HANDBOOK FOR OVERSEAS DOCTORS September 2004 Version CONTENTS INTRODUCTION ........................................................................................................ 3 HANDBOOK FOR OVERSEAS DOCTORS..................................................................................... 3 OVERSEAS DOCTORS............................................................................................................... 4 MEDICAL TRAINING IN THE UNITED KINGDOM .................................................... 5 OUTLINE .................................................................................................................................. 5 PLANNING YOUT TRAINING ....................................................................................................... 6 GENERAL MEDICAL COUNCIL (GMC) .................................................................... 7 REGISTRATION ......................................................................................................................... 7 Full Registration .................................................................................................................. 7 Provisional Registration ...................................................................................................... 7 Limited Registration ............................................................................................................ 7 PROFESSIONAL & LINGUISTIC ASSESSMENTSBOARD (PLAB) TEST ............................................ 8 Exemption from PLAB ........................................................................................................ 8 GOOD MEDICAL PRACTICE ....................................................................................................... 8 PERMIT-FREE TRAINING ....................................................................................... 10 INITIAL GRANT OF PERMIT-FREE TRAINING ............................................................................... 10 APPLYING FOR AN EXTENSION TO PERMIT-FREE TRAINING ....................................................... 10 SPOUSE STATUS .................................................................................................................... 11 GETTING ADVICE AND GUIDANCE ...................................................................... 12 Department of Health ....................................................................................................... 12 OBTAINING A TRAINING POST ............................................................................. 14 STARTING A NEW JOB .......................................................................................... 15 CLINICAL ATTACHMENTS ..................................................................................... 16 DOMESTIC AND CULTURAL MATTERS ................................................................ 17 CONTACTS AND ADDRESSES: ............................................................................. 19 THE ROYAL COLLEGES .......................................................................................................... 19 OTHER NATIONAL BODIES ..................................................................................................... 20 YORKSHIRE REGIONAL ADVISERS .......................................................................................... 21 YORKSHIRE REGIONAL SPECIALTY ADVISERS (MEDICINE) ...................................................... 23 YORKSHIRE REGIONAL SPECIALTY ADVISERS (PATHOLOGY) .................................................. 24 YORKSHIRE REGIONAL SPECIALTY ADVISERS (PSYCHIATRY) .................................................. 25 YORKSHIRE REGIONAL SPECIALTY ADVISERS (SURGERY) ...................................................... 26 HOSPITAL TELEPHONE NUMBERS ........................................................................................... 27 YORKSHIRE DIRECTORS OF POSTGRADUATE MEDICAL EDUCATION ........................................ 28 MENTORS FOR OVERSEAS DOCTORS ..................................................................................... 29 2 INTRODUCTION HANDBOOK FOR OVERSEAS DOCTORS Yorkshire Deanery aims to provide excellent training for doctors from overseas who come here to further their own professional development, and who, in the process, make a valuable contribution to the National Health Service. Overseas doctors are subject to complex regulations, they may be used to a very different health care and training system, they may find themselves disadvantaged in the competition for the most appropriate training posts, the training provided may not be relevant to the situation they will return to in their own country, and, in the past at least, may have found the balance tilted too far towards service provision and too far away from training. This handbook is intended as a guide for doctors from overseas, to help them to make the most of their time in Yorkshire and in the UK, with outlines of the regulations and structures, and sources of more detailed help and information. It is also intended to help consultants, tutors, postgraduate medical centre staff, medical personnel departments and others who have dealings with overseas doctors. I am quite happy for pages, sections or the whole book to be reproduced for any useful purpose; it is presented in computer disc form for this reason, as well as to allow ready updating. I have made every effort to ensure that the information is accurate, but I cannot guarantee it, and I can take no responsibility for the consequences of actions based on the information in this handbook. If you do notice any errors, or if you have ideas to improve on the information provided, then please let me know. I am very grateful to Dr Maeve Keaney, Associate Postgraduate Dean in Manchester, for permission to plagiarise the excellent handbook that she produced for overseas doctors in the Northwest Region. Dr Patrick Neligan Associate Postgraduate Dean Yorkshire Deanery Willow Terrace Road University of Leeds LEEDS LS2 9JT Tel: 0113-343 1567 Fax: 0113-343 1530 E-mail p.neligan@yorkshiredeanery.com 3 OVERSEAS DOCTORS An “Overseas Doctor” is one who, regardless of where (s)he obtained his/her primary medical qualification, does not have right of residence in the UK, or does not have “settled status”. Doctors from the *European Economic Area (EEA) are not really overseas doctors. They have entitlement to stay in the UK and, once they have completed the registration requirements of their country of qualification, have no restriction on employment and medical training in the UK. They are, however, foreign to the practice of medicine in the UK, and may have some problems in common with overseas doctors. A doctor who is not an EEA national and who qualified in the UK is an overseas doctor for purposes of immigration and employment. A UK national who qualified outside of the EEA is not an overseas doctor but will initially be restricted to Limited Registration (qv). Some overseas nationals can acquire settled status (eg by marriage to a British citizen, or, for Commonwealth citizens, if one or more grandparents was born in Britain) and then have no restriction on employment. On entry to the country a doctor’s passport will be endorsed with a stamp indicating any limit on time, restriction or prohibition of employment, or other conditions including the need to register with the police. The passport stamp will be the indicator of the current period of “Permit-free Training”(qv), but those words are not on the stamp. Any doubts on status should be clarified with the Home Office. *EEA countries: Austria, Belgium, Denmark, Finland, France, Germany, Greece, Iceland, Ireland, Italy, Liechtenstein, Luxembourg, Netherlands, Norway, Portugal, Spain, Sweden, and the UK. There is also mutual recognition for Swiss nationals and Swiss qualifications. Since May 2004, 10 new states have joined the EEA, Cyprus, Czech Republic, Estonia, Hungary, Latvia, Lithuania, Malta, Poland, Slovakia, and Slovenia. In principle doctors from these countries will have the right to live and work in the UK and to register as doctors without further assessment, but the details still need clarification; check with Home Office and GMC. 4 MEDICAL TRAINING IN THE UNITED KINGDOM OUTLINE Postgraduate medical training in the UK involves paid employment as a junior doctor providing the service to patients, gaining clinical experience under supervision, while also studying and receiving tuition. Entry to a training programme is by successful appointment to a job, and not by enrolment on a course. In the hospital specialties this training is in three parts: 1) Pre-registration House Officer (PRHO) year or General Clinical Training sometimes called “Internship”. Twelve months of carefully supervised training, including at least three months in Medicine and three months in Surgery, and usually six months of each, is an essential requirement for GMC registration for graduates of UK Medical Schools. This period is overseen by the Medical Schools, and the number of posts is matched to the number of graduates. 