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SOUTH EAST SCOTLAND
LOCUM APPOINTMENT FOR TRAINING (SPECIALTY TRAINEE LEVEL) IN MICROBIOLOGY
JOB DESCRIPTION
1
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PART I
Para nos.
Training programme – overview
Title/specialty: Medical Microbiology
1
2
3
4
Subject
heading
Sub-topic
heading
East of Scotland
Training
Programme
Programme
reference
number
Summary of
training posts
LUHD Training
Posts in Medical
Microbiology
Introduction
4-1
Organisation of
regional training
programme
4-2
Organisation of
local training
programme and
method of
rotation
Composition and
role of
Specialist
Training
Committee
(STC)
4-3
4-4
5
Key personnel
Comments
The training programme includes trainees based in Edinburgh,
Dundee and Aberdeen. This particular LAT post will be based at the
Royal Infirmary of Edinburgh (RIE).
The Training Programme offers a wide range of experience to train
Medical Microbiology registrars to the standards required for the New
Infection Training curriculum
This post will be based at RIE. Medical Microbiology Trainees will
rotate through the NHS Lothian hospitals: the Western General
Hospital
Information about The Royal College of Pathologists and the
organisation of training is available on College website
(www.rcpath.org).
As 4-1
The STC is chaired by the Training Programme Director and its
membership includes educational supervisors, clinical scientist and
trainee representatives. The Associate Postgraduate Dean attends
when possible.
Its role is to oversee the training programme (including study leave
and courses). Members are involved on appointment panels and ARCP
and RITA interviews.
See Part II Paragraph 11 below
Education and
training
programme
5-1
Educational
supervisors
5-2
Induction
Each trainee has a named educational supervisor for the duration of
their training but may have a number of different clinical supervisors
as they rotate between different sites and subspecialties.
All trainees receive Lothian University Hospitals Division Corporate
Induction and an induction course at each training post. Content is
tailored to the trainee’s needs. More details referred to under
Department section. Participation is mandatory.
2
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5-3
Appraisal
Regular appraisals to be held with educational supervisor, at least 6
monthly and annually. Appraisal will inform supervisor’s report for
Annual Review of Competency Progression which is discussed in
advance with the trainee.
5-4
Training
agreement
5-5
Assessments
5-5-1
Annual Review
of Competency
Progression
ARCP
FRCPath
examination
An annual training agreement to be drawn up by trainee to be
discussed and approved by educational supervisor. Training
agreement to inform appraisals as regards progress. See Annex B for
guidelines to training agreement in Part III.
See RCPath documents on Workplace Based Assessment [WBA].
Trainees must pass the FRCPath part 1 exam before progressing to
Higher specialist training.
Will be required to undertake annual ARCP– a panel, under aegis of
National Education for Scotland Deanery, will evaluate evidence that
trainee has achieved competence regarding previous training. See
College website for further information on ARCP.
Will be required to undertake and pass FRCPath examination Parts 1
and 2 during minimum training time. Should refer to College
guidelines and rules for examinations on College website.
Trainee must download, for their own use, a copy of the specialty
core training programme from College website. Training consists of
laboratory experience and clinical experience.
Available on College website (www.rcpath.org)
See 5.8
5-5-2
5-6
Core training
programme
5-7
Record book of
activity
5-8
Portfolio
5-9
Training
programme
R&D skills to be
developed
5-10
5-11
Data
management
skills to be
developed
5-12
5-13
Health & safety
Management
training
Department
training
timetable
Clinical audit
5-14
5-15
5-16
5-17
Study leave
entitlement
Trainees’
accommodation
and equipment
5-18
Teaching skills
Trainee expected to maintain a training portfolio on LEPT accessed
via RCPath website. They should include evidence of participation in
educational activities, training plans, appraisal outcomes, selfassessment, etc. Accessible via RCPath website (www.rcpath.org)
See College documentation and local training pack.
Encouragement to present case reports and other forms of scientific
publications. Expected to attend scientific meetings and participate
in regular tutorial and journal club sessions.
May be able to develop a specific well-defined R&D project.
Familiarity with IT, use of spreadsheets, data sheets and statistical
packages.
Involvement in clinical audit and R&D.
Evaluating information from population served and from technical
procedures applied in laboratory.
As part of induction course.
Usually offered to trainees in their senior years.
Departmental rotas and training timetables will be provided.
Involvement in audit projects and attendance at local audit
meetings.
