Mydoc - Registrar - Urology

7 months ago

Wakefield, United Kingdom The Mid Yorkshire Teaching NHS Trust Full time

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.

In addition to the advanced laparoscopic urology already provided within the Trust, a robotic surgery service has now been established utilising the DaVinci Robot. While 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. Urological investigations units are present on all three main 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 urology ward also houses an eight-bedded surgical high-dependency unit. 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 are free of routine duties and able to concentrate their efforts on looking after patients who have been admitted acutely. 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 has for the last 4 years successfully supported the weekend on-call service at Barnsley General Hospital and provides a tertiary referral service for specialist work. Efforts are ongoing to increase the level of collaboration between the two departments with the ultimate aim of having a single unit based primarily at Pinderfields offering urological care and services to a combined population approaching one million patients. 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. The Service Role From a clinical perspective these posts will participate in the cross site senior trainee rota. The senior trainee rota is compliant with the 2016 junior 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 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 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.

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