Locum Consultant Cellular Pathologist / Gynaecological Histopathology

Job responsibilities

Gynaecologic pathology:

GSTT is a major tertiary referral centre for Gynaecologic oncology patients within South East London. The current gynaecological histopathology team consists of 6 consultants - Dr Giuseppe Culora, Dr Padma Menon, Dr Alexander Polson, Dr Olga Wise, Dr Mina Mansy, Dr Holly White & Dr Ahmed Ali. The current consultants also have other speciality interests.

The department deals with a mixture of biopsies and resections, including complex cancer specimens,as well as referrals for expert opinionor multidisciplinary discussion.

There is a large regional weekly gynaecologic oncology MDM, withtypicallyaround 45patients discussed each week and attended by clinicians from referring hospitals in South East London. The pathology consultants support a team of 4 specialist surgical gynaecological oncologists whose range is continuously expanding, having recently started to perform ultra-radical surgery for ovarian cancerwhilst continuing to offer exenteration surgery, fertility sparing surgery for cervical cancer and state of the art brachytherapy treatment for cervical cancer. Services offered to patients with vulval disease are also evolving with the establishment of a joint clinic between a gynaecological oncology surgeon and dermatologist.

The annual average total histopathology workload for the main department is circa 40,000 specimens, excluding skin and head & neck histopathology which are delivered from separate ultraspecialist laboratories within the Trust.

The department is actively involved in recruiting patients to national and international studies following the appointment of a dedicated research nurse, with pathological support provided by the gynaecological pathology team.

GSTT also currently hosts a large cervical cytology screening service and has a large colposcopy unit.

The team are actively involved in teaching undergraduate students and pathology trainees. Up to 2 histopathology trainees are allocated to the gynaecological pathology team on a monthly basis and are involved in all aspects of specimen dissection, histological interpretation and report writing.

Provide High Quality Care to Patients

The post holder must be medically qualified and maintain GMC full and specialist registration and hold a current licence to practice

To develop and maintain the competencies required to carry out the duties required of the post.

To ensure prompt attendance at agreed direct clinical care Programmed Activities.

To provide expert histopathology services with the object of ensuring a high standard of patient care To participate in clinical and other service activities with the object of ensuring a high standard of patient care

Research, Teaching and Training

Where possible to collaborate with academic and clinical colleagues to enhance the Trusts translational research portfolio, at all times meeting the full requirements of Research Governance.

To provide high quality teaching to medical undergraduates and members of other health care professions as required by the Clinical Director.

To act as educational supervisor and appraiser as delegated by the Clinical Director to ensure external accreditation of training post.

Performance Management

To work with medical, nursing and managerial colleagues to ensure high performance in the following areas:

Clinical efficiency e.g. LOS reductions, reducing cancelled operations and DNA rates.

Quality of outcomes e.g. infection control targets, reducing re-admission rates.

Financial management, e.g. identification, implementation and achievement of cost improvement programmes and participating in efforts to ensure services are provided cost effectively such as managing locum agency spend, monitoring and managing the drug budget to target, ensuring accuracy of clinical data for the team.

Operational efficiency, e.g. day-case rates, waiting list activity and demand management.

Medical Staff Management

To work with colleagues to ensure junior doctors hours are compliant in line with EWTD and New Deal.

To ensure that adequate systems and procedures are in place to control and monitor leave for junior medical staff and to ensure that there is appropriate cover within the clinical areas, including on-call commitments

To participate in the recruitment of junior medical staff as and when required.

To participate in team objective setting as part of the annual job planning cycle.

To be responsible for the annual appraisal of all doctors in training, Trust doctors, Clinical Fellows and non-consultant grades as delegated by the Clinical Director/General Manager.

Governance

To review clinical outcomes in designated area using external benchmarking data where appropriate, to identify and advise variances to the Clinical Director.

To participate in clinical audit, incident reporting and analysis and to ensure resulting actions are implemented.

To work closely with the Directorate, Patient and Public Involvement panels in relation to clinical and services developments as delegated by the Clinical Director.

To participate in ensuring NICE requirements are reviewed and implemented and monitored in the speciality areas.

To ensure clinical guidelines and protocols are adhered to by junior medical staff and updated on a regular basis.

To keep fully informed about best practice in the speciality areas and ensure implications for practice changes are discussed with the Clinical Director.

To role model good practice for infection control to all members of the multidisciplinary team.

Strategy and Business Planning

To participate in the business planning and objective setting process for the directorate and Trust where appropriate.

To represent the Trust at appropriate clinical networks/other external clinical meetings, as delegated by the Clinical Director.

Leadership and Team Working

To demonstrate excellent leadership skills with regard to individual performance, clinical teams, the Trust and when participating in national or local initiatives.

To work collaboratively with all members of the multi-disciplinary team and Kings Health Partners as required.

To chair regular meetings for the specialties.

To resolve conflict and difficult situations through negotiation and discussion, involving appropriate parties.

Adhere to Trust/departmental guidelines on leave, including reporting absence.

Professional Qualifications

Essential

• Full and Specialist registration (and with a licence to practise) with the General Medical Council (GMC), or be eligible for registration within six months of interview.
• Applicants that are UK trained, must ALSO be a holder of a Certificate of Completion of Training (CCT), or be within six months of award of CCT by date of interview.
• Applicants that are non-UK trained, will be required to show evidence of equivalence to the UK CCT.
• FRCPath or equivalent.

Desirable

• PhD or other Higher Postgraduate degree in Medicine or Science
• Any additional medical or sub-speciality qualifications either national or international.

Clinical Experience

Essential

• Comprehensive clinical experience in histopathology.
• Proven record of experience as a trainee in histopathology.
• Continuing and recent diagnostic practice experience in gynaecological histopathology, as a major specialist interest, however, another specialty interest will be considered as a minor component of the post depending on the requirements of the department at the time.

Clinical Skills

Essential

• Ability to work as an effective member of a multidisciplinary team.
• Familiarity with modern morphological and molecular diagnostic techniques

Desirable

• Experience in clinical guideline development.

Audit Management & IT

Essential

• Evidence of contribution to effective clinical governance, audit clinical risk management, and IT skills.
• Understanding of principles of audit.
• Evidence of understanding of the role of clinical management.

Desirable

• Management training or qualification.
• Evidence of leadership in the development of clinical services.

Research, Teaching skill & experience

Essential

• Understanding of the principles and applications of clinical research.
• Evidence of original research and publication in histopathology
• Ability to supervise junior staff in diagnostic work.
• Experience of teaching and training undergraduates, postgraduates and junior medical staff.

Desirable

• Appraisal training.
• Teaching qualification.

Leadership/Management skills

Essential

• Communication; Ability to communicate with clarity and intelligently in written and spoken English; ability to build rapport, listen, persuade/ negotiate.
• Accountability; Ability to take responsibility, lead, make decisions and exert appropriate authority.
• Interpersonal Skills; Empathy, understanding, listening skills, patience and ability to work co-operatively with others.
• Able to change and adapt, respond to changing circumstances and to cope with setbacks or pressure.
• Ability to work as part of a team
• Staff Management; Experience of performance management, developing and motivating staff.
• Finance; Knowledge of finance and budgets.

Desirable

• Previous experience in management positions, e.g. speciality lead, clinical lead, clinical director.

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).