SOUTH EAST SCOTLAND DEANERY ST JOHNS’ HOSPITAL AND THE ROYAL INFIRMARY OF EDINBURGH JOB DESCRIPTION 1. THE TRAINING PROGRAMME The South East Scotland Rotational Training Programme in Obstetrics and Gynaecology is a 7 year structured training programme approved by the GMC and supervised locally by the Postgraduate Dean. This LAT post vacancy is based at St Johns Hospital, Howden, Livingston. It offers excellent experience in Obstetrics & Gynaecology. Specialty interests include minimal access surgery, gynaecological oncology. subfertility, assisted reproduction, maternal medicine, fetal medicine sexual dysfunction, ultrasound, urogynaecology, reproductive endocrinology, colposcopy and medical education. It is expected that the successful candidate will participate fully in documentation of his/her structured training, progress and personal development as outlined in the RCOG guidelines on structured training. Attendance at the various postgraduate lectures, seminars and also meetings of the Edinburgh Obstetric Society will be encouraged. Registrars are entitled to up to 30 days study leave per year including weekends during periods of continuous leave. Requests should be discussed with the Clinical Director and completed forms then sent to the Postgraduate Training Unit, Westport, Edinburgh, from where they will be forwarded to the Training Programme Director. 2. CLINICAL DUTIES OF THE POST Under the direct supervision of the Consultant staff, the Doctor in training is responsible for the in-patient and out-patient management of patients in both Obstetrics and Gynaecology. 1. Shares the responsibility for Antenatal Care, Labour Ward cover, Gynaecological Out-Patient Clinics, Theatre sessions and emergency duties. 2. Responsibility for administrative duties (e.g. correspondence; liaison with general practitioners and other members of the health care team; review of results of investigations) which arise as a consequence of these clinical duties. 3. Participation in clinical audit, risk management and clinical governance according to local policies and protocols. 4. Participation in supervision and training of junior members of the staff team, including workplace based assessment and appraisal. The holder of this post will be required to undertake exposure prone invasive 533565478 16/02/16 1 procedures (EPPs). It should be noted that the offer of appointment is subject to confirmation that the successful candidate is Hepatitis B immune. This is checked by the Occupational Health Service prior to commencement. No Smoking Policy for Staff All the hospitals operate a No Smoking Policy. Equal Opportunities in Employment All the Trusts have an Equal Opportunities Policy affirming that all applicants should be afforded equal opportunities in employment, irrespective of their age, gender, marital status, race, religion, creed, sexual orientation, colour or disability. 3. ACADEMIC AND RESEARCH DUTIES AND OPPORTUNITIES All Specialty Registrars within the programme are expected to take part in undergraduate teaching as well as the instruction of junior doctors and midwives where appropriate. They will be encouraged to participate in clinical audit and clinical research projects within those hospitals in which they work. 4. HOURS OF DUTY The basic working week is 40 hours per week for full time staff. The out-of-hours commitment is organised on a full shift basis and the rota is EWTD compliant. Practitioners shall be expected in the normal run of their duties, and within their contract and job description to cover for the occasional brief absence of colleagues as far as is practicable. Practitioners will be prepared to perform duties in occasional emergencies and unforeseen circumstances without additional remuneration, but may be granted time off in lieu at the discretion of there employing authority. Commitments arising in such circumstances are, however, exceptional and practitioners should not be required to undertake work of this kind for prolonged periods on a regular basis. 533565478 16/02/16 2 St John’s Hospital opened in 1989 and is located in the centre of Livingston, a new town about 30 minutes drive west from Edinburgh. The hospital provides for most common specialties but does not have emergency general surgery or orthopaedic trauma operating. The hospital has a paediatric ward and is the centre for: General Medicine with specialists in Cardiology, Diabetes & Endocrinology, Gastroenterology, Respiratory Medicine and Care of the Elderly Obstetrics & Gynaecology Child Health including Paediatrics and community child health Oral and Maxillofacial Surgery ENT Critical Care (ITU, HDU and CCU) Accident and Emergency General Surgery Orthopaedics Anaesthetics Mental Health including ICCU and ICPU 5. The Obstetric and Gynaecological Services at St John’s comprises 50 obstetric beds, including a day bed unit, and 20 gynaecological beds (12 in-patient and eight day beds). The department handles approximately 2,700 deliveries and has over 4,000 new gynaecological outpatient referrals. There is an outreach antenatal service covering West Lothian and part of the west of Edinburgh. Special interests of the department include urogynaecology, menstrual dysfunction, fetomaternal medicine, obstetric medicine clinic, Twins clinic, obstetric ultrasound, Antenatal day bed assessment unit, early pregnancy assessment gynae-oncology and colposcopy. A full range of benign gynaecological surgery is offered in the department. Tertiary referral services for Fetal medicine, Assisted reproduction, Gynae Oncology are based at The Simpson centre for reproductive Health, New Royal infirmary Edinburgh. There are strong links between the two maternity units. The staffing in the department consists of 10 Consultants, 1 associate specialist, 5 Speciality doctors, 6 ST career O&G trainees, 4 GPST trainees and 2 FY2 doctors. Recent developments at SJH include a new endoscopy suite, an Intensive Psychiatric Care Unit, a day surgery centre, a digital mammography unit, an oncology (cancer care) day centre, a satellite renal dialysis unit and a £2.75m reprovision of A&E. There are full supporting Laboratory and Diagnostic Radiology Services (including CT, Ultrasound and NM). The hospital has been accredited full teaching hospital status by the University of Edinburgh. There is a full range of lecture theatres, a library and AV facilities. Senior Medical Staffing at St John’s Hospital, Howden Dr T K Cooper (Clinical Lead St Johns) Dr P Dewart Dr J Wilkens 533565478 16/02/16 3 Dr S Nicholson (Clinical Director for Gynaecology across Lothian) Dr A Macleod Dr S Rane Dr P Mills Dr S Kallat Dr S Coutts Dr A Armstrong Dr S Court (Associate Specialist) PERSON SPECIFICATION POST LAT ST3+ IN OBSTETRICS & GYNAECOLOGY 533565478 16/02/16 4 REQUIREMENTS Qualifications/Training Experience/Knowledge Academic Achievements 533565478 16/02/16 ESSENTIAL DESIRABLE MBChB or equivalent GMC registration Completion of Foundation Competencies MRCOG Part 1 (or equivalent) Minimum of 2 years middle grade experience in Obstetrics & Gynaecology Intermediate level training in Obstetrics and Gynaecology. Completion of BLS Satisfactory assessment of clinical ability. Completion of RCOG basic log book competencies or equivalent ALSO or equivalent Active participation in relevant training programmes. Original research/audit leading to publication and/or presentations. Motivations Clearly dedicated to a career in Obstetrics & Gynaecology. Personal Attributes Good team member who communicates well with staff and patients. Potential to develop psychomotor skills Able to communicate in English and have communication skills necessary to carry out duties safely and effectively. 5 Higher degree Leadership, organisation and management skills. Dr Claire Alexander Chair, Deanery Specialty Training Committee, Simpson Centre for Reproductive Health Royal Infirmary of Edinburgh 51 Little France Crescent Edinburgh EH16 4SA Dr Sanjay Kallat Consultant Obstetrician and Gynaecologist St John’s Hospital Livingston Sanjay.kallat@nhslothian.scot.nhs.uk Claire.alexander@nhslothian.scot.nhs.uk Tel +44 (0)131 242 2525 Fax +44 (0)131 242 2686 533565478 16/02/16 6