2) Basic specialist training (BST) or general professional training (GPT) in the senior house officer grade (SHO). This follows completion of pre-registration requirements, and lasts for two or three years, during which time the doctor takes the professional examinations of the relevant Royal College that constitute the entry requirements for higher training. 3) Higher specialist training (HST) in the specialist registrar grade (SpR). The old grades of registrar and senior registrar are obsolete. The full programme lasts for 4-6 years depending on specialty, consists of a structured rotation to give balanced experience, and leads to a Certificate of Completion of Specialist Training (CCST). Part of the programme may be advertised as a Locum appointment for training (LAT). Such a locum period may count towards specialist training, but only in the event of subsequent appointment to a definitive SpR post. Not all SpR posts lead to a CCST. Fixed term training appointments (FTTA) are available to overseas doctors for a finite period up to 2 years, or occasionally longer. This allows specific training in the specialty, but cannot lead to a CCST. A series of LAT posts cannot lead to CCST. There are also Locum appointments for service (LAS), which do not count as training posts at all, even though some training may be available. These are only short-term posts. Detailed guidance on higher training is available in “A Guide to Specialist Registrar Training”, the “Orange book” – February 1998. The training for general practice (family medicine or primary care medicine) is a three-year vocational training scheme (GPVTS), made up of one year as a GP registrar in a training practice and two years in a variety of approved hospital posts (at SHO level); the final placement of the three years is normally in General Practice. In the past the regulations on funding, immigration and GMC registration prevented overseas doctors from training for General Practice, but since November 2003 overseas doctors have been able to train for General Practice with limited registration and permit-free training. Changes to training. The whole of medical training is under review, a process called Modernising Medical Careers (MMC). From August 2005 new graduates will enter a 2-year Foundation programme consisting of 4 to 6 placements, intended to give greater breadth to experience and to develop generic skills, including an emphasis on recognising and managing acute illness. There will be an exit assessment of competence. Thereafter doctors will enter training for a specialty or general practice, leading to a certificate of completion of training (CCT) after 3 to 6 years. See http://www.mmc.nhs.uk/index.asp 5 Appointment to all training posts is selective, following advertisement, application and competitive interview. Possession of the entry requirements and the desire to train in the specialty, however strong, are not sufficient to secure a training post. Doctors should realise that they may be unable to obtain a post in their chosen specialty even after numerous applications, especially in the more popular specialties. In order to do any sort of clinical training a doctor must register with the General Medical Council (GMC), must satisfy the employing authority’s regulations on health and other matters, and must have valid exemption from work permit regulations (see Permit-free training). Teaching will usually be a mixture of informal instruction in the workplace, clinical meetings and grand rounds, and sessions organised by specialty tutors to meet the needs of doctors in training. In some cases there may be regional or sub-regional training days. It is important that you make every effort to attend these educational sessions provided for you, some of which will be in protected time, free of clinical commitments. All training posts have an entitlement to Study Leave with pay and expenses for attending relevant courses away from the workplace, subject to the approval of consultants and tutors. The purpose of study leave is to provide learning opportunities that are not normally available in the course of your work. Discuss your needs with your educational supervisor (a nominated consultant in your department) and find out about the local policy on study leave. Medical research is carried out in parallel with training and service provision. Some doctors in training undertake pure research posts for one to three years, usually working for a higher degree in a University appointment or on a research grant. If there is no clinical work at all involved then an overseas doctor doing research can have student status and need not have GMC registration. If there is any clinical component to the work then all GMC and work permit regulations apply. PLANNING YOUT TRAINING Before you arrived in the UK you should have had an overall plan. Your plan should include what you are aiming for in the long term, say 10 years from now, and the steps you will need to take to achieve it. What exactly is it that you are hoping to get from training in the UK. What is your ultimate goal? Include a range of options, if you wish, but identify the area of medical practice, the type of institution, and the geographical location where you would hope to work eventually. Is this realistic? How do you know? What have more senior doctors told you about your ability and performance? What experience will you need? Be specific. Is it available in the UK? What qualifications will you need? What obstacles might there be? Outline a plan for your training in the UK, with approximate timetable. Which examinations - When? Training posts you will need to apply for. What achievement will mark the satisfactory conclusion of your training in the UK? It is important that you consider what will happen if things don’t work out, and that you may need to change or abandon your plan. What will indicate that there is no point in continuing? - e.g. 3 unsuccessful attempts at an examination? Repeated failure to obtain an SpR post? At intervals through your training you need to review progress with a trusted adviser. In particular consider: Are you still moving in the right direction? Are you progressing quickly enough? Is your plan still realistic? 6 GENERAL MEDICAL COUNCIL (GMC) REGISTRATION The General Medical Council (GMC) is the statutory body responsible for the regulation and standards of the medical profession in the United Kingdom. In order to carry out any sort of medical work or training a doctor must first obtain registration with the GMC. There are three types of registration, Full, Provisional and Limited. Full Registration Allows any form of medical employment in the UK, subject to work permit regulations. Granted to: graduates of UK medical schools who have completed 12 months of pre-registration house officer training. EEA nationals with EEA medical qualifications, and doctors who are eligible for the Specialist Register. Application to Registration Division, General Medical Council (see page 20). Provisional Registration Allows only supervised employment in approved pre-registration house officer posts. Granted to doctors with primary medical qualifications eligible for full registration. Convert to full registration on satisfactory completion of pre-registration requirement. Limited Registration Allows employment supervised by a fully registered medical practitioner in an institution approved for training. Restriction of specialty and grade may be applied. Granted to overseas doctors with qualifications and experience acceptable to the GMC. Eligibility is decided on individual enquiry to the GMC (which should be submitted 9 months before proposed arrival in the UK). Requirement to demonstrate competence in English language. Requirement to pass or be exempt from the PLAB test. Maximum period 5 years. Conversion to full registration is possible after satisfactory progress in training (usually after one year in the SHO grade) or re-qualification in the UK. Application to Registration Division, GMC, with letter of appointment to training post. (NB enquiry about eligibility is not an application). The whole of registration is currently under review. There will be a single category of registration for all doctors, linked to a licence to practice, which will require revalidation at intervals. 