Liverpool University Dental Hospital 4 12 month DCT3 posts

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Job Description

Health Education North West (HENW)

Dental Core Training Year 3

10 DCT3 -commencing Wednesday 7th September 2016 for 12 months

DCT 3 - 2x 6 month post

Manchester Area 2x6 months

University Dental Hospital Manchester rotating with one of the DGH as listed below:

Lancashire Teaching Hospital NHS Foundation Trust (Preston),

East Lancashire Hospitals NHS Trust (Blackburn),

Central Manchester – CMFT (Manchester Royal Infirmary),

Pennine Acute Hospitals NHS Trust (North Manchester General Hospital)

3

Number of posts

Liverpool Area 2x6 months

Arrowe Park Hospital / Aintree University Hospital / (OMFS)

Aintree University Hospital / Arrowe Park Hospital (OMFS)

LUDH / Bridgewater Community Health Care NHS Trust (Special Care

Dentistry)

Bridgewater Community Health Care NHS Trust / LUDH (Special Care

Dentistry)

12 months posts

Liverpool Dental Hospital Oral Medicine

Liverpool Dental Hospital - Paediatric Dentistry

Liverpool Dental Hospital - Oral Surgery

1

1

1

1

1

1

1

Liverpool Dental Hospital - Restorative Dentistry 1

The Manchester posts will be split between the University Dental Hospital of

Manchester and one of the Regional OMFS units in North Manchester General Hospital,

Manchester Royal Infirmary, Royal Preston Hospital and Blackburn Hospital, and 6 months will be spent in each unit.

University Dental Hospital of Manchester

Higher Cambridge Street

Manchester M15 6FH

There will be rotations between the specialties of Restorative Dentistry, Oral

Medicine/Oral and Maxillofacial Surgery and additional dental specialties and Paediatric

Dentistry/Orthodontics.

Active participation in audit and the opportunity to do publications.

Central Manchester University Hospitals NHS CMFT (Manchester Royal

Infirmary) 1 post

including Central Manchester/Salford/Trafford

There 6 DCT1 posts, 1 DCT2 and 1 DCT3 post

The post is based at Manchester Royal Infirmary and Royal Manchester Children’s Hospital.

Peripheral clinics are held at Salford Royal, Wigan Infirmary and Trafford General as well as day case operating. A full range of surgery is practiced including head and neck oncology, trauma and facial deformity & orthognathic surgery, salivary gland surgery, cleft lip and palate and temporomandibular joint surgery. An extensive amount of dentoalveolar surgery and implantology is also carried out. Manchester Royal and Salford Royal are designated major

Trauma Centres for Greater Manchester and Salford is the Regional Centre for Neurosurgery

All trainees are encouraged and supported in clinical settings, with the opportunity to tailor clinical experience to the specific educational requirements of the post holder, and to prepare audits ,posters & publications. There are outpatient clinics and operating lists to which the trainee will be required to attend. There will be an on call commitment, which will provide a wide exposure to many forms of facial trauma and emergencies. The training in this post will be tailored to the career ambitions of the appointed

MRI is one of the major teaching hospitals in Manchester. It has an international reputation in both Research and the Delivery of Clinical Care. It lies in close proximity to the University of

Manchester and the Medical School.

Central Manchester Unit of Oral & Maxillofacial Surgery, this is a large academic unit in association with the University Dental Hospital of Manchester. Facilities at the MRI include an out-patient department, day-case unit, elective treatment unit including theatres and beds, main theatres, There is a surgical service for the medically compromised, and the unit is continuously

‘on take’ for all maxillofacial trauma from the districts of Central Manchester, Salford and

Trafford, Wigan and Leigh, with a combined population of over one million.

Oncall commitment

Each post comprises of a 1:8 rota, working Nights, Days and Night/Day Weekends and is

EWTD compliant.

Banding 1A

Lancashire Teaching Hospital NHS Foundation Trust (Preston) 1 post

There are 5 DCTs based at Royal Preston Hospital 3 DCT1, 1 DCT2 and 1 DCT3

Royal Preston Hospital

Dept of Maxillofacial Surgery

Preston

PR24HT

Chorley and District Hospital

Dept of Maxillofacial Surgery

Chorley

PR7 1PP

Outpatient clinical suites, minor oral surgery, day case operating facilities, inpatient ward, inpatient operating facilities are based at Preston but the DCTs rotate to Chorley for outpatients and day case theatre sessions. These locations are approx15 miles apart.

