Medical Training Initiative Post Paediatric Neurology Fellow Job Description Lead Clinician Dr Nahin Hussain

Transcription

1 Leicester Royal Infirmary, University Hospitals of Leicester NHS Trust Medical Training Initiative Post Paediatric Neurology Fellow Job Description Lead Clinician Dr Nahin Hussain 2018

2 Hospital: Leicester Royal Infirmary Directorate: Womens and Childrens Grade: MTI Paediatric Neurology (ST3 for 6 months and then ST4-6 for 18 months) Hours Per Week: 48 Salary Scale: Salary payment is according to the MN37 pay scale at 30,002-47,115 according to level of previous experience. Unit Description: For the current round of RCPCH applications to MTI-p, we are delighted to offer 6 months in Acute/General Paediatrics and 18 months in Paediatric Neurology at University Hospitals Leicester NHS Trust. This job is under the Medical Training Initiative (MTI) scheme run by the Royal College of Paediatrics and Child Health. Please note this post has been quality assured by the MTI team at RCPCH The Leicester paediatric neurology service is based in the Leicester Children s Hospital on the Leicester Royal Infirmary site. It provides secondary and tertiary services to the Leicestershire and Rutland communities. It also works in partnership with surrounding NHS Trusts to provide care to patients from further a field. Leicester Royal Infirmary has one of the fastest growing out patient and inpatient services in paediatric Neurology in the UK. We see nearly 5000 patients in our outpatient department. There are seven out patient clinics at Leicester and further outreach clinics at Coventry and Rugby. Almost all neurological conditions are seen in our patient population. The opportunities for training are immense. The trainee will be responsible for arranging the admission of Neurology patients for inpatient and day case investigations, and for co-ordinating the in-patient care of neurology patients. The trainee will have exposure to attending the tertiary/regional paediatric neuromuscular clinic, complex epilesy (VNS Clinic) and ketogenic diet clinics. Up to one sessions per week may be used for clinical attachment, arranged to fit in with the trainee s needs. The following attachments may be available: 1. Neurophysiology at the Leicester Royal Infirmary (LRI) one sessions per week for 12 months. 3. Regional paiatric neuromuscular clinic 4. Genetics/Neurogenetics 5. Paediatric Psychiatry/Neuropsychology 6. Learning Disabilities 7. Sleep disorders 8. Ketogenic diet programme and video telemetry for complex epilepsy patients. The trainee will have opportunity to complete sections of the paediatric neurology training as recommended by the RCPCH- Demographics Leicester Children s Hospital provides paediatric services to the just over one million residents of Leicestershire and Rutland. Tertiary services at the Leicester Children s Hospital also attract patients from further afield. All the general and specialist services, except for cardiac services, are centralised on the Leicester Royal Infirmary site. Cardiac services are based at the Glenfield Hospital site. The Leicester

3 Children s Hospital currently manages around 130 beds and has a budget of over 35 Million. The Children s Hospital team includes more than 50 consultants and sees new out-patients annually. The Children s Hospital manages 3000 day case patients and emergency patients annually. The Children s Hospital forms part of University Hospitals Leicester Women and Children s Clinical Management Group (CMG). Services at Leicester Children s Hospital The Children s Hospital is based both in the Leicester Royal Infirmary LRI) and Glenfield Hospitals and manages a large number of paediatric specialities (At LRI unless listed otherwise) including: Cardiac Surgery (Glenfield) Cardiology (Glenfield) Clinical Immunology Dermatology Endocrine and Diabetes Gastroenterology General Paediatric Medicine General Paediatric Surgery Haematology Infectious Diseases (including HIV and TB) Intensive care (both LRI and Glenfield) Metabolic Neonatal and Paediatric ECMO (Glenfield) Nephrology Neurology Oncology Orthopaedics Respiratory (including asthma, allergy and home ventilation) Rheumatology Urology Key Working Relationships: 3 WTE consultants in Paediatric Neurology: Dr. Nahin Hussain, Dr. Rajib Samanta Dr Rashid Saleem Consultant Paediatric Neurologist Locum Consultant Paediatric Neurologist Clinical Assistant

