards. We run a community dermatology service so in addition to sessions at the Royal Berkshire Hospital, there are outpatient clinics at 4 community sites across the district.

Consultants (5)Dr Helena Malhomme (Clinical Lead)

Dr Rima Clayton

Dr Caroline Higgins

Dr Sacha Goolimal

Dr Penelope Pratsou.

GPwSI :3 sessions

Specialist Trainees 2

Telephone:0118 322 8975

The Post

The main duties relate to outpatient clinics. The post includes 2 supervised general outpatient clinics at community sites, as well as a skin cancer clinic and minor surgery session at the RoyalBerkshireHospital. There are weekly MDT meetings and monthly departmental meetings. The trainee is responsible for seeing the ward referrals.

Study and Training

An office and computer are available for the registrar. Appropriate books and journals are available in the department and Postgraduate Centre Libraries. There is a monthly departmental meeting and academic links with Oxfordand Amersham.

Trainees are expected to undertake audit projects and present cases at the local grand round and the Royal Society of Medicine meetings, as well as contributing to local teaching programmes from time to time. Attendance at the Oxford Regional monthly meeting is also a formal part of the training programme.

On-call

The on call rota runs from 9am to 5pm and is shared on a 1;5 basis with the consultants. There is no out of hours on call commitment in this job.

Main Conditions of Service

Appointments to this programme are subject to the Terms and Conditions of Service (TCS) for Hospital Medical and Dental Staff (England and Wales). In addition appointments are subject to:

• Applicants having the right to work and be a doctor or dentist in training in the UK
• Registration with the General Medical Council
• Pre-employment checks carried out by the Trust HR department in line with the NHS employment check standards, including CRB checks and occupational health clearance.

The employing Trust’s offer of employment is expected to be on the following nationally agreed terms:

Hours – The working hours for junior doctors in training are now 48-hours (or 52-hours if working on a derogated rota) averaged over 26 weeks (six months). Doctors in training also have an individual right to opt-out if they choose to do so, but they cannot opt-out of rest break or leave requirements. However, the contracts for doctors in training make clear that overall hours must not exceed 56 hours in a week (New Deal Contract requirements) across all their employments and any locum work they do.

Pay – you should be paid monthly at the rates set out in the national terms and conditions of service for hospital medical and dental staff and doctors in public health medicine and the community health service (England and Wales), “the TCS”, as amended from time to time. The payscales are reviewed annually. Current rates of pay may be viewed at

Part time posts will be paid pro-rata

Pay supplement –depending upon the working pattern and hours of duty you are contracted to undertake by the employer you should be paid a monthly additional pay supplement at the rates set out in paragraph 22 of the TCS. The current payscales may be viewed at

The pay supplement is not reckonable for NHS pension purposes. The pay supplement will be determined by the employer and should be made clear in their offer of employment and subject to monitoring.

Pension – you will be entitled to join or continue as a member of the NHS Pension Scheme, subject to its terms and rules, which may be amended from time to time. If you leave the programme for out of programme experience you may have a gap in your pension contributions. More information can be found at

Annual Leave – your entitlement to annual leave will be five or six weeks per annum depending on your previous service/incremental point, as set out in paragraphs 205-206 of the TCS. The TCS may be viewed at

Sick pay – entitlements are outlined in paragraph 225 of the TCS.

Notice –you will be required to give your employer and entitled to receive from them notice in accordance with paragraphs 195-196 of the TCS.

Study Leave –the employer is expected to offer study leave in accordance with paragraphs 250-254 of the TCS. Local policy and procedure will be explained at induction.

Travel Expenses – the employer is expected to offer travel expenses in accordance with paragraphs 277-308 of the TCS for journeys incurred in performing your duties. Local policy and procedure should be explained at induction.

Subsistence expenses – the employer is expected to offer subsistence expenses in accordance with paragraph 311 of the TCS. Local policy and procedure should be explained at induction.

Relocation expenses –the employer will have a local policy for relocation expenses based on paragraphs 314 – 315 of the TCS and national guidance at

You are advised to check eligibility and confirm any entitlement with the employer before incurring any expenditure.

Pre-employment checks – all NHS employers are required to undertake pre-employment checks. The employer will confirm their local arrangements, which are expected to be in line with national guidance at

Professional registration – it will be a requirement of employment that you have professional registration with the GMC/GDC for the duration of your employment. Though the post is covered by NHS Indemnity, you are strongly advised to register with the MPS for professional indemnity.

Health and Safety – all employers have a duty to protect their workers from harm. You should be advised by the employer of local policies and procedures intended to protect your health and safety and expected to comply with these.

Disciplinary and grievance procedures – the employer will have local policies and procedures for dealing with any disciplinary concerns or grievances you may have. They should advise you how to access these, not later than eight weeks after commencement of employment.

Educational Supervisor – the employer or a nominated deputy (usually the Director of Medical Education) will confirm your supervisor on commencement.

General information on the LETB’s management of Specialty Training programmes, including issues such as taking time out of programme and dealing with concerns or complaints, is available at and in the national ‘Gold guide’ to Specialty Training at Please ensure that you inform Health Education Thames Valley of any changes to your contact details.

January 2017