Genitourinary Medicine

Sub-Speciality Training at ST3+

 

SPECIALIST TRAINING IN GENITO-URINARY MEDICINE

 

 

About University Hospitals of Leicester NHS Trust

 

University Hospitals of Leicester NHS Trust comprises of three acute hospitals based in Leicester:-

 

Glenfield Hospital, Leicester General Hospital and Leicester Royal Infirmary.

 

The three hospitals joined together to form the Trust on 1st April 2000 to meet the increasing demands for providing better healthcare. The Trust is one of the largest acute teaching hospitals in the United Kingdom, with nearly 10,000 staff and an annual operating income of over £400 million.

 

The importance of working with patients and the public is paramount to the strategy of continuing to improve healthcare services. The Pathway project is a major PFI scheme costing over £400 million and is due to be completed in 2010.

 

 

Glenfield Hospital is situated about three miles north west of Leicester city centre. The hospital has around 520 beds and over 2100 staff providing a range of in-patient, day case and outpatient services within the specialty groupings of Orthopaedics, Critical Care and Theatres, Cardiac Services and Integrated Medicine.

 

Within Cardiac Services the Rapid Access Chest Pain Clinic, providing specialist cardiological assessment for suspected cardiac pain, has been awarded ‘Beacon Site’ status by the National Health Service (NHS).

 

 

Leicester General Hospital is situated approximately three miles east of Leicester city centre and offers a range of in-patient, day case and outpatient services across the specialties of Medicine, Nephrology, Obstetrics and Gynaecology, Surgery, Anaesthesia and Clinical Support Services. Leicester General Hospital has approximately 680 beds and over 2700 staff.

 

 

Leicester Royal Infirmary is located close to Leicester city centre. The hospital has over 1100 beds and over 5300 staff and provides the only Accident & Emergency service. The main specialty groupings at the hospital are Medical, Obstetrics and Gynaecology, Surgery, Children’s Hospital, Clinical Diagnostic Services, Cancer Services, Theatres and Critical Care and A & E / Orthopaedic Trauma.

 

The Hearing Services Department (Surgical Directorate) at Leicester Royal Infirmary has been awarded two Charter Marks in 1996 and 1999, for delivering excellence in public service.

 

Loughborough General Hospital has 76 beds for Medicine, Surgery and Orthopaedics.  Dr P C Schober provides Genito-Urinary Medicine Services.

 

Hinckley And District Hospital has 37 beds - Out-patient clinics in Medicine, Surgery, Orthopaedics, ENT and Obstetrics and Gynaecology are held there.

 

 

 

Clinical

 

University Hospitals of Leicester NHS Trust is one of the largest acute teaching hospitals in the NHS and the largest provider of acute healthcare in Leicestershire, with close relationships with the University of Leicester and DeMontfort University. A number of specialities have a national and international reputation for their ability to provide specialised or unique clinical services. Clinical research has won recognition for contributions to advances in clinical knowledge and practice.

 

Investment into the state of the art clinical equipment and major initiatives to improve quality of service ensure that services are more accessible and convenient to patients.

 

Obstetric and all other women’s and neonatal services at the Leicester Royal Infirmary 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.

 

 

 

further information can be obtained via our website at:    www.uhl-tr.nhs.uk

 

 

APPOINTMENT

 

Whole-time, non-resident Specialist Registrar in Genito-Urinary Medicine to the Leicestershire Hospitals, based at the Leicester Royal Infirmary.

 

The post is approved for higher specialist training by the Joint Committee on Higher Medical Training.

 

Possession of MRCP, MRCOG or equivalent qualification is essential.

 

The Specialist Registrar Training Programme is normally for a term of four years, during which time, work is monitored for evidence of satisfactory progress.  The contract is subject to satisfactory annual appraisals to ascertain education attainment and work progress.

 

CONTRACTED HOURS

 

Standard Hours                    40

 

 

THE WORK OF THE DEPARTMENT

 

This is a busy modern department where undergraduate clinical teaching is undertaken.  All clinics are supervised by at least one Consultant.  There are definite periods of secondment to various other departments including Gynaecology, Dermatology urology depending on past experience and preference for training.

 

A wide experience in all types of patients can be gained in the Department which has up to 10,000 new patients per annum.  Much emphasis is given to the Social as well as the Clinical aspects of disease.  All specialised procedures related to the subject carried out.

 

EPIDEMIOLOGY

 

The important work of tracing consorts of patients who are infected and recall of defaulters is carried out by trained Health Advisers in the Leicester Royal Infirmary, who also have a role in health education.

 

GENERAL MEDICINE

 

The need for the widest possible training in all branches of medicine is recognised and clinical meetings and teaching rounds are held each week in the Leicester Royal Infirmary.

 

LABORATORY

 

There is close liaison with the microbiology and virology labs in the P.H.L., and a small laboratory is situated in the Dept. of G.U. Medicine.   Direct microscopy and culture of organisms is carried out there.

