International Clinical Fellow (ST3+) in Oncology (MTI)

Job responsibilities

Duties and responsibilities

• To work as part of a multi-disciplinary team to provide evidence-based care for all in patients. To liaise effectively and in a timely manner with surgical, medical, and nursing colleagues and all other health care agencies when appropriate
• To assist in the provision and development of a safe and effective Service and support the Trust in its aim to provide the best possible care to patients.
• Out- of-hours on-call responsibilities, including participation in the weekend rota.
• To carry out all duties to the highest possible standard, and in accordance with current quality initiatives within that area of work.
• Cover for colleagues annual leave and other authorised absences.
• A willingness to undertake additional professional responsibilities at local, regional or national levels.
• To carry out his/her duties with due regard to the Trusts Equal Opportunities policy at all times.
• To comply with Trust Health and Safety policies and maintain a safe and healthy environment for patients, visitors and staff.

Teaching

• To assist in the professional supervision and management of trainee medical staff
• To organise and participate in teaching, examination and accreditation duties for undergraduate, postgraduate and continuing medical education activity.
• To participate in the education and teaching of nursing and ODP staff

Research and Audit

• To be actively involved in medical audit, the Trusts Clinical Governance processes and in continuing professional development
• To implement audit and research findings as appropriate

Policy and Planning

• To contribute to the development of clinical and organisational guidelines
• To review and develop policies for clinical practice and effectiveness
• To participate in the strategic planning for the service
• To comply with current Trust policies and procedures

Management & Communication

• To participate in all aspects of Service Line and Hospital affairs, including attendance at Consultant Meetings and to represent the department on appropriate committees/working parties when required.
• To develop and monitor performance indicators for the Oncology service and implement action as necessary
• To assist in the effective handling of patients complaints

Record Keeping

• All staff who have access to or transfer data are responsible for that data and must respect confidentiality and comply with the requirement of the Data Protection Act 1998, in line with the Trusts policies
• The post-holder is responsible for data quality and complying with policies, procedures and accountability arrangements throughout the Trust for maintaining accuracy and probity in the recording of the Trusts activities
• To comply with the requirements of the Freedom of Information Act 2000 in line with Trust Policy

Personal Specification

• Practises with the professional values and behaviours expected of all doctors as set out in GMC Good Medical Practice and the Generic Professional Capabilities Framework (or equivalent for dentists).
• Clinically evaluates and manages a patient, formulating a prioritised differential diagnosis, initiating an appropriate management plan, and reviewing and adjusting this depending on the outcomes of treatment
• Manages the difficulties of dealing with complexity and uncertainty in the care of patients; employing expertise and clinical decision-making skills of a senior and independent/ autonomous practitioner.
• Communicates effectively and is able to share decision-making with patients, relatives and carers; treats patients as individuals, promoting a person-centred approach to their care, including self-management.
• Demonstrates key generic clinical skills around the areas of consent; ensuring humane interventions, prescribing medicines safely and using medical devices safely.
• Awareness of legal responsibilities relevant to the role, such as around mental capacity and deprivation of liberty; data protection; equality and diversity.
• Develops effective relationships across teams and contributes to work and success of these teams promotes and participates in both multidisciplinary and interprofessional team working.
• Demonstrates ability to challenge others, escalating concerns when necessary.
• Takes prompt action where there is an issue with the safety or quality of patient care, raises and escalates concerns, through clinical governance systems, where necessary.
• Recognises and takes responsibility for safeguarding children, young people and adults, using appropriate systems for identifying, sharing information, recording and raising concerns, obtaining advice and taking action.

Up-to-date with current research and best practice in the individuals specific area of practice, through appropriate continuing professional development activities and their own independent study and reflection.

MTI Scheme Eligibility (set by Royal College)

Essential

• oprovide evidence of living in one of the MTI-eligible countries for the last 12 months. We will only consider you if you live in DFID countries or Low Income, Lower Middle Income. If you live in an Upper Middle Income country we may consider you for MTI, but priority will be given to applicants from DFID and low and middle income countries
• oprovide Evidence of at least three years within the last five years Oncology training outside of the UK and European Union
• oprovide evidence of a postgraduate qualification acceptable to the College;
• ohave your postgraduate qualification (along with your Primary Medical degree) verified by the Educational Commission for Foreign Medical Graduates
• omust not have British or European citizenship (including dual national status)
• oprovide a written statement of intend to return to their home country upon completing the MTI post in the UK
• onot be in possession of any part of PLAB or have attempted to sit it (Please see below for further details)

