Information Pack POSITION: International Medical Training Fellowship Reference Grade Location Hours / PA’s Salary Scale Closing Date MS/0315/05 Quote on all correspondence Senior Fellows (International Medical Training Fellows) Wishaw General Hospital & Southern General Hospital 40 hrs week + out of hours £30,302 - £47,647 p.a. 5 p.m. GMT on 31st March 2015 Your Application Thank you for expressing an interest in the above post. Please find all the relevant information attached to begin the application process. Should you require further information regarding this post you can contact the Medical Staffing team or make informal enquiries with the department using the contact details below. To ensure we can process your application as easily as possible please complete all the information required within the Application Pack and email with your CV. Contact Details Telephone Email 01698 377731 Gillian.Swinburne@lanarkshire.scot.nhs.uk Application Process To apply, please email your CV to the above, along with the attached completed Application Pack. Application Pack .doc Additional Arrangements Informal enquiries regarding this post will be welcomed by:01698 361100 Pg 119 Dr S Ibhanesebhor Consultant 0141 201 2229 Dr Peter MacDonald Consultant Date when the post is Vacant The post is vacant from August 2015. Scotland To find out more about Scotland, and what it can offer as a place of work, stay and visit, go to http://www.scotland.org/ the official gateway to Scotland. We are an Equal Opportunities Employer and Positive about Disabled People. Page 1 Information Pack POSITION: International Medical Training Fellowship Outline of programme: This post is designed to offer senior IPTS Fellows a robust training in Neonatology. The rotation will provide up to 24 months experience rotating through placements in different neonatal units designed to provide a comprehensive exposure to all aspects of neonatal training. The initial placement (year 1 of training) will be in a level 3 neonatal unit attached to a large maternity unit offering substantial experience in the management of preterm infants. This will be in Wishaw General Hospital and will be followed by a second year of training either remaining in Wishaw General Hospital or rotating to the Southern General Hospital, depending on the trainng needs of the individual. The Southern General neonatal service is associated with the regional fetal medicine service and the regional paediatric and surgical services and provides substantial exposure to the medical and surgical management of infants with congenital abnormalities and complications of prematurity. The IPTS trainee will be expected to undertake NLS, and Child Protection training during the first six-months of the programme. Supervisors: Dr S Ibhanesebhor, Dr Anand Departmental Information: Wishaw General Hospital (initial placement) The Wishaw General Hospital is the largest district general hospital in Scotland. The neonatal unit located at Wishaw General Hospital is equipped with 29 neonatal cots of which 8 designated for intensive care, 10 high dependency, 11 special care and 6 transitional care cots. Conventional and oscillation ventilation, inhaled Nitric Oxide, total body cooling treatment are offered on the neonatal unit. Royal Hospital for Sick Children (Yorkhill) and Southern General Hospitals Glasgow Royal Hospital for Sick Children, (Yorkhill) is the largest paediatric teaching hospital in Scotland. It provides care, not only for children resident within Greater Glasgow, but is also a tertiary referral centre for children from the West of Scotland and, in some sub-specialties, from the whole of Scotland. All paediatric medical and surgical subspecialties are represented, including general medical paediatrics, cardiology, neonatology, neurology, nephrology, respiratory medicine, endocrinology, gastroenterology, Page 2 Information Pack POSITION: International Medical Training Fellowship immunology and infectious diseases, dermatology, haematology/oncology, audiology, ophthalmology, ENT surgery, orthopaedics and general paediatric and neonatal surgery. The hospital provides the Scottish national ECMO service, is the centre for all paediatric cardiac surgery and the majority of the Paediatric Intensive care for Scotland. The Southern General Hospital is a large adult hospital site about 4 miles (6km) from Yorkhill. A newly expanded maternity unit opened in December 2009 delivering 5,500-6,000 infants per year and incorporating the Fetal Medicine Unit. The children’s hospital is currently being rebuilt on the Southern General site, and by early 2015 both elements of the neonatal service will have merged into a single unit on that site. Activity / Workload Wishaw General Hospital (initial placement) The unit provides acute and long term specialist care to over 60 infants a year who weighed less than 1000g at birth and well over 1000 intensive care days per year. This level 3 neonatal unit provides supporting service to the regional maternity service that has 86 maternity beds with an annual delivery rate of over 5000 