|
Clinical Genetics
Sub-Speciality Training at ST3+
|
|
Whole time non-resident
Specialist Trainee in Clinical Genetics. This is a 4 year post based at the
Leicester Royal Infirmary. The trainee’s work will be monitored for
satisfactory progress and will be reviewed after the first 6 months and once a
year thereafter. The review will be carried out by the Regional Training
Committee.
The post is approved
for Specialist Registrar training by the Joint Committee on Higher Medical
Training and attracts a national training number which provides training
towards a certificate of completion of specialist training (CCST). The
Postgraduate Dean has confirmed that this post has the necessary educational
and staffing approvals.
CONTRACTED HOURS
Standard Hours 40
(non-resident).
SOUTH TRENT TRAINING PROGRAMME IN
CLINICAL GENETICS
Introduction
Thank you for your
interest in the South Trent Training Programme in Clinical Genetics. This post
is of four years duration and is based on a modular programme.
Background
The Clinical Genetics
Service in Leicester dates back to 1982 and covers a population of 900,000.
There are strong research, dysmorphology and paediatric genetic interests
within the department. Current staffing is as follows:-
Professor Richard
Trembath Professor of Medical
Genetics
Professor Ian Young Visiting Professor of
Clinical Genetics
Dr Margaret Barrow Consultant Clinical
Geneticist (Head of Service)
Dr Ian Robinson Hospital
Practitioner
Dr Michael Parker Specialist Registrar
in Clinical Genetics
Mrs Valerie Zaldua Senior
Specialist Nurse in Genetics
Mrs Shanta Patel Genetic Nurse
Mrs Veronica
Johnson-Roffey Genetic Nurse
Mrs Sandra Preston Office
Manager
Mrs Sue Kenney Secretary
Mrs Judy Newman Secretary
Dr David Duckett Head of Genetics
Laboratories
Dr Sarah Ball Head
of Molecular Laboratory
The
Leicester Genetic Service is a dynamic, friendly and integrated service which
functions from one self-contained Genetic Centre comprising both clinical and
laboratory accommodation on the Leicester Royal Infirmary site. The department
has expanded greatly over recent years.
·
Integrated
clinical and laboratory service providing ease of access and cross-flow of
ideas between molecular, cytogenetic and clinical staff.
·
Excellent research
facilities under Professor Richard Trembath, University Department of Genetics,
Leicester. World-renowned department, with Professor Sir Alec Jeffreys.
·
Uniquely
varied ethnicity of catchment population – high incidence of ethnospecific
diseases including thalassaemia major. Gujerati-speaking genetic nurse within
department.
·
Close links
with Maternity: Women’s and Perinatal Services (Clinical Director Mr Charles
Stewart). 10,800 births annually, 31% of inner city births from residents who
originate from Indian subcontinent. Excellent fetal diagnostic facilities and
strong fetal diagnostic group involvement.
·
On-site
paediatric pathology services allowing close liaison with expert paediatric
pathologist.
·
Established
links with Directorate of Child Health (Clinical Director Dr David Luyt). 10 to
12 ward referrals per month with easy access to paediatric wards and neonatal
unit. Regional paediatric cardiac surgery in Glenfield Hospital.
·
University of
Leicester departments with major affiliations to genetic service include;
Genetic Epidemiology - Professor Paul Burton
Dermatology - Professor Richard Camp
Cardiology - Professor Nilesh Samani
·
Trainee access
to a wide variety of teaching hospital training sessions. Regular training
programmes for Clinical Genetics SpR’s both within Region and North of England
training seminars. Guaranteed attendance at National meetings, including
Dysmorphology Club, Clinical Genetics Society and British Society of Human
Genetics.
·
New Cancer
Hospital (Osborne Building) on Leicester Royal Infirmary site allowing for
integrated developments in cancer genetics.
·
Access to
teaching hospital facilities both on site, including medical school library,
and within walking distance to University of Leicester Medical School.
·
Joint
oculogenetics clinics with Mr Geoffrey Woodruff, Consultant Ophthalmic Surgeon.
·
A wealth of
opportunities for the trainee to develop their own training interests within a
large busy teaching hospital.
