Oxford Radcliffe Hospitals NHS Trust - Job Description
TITLE OF POST:
Speciality Registrar in Anaesthetics Years 3, 6 (SpR4), 7 (SpR5)
GRADE:
Speciality Registrar
SPECIALTY:
Anaesthetics
REASON FOR VACANCY:
Fixed Term Contract
SUPERVISING CONSULTANTS:
Dr Oliver Dyar, Royal College Regional Adviser
Dr Vivian Addy, Training Programme Director
EDUCATIONAL SUPERVISORS:
Year 3:
Years 6/7
Dr Fiona Gibson, Royal College Tutor
Dr Caroline Grange, Royal College Tutor
Dr Desi Choi, Royal College Tutor
Other Consultants act as Educational Supervisors to small groups of
StR3s
LEAD CLINICIANS
Critical Care, Theatres &
Anaesthetics Directorate Chair:
Dr Emily Williams
JR/CH:
Women’s Centre:
Paediatrics:
West Wing:
Cardiac:
ICU:
FULL-TIME/PART-TIME:
Full Time
BASE HOSPITAL:
The John Radcliffe
WORK PATTERN:
Shift system
AVERAGE NUMBER OF HOURS / WEEK:
48
INCLUDES PROSPECTIVE COVER:
Yes
Dr Jon Warwick
Dr Robin Russell
Dr Russell Evans
Dr Sally Wheatley
Dr Kate Grebenik
Dr Duncan Young
ANNUAL AND STUDY LEAVE ARRANGEMENTS:
Duties include cover for colleagues absent on annual or study leave. Leave must be planned in advance and must be
agreed with the relevant rota writer/College Tutor (Study Leave). Study Leave entitlement is 30 days per annum
(inclusive of in-house teaching). Annual leave entitlement will be 5 or 6 weeks dependent on point of salary.
ACCOMMODATION:
This post is not compulsorily resident. Rest rooms are provided free of charge during night shifts.
If residential accommodation is required a charge will be made.
ACCOMMODATION:
Trust Liaison Manager
Tel: 01865 220736
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1.
DUTIES OF THE POST
a)
Principal Responsibilities:
StR 3 Curriculum
The time will be spent at the Oxford group of hospitals within the Nuffield Department of Anaesthetics. The
focus is on preparation for the final FRCA examination.
Training is principally in a modular format covering the major anaesthetics specialties for periods of 1 or 6
weeks and may include:
Cardiothoracic Anaesthesia and Intensive Care
Neuroanaesthesia (including neuroradiology) and Intensive Care
Obstetric Anaesthesia
Adult Intensive Care Medicine (3 months)
Acute and Chronic Pain
Paediatric Anaesthesia and Intensive Care
Anaesthesia for Plastic surgery/Maxillo-facial surgery/ENT Surgery
Anaesthesia for Vascular/ General/ /Orthopaedic/Gynaecological/Urological Surgery
The Rota Writer (currently Dr T Parry) produces a weekly rota allocating each Year 3 trainee to particular
duties according to their current training module and service requirements. It is expected that successful
candidates will perform duties appropriate to the grade and to their level of experience. Trainees must seek
advice from a senior colleague if they have any concerns about particular patients.
StR 6 Curriculum
The educational and training content will be determined as far as possible by the individual trainees’
requirements and specific clinical sub-specialty placements are available in cardiothoracic, vascular,
neurosurgical, obstetric and paediatric anaesthesia, and chronic pain. In addition to these clinical placements,
research and audit projects are encouraged and supported within the Oxford School, as are placements or
exchanges with centres of excellence overseas. The Rota Writer, produces a weekly rota allocating Year 6
trainees particular duties according to their current training module and service requirements. This may
include lists with a more junior trainee when Year 6 trainees will be expected to teach appropriate skills.
StR 7 Curriculum
The final year of Speciality Registrar Training will again be tailored as much as possible to trainees’
requirements within the capabilities of the department. Thus a trainee may further pursue a particular subspecialty or consolidate more general training. After the prospective date of the award of the CCT the seventh
year will be followed by a six month “Grace Period” unless by mutual agreement. This may be at a District
General Hospital within the Region.
