Subspecialty Trainee in Gynaecological Oncology (Locally Employed Doctor) - Gynaecological Oncology - The Christie NHS Foundation Trust
The Christie NHS Foundation Trust – Manchester, City and Borough of Manchester
This is an RCOG recognized Gynecological Oncology subspecialty training programme leading to RCOG Gynaecological Oncology subspecialty accreditation.
The appointed candidate will be expected to be involved in implementing the Trust’s Clinical Governance programme. This includes active participation in clinical audit, quality, clinical guidelines/pathways, professional development, appraisal, and risk management. This role involves working within a team delivering tertiary-level surgical care to Gynaecological cancer patients. It requires a dedicated individual interested in gynaecological cancer and who will be immersed in complex surgery and all this entails. Pivotal to the role would be good communication skills to discuss in detail diagnosis, complex surgical issues, and subsequent managements. A strong background in general gynaecology is required to provide a good understanding of the patient journey prior to cancer diagnosis and support patients throughout. The trainee must work well in a team and across other specialties. Surgical training will be available in both open and robotic surgery.
Active participation in weekly Specialist Multi-disciplinary team meetings to triage patients accordingly for local or specialist surgery is encouraged. Consultation of new and follow-up patients in clinics supervised by Senior Colleagues and supported by Clinical Nurse Specialists will occur regularly. Identification and subsequent management of complex pre-operative issues will be encountered, and experience gained in this area. Daily ward rounds/pre-operative assessments will be shared amongst Clinical Fellows along with ample theatre sessions. Surgical training will be tailored according to the individual trainee’s ability, but a wide range of surgical training is available for both open and robotic surgery. There will be opportunities to provide emergency services covering all the surgical specialties in the directorate (gynaecology, colorectal, urology & plastics).
In addition to training in gynaecological oncology, there will be opportunities to attend MDT & theatres of other specialties, as well as non-surgical specialties in the Christie to achieve subspecialty training. Research & audit within the role is encouraged and accommodated within the trainee rota.
The role requires a diligent and hard-working person with enthusiasm for surgery and gynaecological oncology. We welcome individuals who will actively engage with the team.
The Christie is one of Europe’s leading cancer centres, treating over 60,000 patients a year. We are based in Manchester and serve a population of 3.2 million across Greater Manchester & Cheshire, but as a national specialist, around 15% of patients are referred to us from other parts of the country.
We provide radiotherapy through one of the largest radiotherapy departments in the world; chemotherapy on site and through 14 other hospitals; highly specialist surgery for complex and rare cancer; and a wide range of support and diagnostic services. We are also an international leader in research, with world-first breakthroughs for over 100 years.
We run one of the largest early clinical trial units in Europe with over 300 trials every year. Cancer research in Manchester, most of which is undertaken on the Christie site, has been officially ranked the best in the UK.
DUTIES AND RESPONSIBILITIES
This is a 40 hours per week appointment (full time) at Specialty Registrar level, working in one of the country’s leading Gynaecological Oncology centres. It is expected that the successful candidate will play a key part in the team, as a clinical fellow but also concentrating on a particular area of service development. More focused surgical training can be tailored to the suitable candidate. There will be fully supervised and supported work in both ward and outpatient settings, oncological procedures in theatre, and research. The area of research may fall into: robotic surgery, introduction of HIPEC in ovarian cancer and psychosexual health following gynaecological surgery.
The post holder will support the Consultant Gynaecological Oncology Surgeons, work alongside Junior Doctors and liaise closely with Senior Medical colleagues and all grades and levels of AHP and management teams. The appointee’s professional time will be deployed flexibly in appropriate areas: clinical duties, administration, teaching, research, clinical audit etc. Detailed elements of the job plan arrangements are to be agreed with the successful applicant when in post.
The center wishes to build its current research portfolio and continue regional collaboration, publication and presentation, and it is expected that the post-holder will actively participate in this.
In addition to Gynaecological Oncology work, the Christie team works closely with other surgical specialties at The Christie as part of a tertiary referral “Pelvic Surgery Team”. This team comprises 9 Colorectal, 7 Urological and 4 Oncoplastic Surgeons specializing in complex abdomino-pelvic malignancy. They undertake ultra-high volume complex pelvic and exenterative surgery for a population of >8 million people.
Continuing Professional Development
The Trust supports the requirements for continuing professional development (CPD) as laid down by the GMC and surgical colleges and is committed to providing time and financial support for these activities.
Role Planning
The following provides an outline of the expected clinical activity and clinically related activity components of the job plan which occur at regular times in the week. Agreement should be reached between the appointee and their Training Programme Director with regard to the scheduling of all other activities, including the Supporting Professional Activities. Upon appointment, the subspecialty trainee will be given a specific “work programme” detailing the initial allocation of direct clinical care activities and supporting activities. A formal weekly timetable will be agreed between the appointee and the Training Programme Director. There is routine ward work, Consultants’ rounds, gynaecology oncology outpatient clinics and operating sessions. There will be a requirement to maintain colposcopy accreditation through regular attendance at colposcopy clinics.
Provisional timetable
Monday
AM session: Theatre
PM session: Theatre
Tuesday
AM session: Audit/Research
PM session: Clinic
Thursday
AM session: Theatre
PM session: Admin
Friday
AM session: MDT
PM session: Clinical Governance
This timetable is indicative; the definitive timetable will be agreed by the Trust and the appointee and subject to regular review.
On-call Commitments
This role does require participation in the surgical clinical fellow on-call rota.
PERSON SPECIFICATION
Essential for the post
Desirable for the post
METHOD OF ASSESSMENT
1. ATTAINMENTS
Educational & Qualifications
Full registration with the GMC and with License to Practice
Basic medical qualification (MB BS or equivalent)
Satisfactory ST4 ARCP by commencement of post or equivalent
CE
Professional Qualifications
GMC registration
CE
Research / Publications
Evidence of a commitment to research
To show a broad range of publication and research activity
AF/I
2. TRAINING
ST5 and above or equivalent, with sequential annual appraisals
A portfolio of experience and publication of research in the specialty
Experience with statistics
AF/I/R
3. EXPERIENCE
Job Specific
Minimum 4 years completed training period in the National Health System required for the specialty.
Experience in research or published papers in the area of special interest
CE
Management / Audit
Evidence of self-audit.
Desire to participate in research at post-graduate level
Ability to audit and critically appraise clinical care delivery by a multidisciplinary team
AF/I
4. TEACHING
Interest in postgraduate and undergraduate teaching
Involvement in organizing teaching
AF/I
5. PERSONAL SKILLS
Good organisational ability and a willingness to be flexible in accordance with the demands of team working across Gynaecological network
Computer Literate
Experience of working in a clinical team with good communication skills
Ability to communicate effectively with clinical colleagues, colleagues in pathology and support staff
Good knowledge of, and ability to use, spoken and written English
Ability to present effectively to an audience, using a variety of methods, and to respond to questions and queries
AF/I
Leadership
Good communication skills, enthusiasm, leadership, ability to work well as a team member and ability to work well with present consultants/department.
A flexible approach to delivery of service in a changing environment.
Demonstrates understanding and commitment to Equality, Diversity and Inclusion.
Previous responsibility for service improvement.
Initiative in tailoring training and experience to develop novel techniques in treatment
Self-reliance
Needs to be comfortable with managing own workload with minimal supervision
Motivation
Self-motivated to complete tasks independently and manage own workload
6. CIRCUMSTANCES
Within 30 minutes travel time to the hospital. Ability to travel across sites.
Abbreviations for Methods of Assessment:
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