·
Close links with
primary care in terms of provision of comprehensive genetic counselling
services to the population of Leicestershire
DUTIES OF THE POST
Modular rotation and
time-tables are as follows:
Four year modular training programme SpRs Clinical Genetics 1
Year/Module 1 Year/Module
2 Year/Module 3
Year/Module 4
|
|
|
Introduction/Skills
Principles
of
Counselling
Molecular
Genetics
Cytogenics
Ethics/Clinical
Gov.
Basic
Science
General
Clinics
|
General
Medical
Genetics
Clinics
Teaching
Skills
Cancer
Genetics
Clinics
Genetic
Registers
Specialist
Clinics
(Neurogenetics)
|
Supervised Research
Audit
Training
General
Clinics
Population
based
Genetic
Services
|
General
Clinics
Specialist
Clinics
(Paediatric
Genetics
and Fetal
Dysmorphology)
|
|
|
|
Introduction/Skills
Principles
of
Counselling
Molecular
Genetics
Cytogenetics
Ethics/Clinical
Gov.
Basic
Science
General
Clinics
|
General
Medical
Genetics
Clinics
Teaching
Skills
Cancer
Genetics
Clinics
Genetic
Registers
Specialist
Clinics
(Neurogenetics)
|
Supervised
Research
Audit
Training
General
Clinics
Population
based
Genetic
Services
|
General
Clinics
Specialist
Clinics
(Paediatric
Genetics
and Fetal
Dysmorphology)
|
1Scheme illustrated with staggered start dates. Modules 1 and 3 are interchangable
TRAINING COMMITTEE AND APPRAISALS
The Regional
Education Training Committee includes Dr Oliver Quarrell – Chairman (Sheffield),
Dr Jackie Cook (Sheffield), Dr Margaret Barrow, Professor Richard Trembath
(Leicester), Dr Monish Suri (Nottingham), Postgraduate Dean’s Advisor, College
Advisor. The Training Committee will make a formal appraisal of the training
programmes annually. The regular assessment will be undertaken by the trainees
current educational supervisor by way of the training record, and this will be
presented to the Training Committee for the annual appraisals.
RESEARCH
Head: Professor Richard
Trembath. Clinical projects are also available supervised by Professor Ian
Young.
The post provides
excellent opportunities for research, to meet training requirements and/or
pursuit of a higher degree. A one-year research focused module is included in
the training programme. The University Department of Medical Genetics has an
international track record in molecular genetic research, including positional
and functional genetic studies. The Division is localised in newly refurbished
“state of the art” laboratory space with abundant experience of supporting
medically qualified graduates in research.
UNIVERSITY HOSPITALS OF LEICESTER
NHS TRUST
Description of
Services/Hospitals – Leicestershire Health
The three acute units
in Leicester are the General Hospital, The Royal Infirmary and the Glenfield
Hospital. All three acute units became one Trust on the 1st April
2000 – the University Hospitals of Leicester NHS Trust, and serve a population
of approximately 900,000.
Glenfield Hospital
The hospital opened
in 1984 and was England’s newest Teaching Hospital. It currently has 458 beds
and acts as a base for the districts respiratory service. It also houses the
University Department of Orthopaedics, University Division of Cardiology,
General Surgery and General Medicine. Phase 2 includes the accommodation of
Cardiology and Cardiothoracic Surgery from Groby Road Hospital since 1994.
Leicester General Hospital
The hospital has
approximately 600 beds. Medical Specialties include Nephrology and Medicine for
the Elderly.
THE LEICESTER ROYAL INFIRMARY
The
Leicester Royal Infirmary is an acute hospital with beds for each of the main
specialities and contains the only Accident and Emergency Unit in the
District. The hospital is currently
undergoing a development programme to provide additional facilities and an
expansion of existing services.
The
current bed allocation is as follows:
Acute Medical 120
Rehabilitation & Medicine for the Elderly
96
Paediatric Medicine 90
Paediatric C.I.C.U. 8
Infectious Diseases 18
Dermatology 6
Neurology 20
Rheumatology 15
Haematology 16
Bone Marrow Transplant 4
Radiotherapy 39
General Surgery (including Paediatric surgery) 103
ENT 60
Oral Surgery 14
Orthopaedics 152
Ophthalmology 45
Plastic Surgery 40
Gynaecology 38
Accident and Emergency 6
Maternity Beds 100
Delivery Suites 18
Special Care Baby Cots 26
1034
Day Ward (all specialties)
34
Ophthalmic Day Unit
15
Haematology Day Ward
20
Endoscopy Unit
10
Medical Admissions Unit
22
ITU/HDU
14
CCU 9 (+ 12 Cardiology)
Central Operating Department 1
1177
There is
a suite of 16 operating theatres with a 24 hour recovery area, and in addition
there are 3 other outlying theatres.