The curriculum will depend on the needs of the trainee but may include any of the major anaesthetic specialties.
Modular training is available in the following specialties:
Cardiac and Thoracic Anaesthesia and Intensive Care
Intensive Care Medicine
Neuroanaesthesia (including neuroradiology)
Anaesthesia for Major General and Vascular surgery
Paediatrics Anaesthesia and Intensive Care
Acute and Chronic Pain
Anaesthesia for Plastic surgery/Maxillo-facial surgery/ENT
Orthopaedic and Trauma surgery
Regional anaesthesia
Obstetric Anaesthesia
The Rota Writer, produces a weekly rota allocating Year 7 trainees particular duties according to their current
training module and service requirements. This may include lists with a more junior trainee when Year 7
trainees will be expected to teach appropriate skills.
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Audit/Academia
Audit/Academic meetings covering various topics are held in Oxford each month during University Terms and
often include guest speakers. All trainees are expected to attend these meetings. A programme of Journal
Club and Morbidity/Mortality meetings also take place. There is a departmental teaching programme under the
supervision of designated consultants.
Mentor System
This is currently organised by a Consultant Anaesthetist and trainees are paired with a Consultant mentor,
StR3s are also paired with a StR6/7 “buddy”.
b)
Daily Commitment:
Trainees assist with the provision of the clinical services for elective surgical and other procedures, and related
investigations, requiring general and regional anaesthesia, sedation, resuscitation, etc. They are on duty for
emergencies in accordance with rotas published each week in advance. Supervision, assistance or advice
appropriate to a trainee’s level of experience is available at all times.
The daily commitment also includes pre-operative assessment and pre- and postoperative care, including the
provision of acute pain relief.
c)
Description of Working Pattern
All trainees will work a shift pattern comprising of normal days (0730-1730), long days (0730-2000) and night
(1930-0800). The Adult ICU shift pattern is slightly different.
StR3
The group includes a small number of StR1/2s and is divided into several Duty Groups, including Obstetric
cover, Adult ICU cover at the John Radcliffe or Churchill Hospitals, and Neurosciences ICU cover in the West
Wing (JR) and CTCC (Cardiothoracic Critical Care) cover at the JR Hospital. One StR3 may contribute to the
Paediatric ICU duty group together with paediatricians. Additionally, StR3s may contribute to the General
anaesthesia rota.
StR6/7
Working patterns will be determined by the content and also the locations of the educational and training
activities agreed with individual trainees.
The Year 6/7 trainees are divided into several Duty Groups, including General anaesthesia cover at the John
Radcliffe/Women’s Centre and Churchill Hospital/Nuffield Orthopaedic Centre, Intensive Care Unit cover at
the John Radcliffe Hospital and anaesthetic cover in the West Wing (JR). Senior trainees may be expected to
support more junior colleagues and on occasion they may contribute to the StR3 rotas
Arrangement for annual/study leave
Annual leave entitlement will be 5-6 weeks depending on point in salary scale. Study Leave entitlement is 30
days per annum (inclusive of in-house teaching). Prospective cover for unexpected short-term absences of
colleagues for sick and other leave is required.
All staff are expected to co-operate regarding leave and a limit is placed on the total number who may take
leave at any one time. Only two people in a duty group may be on leave at any one time. Six weeks notice
must be given when taking leave. It is inadvisable for leave entitlements to accrue in order to take terminal
leave, as it may not be possible for this to be accommodated and payment is not made for annual leave time not
taken during the period of the contract. Annual and study leave time should therefore be staggered throughout
the leave year. A maximum of 3 weeks leave per 3 month module is encouraged.
On-call Personnel
The department provides dedicated Consultant out of hours cover for each of the following sites or specialties:
1.
2.
3.
John Radcliffe and Gynaecology Operating Departments
Obstetric Unit
John Radcliffe and Churchill Intensive Care Unit Units
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4.
