HEALTH EDUCATION THAMES VALLEY - SPECIALTY
TRAINING PROGRAMME IN RADIOLOGY
About Health Education Thames Valley
We are the Local Education and Training Board (LETB) for Thames Valley covering
Berkshire, Buckinghamshire and Oxfordshire. Our vision is to ensure the delivery of
effective workforce planning and excellent education and training to develop a highly
capable, flexible and motivated workforce that delivers improvements in health for
the population of Thames Valley. Thames Valley LETB is responsible for the training
of some 1500 trainees
Health Education Thames Valley is a relatively small organisation with a defined
geographical area which serves as a single unit of application. In the majority of
cases successful candidates will be asked to preference their choice of location for
either one or two years. Some programmes will require successful candidates to
indicate a location and specialty. Future placements will usually be based on
individual training and educational needs. Please note that applications are to the
Health Education Thames Valley as a whole. This may mean that you may be
allocated to any geographic location within the deanery depending on training
needs.
The Radiology Training Programme
The radiology training programme is a 5 year programme, starting at ST1. During
this time, the trainee's work will be monitored for satisfactory progress and subject to
annual reviews in the form of ARCPs. Progression on the programme will be
dependent upon these reviews.
The posts on this rotation have been approved for Specialist Training by the Royal
College of Radiologists. The posts attract National Training Numbers and provide
training towards a Certificate of Completion of Training (CCT).
The Postgraduate Dean has confirmed that this post has the necessary educational
and staffing approvals.
The programme is based in several different Trusts throughout Health Education
Thames Valley so trainees may find themselves employed by any of the following
Trusts and placed in any of the following hospitals:
Trust
Oxford University Hospitals
NHS Trust
Hospitals and Locations
John Radcliffe Hospital
http://www.ouh.nhs.uk/
Churchill Hospital
http://www.ouh.nhs.uk/
Horton General Hospital
http://www.ouh.nhs.uk/
Nuffield Orthopaedic Centre
http://www.ouh.nhs.uk/
Royal Berkshire NHS
Foundation Trust
Buckinghamshire
Healthcare NHS Trust
Heatherwood and Wexham
Park Hospitals NHS Trust
Milton Keynes Hospital NHS
Foundation Trust
Southampton University
Hospitals NHS Trust
Royal Berkshire Hospital
http://www.royalberkshire.nhs.uk/Default.aspx?theme=Patient
Stoke Mandeville Hospital
http://www.buckshealthcare.nhs.uk/
Wexham Park Hospital
http://www.heatherwoodandwexham.nhs.uk/location/wexhampark-hospital-slough
Milton Keynes General Hospital
http://www.mkgeneral.nhs.uk/
Southampton General Hospital (– occasional Out of
Programme Experience only)
http://www.suht.nhs.uk/home.aspx
Please note that trainees will be employed by the Oxford University Hospitals NHS
Trust for the duration of the training programme but will be still be expected to
rotate to other locations throughout the programme.
Rotation Information
Rotations may at times change in response to clinical need from the Trusts.
Expected rotation arrangements for this programme are:
The Oxford Scheme provides structured, comprehensive training for FRCR and
thereafter for consultant appointments. The programme is heavily based on clinical
radiology experience, supplemented by teaching courses and clinico-radiological
conferences.
Practical experience is obtained in a rotation series of subspecialty firms, almost all
of which contain an element of general radiology.
First Year (Part I FRCR) Training
During their first year trainees take part in the following rotation:
3 months each of Ultrasound, CT, Gastrointestinal
Trauma/Musculoskeletal radiology.
Year 2, Year 3 Rotation
radiology
and
This rotation is designed to prepare trainees for Part 2A and Part 2B of the FRCR.