The
Sandringham Building which opened in 1980, provides Pathology, Medical Physics
and Physiological Measurement departments, and separate, purpose built
laboratories for Histopathology, Chemical Pathology and the Public Health
Laboratory Service.
Medical
Physics and Physiological Measurement occupy two floors, with accommodation for
Radio Isotopes, E.C.G. diagnostic reporting service, E.E.G., E.N.T. measurements and many special
procedures.
The
Robert Kilpatrick Clinical Sciences Building of the University of Leicester is
situated on the Royal Infirmary site and provides offices, including the
Postgraduate Dean’s Office, and research laboratories for the greater part of
the University Departments of Medicine, Surgery, Psychiatry, Obstetrics and
Gynaecology, Paediatrics, Community Health , Pathology, Pharmacology and Therapeutics.
The
Windsor Building opened in November, 1992, includes Acute wards, The Children’s
Hospital, Integrated Medicine wards, Haematology and Bone marrow transplant
wards, X-Ray, Pharmacy, Mortuary, Medical Illustration, Ophthalmic Outpatients,
Child Development Centre, Staff Changing, and Kitchen/Dining area.
The
Osbourne Building opened in October 1997.
It provides an integrated service including the Departments of
Haematology and Oncology. New radiotherapy
equipment has been installed and outpatient, inpatient and hostel facilities is
available within the building. Regular
meetings and lectures by invited speakers take place in the seminar suite
within the Osbourne Building.
Obstetric
and all other women’s and neonatal services have been combined into the Women’s
Hospital which opened in 1997. The
centralisation of all these services is designed to improve the provision of
women’s health in Leicestershire.
DUTIES OF THE POST
1
Clinical
a)
Outpatient clinic
duties including case review, preparation and counselling
b)
Ward referrals
2
Teaching
Duties
include the teaching of medical students, postgraduates and other teaching
programmes in which the department is involved. Presenting cases to the Paediatric
monthly meeting and Fetal Diagnostic Group. Attending and participating in all
teaching sessions.
3
Research
The
department has a strong record in research , applicants will be expected to
take full advantage of opportunities provided.
4
Audit
Attending
and participating in monthly Clinical Genetics Audit meetings and presenting
material relating to audit at these meetings.
5
Location of
Duties
The
duties are both the Leicester Royal Infirmary and the Leicester General
Hospital, including on some occasions a peripheral genetics clinic in Coalville
Community Hospital.
STUDY AND TRAINING
There is a
Postgraduate Medical Centre situated at the Leicester Royal Infirmary which has
a large lecture theatre and seminar room. Lectures on all topics are held
regularly and this Centre is actively concerned in the vocational training of
General Practitioners in the area. There is a weekly postgraduate clinical
presentation and an active Friday grand rounds. The Medical School library is
housed in the Robert Kilpatrick Clinical Sciences Building at the Leicester
Royal Infirmary.
ADMINISTRATIVE DUTIES
Responsibility for
own caseload, including outpatient letters, investigations etc., liaison with
molecular and cytogenetic laboratories, with nursing staff and secretaries.
LEICESTER
WARWICK MEDICAL SCHOOL
(University Of Leicester/University Of Warwick)
The Leicester Warwick Medical School (LWMS)
Dean: Professor I
Lauder, MB BS, FRCPath, FMedSci
The LWMS was
established formally on 1 March 2000, in order to create the additional
capacity needed to support the Government programme for increasing nationally
the numbers of medical graduates. For the past 25 years, the University of
Leicester has admitted students to a five-year MB ChB undergraduate
course. The Leicester Warwick Medical
School has introduced a new four-year graduate entry stream for the course
based on the University of Warwick campus.
The four-year students will undertake a shortened Phase I of the course
(one and a half years), compared to two and a half years for the non-graduate
direct entry students based on the Leicester campus. All LWMS students will undertake a common
Phase II. The pre-existing Leicester
curriculum will be followed.
