Senior Female and Functional Urology Fellow

Job responsibilities

Mid Yorkshire Teaching NHS Trust is pleased to announce the development and introduction of this new role. The post is intended to provide the successful applicant with sub-specialist training in female, functional, neuro-urology and reconstruction. The post is not a recognised UK training post but would be suitable for those wishing to undertake a period of out of program activity. The post would also be suitable for a candidate that has completed urological training and is seeking to gain fellowship experience prior to applying for a sub-specialist consultant post.

An Introduction to the Division/Specialty

This post represents an exciting opportunity to join a urology department in providing state of the art urological services to a population approaching 600,000. In a year the Urology department will see approximately 20,000 outpatients and undertake 6,500 elective and 2,800 non-elective procedures.

The Department of Urology has been designated as a cancer team for major pelvic cancer surgery within the regions Cancer Network. Cancer team designation has allowed development of a large Uro-oncology service. The department also provides continence, neuro-urology and bladder reconstruction services to the regional spinal injuries unit based at the Trust. The provision of advanced Endourology and laparoscopic surgery is established for upper urinary tract benign and malignant conditions. The stone service is comprehensive, with an on-site lithotripter enabling stones to be managed using all of the major treatment modalities. Departmental facilities are excellent. Robotic surgery is well established utilising DaVinci Robots at both the Pinderfields and Dewsbury sites. While most major elective and emergency urological surgery is carried out in Pinderfields Hospital; outpatient work, day case surgery and urological investigations sessions are run on all of the Trusts hospital sites.

The Getting it Right First time (GIRFT) national report on urology has recommended the establishment of urology area networks to optimise quality and efficiency. Towards this aim, the urology department at Pinderfields Hospital has established a urology area network with Barnsley General Hospital and now provides acute and elective urology care for a combined population approaching one million patients.

Urological investigations units are present on all four hospital sites and provide a focus for the diagnostic investigations and ambulatory treatments that patients may require. In-patient care is provided through a 26 bedded urology ward at Pinderfields.

The care of patients who are admitted acutely under urology is carried out with a high level of Consultant input. The on-call team consisting of Consultant, Registrar, CT/FY2 doctor and F1 doctor who are free of routine duties and able to concentrate their efforts on looking after patients who have been admitted acutely.

Urological services are provided within the context of a multi-disciplinary team. There is excellent medical support from colleagues in Anaesthetics, Critical Care, Spinal cord injury, Neurology, Rehabilitation Medicine, Uro-gynaecology, Colorectal surgery, Plastic surgery and Radiology. Specialist nursing support includes Uro-oncology nursing, stoma nurses and urology nurse specialists who are based in the investigation facilities on each of the three main hospital sites. The specialist nurses contribute hugely to the ability of the department to offer expert care as near to the patients home as possible.

Clinical duties

From a clinical perspective the successful candidate will participate in the cross site 1:8 non-residential middle grade on-call rota. The senior trainee rota is compliant with the 2016 resident doctor contract averaging 48 hours per week.

Duties will be based primarily on our Pinderfields Hospital site although all our medical staff are involved in delivering care to patients on all our sites.

The main duties of the post will include:

Provision of care with responsibility for the management of patients with acute and chronic conditions including complex cases.

Assisting and operating (with or without direct supervision) on patients in theatre depending on attained surgical competencies

Referral of patients to other specialities as appropriate

Specialist out-patient clinics, diagnostics and treatment sessions

Participation in standard and video urodynamic studies

Attendance at specialty and cross-specialty multi-disciplinary team meetings

Involvement in relevant administration duties

Teaching and supervision of junior medical staff and other clinicians as appropriate

Active involvement in audit & clinical governance including service improvement activities

Participation in acute non-resident middle grade on-call rota.

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.

Training Programme Educational Input & Recognition

The successful candidate will receive relevant educational input from the subspecialist clinical and educational supervisors (Mr I Beckley and Ms A Downey) and will be required to develop a Personalised Work Schedule.

The Trust identifies the following as educational opportunities:

Personal Attributes

Essential

• Possesses good communication skills.
• Flexibility.
• Willingness to provide and learn all aspects of hospitals internal systems and processes and adhere to local policies
• Physically able to carry out the duties as specified in the job description and ability to evidence competencies
• Disclosure + Barring Service (DBS) Clearance

Desirable

• Has personal insight into own strengths and weaknesses.
• Ability to contribute to the development of the Trust, the Unit and its services.
• Evidence of multidisciplinary team working
• Specific educational interests and evidence of educational ideas or project work.

Qualifications

Essential

• Medical Degree from recognised medical school
• MRCS

Desirable

• Progress towards or attainment of FRCS (Urol) examination
• ATLS certification
• Higher postgraduate qualifications

Right to Work

Essential

• Eligibility to work in the UK

Management Skills

Essential

• Demonstrates intelligent and analytical approach to problem solving.
• Good time management.

Desirable

• Possess good organisational skills.

GMC Registration

Essential

• Please state full GMC number
• Full GMC Registration with licence to practise

Experience

Essential

• Pre-registration / foundation training and at least one year in a relevant specialty in an NHS Trust or with equivalent experience from overseas.
• Completion of urology training to the start of ST6 level

Desirable

• Relevant experience from other specialties
• Previous FNUU subspecialty experience at middle-grade level
• Experience of teaching clinical skills
• Experience of Clinical research and development

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).