SHREWSBURY & TELFORD HOSPITALS NHS TRUST Scheduled Care Unit MSK Centre APPOINTMENT OF Orthopaedic Fellow, CT2/ST3 Level IN TRAUMA & ORTHOPAEDICS (12 months appointment with possible extension to 24 months) (Not accredited for training) Date: August 2017-1
CONTENTS SECTION 1 Job Description General Details SECTION 2 Person Specification SECTION 3 Duties of the Post SECTION 4 Orthopaedic Services SECTION 5 General Conditions of Appointment SECTION 6 Application Information - 2
SECTION 1: General Details Title: Orthopaedic Fellow Location: Based at Princess Royal Hospital / Royal Shrewsbury Hospital New or Replacement Post: New post Prime responsibility: Provision of Trauma & Orthopaedics services for Shropshire and the surrounding areas Accountable to: Clinical Director Mr Ron Dodenhoff Reports to: Clinical Director for Trauma & Orthopaedics Mr Ron Dodenhoff Key tasks: Example Provision of middle grade support to the Orthopaedic services. Assisting named consultants in outpatient activity, theatre activity and ward rounds as per job plan. Participation in the weekly ward pre-operative assessment clinics to facilitate effective preparation for surgery Participation in individual patient meetings with their family & MDT ( Patient review meetings ) Shared role in delivery of teaching & training to junior doctors & non-medical staff. Active participation in Clinical Governance, audit & research activities of these services. Assisting in administrative tasks of these services Keeping up to date & participating in CME & CPD Participation in annual appraisals & job planning. - 3
SECTION 2: Person Specification ENTRY CRITERIA ESSENTIAL DESIRABLE ASSESS BY Qualifications MRCS/MBBS or equivalent FRCS T & Orth A Experience 2 years in a specialty training programme in a relevant specialty or equivalent experience & competencies 2 years experience in Trauma & Orthopaedic A, HS Eligibility Eligible for Full GMC registration, with a licence s A, HS to practise, at time of appointment Eligible to work in the UK Health Meets professional health requirements (in line with GMC standards in Good Medical Practice) A, P, HS Clinical knowledge & skills Clinical governance / improving quality of patient care Communication skills Up to date knowledge of Trauma & Orthopaedics & evidence of an understanding of its application; Capacity to apply sound clinical knowledge relevant to the job; Experience in making clinical decisions & managing risk. Knows when to seek help, able to prioritise clinical need; Shows aptitude for practical skills required in job; Proven ability to work effectively in different clinical settings required in job Capacity to be alert to dangers/ problems. Demonstrates awareness of good decision making. Aware of own limitations. Track record of engaging in clinical governance: reporting errors, learning from errors; Demonstrates understanding of the principles of research; Evidence of interest & experience in teaching junior doctors & medical students; Evidence of active participation in audit Demonstrable skills in written & spoken English adequate to enable effective communication on medical topics with patients/colleagues, which could be evidenced by i) applicants having undertaken undergraduate training in English or ii) having scores in the academic IELTS or equivalent, equal to those required for recruitment to MMC specialty training programmes; Capacity to listen & take in others perspectives; Always considers patients preferences when discussing treatment options; Always considers the full impact of clinical decisions on the patients. Practice shared decision making; Directs & supports patients to access the information they need to support decision making ATLS A, P, C, I, & R Evidence of relevant academic & research achievements relevant to Trauma & Orthopaedics 360 degree feedback; patient survey feedback & reflections A, I, P A, I, R
Personal Skills Probity Commitment to on-going CPD Capacity to work co-operatively, effectively & flexibly within a multi-disciplinary team, & demonstrate leadership when appropriate; Capacity to use logical/lateral thinking to solve problems & make decisions; Capacity to organise oneself & prioritise own work. Demonstrates punctuality, preparation & self-discipline; Understanding of the importance of information technology; Able to adapt & work with the Trust to deliver improved patient care; Promotes equality & diversity Capacity to take responsibility for own actions & demonstrate a non-judgmental approach towards others; Displays honesty, integrity, awareness of confidentiality & ethical issues Demonstrates a willingness to fully engage in appraisal. Self-awareness & ability to accept & learn from feedback Demonstrates skills needed for effective delegation within the team: 360 degree feedback Basic keyboard skills A, I, R A, I, R P, C Key for Assess by: A = application form HS = pre-employment and health screening C = other documented evidence e.g. certificate, exam I = interview P = portfolio R = references - 5