Formal consultant led structured teaching programme – fortnightly.

Formal audit session monthly- participation actively encouraged.

Royal Preston is the regional trauma centre so we deal with a number of facial and cranio facial trauma cases.

The trainee will work in a well supported environment with their own minor oral surgery lists/clinics with access to GA cases as well .There are out-patient clinics to which the trainee will be required to attend .We can tailor the requirements of the trainee to help develop their area of interest. Encouragement is given towards research and active participation in clinical audit.

Oncall commitment

All on call is based at Royal Preston Hospital. No travelling is required oncall. Day time duties may be at any of the three sites

1 in 5 rota (EWTD compliant)

Essentially the rota works that you will be on call one evening per week (5pm – 8am) and one weekend in 5 (Saturday 8am through to Monday 8am). Non-resident means you do not have to stay at the hospital but be within easy reach of the hospital should you be called.

Accommodation can be arranged (chargeable) if requested through the accommodation office.

Hospital at night in place to deal with routine calls after hours and ward based problems.

Banding 1A

East Lancashire Hospitals NHS Trust (Blackburn) - 1 post

There are 6 DCTs based at Blackburn 5 DCT1 and 1 DCT2

In addition to the base hospital the DCT may visit two other associated hospitals: (approximate distance, 18 miles) and is timetabled for training in MOSS Tier 2 provider in a primary care environment in nearby Darwen

Royal Blackburn Hospital

Haslingden Road

Blackburn

BB2 3HH

Burnley General Hospital

Casterton Avenue

Burnley BB10 2PQ

Royal Bolton Hospital NHS Trust

Minerva Road

Farnworth

Bolton

BL4 0JR

Busy posts in three hospitals in a federated service in East Lancashire with exposure to oral surgery, oral medicine, orthodontics, restorative dentistry, all aspects of maxillofacial surgery, opportunities for audit and short research papers/projects, and the added benefit and experience of being on-call for dental and facial emergencies, and experience gained in dealing with patients who have medical co-morbidity. Duties include attending outpatient diagnostic clinics, MOS lists, operating lists, ward work and on-call duties, in a busy, friendly and supportive environment.

Outpatient clinics, operating theatres, ward work in three hospitals, and the emergency department in Blackburn.

Oncall commitment

Current post-holders work on-call without any overnight commitments. The rota is EWTD compliant.

On call Mon to Friday 7.30am-5pm- 1 in 6

On call Monday to Friday 4.15pm-10pm- 1 in 6

On call weekend 8am to 8pm - 1 in 6

The rest of the shifts are standard days 8am to 5pm

Banding 1A

Pennine Acute Hospitals NHS Trust (North Manchester General Hospital)

1 post

There are 7 DCTs based at North Manchester, 6 DCT1 and 1 DCT2

The Oral and Maxillofacial Surgery unit is one of the busiest in the North West, catering for the full spectrum of our specialty curriculum. The appointees will work across all the clinical sites,

North Manchester, Royal Oldham, Rochdale Infirmary, Fairfield General (Bury) and Tameside

General Hospital, in the outpatient setting in all and the inpatient setting at North Manchester

General Hospital.

North Manchester General Hospital

Central Drive

Manchester

M8 5RB

Duties include outpatient clinics, operating theatre assisting, local anaesthetic (+/- sedation) treatment sessions, ward duties (with on call) and on call shifts (late, long day or night), which will include provision of A&E referral input and also to care for patients on the ward.

You will have the opportunity to see and be involved with dentoalveolar surgery, maxillofacial trauma, skin surgery, orthognathic and head and neck cancer cases and there may be some exposure to clinics in Restorative Dentistry and Orthodontics

Oncall commitment

1 in 7 on call, non-resident rota. EWTD compliant.

Banding 1A

The Regional Maxillofacial Unit, Aintree University Hospitals NHS

Foundation Trust (AUH) -1 post

There are 8 DCT posts in total (DCT1 x2, DCT2 x5, DCT3 x1 rotates to APH) based at AUH

The Regional Maxillofacial Unit provides a comprehensive service in Oral and Maxillofacial

Surgery to the residents of South Sefton and Liverpool and more broadly to Merseyside and

Cheshire as a whole.