7 PROFESSIONAL & LINGUISTIC ASSESSMENTSBOARD (PLAB) TEST Before granting limited registration the GMC must be satisfied that an overseas doctor is appropriately proficient in both the English language and medical practice. One way to demonstrate this is to pass the PLAB test. The level of the test is “sufficient to undertake safely employment at first year senior house officer level in a British hospital”. Before entering the PLAB test a doctor must achieve an overall score of 7.0 and a minimum score of 6.0 in each of the four sections of the International English Language Testing System (IELTS). This test is administered by the British Council at test centres throughout the world The PLAB test is in two parts: written and clinical. The written section, Part 1, has a multiple choice question paper, clinical problem solving and photographic material. The clinical section, Part 2 is in the form of an Objective Structured Clinical Examination (OSCE), a circuit of 14 observed clinical activities such as history taking, examination, explaining matters to patients, and procedures, each station lasting 5 minutes. Application is to the PLAB test section, GMC. There is high demand for places, and you should apply well in advance. Part 1 of the test is now being offered in centres in India, and this is being extended to other countries. Exemption from PLAB EEA doctors are not required to take the PLAB test, but employers may require evidence of satisfactory command of the English language. Overseas doctors may be granted Limited Registration without taking the PLAB test in the following circumstances: completion of basic specialist training to the satisfaction of the relevant UK postgraduate training body (for example, success in MRCP or MRCS) appointment to a Type I specialist registrar post, i.e. one which leads to CCST agreed quality assurance arrangements with a sponsoring body approved by the GMC The previously available “senior doctor route” was terminated in 2001 A doctor seeking exemption from PLAB by any route must have achieved level 7.0 in all 4 sections of the IELTS, not just a mean score of 7.0. A doctor who fails the PLAB test is not eligible for exemption by any route. If you are pursuing exemption then do not attempt the PLAB test. GOOD MEDICAL PRACTICE The General Medical Council defines and administers professional standards. A good doctor is judged not only on knowledge and skill, but also on the way he/she behaves and conducts himself/herself. You probably already aspire to good practice, but you may notice some differences in the way doctors behave towards patients in the UK compared with your own country. You should be aware of these differences, and should conform to GMC guidelines. These include: Make the care of the patient your first concern Treat every patient politely and considerately Respect patients’ dignity and privacy Listen to patients and respect their views 8 Give patients information in a way that they can understand Respect the right of patients to be fully involved in decisions about their care Keep your professional knowledge and skills up to date Recognise the limits of your professional competence Be honest and trustworthy Respect and protect confidential information Make sure that your personal beliefs do not prejudice your patients’ care Act quickly to protect patients from risk if you have good reason to believe that you or a colleague may not be fit to practice Avoid abusing your position as a doctor Work with colleagues in the ways that best serve patients’ interests. In all these matters you must never discriminate unfairly against your patients or colleagues and you must always be prepared to justify your actions to them. This is largely about treating patients as you would wish to be treated yourself. A kind, considerate doctor will not suffer many complaints, and will have the respect of patients and colleagues. 9 PERMIT-FREE TRAINING Employment in the UK is restricted, and overseas nationals normally require a work permit. Doctors and dentists undertaking Postgraduate training in hospital or community health services or in General (Medical) Practice may be employed without a work permit subject to certain conditions, an arrangement called “Permit-Free Training”(PFT), which is administered by the Immigration and Nationality Directorate (IND) of the Home Office. To qualify for permit-free training you must: Hold or be eligible for Full, Provisional or Limited GMC registration Have evidence of appointment to a training post or programme Be able to maintain yourself and any dependants without recourse to public funds Intend to leave the UK on completion of training. If you are not yet eligible for GMC registration (eg pending PLAB test) or have not yet obtained a training post, you should have visitor status (which does not allow you to take any paid employment), and you can apply to switch to PFT when appropriate. Overseas nationals who graduate from UK medical schools having had a student visa must switch to PFT in order to do pre-registration house officer posts in the UK. Initial grant of permit-free training Pre-registration house officer (PRHO) 12 months Basic Specialist or General Professional Training (SHO) Up to 3 years Initial grant will usually be limited to six months or one year, or the duration of the first appointment. Extension for up to three years may be granted with a maximum aggregate of four years in the SHO grade. (This does not include any time spent as a PRHO). There will be no extension beyond aggregate four years in the SHO grade. Higher Specialist Training (Specialist Registrar) General Practice Vocational Training Scheme (GP registrar) Up to 3 years Up to 3 years Extensions for periods of up to 3 years to allow completion of the approved training programme, subject to evidence of satisfactory progress. (HST and GPVTS grant is regardless of time spent in the SHO grade. Even after exhausting 4 years PFT as an SHO you can apply for SpR or GPVTS posts as long as you have the entry requirements, and once appointed you will be eligible for further PFT.) Applying for an extension to permit-free training Application is actually for an extension of leave to remain in the UK and is to the Immigration and Nationality Directorate (IND) of the Home Office. From 1 August 2003 there is a fee for consideration of each application - £250 for personal application at the Public Enquiry Offices in Croydon, Birmingham, Liverpool or Glasgow for which you have to make prior appointment; £155 for postal applications which take a few weeks. Application is on form FLR(O), available from IND Application Forms Unit (see Appendix II) or www.ind.homeoffice.gov.uk/content/ind/en/home.html Read the notes on the form carefully. 10 For permit-free training you will require: GMC or GDC registration certificate A document showing that you intend to undertake postgraduate training in a hospital. This should be a letter of appointment from your employer giving start and finish dates of your next or continuing post or rotation. Documentary evidence showing satisfactory progress in your postgraduate training. Although the notes on form FLR(O) do not actually say so, this evidence should be provided by form PF/PGD 2002 signed by the Postgraduate Dean. Form PF/PGD2002 is available in either the Postgraduate centre or the medical staffing department or both in all Trusts in Yorkshire. You should complete Part A in full, and should then ask your supervising consultant to complete Part B, which includes agreement on your training goals as described in Q6 of Part A and on your progress to date. The completed form should be sent to the Postgraduate Dean with a letter of appointment as in b) above, at least 6 weeks before expiry of your current passport stamp or as soon as you obtain a further training post. The Dean makes a recommendation to the Home Office on Form PF/PGD2002, but it is the Home Office that makes the decision. The period granted does not usually exceed the duration of confirmed employment. As an SHO you may need to apply for extension of leave to remain in the UK (sometimes incorrectly referred to as Visa renewal) several times within the four-year period. Each application will need a new form PF/PGD2002 as evidence of satisfactory progress in training as outlined above. At the end of 3 years you must be sure that your goals are achievable within the next year, and show that you are taking all necessary steps to attain them. There is no need to apply for further PFT on appointment to the SpR grade if you still have time remaining from the SHO grade. You can wait until 6 weeks before the end of your current grant before re-applying. Spouse status The spouse of a doctor with permit-free training can take spouse status, with which there is no restriction on employment, so the spouse can do medical training without need for permitfree training or can do non-training posts if he or she has full GMC registration. The spouse can later apply for Permit-Free Training in his or her own right, and, if this is granted the doctor originally holding Permit-Free Training can seek to switch to spouse status. Judicious use of these arrangements will allow a married couple both of whom are doctors to extend their training time in the UK if necessary. Spouse status allows a partner who has completed training and has full GMC registration to work in a non-training post, eg Staff Grade, with no need for a work permit, while the other partner completes training. 