MTI Scheme Eligibility (set by GMC)

Essential

• ohave a basic medical qualification acceptable to the GMC
• ohave completed at least one year in an internship post (pre-registration House Officer)
• ohave been qualified as a doctor for at least three years
• ohave your qualifications verified by the Educational Commission for Foreign Medical Graduates. More information can be found on the GMC website
• oprovide evidence of being engaged in medical practice for a minimum three years out of the last five years outside of the European Union, including the most recent 12 months
• oprovide evidence of good standing from the applicant's local Medical Regulatory Council
• odemonstrate knowledge of English by obtaining an overall score of 7.5 (with minimum scores of 7.0 in each section) in speaking, listening, reading and writing in the 'Academic' test of the International English Language Testing System (IELTS), or a minimum grade 'B' in each testing area (speaking, listening, reading and writing) in the Occupational English Test (OET). Please note IELTS and OET certificates are valid for only two years
• omust not have previously failed any part of the PLAB Test.

PLAB and MTI Eligibility:

Essential

• oa candidate who has sat and passed part 1 of PLAB over five years ago would be considered for MTI
• oa candidate who has sat and passed part 1 of PLAB between four and three years ago would be considered providing that they provide a satisfactory reason for the change in route to GMC registration
• oa candidate who has sat and passed part 1 of PLAB within the last three years would not be accepted for MTI.

Criteria for Overseas Qualification acceptable for MTI

Essential

• othe postgraduate qualification must be in Oncology medicine
• othe minimum duration of the course leading to this qualification is two years
• othe candidate or institution should be able to provide the Royal Collage with a curriculum covering the training leading to the qualification
• othe qualification must be recognised by a university or health authority in the country of origin
• othe candidate must have completed the qualification and produce a certificate from relevant authority
• oif a qualification has more than one part, the candidate must have successfully completed all parts
• oif the parent country recognises first part as a separate qualification in its own right, the qualification may be acceptable provided the curriculum is acceptable and the minimum duration of training leading to that qualification is two years
• othe Royal College has the final authority to decide on the acceptability of any overseas qualification after due consideration
• oacceptance for MTI sponsorship does not grant any exemption from any RC examinations

Language skills

Essential

• oapplicants have undertaken undergraduate medical training in English
• oapplicants have scores in the academic International English Language Testing System (IELTS) or equivalent equal to at least 7.5 in each area

Clinical skills

Essential

• it is expected that the postholder should be acute care safe. This can be demonstrated by an up-to-date ALS certificate or equivalent
• capacity to apply sound clinical knowledge relevant to the job. Minimum of 5 years experience of Oncology in an acute care setting including elective and emergency work. Experience of medical and clinical oncology work. Candidate should be able to provide evidence of this e.g. through a log book or testimonials
• experience in making clinical decisions and managing risk. Knows when to seek help, able to prioritise clinical need

Specialty specific skills related to the post

Essential

• the minimum time spent in basic level training will normally comprise 18 months. Subsequent experience of around 3-5 years in a range of training units will be looked for at application
• Medical assessments daily for both pre/post chemotherapy patients - ongoing for duration of treatment
• Daily prescribing and supporting of nurse led services
• Review of Acute Oncology inpatients following emergency admission
• Provide medical cover for adverse reactions/identify clinical risks within the chemotherapy unit
• Support Oncology unit with possible complications and Neutropenia assessment of walk in patients
• Attendance of specialist MDTs
• Other commitments, by arrangement tailored to an individual's training requirements, to make up the 40 core hours
• Training in analytical sections. Routine analytical work
• Provide oncology support and visibility across the trust
• Dissemination of knowledge to junior colleagues
• Integrate within all site specific cancers
• Undertake Outpatient Clinics as required
• Review of chemotherapy patient laboratory results and liaise with pharmacy staff accordingly, prescribe chemotherapy, immunotherapy, target therapy and hormone therapy as required

Commitment to clinical governance/ improving quality of patient care

Essential

• oCapacity to be alert to dangers or problems. Demonstrates awareness of good decision making
• oTrack record of engaging in clinical governance: reporting errors, learning from errors

Audit

Essential

• Evidence of active participation in audit or quality improvement project

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).