The rotation is based on 3 month attachments which cover:
Gastro-Intestinal radiology
Paediatric radiology
Intervention
Chest, Cardiac and Oncologogical radiology
Uroradiology and Gynaecologiacl radiology
Neuroradiology, with ENT and Ophthalmology
Mammography
2-3 DGH attachments
Years 4 & 5
The core training is complete by the end of Year 3. Training in Years 4& 5 is
designed to be more flexible and tailored to the aims of individual trainees.
Subspecialist training is offered in the departments based in Oxford; areas of
subspecialty experience include, neuroradiology, oncology, musculoskeletal
radiology, ultrasound, body CT/MRI, angio/interventional radiology, chest and
general radiology. It is possible that some of Year 4 or 5 training will be acquired at
one of the DGH locations previously mentioned.
Note –It is expected that each registrar has a commitment to provision of general
radiology service requirements throughout their training, at a level and with a degree
of supervision commensurate to their current level of experience.
Trust Information
There are 42 Consultant Radiologists in the Oxford Radcliffe Hospitals NHS Trust.
36 Specialist Registrars participate in the rotational scheme, including two non-rotating
Specialist Registrars in Neuroradiology, and one in Interventional Radiology.
Medical Staff – Consultants:
Dr R Adams
Dr M Anderson
Dr P Anslow
Dr S Anthony
Dr J Baldwin
Dr B Barry
Dr R Benamore
Dr M Betts
Dr P Boardman
Dr M Bratby
Dr H Bungay
Prof J Byrne
Dr M Cellerini
Dr A Chakraborty
Dr R Corkhill
Dr N Cowan
Dr H D’Costa
Dr R English
Dr C Ferrett
Prof F V Gleeson
Dr S J Golding
Dr I Grunwald
Dr P Haggett
Dr W Kuker
Dr C McCarthy
Dr F McLeod
Dr E McNally
Dr N R Moore
Dr S J Ostlere
Dr K Park
Dr K Platt
Dr P Pretorius
Dr R Phillips
Dr J Phillips-Hughes
Dr G Quaghebeur
Dr F Sheerin
Dr A Slater
Dr N Taylor
Dr J Teh
Dr Z Traill
Dr D J Wilson
(Academic Lead)
(Head of School)
(Training Programme Director)
(Regional Advisor)
The major hospitals within the rotation are listed below with some of the specialties
represented. The Churchill, John Radcliffe/Children’s Hospital and West Wing, and
the Horton are a common Trust (The Oxford Radcliffe Hospitals) on three sites, and
there are plans to incorporate the Nuffield Orthopaedic Centre into the ORH Trust
shortly.
John Radcliffe Hospital
The base of the Oxford Clinical Medical School.
The acute admission hospital with a major accident and emergency, and trauma
services, Obstetrics, Neonatal and Paediatric services, General Medicine and
Surgery, Vascular Surgery, Cardiac Services.
Departmental Tutor Dr S Anthony
The Churchill Hospital
A major new Cancer, Elective Surgery and Diagnostics centre opened in April 2009.
Chest and Renal Medicine, Infectious Diseases, Diabetes and Endocrinology,
Transplant, and Urology are also located on this site.
Departmental Tutor Dr N Taylor
The Horton General Hospital (Banbury)
A District General Hospital providing general radiology,
experience.
CT
and fluoroscopy
Departmental Tutor Dr F McCleod
The Nuffield Orthopaedic Centre
Orthopaedic Surgery and related subjects including rheumatology.
Departmental Tutor Dr C McCarthy
Wexham Park Hospital
General Radiology in a District Hospital.
Departmental Tutor Dr R Cheung
Royal Berkshire and Battle Hospitals
General Radiology in a District General Hospital with an opportunity to gain further
specialised training in several areas, including interventional radiology.
Departmental Tutor Dr T Mills
Stoke Mandeville Hospital
General Radiology is a District Hospital with an opportunity to gain further
specialized training in imaging and spinal injuries and interventional radiology.
Departmental Tutor Dr E Woo
Milton Keynes General Hospital
General Radiology in a District General Hospital with an emphasis on skill mix and
related issues.