4 Ms. Vicky Mr.Richard Crawthorn Ms. Ellen Wilford Epilepsy Nurse Specialist Epilepsy Nurse Specialist Paediatric Dietician Ketogenic diet Supervisor Dr Nahin Hussain Consultant paediatric neurologist Contact details for unit Dr Nahin Hussain, Consultant Paediatric Neurologist, : Programme Description: The University Hospitals of Leicester NHS Trust is a well established centre in terms of hosting paediatric MTI posts with positive feedback from previous posts. For the current round of RCPCH applications to MTI-p, we are delighted to offer 6 months in Acute/General Paediatrics and 18 months in Paediatric Neurology at University Hospitals Leicester NHS Trust. In the first 6 months you will spend doing general paediatrics. As general paediatrics interfaces with the majority of the specialties, it is the best base from which to get to know the children s hospital and our ways of working. During this time, you will start as an SHO (ST3) and within 6 months, when ready, move up to the registrar rota. In the following 18 months you will be working in the tertiary neurology service. Although the majority of your time will be spent in neurology you will continue to contribute to the general paediatric on-call rota. This 18 months will provide an excellent opportunity to gain specialist neurology training. The order of posts within a rotation can sometimes be changed. The appointee will have the opportunity and funding to complete the RCPCH approved Postgraduate Diploma in UK Medical Practice that is coordinated by the Liverpool School of Tropical Medicine Induction All MTI candidates will receive a comprehensive induction programme to familiarise them with the functioning of the hospital, the Trust s procedures and issues of clinical governance. In addition, there is a specific induction to Paediatrics and the relevant areas for the post. Consultant supervision and advice is available at all times. The Programme All MTI candidates will start training at ST3 level for the first 6 months. This is to allow acclimatisation with practice in the UK. The expectation is that the trainee will satisfy level 1 & 2 competencies. Further to meeting these criteria the candidate will be promoted to ST4. Some candidates may not meet the criteria for promotion and will be given a further 3-6 months to make progress. In the final 18 months of training candidates will be expected to gain level 3 competencies as discussed with their educational supervisor. E Portfolio Please note it is mandatory for all MTI neonatal fellows to maintain an e-portfolio record of their training from start of the programme. Use of E-portfolio is permitted through the RCPCH for a nominal fee.

5 Working Patterns & Duty Rota To maintain acute general paediatric skills the appointee will take part in the general paediatric middle grade on call duty rota (EWTD compliant). The appointee may also have the option of covering the CICU middle grade rota on call duty rota as an alternative option. Sample rota is shown below. Working arrangement for general paediatric on-calls Week Mon Tue Wed Thu Fri Sat Sun :30-21:00 8:30-17:00 8:30-21:00 8:30-17:00 8:30-17:00 8:30-17:00 8:30-17:00 8:30-17:00 8:30-21:00 8:30-21:00 8:30-21:00 8:30-21:00 8:30-17:00 8:30-21:00 8:30-17:00 16:00-24:00 16:00-24:00 16:00-24:00 20:30-24:00 00:00-9:00, 20:30-24:00 00:00-9:00 8:30-17:00 8:30-17:00 8:30-17:00 8:30-17:00 8:30-17:00 16:00-24:00 16:00-24:00 20:30-24:00 00:00-9:00, 00:00-9:00, 00:00-9:00, 00:00-9:00 20:30-24:00 20:30-24:00 20:30-24:00 00:00-9:00, 20:30-24:00 Duty details Duty Name Type Start Finish Days Duration A NWD Shift 8:30 17:00 1 8:30 B Late Shift 8:30 21: :30 C Night Shift 20:30 9: :30 E Twilight Shift 16:00 24:00 1 8:00 Working arrangement for CICU on-calls Week Mon Tues Wed Thu Fri Sat Sun :30-17:00 8:30-17:00 8:30-17:00 8:30-21:00 8:30-21:00 8:30-21:00 8:30-21:00 8:30-17:00 8:30-17:00 8:30-17:00 20: :00-9:00 8:30-17:00 8:30-17:00 8:30-17:00 20: : : :00-9:00 8:30-17:00 8:30-17:00 8:30-21:00 8:30-17:00 8:30-21:00 8:30-21:00 8:30-17:00

6 Duty details Duty Name Type Start Finish Days Duration A NWD Shift 8:30 17:00 1 8:30 B Late Shift 8:30 21: :30 C Night Shift 20:30 9: :30 Educational Supervision Educational supervision will be provided by Dr Nahin Hussain. There is a structured assessment package provided for MTI trainees by the RCPCH similar to the one used by UK ST trainees. Dr Nahin Hussain, Consultant Paediatric Neurologist, ; nahin.hussain@uhl-tr.nhs.uk Research & Audit and Diploma You will be encouraged to take part in clinical governance activities such as audit projects. In addition, you will be encouraged to take part in teaching medical students, paediatric trainees and allied health professionals. Liverpool School of Tropical Medicine The Postgraduate Diploma in UK Medical Practice has been designed by the Liverpool School of Tropical Medicine in order to allow MTI doctors the opportunity to demonstrate the breadth of experience gained during their work in NHS Trusts. In order to be awarded the DipUKMP, doctors will be required to carefully document their training using the eportfolio system, demonstrate that they have met learning outcomes based on a range of NHS work, and submit a 2,500 words assignment, based on their involvement in one of clinical practice, medical education or quality improvement/ clinical governance work. Further information can be found at: Accommodation Leicester Royal Infirmary does not guarantee accommodation. There is accommodation available at all hospital sites namely Leicester Royal Infirmary, Leicester General Hospital and Glenfield Hospital. The accommodation at the Leicester Royal Infirmary site is privately run. To find out more about accommodation please contact the accommodations team on or by at residential.accommodation@uhltr.nhs.uk All accommodation costs are the responsibility of the MTI fellow. Study Leave The trust study leave allowance for non- training grade doctors as the same as those in training and comprises of 10 days external and 20 days internal leave per year. The leave year runs from April to April and is pro rata if their contract does not run for the entire year. Annual Leave Annual leave is dependent on salary scale at 27 to 32 days per year and up to 8 public holidays.