The total
intake of medical students in the LWMS will be 303 by the year 2001 (128 on the
Warwick campus and 175 at Leicester), with an eventual MB ChB student
population of 1,400. Sixty-four graduate
entry students enrolled on the Warwick campus in September 2000 and a further
128will enrol in September 2001.
Graduating students will receive the degrees of MB ChB
(Leicester/Warwick).
The LWMS
comprises the School of Medicine at the University of Leicester and the Faculty
of Medicine at the University of Warwick.
Governance is by means of a Joint Committee of the two universities,
chaired by one or other of the two Vice-Chancellors on an annual alternating
basis. The Dean of the LWMS is an
employee of the University of Leicester, but has responsibility for all Medical
School activity on both university campuses.
The Dean is a member of the Joint Committee, and also chairs the Dean’s
Management Group, which meets monthly and conducts the business of the LWMS, including
staff appointments.
The Faculty of Medicine and Biological Sciences
Dean:
Professor W J Brammar, BSc, PhD, FRSA
The
annual undergraduate intake target to the Faculty comprises 175 to the MB ChB
degrees, 21 to the BSc (Hons) degree in Medical Biochemistry, 100 to the BSc
(Hons) degree in Biological Sciences, 55 to the BSc (Hons) degree in
Psychology, 15 to the BSc (Hons) degree in Medical Genetics and 13 to the BSc
(Hons) degree in Psychology with Neurosciences.
In addition, courses shared with other Faculties comprise the BSc in Combined
Science, the BA in Combined Arts, the BSc in Psychology with Sociology, the BSc
in Biological Chemistry and the BSc in Physics with Medical Physics. Medical undergraduates may undertake an
intercalated BSc (Hons) by research.
There are taught Masters courses for the degree of MSc in Forensic
Psychology, Forensic and Legal Psychology (by distance learning), Medical
Statistics, Molecular Genetics, Molecular Pathology and Toxicology, Natural
Resource Management, Pain Management and a Doctorate in Clinical Psychology.
There is a part-time Master of Clinical Science. The Faculty admits
postgraduates to study for the degrees by research of MD, PhD and MPhil.
The
Faculty comprises three Schools: Medicine, Biological Sciences and
Psychology. The School of Psychology
consists of a single Department of Psychology, plus the Centre for Applied
Psychology. The School of Medicine
includes the Cardiovascular Research Institute, the Institute for Lung Health,
the Division of Medical Education (including the Centre for Studies in
Community Health Care), the Division of Medical Physics and the Centre for
Postgraduate Medical Education. There are twenty departments in the Schools of
Medicine and Biological Sciences:
Anaesthesia & Pain Management, Biochemistry, Biology, Cell
Physiology and Pharmacology, Child Health, Epidemiology and Public Health
(including the Nuffield Community Care Studies Unit), General Practice and
Primary Health Care (including the Clinical Governance Research &
Development Unit), Genetics, Medicine (including the Divisions of Cardiology,
Dermatology, Gastroenterology, Medical Genetics, Medicine & Therapeutics,
Medicine for the Elderly, Renal Medicine, Respiratory Medicine), Microbiology
& Immunology (including the Division of Immunology), Obstetrics &
Gynaecology, Oncology, Ophthalmology, Orthopaedic Surgery, Pathology (including
the Divisions of Chemical Pathology, Histopathology and Haematology),
Pre-Clinical Sciences, Psychiatry (including the Divisions of Child and
Adolescent Psychiatry, Forensic Mental Health & Psychiatry for the
Elderly), Radiology, Surgery (including the Divisions of Cardiac Surgery and
Transplant Surgery) and the Centre for Mechanisms of Human Toxicity (CMHT)
including the MRC Toxicology Unit. An
Institute of Environment and Health has been developed alongside the MRC
Toxicology Unit.
The main
accommodation for the Faculty of Medicine and Biological Sciences comprises the
Maurice Shock Medical Sciences Building, the Adrian Building, the Hodgkin
Building and the Astley Clarke Building (Psychology) on the University campus;
and the Robert Kilpatrick Clinical Sciences Building at the Leicester Royal
Infirmary, half a mile from the campus.