SECTION 3 - Duties of the Post 3.1 APPOINTMENT Clinical: The Orthopaedic Fellow will be directly involved in the day to day care of Trauma and Orthopaedic patients. There is a day to day commitment to clinics and operating sessions and the on call rota. STUDY AND TRAINING Daily screens meeting PRH/RSH Monthly Journal Club PRH Dry Bone Sessions Weekly Teaching PRH Weekly Teaching RSH Commitment to teaching medical students. - 6
SECTION 4 Orthopaedic Services THE WORK OF THE DEPARTMENT There are 11 Orthopaedic Consultants, 3 of whom provide a specialist elective service and the remaining 8 provide both elective and trauma services, based on a 1:8 trauma rota. They are: 1) Mr Piers Moreau - Upper limb surgery; hand surgery 2) Mr Ralph Perkins - Hip and knee joint primary and revision arthroplasty 3) Mr Tom Crichlow - Knee ligament reconstruction; hip joint arthroplasty cemented and uncemented; total and unicondylar knee joint arthroplasty. Knee injuries. General trauma. 4) Mr Richard Roach Knee arthroplasty. Knee ligament surgery. 5) Mr Wolfgang Wagner Knee arthroplasty. Knee surgery. 6) Mr Mike Carmont, foot and ankle Surgeon 7) Mr Jonathan Reading - foot and ankle Surgeon 8) Mr Bruce Summers - Spinal surgery and back pain. 9) Mr Ronald Dodenhoff - Upper limb surgery; shoulder surgery 10) Mr Rob Turner Upper Limb Surgery, elbow surgery 11) Mr Jae Rhee - Upper limb surgery; shoulder surgery The Department has excellent elective and trauma facilities with modern wards and theatres, running daily dedicated lists. The main operating suite comprises five theatres including three with laminar flow ventilation used primarily for Orthopaedics. The day unit has 24 beds and three operating theatres and lists currently run Monday to Friday. ITU and HDU are both onsite. The unit is recognised for higher surgical training in T&O. It has two specialist registrars on rotation from the West Midlands rotation. There are two dedicated wards. There is a plaster room staffed by 3 technicians who have passed the British Casting Certificate. All patients for admission are seen and assessed in the Preoperative Assessment Clinic. TRANSFORMING CARE INSTITUTE The Trust is proud to have been working collaboratively with the Virginia Mason Hospital in Seattle, widely regarded as one of the safest Hospitals in the World. After the first 12 months we have progressed with a number of Value Streams. Doctors, Nurses, Allied Health Professionals and Colleagues from Virginia Mason are working together to transform Healthcare at The Shrewsbury and Telford Hospital NHS Trust and share our learning across the Country. We are one of five Trusts across the UK working with Virginia Mason and NHS Innovation. Our current Value Streams are Respiratory Discharge, Sepsis, Workforce and Recruitment and Outpatients. Sponsor teams have ownership of the programme and run Rapid Process Improvement weeks that allow our workforce to try new processes and procedures that may improve the care we offer to our patients. Any proposals made are tested, measured and fully supported to ensure that they become embedded into our normal daily work and remain sustainable in the long term. This process aligns to our Organisational Strategy putting our Patients First and reflects the Values of our Trust. Our Kaizen Promotion Office (KPO)provides the support for this work. Every Value Stream has full Executive support and the entire Executive team have an important role to play on the Guiding team and our overall Transformation programme. We are very proud of our achievements to date and are looking for ways to engage with all of our staff through our Transformation work and our Leadership Academy launching in November 2016. There will be many opportunities for you to become involved in our KPO and value Stream work and we
will be able to provide you with help and guidance independent of your level of expertise. We have a unique opportunity to make a difference and we hope that you will want to be a part of our journey. - 7
SECTION 5 - General Conditions of Appointment General Conditions of Appointment The appointment is subject to the national Terms & Conditions of Service for Specialty Registrars, which may be amended by collective agreement from time to time. The Trust requires the successful candidate to have & maintain full registration with the General Medical Council (GMC) & to fulfil the duties & responsibilities of a doctor as set down by the GMC. All appointments are subject to satisfactory Occupational Health Clearance and satisfactory enhanced criminal record disclosure by the Criminal Records Bureau being obtained. The appointment is exempt from the provisions of Section 4(2) of the Rehabilitation of Offenders Act 1974 by virtue of the Rehabilitation Act 1974 (Exemptions) Order 