Job responsibilities
Mid Yorkshire Teaching NHS Trust is
pleased to announce the development and introduction of this new role. The post will be a combination of service
delivery and educational input within the specialty. This post would suit a
trainee looking to apply to ST3 posts, and will support clinical exposure to
key trauma caseload, whilst allowing participation in audit, teaching and
research. Research is a focus, with several F&A projects ready to prepare and
submit for poster, podium and research publication.
The post-holders will have a named supervisor and be supported in undertaking
scheduled educational opportunities within the Trust and specialties.
An
Introduction to the Division/Specialty
Trauma
and orthopaedic surgical services at Mid Yorkshire Teaching NHS Trust are
delivered across 3 sites. We are a busy department treating over 550 hip
fractures and undertaking approximately 1,200 hip and knee replacement
procedures each year.
This post has been developed as a
training opportunity for registrars preferably before taking up an ST3 post or
to work on a research or higher degree whilst gaining clinical experience.
Head of Clinical
Service, Mr James Newman oversees the day-to-day management of the department
along with the Patient Service Manager and Assistant Patient Service Manager.
The Trauma and
Orthopaedics department is supported by the Elective lead, Mr Simon Jones,
Trauma Lead, Mr Thomas Goff, and Paediatric Lead, Mrs Helen Bryant.
Orthopaedics
is under the Division of Surgery and the Head of Clinical Service reports to
the Divisional Clinical Director.
The Service Role
From a clinical perspective these posts will
participate in the cross site resident trainee rota. The resident role will be standard days and
40 hrs per week. The illustrative rota
pattern is attached to this job description.
The fellow will have opportunity to work with the four
foot & ankle consultants and contribute to the activities of the wider
team. Including MDT activity, regional ankle arthroplasty network, diabetic
foot clinic, neuropathic foot clinic, Foot & Ankle soft tissue (FAST)
service, and subspeciality fracture clinics.
The Fellow will be expected to contribute to the
research interests of the department and develop their own research/audit
project within the foot and ankle unit for presentation/publication. There are
several suitable projects ready to start, and it would be envisaged that this
could strengthen ST3 interview applications.
The surgical case mix includes all aspects of
forefoot, midfoot, and hindfoot reconstruction. Soft tissue, sports, and
chondral repair techniques. Arthroscopic and minimally invasive techniques.
Ankle arthroplasty. It is expected the fellow will keep a surgical logbook and
undertake assessments of progress.
From a trauma aspect we have a busy trauma unit, with
significant volume of all case mix excepting pelvic and spinal trauma. The
successful candidate will be exposed to significant orthopaedic trauma caseload
and this will be well supported by 16 Consultants on the trauma rota to build
trauma caseload, logbook and portfolio.
Other main duties of the post will include:
Responsibility
for the management of patients with acute and chronic conditions including
complex cases.
Referral
of patients to other specialities as appropriate
Out-patient
activities/clinics
Involvement
in specialty and cross-specialty multi-disciplinary teams and meetings
Involvement
in relevant administration duties
Teaching
and supervision of junior medical staff and other clinicians as appropriate
Involvement
in audit and clinical governance including service improvement activities
The
above list is not intended to be exhaustive, and it is likely duties may be
altered from time to time in the light of changing circumstances and after
discussion with the post holder.
The MYDoc
Training Programme Educational Input & Recognition
Doctors appointed to a MYDoc post will receive
relevant educational input. Each doctor will be
allocated an Educational Supervisor and will be required to develop a
Personalised Work Schedule.
The Trust identifies the following as educational
opportunities:
Core Service Duties
Routine clinical
work affords many informal opportunities for learning, especially in
multidisciplinary team meetings, as well as ad hoc 'bedside' teaching.
Clinics
Discussion of
complex cases and supervision in fracture/elective clinics.
Ward Rounds
Formal and informal
teaching rounds where possible, formality usually dependent on clinical
activity levels.
Breakfast Clubs
Foundation and other
grades of trainees can be fully involved in delivering teaching to other
trainees and medical students. Daily teaching in trauma meeting.
Mandatory Training
Available through
the Trust Intranet.
Teaching
Numerous
opportunities to teach medical students and junior doctors as formal sessions
or informally. Training the trainers courses are available externally and
occasionally in-house.
Study / PDP Days
Study leave is
granted according to HEE and trust policies and signed off by the educational
supervisor if appropriate.
Other departmental teaching and
training sessions
Within the Trust
there are many educational opportunities, most of which are open to all
members of staff. Trainees are encouraged to take these opportunities so long
as it will not adversely affect the smooth running of the department. The
Education Department maintains an up-to-date schedule of training across the
Trust. Some training using low to high fidelity simulation and Human factors
training is also available in most specialties. X-Ray, audit, research and
departmental meetings are also present in most specialties and provide a
source of education both formally and informally. Management meetings within
and between departments offer an excellent opportunity for informal
learning.
Formal teaching of
other trainees and Medical students.
Supervise work
experience students.
Supervision Meetings
It is important that
the fellow receives regular feedback and has regular meetings with their
Educational and Clinical Supervisors to discuss their progression and
progress against their PDP and personalised work schedule. The fellow should
as a minimum meet with them at the start, interim, and end of the placement to
complete any necessary documentation.
Workplace Based Assessments
The ARCP
requirements are set out in the Specialty Curriculum. The fellow will have
the opportunity to undertake assessments throughout the placement (and should
identify any specific needs).
Audit / Quality Improvement
The department is
expected to undertake a number each year. The fellow will have opportunities
to be included and should discuss these with their educational supervisor.
Study Time
Half day per week
set-aside for fellow to complete administrative, research and audit
activities.
Exam Preparation
We can arrange mock
exams and clinical viva practice to aid preparation for FRCS examinations.
The weekly
timetable should include a balance of these activities appropriate to your
grade, role and training requirements.
You are required to maintain a dialogue with your Clinical and
Educational Supervisor to ensure the balance of these activities meets your
developmental needs.
Whilst not a recognised training post Doctors successfully completing their training programme will
be awarded a Certificate of Achievement from the Trust. Doctors will use established work-place
based assessment (WPBA) tools to chart progress and keep relevant evidence
in an electronic portfolio system.
There will be
an annual review of progress based on evidence within the portfolios including
the WPBA, 360 assessment, personal reflections and CPD, covering both clinical,
personal and professional development, and a Certificate of Achievement
(appropriate to that year/level of training) will be issued.
Terms & Conditions and Tenure
Employment will be as a MYDoc Registrar on Trust Terms and Conditions of
Service.
The post is initially offered on a fixed term contract
for 12 months after which there could be an extension on a mutually agreed
basis.
Pay Scale
These roles are equivalent to a doctor on specialty training programmes
and will be paid on the equivalent pay scale.
The salary for this role will be
£61,825 per annum
Appraisal and Revalidation
This post is not recognised for training and brings with it an obligation
to engage with the process of revalidation on an annual basis.
All our Trust appointed doctors are required to engage positively with
appraisal and revalidation. The Trust
has procedures that comply with national recommendations. As a Trust employed doctor on a fixed term
contract successfully appointed applicants will need to have a prescribed
connection with Mid Yorkshire NHS Trust via GMC Connect and will therefore have
Dr Richard Robinson chief medical officer at the Trust as their GMC Responsible
Officer.