There is
also University accommodation at the Leicester General Hospital and a Clinical
Sciences wing at Glenfield Hospital. The
Maurice Shock Building is linked by footbridges to the Adrian Building, which
houses the Departments of Biochemistry, Biology and Genetics, and to the
Hodgkin Building which houses the CMHT and the MRC Toxicology Unit. The University Library has a good medical
collection. There is a separate Clinical
Sciences Library in the Robert Kilpatrick Building, whilst the NHS Libraries at
the Leicester General Hospital Trust and Glenfield Hospital Trust have rapid
access to the University Library facilities.
There
are a number of Faculty Boards and Committees on which members of the Faculty,
whether full-time or part-time lecturers, may serve e.g. the Board of the
Faculty of Medicine and Biological Science, undergraduate and postgraduate
Boards of Studies, the Research Committee, the Learning and Teaching Committee,
the Graduate Studies Committee, the Safety and Security Committee and
Staff-Student Committees.
The NHS in Leicestershire
The Leicestershire
Health Authority is one of the largest District Health Authorities in England
serving a population of over 900,000.
The Leicestershire Health Authority is responsible for the whole of
Leicester, Leicestershire and Rutland.
The University Hospitals of Leicester NHS Trust, formed in April 2000,
is composed of the three main teaching hospitals, the Leicester Royal Infirmary
(1,096 beds), the Leicester General Hospital (771 beds) and the Glenfield
Hospital (520 beds). The Leicestershire
& Rutland NHS Trust was formed in 1999 by the merger of the Fosse Health
NHS Trust and the Leicestershire Mental Health Services NHS Trust. It has responsibility for the management of
the community hospitals in the market towns, as well as learning disability, community
nursing and related activities including St Matthews Estate and Prince Philip
House and for the provision of services for people with psychiatric
disabilities.
The City of
Leicester
Leicester
is a thriving city in the centre of England.
It offers all the attractions of a busy urban setting with rolling
countryside within easy reach. The city
has a rich history going back to Roman times and now has prosperous industries
based upon hosiery, light engineering, printing and a range of service activities.
The
Leicester market is one of the largest in Europe and has occupied its present
site, in the centre of the city, for over 700 years. The surrounding shops are set in an
attractive pedestrianised area; there are two enclosed shopping centres and
squares, lanes and arcades with smaller shops and cafes. The city has some fine parks including Castle
Gardens and Abbey Park, both alongside the River Soar, and Victoria Park, which
is adjacent to the University.
The
Haymarket is one of the country’s leading theatres and has a large auditorium
as well as a small studio. The Phoenix
Arts Centre particularly attracts young people with a varied programme of film,
drama, dance and music. The De Montfort
Hall, adjacent to the University, is one of the finest concert venues outside
London and the city has a fine collection of museums. The city centre is linked to the Museum and
Art Gallery and to the De Montfort Hall by New Walk, an elegant pedestrian
thoroughfare laid out in 1785.
Leicestershire and
Rutland
Leicestershire
is a county of surprising beauty and style.
Its rural landscape and picturesque villages are within easy reach of
the city. Bradgate Park, 800 acres of
magnificent deer park, and the ancient rocks and hills of the Charnwood Forest,
lie to the north-west of the city. To
the east is the County of Rutland with delightful countryside and villages.
The
county offers a wide variety of sporting facilities. The Grace Road ground houses the County
Cricket Club, while the renowned Leicester Tigers Football Club is a five
minute walk from the University. For
soccer enthusiasts, the Leicester City Stadium is similarly close at hand. Castle Donington and Mallory Park motor
racing circuits are easily reached and facilities for basketball, ten-pin
bowling, roller skating and swimming are to be found in the City. The county is well known for its
horse-riding, rambling and cycling, and Rutland Water provides excellent
facilities for fishing, sailing and watersports.
The
county is well placed at the centre of England with good road and motorway
links. It is also well served by two
international airports - East Midlands and Birmingham. Midland Mainline operate a regular service to
London, approximately half hourly.
Arrangements to visit
Candidates
wishing to visit the hospitals concerned are requested to make arrangements
direct with:
Dr M
Barrow
Consultant
Geneticist
Department
of Clinical Genetics
Leicester
Royal Infirmary
Leicester
LE1 5WW
Tel: 0116
258 5736
October 2002
Specialist Registrar in Clinical Genetics
MAIN CONDITIONS
OF SERVICE
The posts are covered by
the Terms and Conditions of Service for Hospital Medical and Dental Staff
(England and Wales) as amended from time to time, and also such other policies
and procedures as may be agreed by the University Hospitals of Leicester NHS
Trust.