5.
6.
7.
8.
9.
d)
Paediatric Anaesthesia
Paediatric Intensive Therapy Unit
Cardiothoracic Anaesthesia including CTCC
West Wing theatres including Neuro ITU
Chronic Pain Relief Unit
Churchill and Nuffield Orthopaedic Centre Operating Departments
Teaching
Teaching sessions take place weekly in the department at the John Radcliffe, together with examinationdirected activities including practice written papers and orals. Trainees are also encouraged to attend Journal
Club and present clinical cases. They are in turn expected to contribute to the teaching of less experienced
trainees, including members of the nursing and other professions allied to medicine, and to medical
undergraduates of the University of Oxford. Year 6 and 7 StRs especially can give valuable assistance to
prospective examination candidates.
e)
Record keeping, documentation, etc
Trainees are expected to keep accurate contemporaneous records of clinical activities or events, including preoperative assessment, pre- and postoperative care, pain relief, critical incidents, etc, using the documentation
provided.
Training records must be kept using the Oxford School of Anaesthesia Competency Based training booklets
and a formal (RCoA) logbook. DOPS, CBD, CEX and MSF have been introduced as assessment tools for
StR3/4s. These must be kept in a portfolio and be available for inspection at times of annual review of
competency progression (ARCP) and during PMETB and Royal College visitations. Secretarial assistance is
available with reports, correspondence, etc. Downloadable forms are available on the Oxford School Website.
2.
TRAINING AND RESEARCH:
a)
Training Scheme:
In the Oxford School of Anaesthesia, the training of Years 3, 6 and 7 Speciality Registrars, or their locum or
fixed term training equivalents, is based in the teaching centre in Oxford, coupled with district hospitals in
Milton Keynes, Aylesbury and High Wycombe, Swindon, Reading and Slough.
b)
Research:
Year 3 StRs
Trainees are encouraged to become involved in audit and to produce case reports. Trainees should also
become familiar with basic research methods, develop critical review techniques and improve teaching skills.
Year 6 & 7 StR’s
Year 6 and 7 trainees will be encouraged to pursue research ideas, for which there is much departmental
expertise available for advice and guidance.
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c)
Facilities for Study and Training:
The main departmental library is within the Cairns Library at the John Radcliffe Hospital. Assess to the
journals is on a 24-hour basis and access to textbooks is within library opening hours. An extensive range of
texts, and anaesthetics, critical care, physiology and other scientific journals is carried.
Information technology is at the John Radcliffe site.
The Librarian can trace and obtain copies of publications from the Cairns Library at the John Radcliffe or from
further afield.
The library provides a good environment for private study and departmental communal space also includes
common and seminar rooms.
d)
Postgraduate Medical Education:
Postgraduate educational facilities and FRCA courses are available both within the deanery and nationally.
Assessment of Progress - Year 3 StR’s
Appraisal and assessment will be organised by the Educational Supervisors in accordance with PMETB and
the Royal College of Anaesthetists guidance and progress will depend on satisfactory attainment of targets.
Trainees will in turn be encouraged to report back on the training they have received and may request
adaptations to their programme if they have specific needs.
Assessment of Progress - Year 6 & 7 StR’s
Formal appraisal and assessment will be organised by the Educational Supervisors and progress will depend on
attainment of targets. Final award of the CCT will depend on satisfactory results in all appraisals and
assessments.
Each trainee is expected to keep an up-to-date log book as required by the Royal College of Anaesthetists and
to make this available for inspection during assessments. In addition all trainees
should also comply with
the competency training booklets and have undertaken formal assessment as required by the Royal College of
Anaesthetists.
3.
SPECIALTY:
The Oxford Radcliffe Hospitals NHS Trust
The John Radcliffe Hospital (JR2) is the principal combined city hospital and undergraduate teaching hospital. The
JR2 has a complex of 10 operating rooms with adjacent recovery and adult (AICU), cardiac (CTCC) and paediatric
(PICU) intensive therapy areas. There are areas for resuscitation of patients in the Accident and Emergency
Department, and provision also for anaesthetics services within the Radiology and Cardiology departments.