Funded study leave entitlement is available.
Appropriate office and IT equipment (with internet and email access)
will be provided
Teaching opportunities will be available.
3
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6
Terms and
Conditions of
Service
6-1
6-2
National terms
and conditions –
standard
throughout
Division terms
and conditions –
possible local
variations
PART II
LOCUM APPOINTMENT FOR TRAINING IN MEDICAL MICROBIOLOGY
1. Post
Locum Specialty Training Registrar Appointment for Training in Medical Microbiology, East of
Scotland, based at the Royal Infirmary of Edinburgh.
2. Specialty
Medical Microbiology
3. Post Numbers
4. Location and Population
Lothian region has a population of 775,000 and is served by four hospitals - Royal Infirmary of
Edinburgh, Western General Hospital, St John's Hospital, and the Royal Hospital for Sick Children.
The Royal Infirmary is on the south side of the city, which opened in 2002/3. The Western General
Hospital is based on the north side of Edinburgh. St John's Hospital is located about 15 miles from
the centre of Edinburgh.
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5. Number of Beds and Specialties
The Royal Infirmary has 876 beds and provides clinical services in most specialties and is the major
Accident & Emergency and trauma centre for Lothian. The Infirmary is a national centre for liver
and kidney transplant surgery, and is the regional centre for cardiothoracic surgery and
orthopaedic surgery. The Western General Hospital has 602 beds: clinical services include
infectious diseases, oncology, neurosurgery and urology. St John's Hospital has 505 beds and is the
regional centre for burns and plastic surgery and contains the regional head and neck centre; it
also provides acute services including an Accident & Emergency Department. Paediatric services
are provided at the Royal Hospital for Sick Children and St John’s. The Victoria Hospital, Kirkcaldy,
and the Borders General Hospital, Melrose, are District General Hospitals providing a range of
clinical services.
6. University Links
There are strong links with the academic Department of Medical Microbiology and the Registrars
are expected to contribute to undergraduate and postgraduate teaching.
In 2001 the University created a new Centre for Infectious Diseases (CID) to bring together
internationally recognised research groups including those with interests in medical microbiology,
to provide a major focus for infectious disease research in the University. The aims of the Centre
are:
 to promote integrated research activity by basic and clinical scientists
 to facilitate interactions and collaborations between medical, veterinary biological scientists
 to supply intellectual and physical support for research disciplines spanning molecular
biology to epidemiology
 to create a centre of excellence for teaching and training of undergraduates and graduate
students
 to encourage the translation and application of research findings.
CID currently has 29 full members (grant holders), including 9 programme grant holders with total
active research grants of over £27m. The great majority of CID members work in groups which
were 5 or 5* rated in the 2001 rated Research Assessment Exercise; however, at present this is a
virtual centre with groups working in different locations within the University.
Research strengths include the full spectrum from basic to clinical and epidemiological studies on
organisms of importance to both medicine and veterinary medicine. The core interdisciplinary
research teams work on the pathogenesis and antibiotic chemotherapy of bacterial pathogens, the
pathogenesis of persistent virus infections and epidemiological aspects of infection. The Scottish
Centre for Genomic Technology and Informatics (GTI) is a highly successful collaborative venture in
the Chancellor's Building at Little France which is affiliated to CID.
The undergraduate teaching responsibilities in CID include teaching medical students for each year
of the MBChB curriculum, biological science students and honours students both from the College
of Medicine and Veterinary Medicine and the College of Science and Engineering. CID also runs an
active postgraduate programme, with over 70 students studying for PhDs or MScs.
5
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7. Postgraduate Educational Facilities
There is a Postgraduate Education Centre at the Royal Infirmary and regular Grand Rounds at each
site. There are also seminar programmes in Medical Microbiology and Virology at the Medical School
(Teviot Place) and the Vet School (Summerhall), respectively.
8. Library Facilities
The main University Medical Library (the Erskine) in George Square, which has an extensive
selection of medical books, journals, theses and audio-visual materials and excellent electronic
resources and links, will soon be moving to the main University library (also in George Square).
Further library facilities are available in the Chancellor’s Building at the Royal Infirmary of
Edinburgh where the emphasis is on electronic and internet resources, and there is also a small
library within the Department of Medical Microbiology at the Royal Infirmary.