Departmental Tutor Dr N Graham
Teaching
The Part I FRCR course consists of approximately 140 tutorials covering the Part I
FRCR syllabus. The course is designed jointly by the Department of Radiology and
the department of Medical Physics and is a weekly day-release course, also taken
by the MSC students of the University Department.
The FRCR Part 1 examination, which includes physics and anatomy modules, is
held in the spring (March/April).
The Part 2 FRCR course consists of a systematic series of 120 tutorials, given over
two academic years and delivered by consultants from the Oxford region and from
elsewhere in the country. The course is designed to cover the Part 2 FRCR syllabus
by the end of the third year.
Individual subspecialty tutorials are given by many consultants as preparation for the
FRCR.
A “licensing” reporting skills examination is organized by the Head of School in the
second year, after which trainees may issue certain reports unchecked.
Trainees will be expected to participate in informal teaching and occasional formal
lectures to other trainee radiologists, medical students and radiographers.
Duties of Post
Principal Responsibilities:
Radiology reporting, practical radiological procedures, computed tomography, MRI,
ultrasound and radio nuclide (nuclear medicine) procedures. Clinical consultation
and advice to clinicians. Some supervision of the work of more junior doctors.
b) Description of Working Pattern
Specialist Registrars begin doing on-call at the beginning of the second year. There
is a “Senior” and “Junior” specialist registrar on-call rota with registrars carrying out
tasks compatible with their level of experience.
The on-call includes cover for
colleagues during their absence due to illness and annual leave. On-call duties may
occur at the John Radcliffe Hospital, the Churchill Hospital and Nuffield Orthopaedic
Centre. On-call registrars are supported by 5 Consultants on-call, with separate
consultant rotas covering cross-section, intervention, paediatrics, musculo-skeletal
and neuroradiology. The on-call rotas will depend on the number of specialist
registrars who are eligible to take part in the senior rota and the junior rota. The
junior rota has a minimum of 6 registrars, working only until 9pm and the senior rota
contains a minimum of 20 registrars.
On-call duties on the junior rota do not
commence until after the first year. Transfer to the senior rota usually occurs at the
beginning of Year 3. Compliance with the EWTR is frequently assessed and work
patterns may be changed to ensure compliance. Although currently an on-call rota is
operated, shift or partial shift work may have to be introduced in the future.
Administration/Management
Work and on-call rota organization will be expected.
Assessment of clinical radiological requests and liaison with clerical and
radiographic staff to arrange radiological investigations is required.
Completion of reports and records as appropriate.
Audit – a minimum of one completed audit project per year is expected.
Main Conditions of Service
Appointments to this programme are subject to the Terms and Conditions of Service
(TCS) for Hospital Medical and Dental Staff (England and Wales). In addition
appointments are subject to:
 Applicants having the right to work and be a doctor or dentist in training in the
UK
 Registration with the General Medical Council
 Pre-employment checks carried out by the Trust HR department in line with
the NHS employment check standards, including CRB checks and
occupational health clearance.
The employing Trust’s offer of employment is expected to be on the following
nationally agreed terms:
Hours – The working hours for junior doctors in training are now 48-hours (or 52hours if working on a derogated rota) averaged over 26 weeks (six months). Doctors
in training also have an individual right to opt-out if they choose to do so, but they
cannot opt-out of rest break or leave requirements. However, the contracts for
doctors in training make clear that overall hours must not exceed 56 hours in a
week (New Deal Contract requirements) across all their employments and any
locum work they do.