This is a whole-time
appointment - resident only when on-call.
Salary is in accordance
with the current nationally agreed salary scales of the Medical and Dental
Whitley Council.
N.B. It is possible
that during the lifetime of this contract of employment, further, appropriate
adjustments will be made to the working patterns for the post, in order to meet
the requirements of the European Working Time Directive or for other reasons.
As this post does not have
a specific set rotation, in line with the NHS Employers interpretation of pay
protection, the postholder will receive confirmation of the terms and
conditions of service (including banding supplement), only after a specific
post has been allocated to the post holder. The banding supplement payable to
the postholder will be the pay band applicable to the rota at the time when a
specific post is allocated. Pay protection will not be applied from date of
appointment.
In line with this
situation, if you are offered a training post as part of the 2007 MTAS
application round, you will be offered a post on the following basis:
"This is a
confirmation of your training placement, and not an offer of employment. Each
Trust on the rotational training programme will send you an appointment letter
and confirm the terms and conditions of employment to be offered in your
contract with them as soon as possible”
In accordance with the
Trusts policy on Hepatitis B and health care, appointment to this post is
subject to satisfactory clearance by the Leicestershire Occupational Health
Department.
Unforeseen Circumstances
In cases of extreme
urgency, the holder of the post may be required to undertake duties in a
hospital outside the Unit to which he/she is appointed. Such secondment for
other duties would be reduced to the minimum.
Accommodation
Accommodation
may be available and enquires should be made to the relevant hospital regarding
availability and costs incurred.
The
three Leicester acute Hospitals are extremely short of married accommodation
and this cannot be guaranteed. The
Leicester Hospitals only pay abatements when you are living and working at the
same hospital. If you choose not to move
in the course of a rotation you will lose your abatement.
The three
Leicester hospitals only pay abatements when you are living and working at the
same Trust. If you chose not to move in
the course of a rotation you will lose your abatement.
Rehabilitation
Of Offenders Act 1974
All medical posts are exempt from the provisions of
Section 4(2) of the Rehabilitation of Offenders Act 1974 by virtue of the
Rehabilitation of Offenders Act 1974 (Exemptions) Order 1975. Applicants for this post are therefore NOT ENTITLED to withhold information
about convictions which for other purposes are “spent” under the provisions of
the Act, and in the event of employment, any failure to disclose such
convictions could result in dismissal or disciplinary action by the Authority. Any information given will be completely
confidential and will only be considered in relation to an application for
positions to which the Order applies.
Disclosure
Of Criminal Background Of Those With Access To Children
The post is classified in accordance with Circular
HC(88)9 as having substantial access to children, and it will be necessary for
a request to be made to the police for a check on criminal convictions. The appointee to this post will be asked to
sign a consent form to the disclosure of information.
Any offer of appointment made, and contract
issued, will be subject to confirmation following receipt of a satisfactory
reply from the police. In the event of
an unsatisfactory reply, the contract will be withdrawn immediately.
Health
Clearance and Medical Examination
This
appointment is subject to medical fitness and the appointee may be required to
undergo a medical examination and chest X-ray.
Potential
applicants should be aware of the Department of Health and GMC/GDC requirements
with regard to HIV/AIDS and Hepatitis Viruses.
Candidates
are advised that they will be asked at interview whether they are aware of
anything preventing them from fulfilling their professional commitment and this
includes health.
Health
and Safety
Employing
trusts within the Deanery recognise their duties under the Health and Safety at
Work Act 1974 to ensure, as far as it is reasonably practical, the Health,
Safety and Welfare at work of all its employees and in addition the business of
the Authority shall be conducted so as to ensure that patients, their
relatives, contractors, voluntary workers, visitors and members of the public
having access to Authority premises and the facilities are not exposed to risk
to their health and safety.
All
medical and dental staff under contract to the Region will be expected to
comply with Regional and all appropriate District and Unit Health and Safety
policies.
Arrangements
will be made for the successful candidate to receive copies of the Health and
Safety policies of this Authority and the appropriate District/Region.