The Regional Unit operates a ‘hub and spoke’ arrangement with other hospitals in the region.

Most major surgery is carried out centrally at the hub (Aintree) and numerous outpatient and minor surgery arrangements peripherally in the spoke hospitals. The case mix of the 14 OMFS consultants working in Aintree includes patients with facial deformity and craniofacial anomalies including cleft lip and palate. We have an internationally recognised head and neck cancer unit undertaking the full remit of resection and reconstruction including free flaps. We treat diseases of the salivary glands and temporomandibular joints. Trauma constitutes a large volume of our work running a Consultant of the Week system with a dedicated trauma team receiving patients from across the region served by the Regional MFU from as far south as Crewe to Warrington in the east and Ormskirk in the north.

In addition to 14 OMFS consultants there is one consultant orthodontist and one consultant in restorative dentistry, one staff grade surgeon and 8 specialty trainees.

The consultants based at the unit are:-

Miss A Begley

Miss F Bekiroglu (Educational Supervisor)

Prof J S Brown (Clinical Director)

Mr P Magennis

Mr D Richardson

Prof S N Rogers

Prof R J Shaw Mr M A Boyle

Mr R Laycock

Mr M Dodd

Mr D C Jones

Miss K Fleming

Mr Stanley Parikh

Mr S van Eeden

Mr T Morris (Consultant orthodontics)

Mr C Butterworth (Consultant in restorative dentistry)

There are 30 inpatient beds in the MFU. We are an accredited practice development unit (PDU) and encourage multi disciplinary working.

The DCT is responsible for the organisation of day to day management of the patients admitted under the care of the OMFS consultants under the supervision of the specialty trainees and consultants.

On-Call Commitment

Out of hours coverage is provided by a “full shift” pattern of work involving 8 DCTs. These duties include night cover, ward duty, trauma cover (including a trauma clinic and theatre), consultant clinics, MOS sessions, day surgery and in patient operating lists.

Banding 1A

Wirral Hospitals NHS Trust Arrowe Park Hospital (APH) 1 post

There are 6 DCTs based at Arrowe Park Hospital 3 DCT (rotate 6 months with COCH), 2 DCT2

(rotate 6 months, one with LUDH and one with AUH), 1 DCT3 (rotate 6 month with AUH)

The Maxillofacial and Orthodontic Unit provides services to the residents of the Wirral Peninsula across the Mersey River from Liverpool. Some trauma and major cases are transferred to The

Regional Unit at Aintree for surgery.

In Arrowe Park DCTs are exposed to dento-alveolar surgery, salivary gland surgery and surgery of facial deformity and facial trauma. OMFS have joint clinics with orthodontic, paedodontic and restorative dentistry specialists.

In addition to three consultants, the department is staffed by an associate specialist in OMFS and a specialty trainee in orthodontics and a ST in OMFS. The consultants based in Arrowe

Park are:

Mr D C Jones, Consultant Oral & Maxillofacial Surgeon

Mr S Parikh, Consultant Oral & Maxillofacial Surgeon

Mr G R P Barry, Consultant Orthodontist

The post combines duties in OMFS with Orthodontics. In theatre DCTs may assist consultants with more major cases and operate under supervision on other cases. There are also MOS sessions - routine oral surgical procedures under local anaesthetic and outpatient clinics. The

OMFS team are responsible for the admission, inpatient medical care and discharge of elective and emergency patients admitted under the care of the u nit’s consultants.

On-Call Commitment

A six person rota is based at APH. The out of hours work by DCTs covers A&E and the ward is from 8am till 10pm. Outside these hours the “Hospital At Night” team and the on-call ST provide care.

Banding 1A

Liverpool University Dental Hospital 4 12 month DCT3 posts

Royal Liverpool and Broadgreen University Hospital NHS Trust

Liverpool University Dental Hospital (LUDH) is an integral part of the RLBUHT and forms one of the clinical directorates of the Trust. Located on the main teaching hospital campus alongside the Royal Liverpool University Hospital, Liverpool University Dental

Hospital (LUDH) occupies a self-contained modern building on Pembroke Place, originally constructed in the late 1960s. It has undergone a series of major refurbishments in recent years which have significantly extended and upgraded its surgeries, teaching clinics and patient waiting areas. A separate annexe houses the

Dental Nurse Training School.