11 GETTING ADVICE AND GUIDANCE Far too many overseas doctors have been disappointed and disillusioned by the difficulties they have encountered and by the absence of the opportunities they had expected. This is usually because of lack of planning and failure to take proper advice. It is essential that you have reliable and up-to-date information, and that you discuss your plans with appropriate advisors both before you start and as events unfold. You must have a realistic view of training in the various specialties and of your own prospects and progress. The advice of colleagues in your own country may well be out of date. There are many sources of advice available to you, and useful contacts are given in the appendices (pages 19-25). Department of Health The government department responsible for running the National Health Service and for medical education has a useful website with many links to other sites: www.dh.gov.uk British Council Offices Have general and specific information on medical training in Britain and on the IELTS. Doctors from countries with no British Council Office may write to the National Advice Centre for Postgraduate Medical Education (NACPME). Overseas doctors in the UK may visit or telephone the NACPME information centres. General Medical Council (GMC) Responsible for registration (and disciplinary matters) - see pages 6-8. Royal Colleges Oversee training in the specialties throughout the UK, and run the relevant professional examinations. Most have specific advice arrangements for overseas doctors, and run sponsorship schemes (giving exemption from PLAB test). Postgraduate Deans There are 15 Postgraduate Deans in England, 4 in Scotland and one each in Wales and Northern Ireland. The Deans are responsible for medical training in the Deaneries, geographical sectors based around the Medical Schools. The Postgraduate Dean for Yorkshire is Dr Bill Burr, based in the Department for NHS Postgraduate Medical and Dental Education in Leeds. Regional Advisers Each specialty has a Regional Adviser, appointed by the College, who knows about training in the Deanery in that specialty and can give help and advice to individual doctors. Specialty Training Committees The Deanery has a Training Committee for each specialty, largely responsible for Higher Medical Training. The Chairman of the committee is a useful source of help and advice on training in the specialty. The larger specialties may have divided training into separate programmes, each with a programme director who will look after training in a locality. Directors of Postgraduate Medical Education or Clinical Tutors Each Hospital Trust has a Postgraduate Medical Centre, with a Director or Clinical Tutor who organises training and induction, and who is available to help and advise junior doctors. The director can offer confidential counselling for a wide range of issues, or can direct you to more appropriate help. The Manager of the Postgraduate Centre can also give a lot of help, particularly in relation to study leave, but also on other matters. 12 College Tutors The Royal Colleges appoint Tutors to represent the specialty in each Trust. The College Tutor will organise the education programme and will have a responsibility for the educational welfare of doctors in training in the specialty. You can find out how to contact the relevant College Tutor though the Postgraduate Centre. Educational Supervisors Every doctor in training should have a Consultant identified as his or her Educational Supervisor. This is likely to be a Consultant for whom you are working, but may not be. You should meet your Educational Supervisor early in your appointment to discuss your plans and opportunities, and should then meet at intervals to review progress. Mentors It can sometimes be helpful to talk to someone with experience and understanding of your situation who is not directly involved in your training, known as a mentor. Arrangements in Yorkshire are not uniform. Ask in the Postgraduate Centre or Medical Staffing department about the mentor(s) for overseas doctors in your Trust. If necessary you can arrange to see a mentor from a neighbouring Trust. Associate Postgraduate Dean/Overseas Doctors The Yorkshire Postgraduate Dean has an assistant, currently Dr Patrick Neligan, who deals with all matters relating to overseas doctors and their training. He works part-time in the Deanery Office in Leeds, and is available to see individual doctors by appointment. It should be stressed, however, that the large number of overseas doctors in Yorkshire mean that this should be a last resort. Most matters, can be resolved either in the Trust or within the specialty. Initial enquiries to Dr Neligan should be in writing, setting out the problems and your specific questions. A copy of your CV is helpful. Urgent enquiries can be made by telephone on 0113 233 1567 or by e-mail, p.neligan@yorkshiredeanery.com Medical Staffing/Personnel Department Each employing hospital has managers responsible for junior doctors. They will deal with your application, interview, appointment and contract. They can help with all matters relating to your employment and working conditions, and can advise on domestic matters such as accommodation. They will also know about future vacancies in training posts in the Trust. In Yorkshire all Specialist Registrars are employed through the Medical Personnel Department of the Leeds Teaching Hospitals NHS Trust, but, once appointed, the Specialist Registrar must also make contact with the Medical Staffing Department in the hospital where he/she will be working in order to sort out local arrangements. British Medical Association (BMA) The BMA is a Trade Union for doctors. Membership gives access to a wide range of advice and services. It also includes delivery of your own copy of the British Medical Journal each week. Subscriptions are reduced for junior doctors, and are a tax allowable expense. Medical Defence Organisations There are several defence organisations of which the largest are the Medical Defence Union (MDU) and the Medical Protection Society (MPS). They help doctors in difficulty with complaints, disciplinary procedures or legal action. Although the employing Trust accepts liability for a doctor’s actions, the Trust’s interests may not coincide with the doctor’s interests. It is strongly recommended that doctors join one of the defence organisations from whom they can obtain very valuable help, including legal advice and support. 13 OBTAINING A TRAINING POST You will have to apply for posts in open competition. Posts are advertised by specialty in the classified section of the British Medical Journal, the latest copy of which should be available in any medical library. Request an application form and job description. Check that the post is suitable for your needs. Telephone the doctor who is currently in the post if you are not sure about this. Send in the application form and your curriculum vitae before the closing date. If you have missed the closing date then telephone to see if a late application can be accepted. You may be invited for interview. Do not be too disappointed if you do not hear: most jobs receive far more applicants than can be interviewed. Try to give yourself time to look around and make enquiries before the interview. If you have to travel a long way the hospital may provide overnight accommodation. Remember to apply for travel expenses. In the interview you need to present yourself as well as possible to the panel, but remember that these are British doctors. They will appreciate clear, direct, honest answers. They may seem rather unimpressed by what you have done overseas and by distinguished people for whom you have worked. They will be more impressed by what you know, how you think and what plans you have made. You will usually be told at the end of the interview if you have been successful. If you are offered a post then you may well be asked to give a firm commitment then and there. If you accept the post then you must not withdraw at a later date, so be sure that you want the job. If you have doubts then say so and ask for time or more information. If you are unsuccessful then it is perfectly reasonable to ask to see one of the interviewing Consultants to ask why you were not successful and for advice on what you can do differently to improve your prospects of obtaining a post in the future. Try to make sure that you get specific advice rather than generalisations. 14 STARTING A NEW JOB Before you start a new job, find out about accommodation, what will happen on the first day and when you will first be required to be on-call. The hospital medical staffing department will either provide answers or will direct you to someone who knows. Make contact with the outgoing doctor and, if possible, arrange to visit a few days before you start to find out at first hand what is involved and for handover of problems where relevant. Ideally you should have a period of work-shadowing before you start your first post. You will have to complete a health questionnaire, and may be asked for interview or examination. Make sure that you have appropriate certificate of Hepatitis B immunity. If this is your first job, ensure that you have completed Home Office and GMC procedures. If there is only a short interval between your successful appointment interview and your start date this may require a visit to London with your papers, including your letter of appointment. Before starting your first post in the UK you should have been given an opportunity to attend a short residential programme of induction for overseas doctors. These courses are run in various parts of the country, not necessarily where you will be working. They are provided free of charge, funded by the Department of Health, and you are strongly recommended to take advantage of attending a course. Enquiries about courses should be directed to NHS Professionals: tel: 0845 120 3164 If you are unable to attend a course before you start then you should apply to attend one as soon as possible after you start your first post. On your first day the hospital will almost certainly run a local induction programme. Make sure you attend. It is helpful if you contact your Consultant to say that you have arrived and that you will be attending the induction. You can arrange to meet later in the day. During the induction make sure that you find out about anything that you do not understand or that is worrying you. Do not be afraid to ask questions. If it is not already part of the induction programme, arrange to meet the senior nurses in the areas where you will be working, including wards, clinics or theatres, to introduce yourself and to find out what they expect of you and what you can expect of them. Remember that nurses are professionals whose work is complementary to yours; they are not the doctors’ servants. Nurses can be enormously helpful to you or can make your life difficult, depending on the relationship you develop with them, so make sure that it is the former. If you require any leave in the early part of the job, for instance to sit an exam, contact the medical staffing department and your Consultant for approval before you start. Do not wait until you start and just assume that you will be able to take the leave, however important it is. 15 CLINICAL ATTACHMENTS You may find it helpful to spend some time on clinical attachment, observing the culture, language and practice of medicine in the UK. This might be: While preparing for PLAB Before taking up your first appointment, observing practice in the department/hospital where you will be working, sometimes called work-shadowing. Some doctors try to use a clinical attachment for “training” in preparation for professional examinations, as neither GMC registration nor permit-free training status is required. This is not a good plan; a clinical attachment will provide only familiarisation, not proper training. The role of the doctor on clinical attachment is strictly as an observer (see HSG(95)30 in Appendix). (S)he may interview and examine patients under supervision, but the patient must be made aware of the doctor’s observer status and must give prior consent. Observers should not advise on treatment, carry out invasive procedures or prescribe. The period of attachment is normally limited to between one and three months. The observer is not employed by the hospital but must satisfy the hospital’s employment regulations. The observer should wear an appropriate identification badge. Accommodation is not normally available, and if it is provided a charge will be made. To arrange a clinical attachment you should contact either an individual Consultant who has been recommended to you, or the Director of Postgraduate Medical Education (sometimes called the Clinical Tutor) at the hospital. You should send your curriculum vitae with a letter explaining why you wish to do the attachment, and when. Be prepared to be flexible. Having a doctor on clinical attachment requires time and commitment from the Consultant if the arrangement is to be of any value. The increasing burdens of training and service mean that many Consultants are now reluctant to accept clinical attachments. 16 DOMESTIC AND CULTURAL MATTERS Accommodation Most hospitals in Yorkshire will provide single accommodation on the hospital site once you take up appointment, but you should ask about this as early as possible. Married accommodation is usually limited but may be available on request. You will have to pay rent, but usually less than in the private sector, and if your on-call duties oblige you to be resident you should get an appropriate rebate. Find out what is included in the rent and what extras you will have to pay. Private rented accommodation may better suit your needs, but is more expensive, takes time to arrange, and has potential pitfalls. Take advice from the medical staffing department or hospital accommodation officer. Again make sure you know what is included in the rent and what will be extra. Banking You must have a bank account into which your salary is paid. You may be able to choose a UK bank that has an arrangement with your bank at home. Banking hours are restricted and inconvenient when you are working so you should obtain a card that gives you access to automatic cash machines. (There may be one in the hospital). Taxation, National Insurance Contributions The medical staffing department or payroll department will give you advice about this. You have to pay various contributions, usually deducted from your salary. Transport If using public transport you will usually use trains between towns and buses within a town. Train fares are complex, with saver tickets often cheaper if you book in advance. Taxis are convenient but can be expensive. Ask about fares. You will find it invaluable to have your own car. You should be able to buy a second-hand car in good condition at a reasonable price from a reputable dealer. If you do not know a lot about cars then take someone with you who does, or contact one of the motoring organisations (The AA or RAC) who will inspect a car before you buy it (at a cost). You can use your own (international) driving licence for a year, but then need to obtain a UK licence, either by exchange or by passing the UK driving test. The Driver and Vehicle Licensing Agency (DVLA) in Swansea (01792 772151) will advise. You also need to find out about Road Tax (a disc which must be displayed in your car) and insurance. Shopping Take advice on types of shop, location and opening hours. Most shops are open Monday to Saturday from about 9 am to 5.30 pm, some corner shops and supermarkets stay open until 8, 9 or 10 pm, and there may be a 24 hour supermarket in your vicinity. Some shops are open for a few hours on Sundays. Most shops close on Bank Holidays or Public Holidays. Families If you wish to bring your family then you should come alone and arrange for your family to follow once you have established yourself. In particular, you will need to organise appropriate accommodation, either in the hospital or privately. If you and your spouse are both working and you have small children then, unless you have help from family, you should use either a registered child minder or a recommended nursery. Ask if the hospital runs a crèche to look after the children of staff. Schooling is provided free of charge. Children aged 5 to 11 years attend primary schools, 17 and then transfer to secondary schools from age 11 to 16 or 18 years. Allocation to schools is made by the Education Department of the relevant Local Authority, which you can find in the telephone directory, but it may be easiest to contact the Head Teacher of the local school in the first instance. Healthcare It is very important that you register with a local General Practitioner on arrival; do not wait until you are ill. You, your spouse and your children are entitled to free medical treatment, but other visiting relatives are not. You can attend hospital casualty departments free of charge in the event of accidents or emergencies. The hospital where you work will make a pre-employment health check, and will advise on any aspects of health relating to your work. Telephone If your hospital accommodation has a phone connected to the hospital switchboard then you will be charged for personal calls. The call charges may be higher than the telephone company rates but you do not pay line rental. With the agreement of the hospital management you can have your own phone installed by the telephone company. You will have to pay an installation charge and line rental as well as call charges. You should explore discount services for overseas calls. As an alternative to a fixed telephone you may prefer to buy a mobile phone. The cost of the phone is usually low, but monthly charges for the service and call charges are relatively high. Make sure that the mobile phone is suitable for overseas calls. Yorkshire and its people Yorkshire was the largest of the old English counties, covering 6,000 square miles in the North East of England, with a population of 6 million people, but administrative boundaries have changed. Yorkshire Deanery covers only part of this area. The main population centre is the Leeds-Bradford conurbation at the northern end of the M1 motorway from London. The towns of Halifax, Huddersfield, Dewsbury, Wakefield and Pontefract lie immediately to the South of Leeds. The city of Hull is on the East coast, 60 miles from Leeds along the M62 motorway. The ancient city of York and the old county town of Harrogate are further north, with Northallerton a bit further, and Scarborough, a seaside resort on the coast to the Northeast. There are training hospitals in all the towns mentioned, and at Airedale in the Northwest and Cottingham near to Hull. Large parts of the county are occupied by areas of natural beauty, the Yorkshire Dales National Park in the West and the North Yorkshire Moors National Park in the East. There are many historic buildings of great interest in the towns and country. Further information is available from local Tourist Boards. The people of Yorkshire