OXFORD DEANERY SPECIALTY TRAINING PROGRAMME
IN GYNAECOLOGICAL ONCOLOGY
About Oxford Deanery
The Oxford Deanery covers the counties of Oxfordshire, Berkshire and
Buckinghamshire, with Banbury and Milton Keynes in the North, to Reading and
Slough in Berkshire and High Wycombe and Aylesbury in the West.
The Oxford Deanery is part of the South Central Strategic Health Authority which
serves a large population and covers the regions mentioned above as well as the
Wessex Deanery areas of Hampshire and the Isle of Wight. The Oxford Deanery is
responsible for the training of some 1500 trainees.
The Oxford Deanery is a relatively small deanery 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 Oxford Deanery as a
whole. This may mean that you may be allocated to any geographic location
within the Oxford Deanery depending on training needs.
The Subspeciality Gynaecologial Oncology Training Programme
The gynaecological oncology training programme is a 2 or 3year programme,
starting at StR6 or higher. The trainee must have already completed at least 5 years
of Speciality training. The trainee 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 and on the RCOG subspeciality reviews.
This post has been approved for Specialist Training by the Royal College of
Obstetricians and Gynaecologists and will lead to the award of CCT or CESR(CP).
The Postgraduate Dean has confirmed that this post has the necessary educational
and staffing approvals.
Trust Information
Oxford Radcliffe Hospital Trust
The Oxford Radcliffe Hospitals Trust (ORH) is one of the largest teaching trusts in
the country, with a national and international reputation for its services and its role in
teaching and research. It employs around 10,000 staff, and has an annual turnover
of over £600 million. It provides a district general hospital service for approximately
700,000 people in Oxfordshire and the neighbouring counties. With in excess of
1200 staffed beds, the Trust’s specialist services serve a population of around 2.5
million in Oxfordshire, Buckinghamshire, Berkshire, Wiltshire, Gloucestershire and
Northamptonshire. In addition to the normal range of specialist services, the Trust
also provides other highly specialised treatment and care for a still wider catchment
area.
In 2009/10, there were:
 614,056 outpatient appointments
 123,592 attendances at the emergency departments
 79,802 admissions for emergency assessment and treatment
 62,062 admissions for treatment as day cases
 19,688 admissions for treated as inpatients
 8,077 babies delivered
CHURCHILL HOSPITAL- Oxford Cancer Hospital
The Oxford Gynaecological Cancer Centre was recognized in 2005 as the
Regional Centre for the surgical care of women with gynaecological cancer in
the Thames Valley Region in accordance with Improving Outcome Guidance
(IOG) and the Calman-Hine model for delivery of cancer care. The Centre
serves a population of approximately 2 million people. The service moved to
the new Oxford Cancer Centre in April 2009, where the surgical cancer care is
provided, along with medical and clinical oncology, palliative medicine and all
other allied services. In-patient care for the Centre is provided at the Jane
Ashley Ward, a 20-bed women’s ward that is shared with the Breast Cancer
Team.
During the year April 2009-2010, there were over 2500 outpatient
appointments, and nearly 300 major surgical procedures performed. Surgical
procedures included laparoscopic pelvic and para-aortic lymphadenectomies,
total laparoscopic hysterectomies, laparoscopic radical hysterectomies, multiorgan debulking surgery for ovarian cancer including lower and upper
abdominal surgery and exenterative procedures. In addition, plans are
underway for introducing sentinel lymph node mapping in vulval cancer.
DEPARTMENT MEMBERS:
Lead Clinician and Director of Training:
Mr Sean Kehoe, Consultant Gynaecological Oncologist.
Consultants:
Dr Ahmed Ahmed, Reader and Consultant Gynaecological Oncologist/Trainer
Mr Roberto Tozzi, Consultant Gynaecological Oncologist/Trainer
Replacement post, Consultant Gynaecological Oncologist - 2011
Trainees:
These include two Clinical Fellows and two rotating trainees (ST3-5 and ST6/7) from
the JRH. There is also an ‘SHO’ tier to cover the ward and involved in Hospital at
Night.
Multidisciplinary team leads
 Clinical Nurse Specialist: Margaret Instone.
 Pathology: Dr. Sanjiv Manek.
 Radiology: Dr. Niall Moore
 Medical Oncology: Dr. S Nicum.
 Clinical Oncology: Dr. A Horne.
RCOG College Tutor
Dr. Rebecca Black, Consultant Obstetrician.
Teaching –
The Oxford Gynaecological Cancer Centre has been recognized by the RCOG for
subspecialty training since 2003 and, has since, been providing excellent
opportunities for multi-faceted training in Gynaecological Oncology. The Centre also
provides training for outstanding International Fellows who receive structured
Gynaecological Oncology training. In addition, Obstetrics and Gynaecology trainees
rotate through the centre to complete their core Gynaecological Oncology training
module and sometimes the ATSM in Gynae oncology.