births and provision for consultant delivered high risk perinatal service. Royal Hospital for Sick Children (Yorkhill) Hospitals and Southern General The new neonatal intensive care unit at the Southern General Hospital provides care for preterm infants and high risk regional deliveries due to fetal anomalies. This unit currently has 8 NICU cots but has the capacity to increase to 34 NICU cots over the next few years. Additionally, neonatal intensive care services will be provided in the NICU in Yorkhill. In early 2015 this aspect of the service will transfer into the Southern General NICU following the rebuilding of the children’s hospital on the Southern General site. Neonatal care at Yorkhill is part centrally funded by the National Services Division with several national services provided on site. This includes neonatal cardiac surgery, ECMO, neonatal airway surgery, Vein of Galen treatment (UK/European service) and Congenital Diaphragmatic Hernia service. The NICU (12 ITU cots) is jointly managed by the neonatal consultants and the paediatric surgeons. Neonatal ECMO for Scotland and the North of Ireland is based in the unit and a team of 3 surgeons work with neonatologists to provide cover. Postnatal transfers for newborns with congenital anomalies are also common. Over 200 newborn per year are currently transferred to Yorkhill because of the specialist services offered on site: one third are cardiology patients, one third are transfers of pregnancies Page 3 Information Pack POSITION: International Medical Training Fellowship affected by a congenital anomaly and the remainder are newborns requiring the involvement of the other paediatric specialists on site. Clinical Training and Responsibilities Wishaw General Hospital (initial placement) This busy unit provides a wealth of experience in the management of infants of all gestations from 24 weeks upwards. Training will be provided in the use of a range of neonatal therapies including conventional and oscillation ventilation, inhaled Nitric Oxide and total body cooling. The neonatal unit has facility for Neonatal ultrasound scan with on site Paediatric radiology support and is equipped with telemedicine link for Paediatric cardiology consultation, teaching and training purposes. Trainees have senior cover throughout the week and on-call provided by a team of consultant neonatologists. The department is involved in several multi-centre research projects. The undergraduate students from Edinburgh University undertake a Paediatric rotation on the neonatal unit at Wishaw General Hospital. Royal Hospital for Sick Children (Yorkhill) Hospitals and Southern General The combined service will see many infants with a broad spectrum of congenital anomalies delivered on the Southern General site to provide immediate access to surgical and post-operative care. Neonatal trainees (and consultants) will work across both aspects of the service thus providing trainees with a comprehensive neonatal clinical training including: medical & & surgical care of extremely premature infants, preoperative management of congenital heart disease, care of infants with complex airways, diaphragmatic hernias, abdominal wall defects and Vein of Galen aneurysms and management of infants referred for consideration of ECMO therapy due to failure of conventional respiratory management. There is a multidisciplinary neurodevelopment clinic for the follow up of preterm and high risk infants. Our developmental physiotherapist, our speech and language therapist and one of the clinical psychologists attend this clinic and input from a dietician is available. Non-Clinical Training and Responsibilities: There are a number of formal teaching sessions and other learning opportunities provided every week in each department. Other relevant meetings and teaching sessions are held regularly in other departments locally. Junior medical staff have access to library, computer, office and changing facilities. There are full opportunities for clinical research and access to laboratory facilities can be arranged as required. Trainees also have Page 4 Information Pack POSITION: International Medical Training Fellowship access to other relevant paediatric subspecialty teaching opportunities within the Yorkhill element of the rotation. Particular Training Opportunities: This rotation is specifically designed to offer trainees a comprehensive training package in neonatology balancing exposure to medical and surgical problems and problems of both term and preterm infants. It achieves this by offering a number of placements in units that have a varied and complementary casemix. Trainees will have exposure to some therapies and interventions that are only available in a very small number of U.K. centres. The rotation is also designed to allow a degree of tailoring of placements to meet the needs of individual trainees. Rota arrangements: Rotas are constantly being reviewed to maintain New Deal compliance together with the new arrangements that will be required by Scottish Medical Training (SMT). Rotas therefore, may be subject