The Hospital has approximately 160 dental units, including six 20-unit teaching clinics, consultation and teaching suites for all the dental specialties and its own dental technical and histopathology laboratories. The ground floor houses the Hospital’s

Accident & Emergency department, alongside surgeries for dental extractions minor oral surgery and a designated clinic for the treatment of medically compromised patients.

There is a well designed General Anaesthetic extractions surgery and recovery area and recently upgraded operating facilities for day case patients requiring treatment under general anaesthesia or intravenous sedation.

There are approximately 80,000 outpatient attendances per year, plus 15,900 selfreferrals through the A&E department. A team of over 25 full-time, part-time and honorary consultants receive secondary and tertiary referrals from throughout the area of the former Mersey Health Region and beyond, as well as participating in the training of dental undergraduates and junior staff. Specialist departments include Restorative

Dentistry (Fixed & Removable Prosthodontics, Endodontics, Periodontology), Paediatric

Dentistry, Orthodontics, Oral Surgery and Oral Medicine and a Consultant-led Dental

Sedation Unit.

There are strong links with the Regional Maxillofacial Unit at Aintree Hospitals Trust, a leading centre nationally for the treatment of oral cancer, all of whose consultants hold sessions in the Dental Hospital. The Regional Cleft Palate Unit, based at Alder Hey

Children’s Hospital, holds weekly joint sessions at the Dental Hospital.

The Liverpool University Dental Hospital also houses the School of Dentistry with which it is closely integrated and shares a common Mission Statement. The School admits over 90 undergraduate dental students each year and has an academic staff establishment of approximately 33 full time equivalents. Dental research is a major focus of activity within the School which provides excellent facilities for both clinical and laboratory based research with well-equipped laboratories housed in an adjacent building.

DCT3 Oral Medicine

The post is that of Dental Core Trainee 3 Oral Medicine based at Liverpool University

Dental Hospital and is ideally suited for the aspiring trainee in the specialty of oral medicine and is thus a career development post.

The post is for 12 months in the Department of Oral Medicine

The appointee will be responsible to the Clinical Director of the Liverpool University

Dental Hospital and the Postgraduate Dental Dean (HENW).

The DCT 3 in oral medicine will be based within the Department of Oral Medicine under the direct supervision of one or more of the team of consultants and honorary consultants working within the Liverpool Dental Hospital. The post holder will attend consultant clinics with designated consultants and biopsy sessions, again treating patients under consultant supervision. The post holder will gain experience of all aspects of oral medicine including attendance at the specialised clinics for facial pain; dry mouth and dysplasia.

The post holder will be expected to participate in clinical audit. The post holder will be expected to engage in their own continuing professional development and attend any organised CME sessions.

The post holder will be required to continue to complete a training portfolio, including a personal development plan, log of activity and a learning needs analysis. This will need to be presented to the designated Educational Supervisor who will be supervising the post holder’s training during this year. Opportunities for further study, audit and possibly research will be made available. There may be the requirement from time-to-time to supervise Dental Undergraduates treating patients in the Department of Oral Medicine

There exists already within the Dental School a CME programme and there are regional audit days, which will be available for the post holder to attend as appropriate.

A review of training will take place at designated times during the year and will be similar to the ARCP process for Specialty Registrars.

This post will not have an on-call commitment.

DCT3 Oral Surgery

The post is that of Dental Core Trainee 3 Oral Surgery based at Liverpool University

Dental Hospital and is ideally suited for the aspiring trainee in the specialty of oral surgery and is thus a career development post.

The post is for 12 months in the Department of Oral Surgery.

The appointee will be responsible to the Clinical Director of the Liverpool University

Dental Hospital and the Postgraduate Dental Dean (HENW)

The post holder will be expected to participate in clinical audit. The post holder will be expected to engage in their own continuing professional development and attend any organised CME sessions. There exists already within the Dental School a CME programme and there are regional audit days, which will be available for the post holder to attend as appropriate.

