NHS EDUCATION FOR SCOTLAND
WEST OF SCOTLAND REGION
SUBSPECIALIST TRAINING IN MATERNAL AND FETAL MEDICINE
REF WOS 100413
JOB DESCRIPTION
1.
INTRODUCTION
The Specialist Registrar post forms part of the West of Scotland Training Programme in
Obstetrics and Gynaecology and has training approval from the Royal College of
Obstetricians and Gynaecologists and will conform to the formal training guidelines laid out
in the Royal College documents.
The training programme rotates through the Glasgow Maternity, Paediatric and Adult
hospitals. At present the programme is based at the Southern General Hospital with
rotation to the Princess Royal Maternity Hospital and other Units for specific modules.
There is a large clinical component to the job, together with protected research sessions.
Any prospective trainee will have to be approved by the Sub-speciality Training Committee
of the RCOG.
During the training programme, the trainee’s education and progress is supervised by the
Regional Specialist Training Committee (STC) in Obstetrics and Gynaecology and by the
Training Programme Director. Individual trainees are required to sign a training
programme agreement, and performance assessment is carried out on a regular basis
throughout training. Summative assessment is conducted annually and is based on inhouse training assessment criteria laid down by the STC. Study leave conforms with terms
and conditions of service for the Specialist Registrar grade.
2
ENTRY REQUIREMENTS
The trainee will be appointed by a Committee comprising representatives of the
Postgraduate Dean, the Trusts and the University of Glasgow together with a National
Panelist and the training programme directors.
Candidates must currently be in a Specialist training post, hold an NTN and have
completed 3 years of training in a Specialist Registrar programme. The trainee is expected
to return to the original deanery at the end of the appointment.
Candidates must hold the MBChB and the MRCOG or recognised equivalents.
The applicant must have undertaken at least one year’s relevant research training that has
led either to a higher degree (MD/PhD) or a number of significant publications.
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DESCRIPTION OF UNITS
Southern General Hospital
Within the SGH is the Ian Donald Fetal Medicine Unit. This is led by Professor Alan
Cameron, Drs Janet Brennand, Janice Gibson and Marieanne Ledingham. The Unit receives
funding from the National Services Division to provide Interventional Fetal Therapy.
The current reorganisation of maternity services within Glasgow
for Sick Children relocate from Yorkhill in 2015. At present the
prepared for the building of a state of the art medical facility
medical and surgical facilities and a laboratory block that will
anticipated completion for all these developments is 2015.
Continued overleaf ….
will see the Royal Hospital
Southern campus is being
with replacement of adult
serve the whole city. The
Princess Royal Maternity Hospital/Glasgow Royal Infirmary
A comprehensive Maternal/Fetal medicine service is provided including prenatal diagnostic
facilities, medical obstetric service, specialist clinics for diabetes, multiple pregnancies,
recurrent miscarriage and pre-pregnancy counselling. Drs Fiona Mackenzie, Anne Duncan
and Vicki Brace are the subspecialists in Maternal Fetal Medicine based at the PRMH.
The Women’s Reproductive Health Service is based at PRM and provides city wide care for
patients with profound social problems, including IV drug abuse.
PRMH has a long tradition in the development of Midwifery and there is a very active
Midwifery Research and Audit Department based at PRM.
Both undergraduate and postgraduate teaching is undertaken at PRM. There is a
compulsory Friday afternoon PG teaching together with a joint paediatric and obstetric
meeting on alternate weeks.
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THE CLINICAL TRAINING
The organisation of the training programme will consist of a number of fixed weekly
sessions throughout the programme and a series of modules to comprehensively cover all
aspects of the new RCOG curriculum in Maternal Fetal Medicine.
a)
Year 1
The trainee will attend Obstetric Medicine clinics at the SGH and be involved in the
antenatal, intrapartum and postnatal care of these women. Regular ultrasound lists will be
attended involving fetal anomaly scanning and invasive procedures. The trainee will be
involved in day-care assessments and will have fixed labour ward sessions.
The specific modules that will be attended in year 1 include Genetics (both laboratory and
clinical), Intensive Care, Obstetric Anaesthesia, Neonatology, Specialized Medical Clinics
and the Women’s Reproductive Health Service.
The trainee will also attend the joint Diabetes/Obstetrics clinic and the multiple pregnancy
clinic during the course of the year.
b) Year 2
There will be an increasing exposure to the diagnosis and management of fetal
malformations in the second year of the programme, together with an increase in invasive
ultrasound techniques including cordocentesis. Fetal echocardiography training will also be
undertaken. Counselling skills will be improved.
The specific modules in year 2 are Paediatric Surgery, Neonatal and Fetal Pathology and
Paediatric Cardiology. The trainee will also attend clinics in Metabolic Medicine,
Neurodevelopment and Endocrinology. Time will be spent in microbiology, virology,
haematology and blood transfusion laboratories.
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RESEARCH AND AUDIT
Research
There is a strong tradition of research in the West of Scotland. Facilities and support for
research activities are available through the University academic department based at GRI
and within both hospitals.
The trainee will be encouraged to participate in clinical and basic science research and time
will be allocated protected sessions.The main research labs are situated at the University
Department at GRI.
Audit
The trainee will be seconded to the Glasgow wide Perinatal Audit Committee and will be
expected to participate fully in the ongoing audit projects.
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GENERAL INFORMATION
Hours and Salary
The trainee will be paid as per SpR 4/5 national pay scales together with locally agreed
bandings for intensity payments. An on-call commitment will be required, covering both
Obstetrics and Gynaecology in either the North Glasgow Trust or the Yorkhill Trust.
Further Information
Closing date – Friday 31st May 2013
For further information on the training programme, please contact:
Subspecialty Programme Director - Professor Alan Cameron on 0141 232 2266
Training Programme Director - Dr Philip Owen on 0141 211 5286 or 0141 232 0864