The West Wing (formerly The Radcliffe Infirmary) contains the Departments of Ear, Nose and Throat, Plastics,
Neurosurgery and Ophthalmology. There is an Intensive Therapy Unit (NICU) to care for neurosurgical and
neurological patients.
Paediatric wards and outpatients are located in the Children’s Hospital at the John Radcliffe Hospital.
The main administrative offices of the Anaesthetics Department in association with the Nuffield Department of
Anaesthetics are located in a modular building linking with the main John Radcliffe Hospital on Level 2. The
University (Cairns) library provides a very large number of medical and related publications and is located on Level
3 of the hospital. Access to the Cairns Library is by reader’s ticket obtainable on application to the Librarian there.
The Obstetric Unit in the Women’s Centre (JR1) has two major operating rooms in a delivery suite. The
Department provides full-time anaesthetics cover to the unit and a 24 hour epidural service for obstetrics analgesia.
The Women’s Centre also has two operating rooms with an adjacent recovery area to serve the needs of elective and
emergency gynaecology.
The Churchill Hospital has a suite of operating rooms with adjacent recovery area.
Urology and renal
transplantation surgery are based here and there is a busy Day Surgery Unit used by urology, general surgery and the
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breast unit. Occasionally anaesthesia is required for radiotherapy or laser treatment of dermatological disorders. A
number of cancer surgical services have recently re-located from the John Radcliffe Hospital to this site.
The Regional Chronic Pain Relief Unit is also based at the Churchill Hospital.
The Horton Hospital is located at Banbury, some 25 miles to the north of Oxford. Services provided include trauma
and orthopaedic surgery, general surgery, ear, nose and throat and oral surgery, obstetrics and gynaecology, general
medicine and paediatrics. There is a Day Case Unit with 16 beds and there are 15 beds within the Mental Health
Unit.
The Horton functions as a separate unit for anaesthesia training and service. Year 1 and 2 Speciality trainees in the
Oxford School of Anaesthesia are based there.
The Nuffield Orthopaedic Centre NHS Trust
The Nuffield Orthopaedic Centre deals mainly with elective orthopaedic surgery, the Trauma Service being based at
the John Radcliffe Hospital. There are six operating rooms, and a recovery ward which functions as a high
dependency unit.
Outpatient Dental Services
Sessions for children and adults with special needs requiring general anaesthesia for dental extractions and
conservation work are covered at intervals in the Churchill Hospital Day Surgery Unit, or if necessary as in-patients
in the John Radcliffe Hospital.
Enquiries:
Applicants invited for interview are encouraged to visit the department. The Tutor will, if necessary,
refer the applicant to the Regional Adviser or the Training Programme Director. Arrangements should be made in
advance by contacting the anaesthetics secretary in the department. 01865 221590/1
Visiting prior to shortlisting is not required, although telephone enquiries are welcome from those who may wish to
consult the trainees already in post before they decide to submit an application.
A numerical scoring system is used by members of the Appointments Committee for ranking applications as
objectively as possible before shortlisting.