The DCT 3 in oral surgery will be based within the Department of Oral Surgery under the direct supervision of one or more of the team of consultants and honorary consultants working within the Liverpool Dental Hospital. The post holder will attend consultant clinics with designated consultants and treatment sessions under LA, IV sedation and GA again treating patients under consultant supervision. There may be the requirement from time-to-time to supervise Dental Undergraduates treating patients in the Department of Oral Surgery. The post holder will gain experience of all aspects of oral surgery.

The post holder will be required to continue to complete a training portfolio, including a personal development plan, log of activity and a learning needs analysis. This will need to be presented to the designated Educational Supervisor who will be supervising the post holder’s training during this year. Opportunities for further study, audit and possibly research will be made available.

This post will not have an on-call commitment.

DCT3- Paediatric Dentistry

The Paediatric Dentistry Department is responsible for specialist paediatric dental services. The clinic space is shared with Orthodontics and has recently undergone major refurbishment work. There are 10 dental chairs and one side surgery.

The Unit provides specialist endodontic treatment with access to specialized equipment including endodontic microscopes. Inhalation sedation and intravenous sedation is undertaken in the sedation suite, which consists of three dental units. Currently the intravenous sedation is delivered by an anaesthetist, with the dentist as the operator.

The department provides routine care for children as part of the undergraduate BDS, and Hygiene and Therapy programmes.

Staff

Sondos Albadri / Senior Lecturer Honorary consultant / clinical and academic lead

Nigel Willmott / Consultant

Sharon Lee / Consultant

1 ST, 1 FTTA, 1 ACF

Amanda Roberts Clinical lecturer:

Sian Walley, Clinical teacher

Jemma Hook Clinical teacher

The post is that of Dental Core Trainee 3 based at Liverpool University Dental Hospital and is ideally suited for the aspiring trainee in the specialty of paediatric dentistry and is thus a career development post.

The appointee will be responsible to the Clinical Director of the Liverpool University

Dental Hospital and the Postgraduate Dental Dean.

The post holder will be expected to participate in clinical audit. The post holder will be expected to engage in their own continuing professional development and attend any organised CME sessions. There exists already within the Dental School a CME programme and there are regional audit days, which will be available for the post holder to attend as appropriate.

The DCT3 in Paediatric Dentistry will be based within the Unit of Paediatric Dentistry under the direct supervision of one or more of the team of consultants and honorary consultants working within the Liverpool Dental Hospital.

The post holder will attend consultant clinics with designated consultants and also be allocated treatment sessions treating patients under consultant supervision. The post holder may on occasions be required to supervise Dental Undergraduates treating patients in the Unit of Paediatric Dentistry.

The post holder will be required to continue to complete a training portfolio, including a personal development plan, log of activity and a learning needs analysis. This will need to be presented to the designated Educational Supervisor who will be supervising the post holder’s training during this year. Opportunities for further study, audit and possibly research will be made available.

This post will not have an on-call commitment.

DCT3 Restorative Dentistry

The post is that of Dental Core Trainee 3 based at Liverpool University Dental Hospital and is ideally suited for the aspiring trainee in the specialty of restorative dentistry and is thus a career development post.

The post is for 12 months in the Department of Restorative Dentistry.

The appointee will be responsible to the Clinical Director of the Liverpool University

Dental Hospital and the Postgraduate Dental Dean (HENW)

The post holder will be expected to participate in clinical audit. The post holder will be expected to engage in their own continuing professional development and attend any organised CME sessions. There exists already within the Dental School a CME programme and there are regional audit days, which will be available for the post holder to attend as appropriate.

The DCT 3 in Restorative Dentistry will be based within the Department of Restorative

Dentistry under the direct supervision of one or more of the team of consultants and honorary consultants working within the Liverpool Dental Hospital. The post holder will attend consultant clinics with designated consultants and also be allocated treatment sessions, again treating patients under consultant supervision. Nursing support will be available for those treatment sessions. There may be the requirement from time-to-time to supervise Dental Undergraduates treating patients in the Department of Restorative

Dentistry. There may also be the opportunity to work with the Consultant in the unit of

Special Care Dentistry to gain additional experience in this field. The post holder will gain experience of most aspects of restorative dentistry including endodontics, periodontology and removable and fixed prosthodontics.

The post holder will be required to continue to complete a training portfolio, including a personal development plan, log of activity and a learning needs analysis. This will need to be presented to the designated Educational Supervisor who will be supervising the post holder’s training during this year. Opportunities for further study, audit and possibly research will be made available.