Research and Audit
The Centre has a national and international reputation for conducting excellent
research using state of the art methodology. Research activities range from leading
on national randomized clinical trials to conducting laboratory-based translational
research trials. The centre benefits from established collaborations with world-class
research institutes at Oxford such as the Old Road Biomedical Research Campus
and the Weatherall Institute of Molecular Medicine. The recent appointment of Dr
Ahmed Ahmed as Clinical Reader, who leads a programme in translational research
in ovarian cancer, has significantly increased the opportunities of the centre. The
SST will be expected to have an active role in both audit and research programmes.
If the research component of SST has not been completed, time will be made
available to perform the research needed to write 2 publications.
Duties of Post –
A. PRINCIPAL RESPONSIBILITIES
Contribute fully to patient care within the department.
Assist the consultants within the department to manage patients. To be
involved in the personal training and development and in the teaching of
medical students and junior medical colleagues as appropriate.
The trainee will be assessed on an annual basis at a formal ARCP review as
part of the Oxford Deanery Obstetrics and Gynaecology training scheme and
also by the RCOG subspeciality reviews. In addition, there are 3 monthly inhouse meetings with consultant trainers to review progress. A logbook must
be maintained both for SST oncology training and the RCOG advanced Core
Curriculum.
B. DAILY COMMITMENT
This subspecialty training focuses on obtaining “hands-on” experience in the
relevant multidisciplinary areas in accordance with the RCOG requirements.
The duties will be arranged in 6 month ‘blocks’ to accommodate the specific
areas of clinical work and research and the obstetrics on-call needs (see
attached provisional time table). The timetable may be adjusted to suit training
requirement.
The post is primarily based at the Churchill Hospital Site. However, the
obstetric on call commitment is at the Women’s Centre on the John Radcliffe
Hospital Site.
C. DESCRIPTION OF WORK PATTERN
The SST will be expected to take part in the general Obstetrics and
Gynaecology evening/night time/weekend On-Call rota at the JRH. There will
be daytime emergency cover of the oncology Unit. When on call, a named
consultant will always be On-Call for advice and back-up. The working pattern
includes prospective cover and has been constructed to be EWTR compliant.
D. TEACHING
Participation in Teaching will be encouraged. The undergraduate lecture
course in gynaecological oncology and pre-invasive disease occur every 8
weeks and the SST will be occasionally expected to participate in this and in
bed-side and clinical teaching for students. The SST will also support and
teach Specialist Trainees attached to the Department.
E. ADMINISTRATION/MANAGEMENT
Completion of reports and records as appropriate. Attendance at appropriate
business and departmental management meetings. There will also be
opportunities for active participation and management of Multi Disciplinary
Team Meetings.
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, 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/EWTD/P
ages/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
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/JUNIORDOCTORSDENTISTS
GPREG/Pages/DoctorsInTraining-JuniorDoctorsTermsAndConditions150908.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/JUNIORDOCTORSDENTISTS
GPREG/Pages/DoctorsInTraining-JuniorDoctorsTermsAndConditions150908.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 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 Deanery’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://www.mmc.nhs.uk
Training Rota For SST in Gynaecological Oncology:
Week 1
Mon
Tue
Wed Thurs Fri
Sat
Sun Week of Nights on call Obstetrics – Mon – Friday.
Week 2
Mon
Tue
Wed Thurs Fri
Sat
Sun
Off Duty
Week 3
Mon
Tue
Wed Thurs Fri
Sat
Sun
Annual Leave
Week 4
Mon
Tue
Wed Thurs Fri
Sat
Sun
Clin
Op
Op
admin Off duty*On call On Call (Nights)
MDT Colp
Op
Op
Res
On call
Week 5
Mon
Tue
Wed Thurs Fri
Sat
Sun
off
Op
Op
admin off duty*
off
Op
Op
Op
Res
Week 6
Mon
Tue
Wed Thurs Fri
Sat
Sun
Clin
op
Colp
admin of Duty*
MDT op
op
op
Res
Week 7
Mon
Tue
Wed Thurs Fri
Sat
Sun
Clin
Op
op
admin Op
on call-days
MDT Op
Res
Op
Op
Week 8
Mon
Tue
Wed Thurs Fri
Sat
Sun
Clin
Op
Op
Res
Op
MDT Op
Op
Admin Op
40 days Mon – Friday – 5 due to a/l = 35 days
Colp = 2
Clin= 4
Op=13.5
MDT = 4
Admin = 2.5
Research =2.5
*Off duty to cover any long theatre sessions = 1.5
TOTAL SESSIONS = 30
In Total 104 weeks in post – annual leave = 6 weeks /year – hence 98 weeks in 2 years.
Attachment to other specialities [using weeks 4/5 in the majority- ]
2 weeks palliative care
2 weeks urology
2 weeks Gastrointestinal surgery
Attendance at Gestational Trophoblastic workshop [2 days]
2 Weeks – Plastic surgery
2 weeks -Medical Oncology
2 weeks – Clinical Oncology
Epidemiology/Administration will be incorporated into the programme.
Histopathology/Imaging will be covered within the MDT attendance.
Advanced Communication Course costs [3 days] will be covered by the ‘Women’s Cancer Fund’