http://www.nhsemployers.org/PlanningYourWorkforce/MedicalWorkforce/EWT
D/Pages/EWTD.aspx
Pay – you should be paid monthly at the rates set out in the national terms and
conditions of service for hospital medical and dental staff and doctors in public health
medicine and the community health service (England and Wales), “the TCS”, as
amended from time to time. The payscales are reviewed annually. Current rates of
pay may be viewed at
http://www.nhsemployers.org/PayAndContracts/Pay%20circulars/Pages/PayCircular
sMedicalandDental.aspx Part time posts will be paid pro-rata
Pay supplement –depending upon the working pattern and hours of duty you are
contracted to undertake by the employer you should be paid a monthly additional
pay supplement at the rates set out in paragraph 22 of the TCS. The current
payscales may be viewed at
http://www.nhsemployers.org/PayAndContracts/Pay%20circulars/Pages/PayCircular
sMedicalandDental.aspx . The pay supplement is not reckonable for NHS pension
purposes. The pay supplement will be determined by the employer and should be
made clear in their offer of employment and subject to monitoring.
Pension – you will be entitled to join or continue as a member of the NHS Pension
Scheme, subject to its terms and rules, which may be amended from time to time. If
you leave the programme for out of programme experience you may have a gap in
your pension contributions. More information can be found at
http://www.nhsbsa.nhs.uk/pensions
Annual Leave – your entitlement to annual leave will be five or six weeks per annum
depending on your previous service/incremental point, as set out in paragraphs 205206 of the TCS. The TCS may be viewed at
http://www.nhsemployers.org/PayAndContracts/MedicalandDentalContracts/JuniorD
octorsDentistsGPReg/Pages/DoctorsInTrainingJuniorDoctorsTermsAndConditions150908.aspx
Sick pay – entitlements are outlined in paragraph 225 of the TCS.
Notice –you will be required to give your employer and entitled to receive from them
notice in accordance with paragraphs 195-196 of the TCS.
Study Leave –the employer is expected to offer study leave in accordance with
paragraphs 250-254 of the TCS. Local policy and procedure will be explained at
induction.
Travel Expenses – the employer is expected to offer travel expenses in accordance
with paragraphs 277-308 of the TCS for journeys incurred in performing your duties.
Local policy and procedure should be explained at induction.
Subsistence expenses – the employer is expected to offer subsistence expenses in
accordance with paragraph 311 of the TCS. Local policy and procedure should be
explained at induction.
Relocation expenses – the employer will have a local policy for relocation expenses
based on paragraphs 314 – 315 of the TCS and national guidance at
http://www.nhsemployers.org/PayAndContracts/MedicalandDentalContracts/JuniorD
octorsDentistsGPReg/Pages/DoctorsInTrainingJuniorDoctorsTermsAndConditions150908.aspx
You are advised to check eligibility and confirm any entitlement with the employer
before incurring any expenditure.
Pre-employment checks – all NHS employers are required to undertake preemployment checks. The employer will confirm their local arrangements, which are
expected to be in line with national guidance at
http://www.nhsemployers.org/RecruitmentAndRetention/Employmentchecks/Pages/Employment-checks.aspx
Professional registration – it will be a requirement of employment that you have
professional registration with the GMC/GDC for the duration of your employment.
Though the post is covered by NHS Indemnity, you are strongly advised to register
with the MPS for professional indemnity.
Health and Safety – all employers have a duty to protect their workers from harm.
You should be advised by the employer of local policies and procedures intended to
protect your health and safety and expected to comply with these.
Disciplinary and grievance procedures – the employer will have local policies and
procedures for dealing with any disciplinary concerns or grievances you may have.
They should advise you how to access these, not later than eight weeks after
commencement of employment.
Educational Supervisor – the employer or a nominated deputy (usually the Director
of Medical Education) will confirm your supervisor on commencement.
General information on the LETB’s management of Specialty Training
programmes, including issues such as taking time out of programme and dealing
with concerns or complaints, is available at www.oxforddeanery.nhs.uk and in the
national ‘Gold guide’ to Specialty Training at http://specialtytraining.hee.nhs.uk/.
Please ensure that you inform Health Education Thames Valley of any changes to
your contact details.
September 2013