Interventional Pleural Fellow (StR Higher Equivalent)

Job responsibilities

Pleural work -The pleural service is expanding and sees over 1000 referrals per year. Candidates require RCR level 1 thoracic ultrasound certification, and over the course of their 1 year attachment a logbook would be created targeting requirements to obtain RCR level 2. This is expected to be achieved through pleural clinic lists including dedicated mesothelioma clinics, consultant supervised lists, and enhancement of their repertoire of pleural procedural skills (including direct guidance procedures, pleural biopsies, lung biopsies, competency in neck ultrasound and nodal biopsy, insertion and removal of indwelling catheters). A new medical thoracoscopy commenced in summer 2019.

The fellows would also be expected to teach and assist in procedures to ensure foundation doctors, core trainees and pre-RCR level 1 respiratory specialty trainees are given the necessary opportunities and experiences in pleural procedures. It would be expected that the fellows would complete the relevant BTS national audits, participate in patient recruitment to multi-centred national pleural disease trials and begin to develop a research portfolio through observational and retrospective studies.

Endobronchial ultrasound -We perform nearly 300 procedures per year. Training will be achieved by being part of the lung cancer team, learning patient selection through referrals and clinic, radiological interpretation and attending consultant supervised lists. The candidate must already be competent in standard flexible bronchoscopy.

Other elements - There will be involvement in teaching Plymouth University Medical students. This will involve an organisational component, small group teaching, bedside teaching, assessments and involvement in examining. The fellow would be able to propose a special study unit for medical students in a relevant area (lung cancer or pleural disease). To complement the teaching, enrolling for a postgraduate diploma in medical education would be encouraged with time allocated to complete this.

General medical experience -The candidate is expected to work a normal working week. As part of the busy respiratory team, there is general medical experience daily on the wards. However, there is an opportunities to support the medical registrar out of hours rota (excluding nights) at the candidates discretion.

Essential requirements -Candidates should be Specialty trainees in Respiratory medicine or equivalent, nearing competency in bronchoscopy and have RCR level 1 Thoracic ultrasound. Non UK graduates without MRCP must provide written evidence of appropriate knowledge, training and experience.

Qualifications

Essential

• Specialty trainee in Respiratory Medicine
• Membership of Royal College of Physicians
• Hold current registration with licence to practice in General Medical Council

Other Factors

Desirable

• Possession of full driving licence or be mobile

Knowledge and Experience

Essential

• Good acute and general medical knowledge base
• Evidence of managing acutely unwell patients
• Advanced life support (ALS) certification
• Confident in outpatient clinic setting

Desirable

• Experience in lung cancer and pleural clinics
• Evidence of lung MDT involvement

Practical Skills

Essential

• Training in Level 1 RCR ultrasound at the time of taking up the post
• Competent at flexible bronchoscopy

Desirable

• Level 2 RCR pleural ultrasound
• Independent practitioner for flexible bronchoscopy
• Some experience of Endobronchial ultrasound

Teaching

Essential

• Experience of teaching medical students and junior doctors

Desirable

• Planning to, or having obtained a post graduate diploma or higher in teaching

Research and Audit

Essential

• Interested in being involved in and developing research
• Evidence of engagement in audit and quality improvement projects

Desirable

• Holds GCP
• Evidence of previous engagement in research
• Interested in or has already obtained MD or PhD

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.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

UK Registration

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