 

MEDICAL STAFFING

 

Consultants:             Dr V C Riley, Dr P C Schober, Dr J Dhar, Dr M. Malu,

 

Junior Staffing:       Specialist Registrars x 3 posts

                                    Senior House Officers x 2 posts

                                    Staff Grade Specialist

Hospital Practitioners

 

Health Advisers

 

There are currently 8 health advisers, many of whom are part-time, who provide a service for patients and the community.    Their role comprises counselling, contact tracing and health education.   They play an active part in teaching different categories of staff and provide a rapid HIV results service for selected patients.

 

Nurse led clinic

 

A nurse specialist is available in the department and nurse-led clinics operate for both male and female patients, and centre around wart treatments, tests of cure and Hepatitis B immunisation.

 

DUTIES OF THE POST

 

Clinical

 

The proposed programme of work for the Specialist Registrar in Genito-Urinary Medicine is as follows:-

 

Out-patient work, including HIV Clinic                6 sessions  (2 sessions will be spent in a district general hospital)

Laboratory work                                                        1 session   

Administrative and teaching                                  1 session

Research                                                                   1 session

Medical Training in other Departments               1 session

 

                                                            Total              10 sessions

 

The successful applicant will carry out duties at most of the genito-urinary out-patient clinics at the Royal Infirmary, and these may include laboratory work, teaching and research as well as out-patient work.

 

The times for these clinics being as follows:-

 

Monday                      11.00  -   14.00                            16.00        -           18.30

Tuesday                     9.00    -   12.00                            14.00        -           16.30

Wednesday               9.00    -   12.00             and        14.00        -           16.30

Thursday                   9.00    -   12.00           and        14.00       -         16.30

Friday                         9.00    -   12.00                                     CLOSED

 

In addition there will be definite periods of secondment to other Departments (depending on the appointee’s previous experience), and these can be arranged for example in:-

 

Department of Gynaecology -     with Consultant Gynaecologist.

 

Department of Medicine        -     with Professor H Thurston, Professor of Medicine.

 

Department of Medical

Microbiology                            -     with Dr A Swann, Consultant Microbiologist.

 

Department of Urology          -     with Mr D Osborn, Consultant Urologist.

 

Department of Dermatology -     with Professor R D R Camp.

 

Time will also be spent in microbiology, ultra sonography and immunology and Family Planning experience is gained at the local FPC under the guidance of Mr. Oloto.

 

District General Hospital experience, a requirement of Calman training, will be provided at Derby Royal Infirmary and Peterborough District Hospital.

 

An important component of the training is in HIV medicine.   This is acquired both in the Department of G.U.M., and also in the Department of Infectious Diseases where In-patient care, as well as Out-patient management occurs.   There is an “on-call” commitment both for H.I.V. and also G.U. Medicine

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Typical Weekly Programme

 

 

AM

 

PM

Monday

G.U. Clinic followed by X-Ray meeting and HIV Ward Round

 

.

G.U. Clinic/ Research/ Audit

Tuesday

G.U. Clinic

 

Staff Meeting

HIV Clinic

Wednesday

Peterborough or Derby

 

Thursday

GU Clinic

Education Programme

Research

Friday

GU Clinic

 

Doctors Meetings

 

 

Teaching

 

Undergraduate teaching, teaching of nurses, midwives in training, Postgraduate and General Practitioners is carried out in the department.  Medical students are taught GU Medicine within the obstetrics and gynaecology module in the final years.

 

The Specialist Registrar will be expected to attend weekly postgraduate meetings, particularly Grand Rounds and Physician meetings.

 

Research

 

The Specialist Registrar will be expected to engage in research directed by one of the Consultants and in co-operation with Microbiology, Immunology and Public Health.

 

Administration

 

The Specialist Registrar will gradually become acquainted with administration aspects of the department and the Trust.

 

ON-CALLS

 

1:7 on-call rota weekdays

1:4 on-call rota weekends

 

 

Associated Institutions

NHS Hospitals and Trusts involved in LNR Training Programmes

University of Leicester and Undergraduate School of Medicine

University of Leicester Faculty of Medicine and Biological Sciences

 

 

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.

 

                       

OTHER FACILITIES

 

The Leicester Royal Infirmary is situated approximately 400 yards from the main City Shopping Centre and has its own staff multi-storey car park.

 

The Leicester General Hospital is approximately 4 miles from the main City Centre.  The hospital has ample car parking, but is also served by an excellent public transport service.

 

The Glenfield Hospital is approximately 2 miles from the main City Centre and also has its own car parking facilities.  The hospital too is served by the public transport service.

 

 

VISITING

 

Candidates are invited to visit the hospitals concerned by direct arrangements with:-

 

 Dr V C Riley or Dr P C Schober or Dr. J. Dhar or Dr M.Malu

Department of G U Medicine

Leicester Royal Infirmary

LEICESTER

LE1 5WW

 

Tel: (0116) 258 5208

 

 

 

 

Last updated August 2006

by Dr J Dhar

 

 

 

 

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.