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Medical
Oncology Sub-Speciality
Training at ST3+ |
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This post is based at the University Hospitals of Leicester NHS Trust at the Leicester Royal Infirmary site and covers all aspects of training in medical oncology and offers specialist interest training.
Applicants considering applying for this post on a flexible training basis should initially contact the South Trent Postgraduate Deans office for a confidential discussion.
The training period is 4 years during which the Trainee’s work will be monitored for satisfactory progress. Progress will be reviewed after the first 6 months and once a year thereafter. This post attracts a National Training Number and provides training towards a CCT in Medical Oncology.
The post is approved for Specialist trainee Training by the Royal College of Physicians. The Postgraduate Dean has confirmed that this post has the necessary educational and staffing approval.
CONTRACTED HOURS
University Hospitals of
Out of hours service is paid in accordance with
local hospital’s circumstances and service needs and may be undated from time
to time.
DESCRIPTION OF SERVICES/HOSPITALS
The Leicester Royal Infirmary provides a significant component
of cancer services within Leicestershire and
1) Philips SLI Linear Accelerator 6 MV with MLC and megavoltage imaging.
2) Philips SLI Linear Accelerator MLC and megavoltage imaging.
3) Philips SLI 6MV – 10MV with a range of electron facilities. It also has MLC and megavoltage imaging.
4) 300KV machine
5) 80KV machine
There is a Varian Ximatron simulator with Imcon planning
system for planning irregular volumes (first one in
There is a Helax TMS planning system with facilities for 3D planning.
Helax Viser system for patient management.
Low dose rate Selectron for gynaecological work with purpose built Selectron suite.
Treatment and planning facilities have been expanded with the installation of an intensity modulated radiotherapy (IMRT) capable linear accelerator plus a multislice computed tomography (CT) scanner dedicated solely to oncology, a CT simulator and new physics planning facilities.
The Leicestershire Cancer Centre comprises the Leicester
Royal Infirmary, the Leicester General and
The Directorate of Haematology and Cancer Services has grown rapidly following creation of the University Department in 1996. There is very close co-operation between the different sub-specialties within Leicestershire and most patients with cancer are treated or given an opinion by members of the Directorate of Haematology and Cancer Services.
The availability of a large patient base, clinical trials infrastructure, the large academic Department of Cancer Studies and Molecular Medicine which includes Radiology and Pathology services and proximity of the Leicester Royal Infirmary to the University campus (10 minutes walking distance) provides excellent opportunity for trainees in Oncology to gain experience in all aspects of the speciality. There are also several opportunities to undertake basic research programmes should this be appropriate and the major emphasis of research within the Department is in chemoprevention, angiogenesis and new drug development.
Chemotherapy
There is a dedicated chemotherapy suite with specialist nurses trained in dealing with chemotherapy. There are two inpatient wards with 32 beds. Medical staffs are listed in Appendix B.
Physics Department
3 principal physicists
5 physicists
Mould room with trained technicians
Therapy Radiographers
25 Radiographers
1 quality assurance radiographer
Clinical Department
Approximately 2,750 new cancer patients are registered per
year. Site specialisation is well
established. There are well established
multidisciplinary clinics in head and neck, gynaecology, urology, breast
cancer, lung cancer and lymphomas. Care
pathways have been developed for all major tumour sites and protocols are being
established for all the common tumours.
Breast cancer and lung cancer services are sited at
The Academic Department of Oncology has established a Cancer Trials Unit. Patients are entered into several national and international multi-centre studies of chemotherapy. There are also several phase I and phase II trials being conducted. The Trials Unit consists of a Trials Co-ordinator, two Clinical Research Assistants and four Research Nurses.
Patients are also entered into a range of NCRN trials.