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a)
Department Members
Name
Departmental Role
Special Interest
V Addy
D Aldington
Q Ainsworth
T Ali
N Beale
S Benham
S Berg
F Bernau
A Bokhari
H Bridge
G Burt
S Chamberlain
J Chantler
D Choi
P Cole
M Crowley
S Das
M Dobson
O Dyar
R D Evans
R G Evans
J Everatt
A Farmery
F Flynn
F Gibson
C Grange
K Grebenik
J Haldar
P Hambly
J Hewlitt- Gray
E Hill
H Higham
C Kearns
J Kini
Programme Director
Neurosurgery/Plastics
Pain Relief Unit, Churchill
Cardiac
Paediatric Intensive Care
Obstetrics
Adult Intensive Care
Paediatric Anaesthesia
General Group
Horton Hospital
Paediatric Anaesthesia
General Group
Horton Hospital
Adult Intensive Care
Obstetrics
General Group
General Group
Paediatrics
General Group
Adult Intensive Care
Cardiac
Paediatric Anaesthesia
Horton Hospital
General Group
Cardiac
Cardiac
Obstetrics
Cardiac
General Group
General Group
Horton Hospital
Cardiac
General Group
Neurosurgery/intensive care
General Group
Associate Clinical Tutor
Chairman NDAC
College Tutor
College Tutor
Paediatric Anaesthetic Lead
College Tutor
College Tutor
Cardiac Anaesthetic Lead
Junior Staffing Lead
Acute Pain Lead
A Klucniks
A Marfin
General Group
Equipment Lead
D Mason
J Matthews
S McCready
C McGuinness
Prof. H McQuay
K Medlock
R Mihai
J Millo
C Palin
J Pandit
T Parry
Nuffield Professor
Rota Lead
General Group
Paediatric Anaesthesia
General Group
Obstetrics
Neurosurgery
Pain Relief Unit, Churchill
Paediatric Anaesthesia
General Group
Adult/Neuro Intensive Care
Cardiac
General Group
Neurosurgery
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Name
R Paul
D Pigott
R Pollard
M Popat
J Quinlan
M Rai
F Ratcliffe
E Richards
R Rogers
R Russell
S Rutter
M Sainsbury
S Scott
Prof. J Sear
S Sharma
D Shlugman
M Speirs
J Stevens
M Stoneham
J Thompson
Prof. I Tracey
C Wait
G Walker
O Warner
J Warwick
J Westbrook
S Wheatley
T Whittington
N Wilkes
D A Wilkinson
D A C Wilkinson
E Williams
S Yarrow
D Young
C Zugaj
Departmental Role
Women’s Centre Lead
Nuffield Professor
Horton Lead
JR2 /Churchill Lead
West Wing Lead
Directorate Chair
Clinical Director, Adult
ICU
Special Interest
Horton Hospital
Cardiac
General Group
Obstetrics
General Group
General Group
General Group
Horton Hospital
Paediatric Anaesthesia
Obstetrics
General Group
General Group
General Group
General Group
General Group
Neurosurgery
Neurosurgery
Paediatric Anaesthesia
General Group
Obstetrics
Pain Research
Horton Hospital
Horton Hospital
Neurosurgery
General Group
Neurosurgery/Intensive Care
Neurosurgery/Plastics
Paediatric Intensive Care
General Group
Adult Intensive Care
Neurosurgery
Paediatric Intensive Care
Neurosurgery
Adult Intensive Care
General Group
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Critical Care, Theatres & Anaesthetics (Division B)
MEDICAL PERSONNEL OFFICER:
Mrs Marjorie Young (Tel: 01865 222731)
TERMS & CONDITIONS OF SERVICE:
This post is governed by the Hospital Medical and Dental Staff (England and Wales) Terms and Conditions of
Service.
REMUNERATION:
To be arranged on appointment
HEALTH CLEARANCE:
Applicants invited for interview will be asked to complete a medical questionnaire for submission to the Trust's
occupational health service.
NB: MEDICAL STAFF WHO WILL BE UNDERTAKING EXPOSURE PRONE PROCEDURES WILL
BE REQUIRED TO PROVIDE WRITTEN PROOF OF HEPATITIS B VACCINATION AND ANTIBODY
STATUS, BCG AND RUBELLA VACCINATION. IN THE ABSENCE OF SUCH EVIDENCE THE
POSTHOLDER WILL NOT BE PLACED ON THE PAYROLL OR UNDERTAKE CLINICAL WORK
UNTIL THE EVIDENCE IS PRODUCED TO THE SATISFACTION OF THE TRUST.
POPUMET:
The Trust requires that any doctor or dentist who directs the use of x-rays for procedures such as cardiac
catheterisation, pacemaker insertions, orthopaedic procedures, etc in patient investigation or administers
radioisotopes to patients possesses a POPUMET certificate as proof of training in accordance with the "Ionising
Radiation (Protection of Persons Undergoing Medical Examination or Treatment) Regulations 1988", and submits a
copy of their certificate to the Medical Staffing Department. Courses to allow Trust medical staff to obtain the
POPUMET certificate are available through the Department of Medical Physics, The Churchill.