9. Pathology Departments
The Laboratory disciplines of Biochemistry, Haematology, Microbiology, Pathology and Genetics
make up the department of Laboratory Medicine. This department has a single management
structure across all the main sites in Lothian University Hospitals Acute Division, comprising the
Royal Infirmary, the Western General, St John’s and the Royal Hospital for Sick Children. The
Scottish Blood Transfusion Service also shares facilities with the other Laboratory disciplines at the
Royal Infirmary site and provides most of the Specialist Immunology Service to LUHD.
Microbiology Laboratory, Royal Infirmary of Edinburgh (RIE)
This is the main microbiology laboratory for the Division. It processes more than 400,000 samples a
year in Bacteriology, Parasitology and Serology. The laboratory serves a large catchment of GPs in
Edinburgh and in East and Midlothian, and all the hospitals within central Edinburgh, including the
RIE, WGH and the Royal Hospital for Sick Children.
The diagnostic laboratory for sexually transmitted diseases including the Scottish Bacterial
Sexually-Transmitted Infections Reference laboratory, and the Scottish Mycobacteria Reference
Laboratory is located at the RIE.
The Specialist Virology Centre (SVC)
This laboratory provides the bulk of the virology diagnostic and clinical advisory service for all the
hospitals and GPs in the South east of Scotland (City of Edinburgh, Midlothian, East Lothian, West
Lothian, Borders and Fife). The laboratory processes 76,000 samples annually.
In addition to the full spectrum of general clinical virology, special experience/research
opportunities are available in HIV, Hepatitis C, Herpes viruses, and transplantation. A specialist
laboratory for blood borne virus testing (funded by the National Services Division) is located within
this laboratory.
6
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The Scottish Mycobacteria Reference Laboratory (SMRL)
This laboratory receives all mycobacterial isolates from Scotland for identification, sensitivity
testing and epidemiological typing, and provides relevant clinical, epidemiological and technical
advice for laboratory, clinical and public health colleagues throughout Scotland. It is funded by the
National Services Division of the Scottish Executive.
The laboratory also provides the primary mycobacterial diagnostic service for all the hospitals and
GPs in South-east Scotland. A range of rapid molecular diagnostic tests is available.
The Scottish Reference Laboratory for E. coli 0 157 (SERL)
This is based within the RIE Laboratory. The laboratory receives all E. coli O 157 isolates from
Scotland for confirmation of identification and epidemiological typing. It also provides specialist
diagnostic support to all NHS service laboratories in Scotland for the diagnosis of E. coli O157
infections.
St John's Hospital, Livingston, West Lothian
The microbiology laboratory based here provides the diagnostic service for this 600 bed acute
hospital and for 29 general practice groups with 169 GPs in West Lothian and West Edinburgh. It
receives 100,000 samples annually. The laboratory is linked by a van service to the laboratory at
the RIE.
10. Accreditation Status
All departments are fully accredited with CPA (UK) Ltd and are recognised by the Royal College of
Pathologists for training for the FRCPath examination.
11. Personnel
Microbiology Laboratory, RIE
Eight Consultant Microbiologists: Dr Ian Laurenson (Clinical Lead), Dr Mary Hanson, , Dr Pota
Kalima, , Dr Ewan Olson, Dr Karen Macsween, Dr Elzbieta Czarniak and Dr Donald Inverarity.
The Laboratory Service Manager is Mr Ian King. There are 54 Biomedical Scientists and six Medical
Laboratory Assistants. There are two Grade B Clinical Scientists.
Specialist Virology Centre
Three Consultants Virologists: Dr John Bremner, Dr Sandeep Ramalingam, Dr Ingo Johannessen
One Consultant Clinical Scientist: Dr Kate Templeton
24 Biomedical Scientists/Medical Laboratory Assistants.
The Scottish Mycobacteria Reference Laboratory
Two Consultants: Dr Ian Laurenson and Dr Ewan Olson.
One Grade B Clinical Scientist.
Five Biomedical Scientists.
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The Scottish Reference Laboratory for E.coli O157
Consultant: Dr Mary Hanson
One Grade B Clinical Scientist Dr Lesley Allison
St John's Hospital, Livingston
Consultant Microbiologist: Dr Karen Macsween
The site lead biomedical scientist is Ms Elizabeth Millar. Twelve Biomedical Scientists.
NHS Lothian Infection Control Service
The Infection Prevention and Control Team is led by the Division’s Infection Control Manager: Ms
Fiona Cameron. There are fifteen ICNs and five Surveillance Nurses.