are generally friendly and welcoming. They may be a bit blunt, asking direct questions and saying exactly what they mean, which can be a bit disconcerting if you are not used to it. You may find the dialect hard to understand, but people will help you if you ask. Women do not lead sheltered lives. They take an active part in all aspects of life and work. Men and women are treated as equals, and it is important that you recognise this, both in your work, and in social settings. You will notice that nurses address patients of all ages by their first names, John or Mary. Patients would normally expect doctors to be more formal, addressing them as Mrs Smith (married), Miss Jones (unmarried), or Mr Johnson. If you are in any doubt, ask politely what you should do. 18 CONTACTS AND ADDRESSES: THE ROYAL COLLEGES Royal College of Anaesthetists (RCA) 48-49 Russell Square, London WC1B 4JY Tel: 020 7813 1900 Fax: 020 7813 1876 E-mail: info@rcoa.ac.uk ODTS: Tel: 020 7908 7344 Fax: 020 7636 8280 E-mail: odts@rcoa.ac.uk www.rcoa.ac.uk Royal College of Ophthalmologists (RCOphth) 17 Cornwall Terrace, London, NW1 4QW Tel: 020 7935 0702 Fax: 020 7935 9838 ODTS administrator: Beth Barnes Tel: 020 7935 0702 ext 207 E-mail: beth.barnes@rcophth.ac.uk www.rcophth.ac.uk Royal College of Paediatrics & Child Health (RCPCH) 50 Hallam Street, London W1W 6DE Tel: 020 7307 5600 E-mail: enquiries@rcpch.ac.uk IPTS administrator: Kim Pickersgill Tel: 020 7307 5638 Fax: 020 7307 5693 E-mail: kim.pickersgill@rcpch.ac.uk www.rcpch.ac.uk Royal College of Physicians, Edinburgh (RCPE) 9 Queen St, Edinburgh EH2 1JQ Tel: 0131 225 7324 Fax: 0131 220 3939 ODTS: closed to new applicants E-mail: c.gray@rcpe.ac.uk www.rcpe.ac.uk Royal College of Psychiatrists (RCPsych) 17 Belgrave Square, London SW1X 8PG Tel: 020 7235 2351 Fax: 020 7245 1231 E-mail: rcpsych@rcpsych.ac.uk CASS: Mrs Marion Palmer-Jones/Mrs Joanna Carroll Tel: 020 7235 2351 ext 108/123 www.rcpsych.ac.uk Royal College of Surgeons (RCS) 35-43 Lincolns Inn Fields, London WC2A 3PE Tel: 020 7405 3474 ODTS: Tel: 020 7869 6231 E-mail: odt@rcseng.ac.uk www.rcseng.ac.uk ODTS =Overseas Doctors Training Scheme OFS = Overseas Fellowship Scheme IPTS = International Paediatric Training Scheme ISS = International Sponsorship Scheme CASS = Consultant Assisted Sponsorship Scheme 19 Royal College of Obstetricians and Gynaecologists (RCOG) 27 Sussex Place, Regents Park, London, NW1 4RG Tel: 020 7772 6200 Fax: 020 7723 0575 OFS administrator: Binta Patel Tel: 020 7772 6223 E-mail: bpatel@rcog.org.uk www.rcog.org.uk Royal College of Pathologists (RCPath) 2 Carlton House Terrace, London, SW1Y 5AF Tel: 020 7451 6700 Fax: 020 7451 6701 E-mail: exams@rcpath.org www.rcpath.ac.uk Royal College of Physicians of England (RCP) 11 St Andrews Place, Regents Park, London NW1 4LE Tel: 020 7935 1174 Fax: 020 7487 5218 ISS administrator: Matthew Foster Tel: 020 7935 1174 ext 319 E-mail: matthew.foster@rcplondon.ac.uk www.rcplondon.ac.uk Royal College of Physicians & Surgeons of Glasgow (RCPSG) 232-242 St Vincent St, Glasgow, G2 5RJ Tel: 0141 221 6072 Fax: 0141 221 1804 ODTS: Mrs Norma Rutherford E-mail: norma.rutherford@rcpsg.ac.uk www.rcpsg.ac.uk Royal College of Radiologists (RCR) 38 Portland Place, London W1B 1JQ Tel: 020 7636 4432 Fax: 020 7323 3100 E- mail: enquiries@rcr.ac.uk www.rcr.ac.uk Royal College of Surgeons of Edinburgh (RCSE) Nicolson Street, Edinburgh EH8 9DW Tel: 0131 527 1600 Fax 0131 557 6406 ODTS Administrator: Celia Mackie Information Section Royal College of Surgeons of Edinburgh Adamson Centre, 3 Hill Place, Edinburgh, EH8 9DS Tel: 0131 668 9222 Fax: 0131 668 9218 E-mail: c.mackie@rcsed.ac.uk www.rcsed.ac.uk OTHER NATIONAL BODIES GMC Registration (incl fees) and PLAB test Tel: 08453 573456 Fax: 020 7915 3532 E-mail: registrationhelp@gmc-uk.org General Medical Council 178 Great Portland Street, London W1W 5JE Tel: 020 7580 7642 Fax: 020 7915 3641 E-mail: gmc@gmc-uk.org www.gmc-uk.org The British Council Bridgewater House, 58 Whitworth St, Manchester M1 6BB Tel: 0161 957 7000 Fax: 0161 957 7111 E-mail: general.enquiries@britishcouncil.org www.britishcouncil.org/governance IELTS: British Council Information Centre Tel: 0161 957 7755 Fax: 0161957 7762 e-mail: general.enquiries@britishcouncil.org National Advice Centre for Postgraduate Medical Education Bridgewater House, 58 Whitworth Street, Manchester, M1 6BB Tel: 0161 957 7218 Fax: 0161 957 7029 E-mail: nacpme@britishcouncil.org Examination Services (IELTS) The British Council, 10 Spring Gardens, London SW1A 2BN Tel: 020 7930 8466 Fax: 020 7389 6347 www.ielts.org Department of Health website www.dh.gov.uk Work Permits (UK) Immigration and Nationality Directorate Home Office, Level 5, Moorfoot, Sheffield, S1 4PQ Tel: 0114 259 4074 Fax: 0114 259 3776 E-mail: wpcustomers@ind.homeoffice.gsi.gov.uk www.workingintheuk.gov.uk Immigration & Nationality Directorate Lunar House, 40 Wellesley Road, Croydon, CR9 2BY General enquiries: 0870 606 7766 E-mail: indpublicenquiries@ind.homeoffice.gov.uk Application Forms Unit: 0870 241 0645 (Calls charged at national rate) Forms can be downloaded from: www.ind.homeoffice.gov.uk For personal callers only: Birmingham Public Enquiry Office (PEO) Dominion Court 41 Station Road Solihull Birmingham B91 3RT Monday – Friday, 9am – 4pm Tel: 0121 704 5450 British Medical Association BMA House Tavistock Square London WC1H 9JR www.bma.org.uk Medical Defence Organisations: For personal callers only: Liverpool Public Enquiry Office (PEO) Reliance House 20 Water Street Liverpool L2 8XU Monday – Friday, 9am – 4pm Tel: 0151 237 0405 BMA Northern & Yorkshire Region Gladstone House, Lawnswood Business Park, Redvers Close, Leeds, LS16 6SS Tel: 0113 230 4417 Fax: 0113 230 6144 Medical Protection Society Granary Wharf House, 2 Canal Wharf, Leeds, LS11 5PY Tel: 0845 605 4000 Fax: 0113 241 0500 E-mail: info@mps.org.uk www.mps.org.uk 20 The Medical Defence Union MDU Services Limited, 230 Blackfriars Road, London, SE1 8PJ Tel: 020 7202 1500 E-mail: mdu@the-mdu.com www.the-mdu.com YORKSHIRE REGIONAL ADVISERS SPECIALTY REGIONAL ADVISER STC CHAIRMAN ACCIDENT & EMERGENCY Mr A F Shenton Regional Adviser in Accident & Emergency Bradford Royal Infirmary BRADFORD BD9 6RJ Mr A Wass A&E STC Chair Pinderfields General Hospital WAKEFIELD WF1 4DG ANAESTHESIA Dr C S Evans Regional Adviser in Anaesthetics Bradford Royal Infirmary BRADFORD BD9 6RJ Dr R Cruickshank Anaesthesia STC Chair St James’s University Hospital LEEDS LS9 7TF CLINICAL ONCOLOGY Dr D Gilson Regional Adviser in Clinical Oncology Cookridge Hospital LEEDS LS16 6QB Dr D Gilson Oncology STC Chair Cookridge Hospital LEEDS LS16 6QB MEDICINE Dr J Tucker Regional Adviser in Medicine St Luke’s Hospital Little Horton Road BRADFORD BD5 0NA Mr M Glass Regional Adviser in Obstetrics D Floor, Clarendon Wing Leeds General Infirmary LEEDS LS1 3EX Professor W A Burr Postgraduate Dean Yorkshire Deanery Willow Terrace Road The University of Leeds LEEDS LS2 9JT Mr D Pring Obs & Gynae STC Chair York District Hospital YORK YO31 8HE OBSTETRICS &GYNAECOLOGY TRAINING PROGRAMME DIRECTOR(S) Mr A Wass Programme Director in A & E Medicine Pinderfields General Hospital WAKEFIELD WF1 4DG Dr R Cruickshank Training Programme Director in Anaesthesia St James’s University Hospital LEEDS LS9 7TF Dr B Gray Training Programme Director in Anaesthesia: East Coast Hull Royal Infirmary HULL HU3 2JZ Dr M Leahy Training Programme Director in Oncology St James’s University Hospital LEEDS LS9 7TF See page 23 East: Mr D Pring West: Mr R Rand Training Programme Director Bradford Royal Infirmary BRADFORD BD9 6RJ Leeds: OCCUPATIONAL MEDICINE Dr J Shepherd Regional Specialty Adviser in Occupational Medicine St James’s University Hospital LEEDS LS9 7TF Dr J Shepherd Occupational Medicine STC Chair St James’s University Hospital LEEDS LS9 7TF 21 Miss S Kaufmann Training Programme Director Huddersfield Royal Infirmary HUDDERSFIELD HD3 3EA Dr J Shepherd Training Programme Director in Occupational Medicine St James’s University Hospital LEEDS LS9 7TF YORKSHIRE REGIONAL ADVISERS (Cont.) SPECIALTY REGIONAL ADVISER STC CHAIRMAN OPHTHALMOLOGY Mr J Bradbury Regional Adviser in Ophthalmology Bradford Royal Infirmary BRADFORD BD9 6RJ Mr J Bradbury Ophthalmology STC Chair Bradford Royal Infirmary BRADFORD BD9 6RJ PAEDIATRICS Dr P Holland Regional Adviser in Paediatrics Leeds General Infirmary LEEDS LS1 3EX Dr P R F Dear Paediatrics STC Chair St James’s University Hospital LEEDS LS9 7TF PSYCHIATRY Dr C Simpson Regional Adviser in Psychiatry Friarage Hospital NORTHALLERTON DL6 1JG Dr J Fear Faculty Adviser for Public Health Medicine Leeds West PCT Bremner House Gelderd Business Park LEEDS LS12 6QD Dr W Burn Consultant Psychiatrist Towngate House 1 Towngate Close GUISLEY LS20 9LM Dr R J H Robertson Regional Adviser in Radiology Leeds General Infirmary LEEDS LS1 3EX Dr R J H Robertson Radiology STC Chair Leeds General Infirmary LEEDS LS1 3EX PUBLIC HEALTH RADIOLOGY SURGERY (including paediatric surgery) Mr J MacFie Regional Adviser in Surgery Scarborough Hospital SCARBOROUGH YO12 6QL Dr D Shickle Public Health Medicine STC Chair SCARR University of Sheffield SHEFFIELD S10 2TN Prof. P Guillou General Surgery STC Chair Academic Unit of Surgery St James’ University