CAREER ADVICE:
If you are continuing along the lines on which you have planned your career but require further career advice and
guidance you should, in the first instance, talk to your educational supervisor named in your contract, who will
normally be your Royal College Tutor. You may also wish to approach the Royal College Regional Adviser for the
specialty in which you are working.
If you have become uncertain about your career aims and wish to be advised about possible alternatives you should
contact your District Clinical Tutor. Some, but not all, districts appoint a medically qualified counsellor whom you
may also wish to contact.
If you have greater concerns about, or problems with, your career or the way it is progressing, you should also
contact your Regional Adviser, District Clinical Tutor or the Director of Postgraduate Medical Education and
Training. The Director of PGMDE, or a member of his staff, will see and advise you as, ultimately, he is responsible
for the whole process of counselling services in the region.
DIRECTOR OF PGMDE:
Dr M J Bannon
Tel: 01865 740605
DISTRICT CLINICAL TUTOR:
Dr M Birch (Consultant Paediatrician)
COUNSELLOR:
To be arranged on appointment
INDEMNITY:
Under NHS Indemnity, the Trust will take direct responsibility for costs and damages arising from medical
negligence where it (as employer) is vicariously liable for the acts and omissions of its medical and dental staff.
Where trainee medical staff are involved in the care of private patients in a NHS hospital, they would normally be
doing so as part of their contract. It is advisable that junior doctors who are involved in work outside his/her
employment should have medical defence cover. This includes Category 2 work, ie reports for insurance companies,
cremation fees.
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STATEMENT ON 'NEW DEAL' FOR JUNIOR DOCTORS:
The Postgraduate Oxford Deanery Task Force responsible for implementing this joint medical
profession/Department of Health Initiative on junior doctors hours is committed to achieving the principles as set out
in the New Deal, and the Trust is working closely with this group.
The working arrangements for training posts is continually reviewed, to incorporate the requirements of The New
Deal and changes created by the developing structure of the Oxford Radcliffe Hospitals NHS Trust, and there may
be some variations to the content of this post.
IMPORTANT GENERAL NOTICE:
The postholder is expected to take reasonable care of his/her own health and safety and any other personnel who may
be affected by his/her omission. Trust policies and regulations should be adhered to.
ADDITIONAL INFORMATION
CONTRACTUAL MINIMUM PERIOD OF NOTICE:
The agreed minimum period of notice by both sides for practitioners in regular appointments, unless the statutory
minimum periods are longer, will be three months.
ANNUAL LEAVE:
Specialist Registrars on the third or higher incremental points of their payscale shall be entitled to leave at the rate of
6 weeks per year.
Specialist Registrars on the minimum, 1st or 2nd incremental points of their payscale shall be entitled to leave at the
rate of 5 weeks per year.
The annual leave year runs from 1 November to 31 October.
Leave will be calculated on a pro-rata basis in relation to time spent in each speciality or authority as appropriate.
STUDY LEAVE:
Specialist Registrars should receive either day release with pay and expenses for the equivalent of one day a week
during university terms: or leave with pay and expenses within a maximum calculated at the rate of thirty days per
year (the year for this purpose being counted from 1 October). This allowance may accumulate over the period of
the training programme, provided that the total amount due in the period of the training programme is not taken until
one year of the training programme has been completed.
Such practitioners should, for a maximum of two occasions, also receive leave with pay and expenses (other than
examination fees) for the purpose of sitting examination for a higher qualification where it is necessary as part of a
structured training programme.
Such practitioners may also receive leave with pay and expenses (other than examination fees) for the purpose of
sitting other examinations for a higher qualification, except that where the authority considers that this would be
contrary to the interests of the individual or the service, leave may be refused (for example, repeated sitting and
failing of the same examination could be held to be an unjustifiable use of the paid leave).
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