to change. Links This post consists of multiple placements that are already linked in a rotation. Study Leave Study leave is available for up to 30 days per annum on the same conditions as apply to the Paediatric ST trainees Salary Salary is paid on the Specialty Registrar salary scale. Starting point on this scale will be dependent on previous experience but is likely to be at ST3 level. Page 5 Information Pack POSITION: International Medical Training Fellowship DECLARATIONS/CONVICTIONS STATEMENT The following should be used when completing DECLARATIONS/ CONVICTIONS within the application pack. Registration with the General Medical Council or General Dental Council imposes on doctors and dentists the duty to provide a good standard of medical care and to behave appropriately, towards patients. NHS Employees also have a duty to ensure that patients receive a good standard of medical care and ensure as far as possible the safety of patients. We therefore need to establish if you have been found guilty of a criminal offence, been bound over or cautioned or are currently the subject of proceedings which might lead to a conviction, an order binding you over or a caution, in the UK or any other country. Applications for posts in the NHS are exempt from the Rehabilitation of Offenders Act 1974. Application forms will include a declaration for applicants to complete declaring any previous or pending prosecutions or convictions, including those considered “spent” under the Act. Forms will also include a declaration of any cautions or bind overs. We also need to establish if you have been the subject of any fitness to practise proceedings in the past, or if any fitness to practise proceedings are being contemplated, by a licensing or regulatory body in the UK or another country and this is also reflected in the declaration. This information will be treated in confidence and will not debar you from appointment unless the selection panel considers that it renders you unsuitable for appointment. In reaching such a decision we will consider the nature of the conviction/action, how long ago it took place and any other factors which may be relevant Failure to disclose a criminal offence, having been bound over or cautioned or that you are currently the subject of criminal proceedings, which might lead to a conviction, an order binding you over a caution, or fitness to practice proceedings undertaken or being undertaken by an appropriate licensing or regulatory body, may disqualify you from appointment, or result in summary dismissal/disciplinary action and referral to the General Medical Council (General Dental Council) for consideration if such a discrepancy came to light. If you would like to discuss what effect any previous convictions, police investigations or fitness to practice proceedings taken or being taken either in the UK or by an overseas licensing or regulatory body might have on your application, you may telephone: Marlene Fraser (01698) 377752 in confidence, for advice. 6 2014 Person Spec ST1 Information Pack POSITION: International Medical Training Fellowship IMMIGRATION Overseas Doctors and Dentists Changes to Immigration Impact of Change Further Information For the purpose of immigration status, overseas doctors and dentists are those who, regardless of where they obtain their primary medical/dental qualification, are not nationals of the European Economic Area (EEA). A list of EEA countries is attached. On 7th March 2006 the Department of Health announced changes to the immigration rules for postgraduate doctors and dentists. The changes came into effect on 3rd April 2006 and mean that all doctors and dentists who wish to work in the UK from outside the EEA will need to meet the requirements of an employment category such as the work permit provisions. New applications for permit-free training visas will no longer be granted for doctors undertaking training posts Non-EEA doctors and dentists will still be able to come and train in the UK and are still eligible to apply, in open competition for training posts provided all the other eligibility criteria is met. However, training posts will now be considered employment for immigration purposes. Work permits will only be issued where there is a specific post for the overseas doctors that cannot be filled by someone from the EEA. The changes in immigration requirements for trainee doctors and dentists are a result of a Scottish Executive Health Department announcement and immigration issues are the remit of the Home Office. Clarification and further information can be accessed from the following:Home Office Work Permits EEA Countries www.ind.homeoffice.gov.uk www.ukba.homeoffice.gov.uk/workingintheuk/ Austria Greece The Netherlands Belgium Hungary Norway Bulgaria Iceland Poland Cyprus Republic of Ireland Portugal Czech Republic Italy Romania Denmark Latvia Slovakia Estonia Liechtenstein Slovenia Finland Lithuania Spain France Luxembourg Sweden Germany Malta UK NB – Switzerland is not in the EEA, Swiss Nationals have the same rights as EEA nationals. 7 2014 Person Spec ST1