Rehabilitation Medicine

Sub-Speciality Training at ST3+

 

APPOINTMENT

 

This is a new Specialist Registrar post in Rehabilitation Medicine.   It is based mainly at the Leicester General Hospital and is for 4 years

 

CONTRACTED HOURS

 

Standard Hours        -           40

 

When participating on an on-call rota, out of hours service will be paid in accordance with local hospitals circumstances and service needs. 

 

 

MEDICAL STAFFING – REHABILITATION MEDICINE

 

At present there is one Consultant in Neurological Rehabilitation Dr Uditha Jayatunga and one Consultant in Rehabilitation Medicine and Neurology, Dr Peter Critchley.  

 

There are no junior staff working exclusively in Rehabilitation Medicine but the neurology unit juniors provide routine cover for the Young Disabled Unit and the Brain Injury  Unit, including ward rounds.

 

Rehabilitation Medicine is currently based within the Dept of Neurology.  The successful candidate will be able to gain clinical experience in all core clinical areas listed in the training curriculum in the  Leicester Hospitals, except spinal injuries and upper limb prosthetics which will be provided during an attachment at the Northern General Hospital Sheffield with Dr Dipak Datta consultant in Rehabilitation Medicine and Mr N Ravichandran Consultant in spinal injuries. Prosthetics, orthotics, special seating, environmental controls will be at the Disablement Service Centre at Leicester General Hospital, while Rheumatology will be at Leicester Royal Infirmary.  Specialist communication aid equipment training is available in Lincoln.

 

In Neuro–rehabilitation we will be providing broad based training including head injury management, spasticity management, botulinum toxin clinics, baclofen pumps as well as training in neurology. We also have plans to have functional electrical stimulation (FES) clinics in the future which are an exciting development with in Neuro-rehabilitation. Further the candidate could get valuable training in specialised multiple sclerosis, Parkinson’s disease, muscle disease, neurophysiology clinics/services which are well established with in the neurology services. He/she also could get valuable exposure in neuro-radiology.

 

The optional modules as per Rehab. Medicine curriculum like pain management, stroke medicine, Urology/continence, disabled driving, learning disabilities, gait analysis, neuro-psychology and sports medicine could be arranged either in Leicester or in the Nottingham/Derby region.

 

If the candidate wishes there is also provision to have attachments either in Geriatric medicine or in Paediatrics

 

Draft Job Plan (Initial 6 months)

 

 

Monday

Tuesday

Wednesday

Thursday

Friday

AM

Neuro-Rehab clinic
(LGH)

Neurology Department Meeting
(LGH)

Limb Clinic, Disablement Services Centre
(LGH)

Neurology Clinic Loughborough Hospital or Botox Injection clinic

Limb Clinic, Disablement Services Centre
(LGH)

PM

Brain Injury ward round (LGH)

YDU ward round
(LGH)

Research

Research

Review of brain injury/ydu referral (LRI)

 

 

He/she will have a specific input into clinical audit and clinical governance.   The successful candidate will also be expected to take an active part in the undergraduate and postgraduate teaching programme.   The duties are subject to review from time to time in the light of the changing requirements of the service and training.   If alterations are required to the job plan these will be by mutual agreement of both parties.

 

A suitably qualified candidate (with MRCP) will have the option of doing Neurology on call duties during the Neuro-rehab training module. This will be subject to negotiation.

    

 

Postgraduate Facilities

 

There is a very active Postgraduate Medical Centre at Leicester General Hospital, with weekly postgraduate meetings to which the appointee would be expected to participate.   Leicester General Hospital also has its own separate well-stocked library along with all the current journals.   University library facilities are available at the Clinical Sciences Library based at Leicester Royal Infirmary and also at Leicester University.   The appointee will be expected to participate in teaching both undergraduate students as well as the pre-registration House Officers and other junior medical staff.   The Leicester General Hospital NHS Trust is committed to facilitating internal and external continuing medical education.   There are also weekly grand rounds at Glenfield General Hospital and Leicester Royal infirmary which, together with the weekly Leicestershire Medical Society meetings during the winter months, make for a valuable educational resource.

 

 

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 northwest 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, and 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 water sports.

 

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.

 

Library Facilities

 

The Clinical Sciences Library at the Leicester Royal Infirmary has an excellent, up-to-date, comprehensive selection of textbooks and takes a full range of clinical journals.  Other less clinically orientated journals relevant to the medical sciences are available at the University Library on the main campus.  Computer literature search and inter-library loan facilities are available from both libraries.

 

Research Facilities

 

Access to laboratory space in the Clinical Sciences Building is possible be arrangement with the relevant department.  In addition, laboratory and animal facilities are available in the Medical Sciences Building.  The neurology department has, in the past, collaborated closely with academic departments within the University with regard to clinically orientated research.

 

OTHER FACILITIES

 

The Leicester Royal Infirmary is situated approximately half a mile from the main City shopping centre and has its own staff multi-storey car park.

 

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

 

Glenfield Hospital is approximately 3 miles from the city centre.  It is well served by the public transport and car parking facilities.

 

 

Visiting

 

Candidates are invited to visit the Leicester General Hospital NHS Trust and may make arrangements to do so by contacting:

 

Dr. P. Critchley

Consultant in Rehabilitation Medicine and Neurology

Dept of Neurology,

Leicester General Hospital

Leicester

LE5 4PW

Telephone:  (0116) 249 0490 Ext- 4496

And

 

Dr Uditha Jayatunga

Consultant in Rehabilitation Medicine,

Dept. Of Neurology,

Leicester General Hospital

Leicester

LE5 4PW

Telephone: (0116) 249 0490 Ext-4698

 

Specialist Registrar in Rehabilitation Medicine

February 2005