The post has been designed for individuals completing 2 years of Dental Core Training and considering a career with one of the Dental Specialties, in this case Restorative

Dentistry.

This post will not have an on-call commitment.

DCT3 Special Care Dentistry (CDS/DPH)

Community Dental Services in Merseyside (Bridgewater Community Trust)

Liverpool University Dental Hospital

The 2 post holders will work across clinics in Liverpool University Dental Hospital,

Community Dental Clinics in Merseyside (part of Bridgewater Community Trust) and

Dental Public Health (Public Health England, Cheshire and Merseyside Centre)

The NHS ‘Mersey Region’ is a region with a population of 2.4 million. Merseyside itself consists of five Metropolitan Boroughs, the largest being the City of Liverpool. The

Liverpool population is served mainly by the Royal Liverpool and Broadgreen University

Hospitals, Alder Hey Hospital and the Women’s Hospital. The Sefton population is served by two main hospital complexes namely, Aintree Hospitals serving South Sefton, and Southport & Formby District General Hospital serving the North.

The Community Dental Services provided by Bridgewater Community Trust in

Merseyside include a number of senior clinicians and Specialists in Special Care

Dentistry working from several multi-surgery facilities equipped to provide dental care under intravenous and inhalation sedation. The service is experienced in providing a training base for clinicians at different stages in their careers. It is likely that the DCT placements will be located in clinics in St Helens and Widnes. Dental care under GA is provided within local hospital facilities both for children and adults. There are opportunities to practice in a range of settings depending on your experience and interest. For example with children, adults with special needs, frail older people, providing dental services under sedation, providing care for homeless or drug users or within the local secure units.

The post is that of Dental Core Trainee 3, working within Liverpool Dental Hospital,

Bridgewater Community Trust clinics & Dental Public Health.

The post holder will work in the Special Care Dentistry Department of the Liverpool

University Dental Hospital for the equivalent of 6 months.

The post holder will work with senior clinicians in the Community Dental Service providing a broad range of special care dental care in primary care and community settings for the equivalent of 6 months.

The appointee will be responsible to the Consultant supervisors Mrs J A Macpherson,

Mr A Kwasnicki and Professor S Thompson (Consultants in Special Care Dentistry,

Liverpool University Dental Hospital) and Dr L Gough (Consultant in Dental Public

Health) and to the local head of Community Dental Services or Specialist in Special

Care Dentistry (Bridgewater Community Trust)

The duties of the DCT will be to:

Participate in the management of patients attending LUDH Special Care Dentistry

Department including new and review clinics and treatment sessions

Participate in the management of patients attending LUDH for treatment under conscious sedation and general anesthesia.

Participate in the management of patients attending community dental clinics in

Merseyside including new patient and review clinics and treatment sessions

Undertake domiciliary visits in a variety of community settings when necessary

Participate in clinical audit

Undertake dental public health projects relevant to the development and provision of special care dentistry in Cheshire and Merseyside.

The DCT3 will have a named educational supervisor and have access to Deanery educational support

Supervisors

Mrs J A Macpherson, Consultant/Honorary Senior Clinical Lecturer SCD

Mr A J Kwasnicki, Consultant/Honorary Clinical Lecturer SCD, LUDH

Professor S Thompson, Professor/Honorary Consultant in SCD, LUDH

Dr L Gough, Consultant in Dental Public Health, Public Health England

Specialists in Special Care Dentistry, Bridgewater Community Trust

Example timetable LUDH

Day

Monday

Tuesday

Wednesday

Thursday

Friday am

Treatment clinic

New patient clinic

Dental public health

Day stay GA list

New patient clinic pm

Treatment clinic

Treatment clinic

Protected Study

IV sedation list

Treatment clinic (SCD &

Oral Medicine)

Example timetable Bridgewater Community Dental Service

Day

Monday

Tuesday

Wednesday

Thursday

Friday am pm

Assessment and treatment Assessment and treatment

Day case GA Domiciliary dental care

Dental public health Protected study

Assessment and treatment Assessment and treatment

Day case GA Assessment and treatment

The post holder will be encouraged to liaise closely with colleagues in other specialties in the provision of comprehensive patient care.

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