Hospital LEEDS LS9 7TF 22 TRAINING PROGRAMME DIRECTOR(S) Mr I Simmons Training Programme Director in Ophthalmology St James’s University Hospital LEEDS LS2 9JT Dr S Jones Training Programme Director in Paediatrics Pinderfields General Hospital WAKEFIELD WF1 4DG See page 25 Dr M Robinson Training Programme Director for Public Health Medicine Nuffield Institute for Health 71-75 Clarendon Road LEEDS LS2 9PL Leeds/Bradford: Dr P O’Connor Training Programme Director in Radiology Leeds General Infirmary LEEDS LS1 3EX Hull/York: Dr D Ettles Training Programme Director in Radiology Hull Royal Infirmary HULL HU3 2JZ Mr J MacFie Training Programme Director in General Surgery Scarborough Hospital SCARBOROUGH YO12 6QL YORKSHIRE REGIONAL SPECIALTY ADVISERS (Medicine) SPECIALTY REGIONAL SPECIALTY ADVISER STC CHAIRMAN Cardiology Dr G Reynolds Regional Speciality Adviser in Cardiology Yorkshire Heart Centre Leeds General Infirmary LEEDS LS1 3EX Dr C Walton Regional Speciality Adviser in Diabetes & Endocrinology Hull Royal Infirmary HULL HU3 2JZ Dr G Reynolds Cardiology STC Chair Yorkshire Heart Centre Leeds General Infirmary LEEDS LS1 3EX Dr V Goulden Dr R A Sheehan-Dare Dermatology STC Chair Leeds General Infirmary LEEDS LS1 3EX Diabetes & Endo Dermatology Dr C Walton Diabetes & Endocrinology STC Chair Hull Royal Infirmary Anlaby Road HULL HU3 2JZ Regional Speciality Adviser in Dermatology Gastroenterology General (Internal) Medicine Genetics Genito-urinary Medicine Geriatrics Infectious Diseases Leeds General Infirmary LEEDS LS1 3EX Dr M Dakkak Regional Specialty Adviser in Gastroenterology Hull Royal Infirmary HULL HU3 2JZ Dr A Arnold Regional Speciality Adviser in General (Internal) Medicine Castle Hill Hospital COTTINGHAM HU16 5JQ Dr C Bennett Regional Speciality Adviser in Clinical Genetics St James’ University Hospital LEEDS LS9 7TF Dr J D Wilson Regional Speciality Adviser in GU Medicine Leeds General Infirmary LEEDS LS1 3EX Dr N Penn Regional Specialty Adviser in Geriatrics St James’ University Hospital LEEDS LS9 7TF Dr P Stanley Regional Specialty Adviser in Infectious Diseases Bradford Royal Infirmary BRADFORD BD9 6RJ 23 Dr M Dakkak Gastroenterology STC Chair Hull Royal Infirmary HULL HU3 2JZ Dr A Arnold General (Internal) Medicine STC Chair Castle Hill Hospital COTTINGHAM HU16 5JQ No formal STC Dr J D Wilson GU Medicine STC Chair Leeds General Infirmary LEEDS LS1 3EX Dr N Penn Geriatrics STC Chair St James’ University Hospital LEEDS LS9 7TF No formal STC TRAINING PROGRAMME DIRECTOR(S) Dr G Reynolds Training Programme Director in Cardiology Yorkshire Heart Centre Leeds General Infirmary LEEDS LS1 3EX Dr C Walton Training Programme Director in Diabetes & Endocriilogy Hull Royal Infirmary Anlaby Road HULL HU3 2JZ Dr V Goulden Training Programme Director in Dermatology Leeds General Infirmary LEEDS LS1 3EX Dr M Dakkak Training Programme Director in Gastroenterology Hull Royal Infirmary HULL HU3 2JZ Dr A Arnold Training Programme Director in General (Internal) Medicine Castle Hill Hospital COTTINGHAM HU16 5JQ Dr C G Woods Training Programme Director in Genetics St James’ University Hospital LEEDS LS9 7TF Dr J D Wilson Training Programme Director in GU Medicine Leeds General Infirmary LEEDS LS1 3EX Dr N Penn Training Programme Director in Geriatrics St James’ University Hospital LEEDS LS9 7TF Dr P Stanley Training Programme Director in Infectious Diseases Bradford Royal Infirmary BRADFORD BD9 6RJ YORKSHIRE REGIONAL SPECIALTY ADVISERS (Medicine)(Cont.) SPECIALTY REGIONAL SPECIALTY ADVISER STC CHAIRMAN Medical Oncology Dr P Patel Regional Speciality Adviser in Medical Oncology Dept of Cancer Medicine St James’ University Hospital LEEDS LS9 7TF Dr D Eadington Regional Speciality Adviser in Nephrology Hull Royal Infirmary HULL HU3 2JZ Dr S Jamieson Regional Speciality Adviser in Neurology Leeds General Infirmary LEEDS LS1 3EX Dr M Stockton Regional Specialty Adviser in Palliative Medicine St Gemma’s Hospice 329 Harrogate Road Moortown LEEDS LS17 6QD Dr R Kent Regional Specialty Adviser in Rehabilitation Medicine Pinderfields General Hospital WAKEFIELD WF1 4DG Dr D Currie Regional Speciality Advisor in Respiratory Medicine Dewsbury District Hospital DEWSBURY WF13 4HS Dr C Pease Regional Speciality Adviser in Rheumatology Leeds General Infirmary LEEDS LS1 3EX Dr D Gilson Oncology STC Chair Cookridge Hospital LEEDS LS16 6QB Nephrology Neurology Palliative Medicine Rehabilitation Medicine Respiratory Medicine Rheumatology Dr D Eadington Nephrology STC Chair Hull Royal Infirmary HULL HU3 2JZ Dr S Jamieson Neurology STC Chair Leeds General Infirmary LEEDS LS1 3EX Dr M Stockton Palliative Medicine STC Chair St Gemma’s Hospice 329 Harrogate Road Moortown LEEDS LS17 6QD No formal STC Dr D Currie Respiratory Medicine STC Chair Dewsbury District Hospital DEWSBURY WF13 4HS Dr C Pease Rheumatology STC Chair Leeds General Infirmary LEEDS LS1 3EX TRAINING PROGRAMME DIRECTOR(S) Dr M Leahy Training Programme Director in Oncology Dept of Cancer Medicine St James’ University Hospital LEEDS LS9 7TF Dr D Eadington Training Programme Director in Nephrology Hull Royal Infirmary HULL HU3 2JZ Dr S Jamieson Training Programme Director in Neurology Leeds General Infirmary LEEDS LS1 3EX Dr M Stockton Training Programme Director in Palliative Medicine St Gemma’s Hospice 329 Harrogate Road Moortown LEEDS LS17 6QD Dr R Kent Training Programme Director in Rehabilitation Medicine Pinderfields General Hospital WAKEFIELD WF1 4DG Dr D Currie Training Programme Director in Respiratory Medicine Dewsbury District Hospital DEWSBURY WF13 4HS Dr C Pease Training Programme Director in Rheumatology Leeds General Infirmary LEEDS LS1 3EX YORKSHIRE REGIONAL SPECIALTY ADVISERS (Pathology) Chemical Pathology Dr J Horner Regional Specialty Adviser in Chemical Pathology St James’s University Hospital LEEDS LS9 7TF Dr J Horner Chemical Pathology STC Chair St James’s University Hospital LEEDS LS9 7TF 24 Dr J Horner Training Programme Director in Chemical Pathology St James’s University Hospital LEEDS LS9 7TF YORKSHIRE REGIONAL SPECIALTY ADVISERS (Pathology)(Cont.) SPECIALTY REGIONAL SPECIALTY ADVISER STC CHAIRMAN Haematology Dr C Carter Regional Specialty Adviser in Haematology Hull Royal Infirmary HULL HU3 2JZ Dr W Merchant Regional Speciality Adviser in Histopathology Algernon Firth Building Leeds General Infirmary LEEDS LS1 3EX Dr H C Gooi Regional Speciality Adviser in Immunology St James’ University Hospital LEEDS LS9 7TF Dr M Denton Regional Speciality Adviser in Microbiology Leeds General Infirmary LEEDS LS2 9JT Dr C Carter Haematology STC Chair Hull Royal Infirmary HULL HU3 2JZ Histopathology Immunology Microbiology Dr W Merchant Histopathology STC Chair Algernon Firth Building Leeds General Infirmary LEEDS LS1 3EX No formal STC Dr M Denton Microbiology STC Chair Leeds General Infirmary LEEDS LS2 9JT TRAINING PROGRAMME DIRECTOR(S) Dr C Carter Training Programme Director in Haematology Hull Royal Infirmary HULL HU3 2JZ Dr W Merchant Training Programme Director in Histopathology Algernon Firth Building Leeds General Infirmary LEEDS LS1 3EX Dr H C Gooi Training Programme Director in Immunology St James’ University Hospital LEEDS LS9 7TF Dr M Denton Training Programme Director in Microbiology Leeds General Infirmary LEEDS LS2 9JT YORKSHIRE REGIONAL SPECIALTY ADVISERS (Psychiatry) Child & Adolescent Psychiatry Forensic Psychiatry General Adult Psychiatry Learning Disability Dr S Aldridge Regional Speciality Adviser in Child & Adolescent Psychiatry Littlewood House Hall 18 Clarendon Road LEEDS LS2 9NT Dr J Kent Regional Speciality Adviser in Forensic Psychiatry Newton Lodge Ouchthorpe Lane WAKEFIELD WF1 3SP Dr F McKenzie Regional Adviser in General Adult Psychiatry Millfield House Kirk Lane Yeadon LEEDS LS19 7LX Dr S Aldridge Child & Adolescent Psychiatry STC Chair Littlewood House Hall 18 Clarendon Road LEEDS LS2 9NT Dr B Easby Regional Specialty Adviser in Learning Disabilities Acomb Health Centre 1 Beech Grove YORK YO26 5LD No formal STC 25 No formal STC Dr F McKenzie General Adult Psychiatry STC Chair Millfield House Kirk Lane Yeadon LEEDS LS19 7LX Dr S Aldridge Regional Speciality Adviser in Child & Adolescent Psychiatry Littlewood House Hall 18 Clarendon Road LEEDS LS2 9NT Dr J Kent Training Programme Director in Forensic Psychiatry Newton Lodge Ouchthorpe Lane WAKEFIELD WF1 3SP Dr F McKenzie Training Programme Director in General Adult Psychiatry Millfield House Kirk Lane Yeadon LEEDS LS19 7LX Dr B Easby Training Programme Director in Learning Disabilities Acomb Health Centre 1 Beech Grove YORK YO26 5LD YORKSHIRE REGIONAL SPECIALTY ADVISERS (Psychiatry)(Cont.) SPECIALTY REGIONAL SPECIALTY ADVISER STC CHAIRMAN Old Age Psychiatry Dr W Burn Regional Specialty Adviser in Old Age Psychiatry Towngate House 1 Towngate Close GUISLEY LS20 9LM Dr J Johnston Regional Speciality Adviser in Psychotherapy Southfield House 40 Clarendon Rd LEEDS LS2 9PJ No formal STC Psychotherapy No formal STC TRAINING PROGRAMME DIRECTOR(S) Dr W Burn Training Programme Director in Old Age Psychiatry Towngate House 1 Towngate Close GUISLEY LS20 8LL Dr J Johnston Training Programme Director in Psychotherapy Southfield House 40 Clarendon Rd LEEDS LS2 9PJ YORKSHIRE REGIONAL SPECIALTY ADVISERS (Surgery) Cardiothoracic Surgery ENT Surgery Neurosurgery Orthopaedics & Trauma Plastic Surgery Urology Mr S Kendall Regional Speciality Adviser in Cardiothoracic Surgery The James Cook University Hospital, MIDDLESBROUGH TS4 3BW Mr C R Newbegin Regional Specialty Adviser in ENT Huddersfield Royal Infirmary HUDDERSFIELD HD3 3EA Mr P van Hille Regional Speciality Adviser in Neurosurgery Leeds General Infirmary LEEDS LS1 3EX Mr K Sherman Regional Speciality Adviser in Orthopaedics Hull Royal Infirmary HULL HU3 2JZ Mr A J Mearns Cardiothoracic STC Chair Bradford Royal Infirmary Duckworth Lane BRADFORD BD9 6RJ Mr L Guvendik Training Programme Director in Cardiothoracic Surgery Castle Hill Hospital COTTINGHAM HU16 5JQ Mrs H Cruikshank ENT STC Chair Pinderfields General Hospital WAKEFIELD WF1 4DG Mrs H Cruikshank Training Programme Director in ENT Pinderfields General Hospital WAKEFIELD WF1 4DG No formal STC Mr O Fenton Regional Speciality Adviser in Plastic Surgery Pinderfields General Hospital WAKEFIELD WF1 4DG Mr M Ferro Regional Speciality Adviser in Urology Huddersfield Royal Infirmary HUDDERSFIELD HD3 3EA Mr O Fenton Plastic Surgery STC Chair Pinderfields General Hospital WAKEFIELD WF1 4DG Mr Appleyard Urology STC Chair Airedale General Hospital Skipton Road KEIGHLEY BD20 6TD Mr P van Hille Training Programme Director in Neurosurgery Leeds General Infirmary LEEDS LS1 3EX Mr D Limb Training Programme Director in Orthopaedics St James’ University Hospital LEEDS LS9 7TF Mr O Fenton Training Programme Director in Plastic Surgery Pinderfields General Hospital WAKEFIELD WF1 4DG Mr J Cartledge Training Programme Director in Urology St James’ University Hospital LEEDS LS9 7TF 26 Mr K Sherman Orthopaedics STC Chair Hull Royal Infirmary HULL HU3 2JZ HOSPITAL TELEPHONE NUMBERS Airedale General Hospital, Keighley 01535 652511 Bradford Royal Infirmary 01274 542200 Bridlington & District Hospital 01262 606666 Calderdale Royal Hospital, Halifax 01422 357171 Castle Hill Hospital, Cottingham 01482 875875 Chapel Allerton Hospital 0113 262 3404 Cookridge Hospital, Leeds 0113 267 3411 Dewsbury & District Hospital 01924 512000 Diana Princess of Wales Hospital, Grimsby 01472 874111 Friarage Hospital, Northallerton 01609 779911 Harrogate District Hospital 01423 885959 Huddersfield Royal Infirmary 01484 342000 Hull Royal Infirmary 01482 328541 Leeds General Infirmary 0113 243 2799 Pinderfields General Hospital, Wakefield 01924 201688 Pontefract General Infirmary 01977 600600 Princess Royal Hospital, Hull 01482 701151 Scarborough General Hospital 01723 368111 Scunthorpe General Hospital 01724 282282 Seacroft Hospital, Leeds 0113 264 8164 St James University Hospital, Leeds 0113 243 3144 St Luke’s Hospital, Bradford 01274 734744 St Luke’s Hospital, Huddersfield 01484 654711 Wharfedale General Hospital 01943 465522 York District Hospital 01904 631313 Goole & District Hospital 01405 720720 27 YORKSHIRE DIRECTORS OF POSTGRADUATE MEDICAL EDUCATION AIREDALE Dr J R Baker Director of PGME Postgraduate Centre Dept of Medical Education Airedale General Hospital Skipton Road, Steeeton KEIGHLEY BD20 6TD Tel: 01535 294375 GRIMSBY Dr J Adiotomri Associate Director of PGME Diana Princess of Wales Hospital Scartho Road GRIMSBY DN33 2BA Tel: 01472 875275 HUDDERSFIELD Dr S Kaufman Director of PGME Learning & Development Centre Huddersfield Royal Infirmary HUDDERSFIELD HD3 3EA Tel: 01484 342826 BRADFORD Mr D Wilkinson Director of PGME Fieldhouse Teaching Centre Bradford Royal Infirmary Duckworth Lane BRADFORD BD9 6RJ Tel: 01274 364419 DEWSBURY Dr A Jackson & Dr J Brook Clinical Tutors Oakwell Centre for Learning & Development Dewsbury & District Hospital DEWSBURY WF13 4HS Tel: 01924 816246 HALIFAX Dr S N Chandratre Clinical Tutor Learning & Development Centre Calderdale Royal Hospital HALIFAX HX3 0PW Tel: 01422 224385 HULL & EAST YORKSHIRE Dr C Melville Director of PGME East Riding Medical Education Centre Hull Royal Infirmary Anlaby Road HULL HU3 2JX Tel: 01482 604313 HARROGATE Dr P G Hammond Director of PGME Strayside Educational Centre Harrogate District Hospital Lancaster Park Road HARROGATE HG2 7SX Tel: 01423 553094 LEEDS GENERAL INFIRMARY NORTHALLERTON Dr A Isdale Director of PGME Study Centre Department of PGME Friarage Hospital NORTHALLERTON DL6 1JG Tel: 01609 762056 Dr O Corrado Clinical Tutor Littlewood Hall Postgraduate Centre Leeds General Infirmary Great George Street LEEDS LS1 3EX Tel: 0113 392 2138 PONTEFRACT Dr A Harvey Director of PGME The Douglas Pickup Postgraduate Centre Pontefract General Infirmary Friarwood Lane PONTEFRACT WF8 1PL Tel: 01977 606361 ST JAMES’ UNIVERSITY HOSPITAL Mr P Kent Director of PGME Postgraduate Centre 2nd Floor, Ashley Wing St James’ University Hospital Beckett Street LEEDS LS9 7TF Tel: 0113 2066152 SCARBOROUGH Mr E P Perry Director of PGME Scarborough Hospital Woodlands Drive SCARBOROUGH YO12 6QL Tel: 01723 342077 YORK Dr J Thow Director of PGME Postgraduate Centre York District Hospital Wigginton Road YORK YO31 8HE Tel: 01904 454325 28 LEEDS – COMMUNITY & MENTAL HEALTH Dr P Bowie Director of Leeds Mental Health Trust Leeds MHT Postgraduate Dept The Annexe, The Mount 44 Hyde Terrace LEEDS LS2 9LN Tel: 0113 3056227 PINDERFIELDS Dr D Nagi or Mr A Browning Clinical Tutors Postgraduate Centre Pinderfields General Hospital Aberford Road WAKEFIELD WF1 4DG Tel: 01924 212391 SCUNTHORPE Mr S Odukoya Director of PGME Scunthorpe General Hospital Cliffe Gardens SCUNTHORPE DN15 7BH Tel: 01724 282282 MENTORS FOR OVERSEAS DOCTORS AIREDALE Mr Ali Nejim Consultant Surgeon Airedale General Hospital Skipton Road, Steeton KEIGHLEY BD20 6TD Tel: 01535 652511 BRADFORD Dr Sanjeeva Gupta Consultant Anaesthetist Dept of Anaesthesia Bradford Royal Infirmary Duckworth Lane BRADFORD BD9 6RJ Tel: 01274 364065 HALIFAX Dr S N Chandratre Consultant Geriatrician Halifax General Hospital Salterhebble HALIFAX HX3 OPW Tel: 01422 357171 HULL & EAST RIDING COMMUNITY Dr Francis Umerah Consultant Paediatrician Hull & East Riding Community Trust The Children’s Centre 70 Walker Street HULL HU3 2HE Tel: HULL & EAST YORKSHIRE Dr A Pathak Assoc Specialist, Orthopaedics Castle Hill Hospital Castle Rd COTTINGHAM HU16 9JQ Tel: 01482 623342 PONTEFRACT Mr M Basheer Consultant Surgeon Pontefract General Infirmary Southgate PONTEFRACT WF9 1PL Tel: 01977-600600 SCARBOROUGH Dr S K Chatterjee Consultant Geriatrician Scarborough Hospital Woodlands Drive SCARBOROUGH YO12 6QL Tel: 01723-368111 BRADFORD Dr D Newton Consultant Physician C Floor Fieldhouse Teaching Centre Bradford Royal Infirmary Duckworth Lane BRADFORD BD9 6RJ Tel: 01274 364294 DEWSBURY Mrs T Tariq Consultant Obstetrician Dewsbury District Hospital Healds Road DEWSBURY WF13 4HS Tel: 01924 465105 HARROGATE Dr J Krishna Consultant Histopathologist, Harrogate District Hospital, Lancaster Park Road HARROGATE HG2 7SX Tel: 01423 553092 HULL & EAST YORKSHIRE Dr Fayez Ahmed Consultant Neurologist Department of Neurology Hull Royal Infirmary Anlaby Road HULL HU3 2JZ Tel: 01482 675591/2 LEEDS GENERAL INFIRMARY Dr J Turney Consultant Physician Leeds General Infirmary Great George Street LEEDS LS1 3EX Tel: 0113 243 2799 PONTEFRACT Dr Soumitra Dutta Associate College Tutor in Medicine Department of Medicine Pontefract General Hospital Friarwood Lane PONTEFRACT WF8 1PL Tel: 01977 600600 WAKEFIELD Dr U Raja Consultant Pathologist Pinderfields General Hospital Aberford Road WAKEFIELD WF1 4DG Tel: 01924 213643 Sec: 01924 212566 29 BRADFORD Mr Faruque Ghanchi Consultant Department of Ophthalmology Bradford Royal Infirmary Duckworth Lane BRADFORD BD9 6RJ Tel: 01274 364117 DEWSBURY Dr Jennifer Edwards Consultant in Childhood & Adolescent Psychiatry Dewsbury & District Hospital Halifax Road DEWSBURY WF13 4HS Tel: 01924 512014 HUDDERSFIELD Mr M Aldoori Consultant Surgeon Huddersfield Royal Infirmary Acre Street, Lindley HUDDERSFIELD HD3 3EA Tel: 01484 422191 HULL & EAST YORKSHIRE Dr M Donaldson Consultant Anaesthetist Hull Royal Infirmary Anlaby Road HULL HU3 2JZ Tel: 01482 328541 LEEDS MENTAL HEALTH Dr T M Kumar Consultant Psychiatrist Dept of Liaison Psychiatry Becklin Centre Alma Street LEEDS LS9 7BE Tel: 0113 305 6730 SCARBOROUGH Mr Patrick Akar Consultant Accident & Emergency Dept Scarborough Hospital Woodlands Drive SCARBOROUGH YO12 6QL Tel: 01723 368111 WAKEFIELD Dr Aneel Sohal Consultant Microbiologist Pinderfields General Hospital Aberford Road WAKEFIELD WF1 4DG Tel: 01924-201688 MENTORS FOR OVERSEAS DOCTORS IN YORKSHIRE (continued) YORK Dr T Verghese Staff Grade in Paediatrics C/o Dr Harran’s Secretary York District Hospital Wiggington Road YORK YO31 7HE Tel: 01904 631313 These are senior doctors, interested in the training and welfare of Overseas Doctors. They are happy to provide support for individual doctors on a confidential basis. This might be to sort out a particular problem, but need not be. It may be for advice, guidance or reassurance on work-related or pastoral matters, with particular concern for the needs of doctors unfamiliar with the culture of the United Kingdom and the NHS. The mentor can, where both parties agree that it is appropriate, involve others with relevant expertise. The mentor can be contacted directly or through the Postgraduate Centre or the Medical Staffing department. 30