12. Departmental Workloads
As above
13. Managerial Structure
As above
14. Liaison with Major Clinical Units
As above
15. Tertiary Referral
As above
16. Direct Clinical Responsibilities
These include answering enquiries and giving clinical advice (including infection control and oncall) and visiting clinical areas. All of this is with consultant supervision.
17. Laboratory Standing Operational Procedures (SOPs)
The departments have a comprehensive set of Standard Operating Prodedures [SOPs] for the
laboratory organisation and for every procedure undertaken within Medical Microbiology. These are
all managed using Q-Pulse system.
18. Health and Safety
The trainee will participate in Health & Safety training and will comply with Health Board and
department Health & Safety policies and procedures.
8
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19. Education and Training Programme
1. Educational Supervisor
A named Educational Supervisor will be appointed. The Training Programme Director is Dr Pota
Kalima, contact phone number 0131 242 0048.
2. Induction Course
The trainee will attend an NHS Lothian corporate induction course at each training site.
3. Trainee's Accommodation and Equipment
The trainee will be provided with office space, including desk, filing cabinet and shelf space. The
trainee will have appropriate bench space and facilities to undertake approved laboratory projects
and training. Appropriate secretarial support will be provided.
4. Training Agreement
This will be drawn up in conjunction with the Lister Postgraduate Institute.
5. Appraisals
The trainee will schedule appraisals following discussion with their educational supervisor. Training
progress is reviewed by the Medical Microbiology Specialty Training Committee.
6. IT Facilities
The trainee will have access to a PC and will also have internet access including links to Medical
Databases.
7. Timetable of Educational Events
This will include weekly Consultant-chaired tutorials in protected time, journal club meetings
every Friday morning during university term time. Laboratory practicals are also arranged.
20. Principal Service Responsibilities
1. Clinical Service Responsibilities
The trainee will participate in the work of the departments in clinical liaison, laboratory duties and
infection control under consultant supervision. This includes review of laboratory work,
authorisation of laboratory reports, dealing with telephone enquiries and participating in ward
rounds. The trainee will liaise closely with clinical colleagues concerning the diagnosis and
management of patients and prevention of infection.
2. On-call
All trainees participate in on-call once core competencies have been established. All out-of-hours
work will be kept under review and may be subject to change. This will be reflected in the
contract and salary.
3. Objectives and Targets
Service experience, with consultant supervision, is an integral part of training. Alongside this,
trainees are also apprenticed to consultants on a rotational basis to gain experience in different
areas of clinical practice. The balance between service work and training is reviewed regularly at
local training meetings.
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21. Teaching Responsibilities
The Department provides teaching for a wide range of professional groups and the trainee will be
given opportunity to contribute to this and to contribute to undergraduate and postgraduate
teaching.
22. Clinical Audit
The trainee will be expected to participate in the internal and external audit activities of the
departments.
Further Information
For further information and arrangements to visit, contact:
Dr P Kalima
Training Programme Director
Medical Microbiology
Western General Hospital
Crewe Road
Edinburgh EH4 2XU
Dr IF Laurenson
Consultant Microbiologist/Clinical Lead
Medical Microbiology
Royal Infirmary of Edinburgh
Little France Crescent
Edinburgh EH16 4SA
Telephone: 0131-537 1924
Telephone: 0131 242 6079
Closing Date:
27TH June 2015
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PART III
Training – PERSON SPECIFICATION
REQUIREMENTS
Qualifications/Training
ESSENTIAL
DESIRABLE
MBBS or equivalent medical
qualification
Registered with GMC.
2 years of Core medical training
experience and passed MRCP.
Experience/Knowledge
A minimum of two years postgraduate
experience: completion of the U.K
Foundation programme or equivalent
experience eg at SHO level .
Experience in medical or surgical
specialties with a component of
infection- related problems.
Previous Infectious
Diseases experience.
Experience of audit.
Previous laboratory experience.
Teaching skills.
Computing Skills
Participation in research.
Academic Achievements
Publications or
presentations of research related to
infection.
Motivations
Dedication to the specialty.
Personal Attributes
Enthusiastic.
Good interpersonal
skills with both
patients and colleagues.
Willingness to learn from and liase with
all grades of staff across a wide range of
specialities.
Able to communicate fluently in spoken
and written English and have
communication skills necessary to carry
out duties safely and effectively.
Good time management skills.
11
Willingness and aptitude to learn
management skills relevant to
organising and delivering a clinically
relevant laboratory service within
restricted resources.