1975. Applicants are not entitled therefore to withhold information about convictions which for other purposes are "spent" under the provision of the Act, and in the event of employing any failure to disclose such convictions could result in dismissal or disciplinary action by the Trust. Any information given will be completely confidential and will be considered in relation to an application for positions to which the Order applies. With the Terms of DHSS Circular (HC)(88) Protection of Children applicants are required when applying for this post to disclose any record of convictions, bind-over orders or cautions. The Trust is committed to carefully screening all applicants who will work with children and you will be expected to undertake a 'disclosure' check. It is essential that six weeks notice is given for all forms of approved planned leave to allow for proper planning and prevent cancellations of patients' appointments/surgery. If the rota has already been published the appointee may be asked to cover at short notice for colleagues absence by mutual agreement with that colleague and / or the approval of the Clinical Director, in accordance with standard Trust and NHS regulations. 5.2 Exposure Prone Procedures The duties of this post require the post holder to carry out exposure prone procedures on patients of SaTH NHS Trust. In order to protect its patients from acquiring blood borne virus infections from staff, the Trust requires that the following conditions are met before appointment is made: The candidate must consider whether he/she has been at significant risk of acquiring HIV infection. If there has been such a risk the candidate must arrange for HIV testing before accepting the appointment. The candidate must provide documentary evidence on immunity to Hepatitis B infection, either by immunisation or natural immunity. If the candidate is non-immune SaTH NHS Trust will require a blood test to be carried out for hepatitis B e antigen before appointment. The duties of this post are such that no Hepatitis B e antigen positive candidate can be appointed. Any appointee who is not immune to Hepatitis B, but is carrying out exposure prone invasive procedures accepts that regular check on Hepatitis B markers will be carried out by the Occupational Health Service appointed by the SaTH NHS Trust. The tests can be arranged, if the candidate agrees, in confidence through the local Consultant Microbiologist or the Occupational Health Service appointed by the SaTH NHS Trust. - 8
5.3 Health & Safety The SaTH NHS Trust recognises its duties under the Health and Safety at Work Act 1974, to ensure as far as is reasonably practicable, the health, the safety and welfare at work of all its employees and in addition, the business of the Trust shall be conducted so as to ensure that patients, their relatives, contractors, voluntary workers, visitors and members of the public having access to the Trust premises and facilities are not exposed to risk to their health and safety. All medical and dental staff under contract to the SaTH NHS Trust will be expected to comply with the Trust Health and Safety policies. 5.4 Data Protection Act All staff having access to computer information are subject to the Data Protection Act 1984. 5.5 Confidentiality The Trust requires its employees to maintain a high standard of confidentiality and disclosures outside the recognised arrangements will be treated as serious disciplinary offence. - 9
SECTION 6: Application Information Applicants who are unable, for personal reasons, to work full time will be eligible to be considered for the post. Applications to be submitted in the form of: A completed application form, giving names of three referees Curriculum vitae (4 copies) Applications to: Mr Ron Dodenhoff Clinical Director Trauma & Orthopaedics Princess Royal Hospital Tel: 01952 641222 Ext 4486 Closing date for receipt of applications: As per advertisement Please note: Expenses of short-listed candidates will be reimbursed at rates equivalent to those listed in the Terms and Conditions of Service for Hospital Medical and Dental Staff. SECTION 6 - Application Information Applicants who are unable, for personal reasons, to work full time will be eligible to be considered for the post. Job share applicants are also welcomed. If appointed, modification of the job content will be discussed on a personal basis in consultation with consultant colleagues. Applications to be submitted in the form of: A completed Application Form, giving names of two referees. Applications to: Mr Ron Dodenhoff Clinical Director Trauma & Orthopaedics Princess Royal Hospital Tel: 01952 641222 Ext 4486 Closing date for receipt of applications: as per advertisement Please note: Expenses of short-listed candidates will be reimbursed at rates equivalent to those listed in the Terms and Conditions of Service for Hospital Medical and Dental Staff. - 1