MEDICAL STAFFING
Existing Staff in the Department of Oncology
Consultants:
Medical Oncology - Professor W P Steward, Dr Anne L Thomas,
Dr Steve Nicholson + 1 Consultant to be appointed
Paediatric Oncology - Dr D Heney
Clinical Oncology - Dr T Shridar, Dr S Khanna, Dr I Peat, Dr Boiangiu
Dr S Vasanthan, Dr P Symonds, Dr Gill Thomas, Dr C Joynson
Palliative Care - Dr N Rudd
Staff grade - Dr A Osman
6 SpRs Clinical Oncology
4 SpR Medical Oncology
Senior House Officers – 4 Senior House Officers in Oncology
Pre-registration House Officers – 1 House Officer rotating through Oncology and General Medicine
DUTIES OF THE POST
Broad experience of the management of patients with cancer
will be obtained from attendance at Outpatient Clinics and involvement with the
care of inpatients. During the first two
years, attendance at an approved training programme (MSc in Oncology) in
The post will initially be based at the Leicester Royal
Infirmary with clinics at the
Weekly Timetable for Trainees
The weekly timetable will vary every 6 months with attendance at different clinics being arranged to provide experience of all tumour types and radiotherapy. An example is shown below.
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MONDAY |
TUESDAY |
WEDNESDAY |
THURSDAY |
FRIDAY |
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Attendance |
Study Time |
New Case Clinic LRI (GT) Emphasis on Lung and Lymphoma |
Chemotherapy Clinic |
Lung MDT at GH |
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MSc Course |
Ward Round |
Lymphoma MDT - LRI |
Follow – up Clinic - LRI |
Attendance at lecturer series and training programme, Dept of Oncology, LRI |
TEACHING
The Specialist trainee will be expected to contribute to teaching of medical students, FY and CMT trainees. This will involve a commitment of one to two hours per month. See an example of teaching programme in Appendix A.
MEETINGS
There is a weekly Oncology/Diagnostic/Radiology meeting. There is a weekly planning meeting arranged by clinicians/planning physicists. There is a fortnightly Friday meeting with a guest speaker where recent developments are presented. Each Specialist trainee would be expected to undertake an audit project and present the results during one of these meetings each 6 to 12 months.
ADMINISTRATION
There will be no formal administrative duties initially but in subsequent years may involve assistance with the supervision of clinical trials research staff.
POST GRADUATE TRAINING
As detailed above, a programme of training will be provided
throughout the five year duration of the post.
Regular education sessions on Tuesday mornings and Fridays will be
provided and there is regular opportunity for attendance at scientific meetings
within the University. Funding will be
available for attendance at national and international meetings which are
relevant to gaining more experience in oncology. The MSc course in Oncology has been prepared
by
ACADEMIC DEPARTMENT
The Specialist trainee will be
attached to the University Department of Cancer Studies and Molecular Medicine.
Cancer Research has grown steadily in recent years following the establishment
of an academic department of Oncology and the integration of a large
well-funded MRC group. A major interest
is Chemoprevention and the group has the largest integrated basic science and
clinical research programmes in this field in
Groups within
the Department of Cancer Studies and Molecular medicine are:
Chemoprevention and Biomarkers – Professor W Steward,
Professor A Gescher, Professor P Farmer, Professor M Manson, Dr T Marczylo, Dr
K Brown, Dr A Thomas, Dr B Morgan.
Reproductive Science – Professor D Taylor,
Professor S Bell, Dr A Akkad, Dr C Ang, Dr M Habiba, Dr R Elliott, Prof J
Konje, Dr P McParland, Dr D Tincello, Dr AH Taylor, Dr I White.
Cellular Interaction/ Cell Signalling - Professor R Walker, Dr M
Manson, Professor J Jankowski, Prof K Mellon, Dr S Jain, Dr E
Tulchinsky, Dr J Shaw, Dr GJ Saldanha, Prof M Dyer, Dr E Karran, Dr
JH Pringle, Dr M Krivajeska, Dr TRL Griffiths and Dr LM al-Alousi.
Radiation and Oxidative Stress – Dr GD Jones, Dr P
Symonds, Dr M Cooke, Dr M Evans and Prof G Rutty.
Accommodation is largely concentrated in the
LIBRARY FACILITIES
The
VISITING
Potential applicants are encouraged to contact:
Professor W P Steward
University Department of Cancer Studies and Molecular Medicine
LE1 5WW
Tel: 0116 258 7597 Fax: 0116 258 7599
Specialist trainee in
Clinical Oncology
Last Updated: Feb 2009