Subspecialty Trainee in Gynaecological Oncology

Job summary

This is an RCOG recognized Gynecological Oncology subspeciality training programme leading to RCOG Gynaecological Oncology subspecialty accreditation.

The appointed candidate will be expected to be involved in implementing the Trust's Clinical Governance programme. This includes active participation in clinical audit, quality, clinical guidelines/pathways, professional development, appraisal, and risk management. This role involves working within team delivering tertiary-level surgical care to Gynaecological cancer patients. It requires a dedicated individual interested in gynaecological cancer and who will be immersed in complex surgery and all this entails. Pivotal to the role would be good communication skills to discuss in detail diagnosis, complex surgical issues, and subsequent managements. Strong background in general gynaecology required to provide good understanding of patient journey prior to cancer diagnosis and support patient throughout. The trainee must work well in a team and across other specialities. Surgical training will be available in both open and robotic surgery.

Main duties of the job

Active participation in weekly Specialist Multi-disciplinary team meetings to triage patients accordingly for local or specialist surgery is encouraged. Consultation of new and follow up patients in clinics supervised by Senior Colleagues and supported by Clinical Nurse Specialist will occur regularly. Identification and subsequent management of complex pre-operative issues will be encountered and experience gained in this area. Daily ward rounds/ pre-operative assessments will be shared amongst Clinical Fellows along with ample theatre sessions. Surgical training will be tailored according to the individual trainee's ability but wide range of surgical training is available for both open and robotic surgery. There will be opportunity to provide emergency services which covers all the surgical specialities in the directorate (gynaecology, colorectal, urology & plastics).

Additional to training in gynaecological oncology, there will be opportunities to attend MDT & theatres of other specialities, as well as non-surgical specialities in the Christie to achieve sub specialty training. Research & audit within the role is encouraged and accommodated within the trainee rota.

The role requires a diligent and hard-working person with an enthusiasm for surgery and gynaecological oncology. We welcome individuals who will actively engage with the team.

About us

The Christie is one of Europe's leading cancer centres, treating over 60,000 patients a year. We are based in Manchester and serve a population of million across Greater Manchester & Cheshire, but as a national specialist around 15% patients are referred to us from other parts of the country. We provide radiotherapy through one of the largest radiotherapy departments in the world; chemotherapy on site and through 14 other hospitals; highly specialist surgery for complex and rare cancer; and a wide range of support and diagnostic services. We are also an international leader in research, with world first breakthroughs for over 100 years. We run one of the largest early clinical trial units in Europe with over 300 trials every year. Cancer research in Manchester, most of which is undertaken on the Christie site, has been officially ranked the best in the UK.

Job description

Job responsibilities

DUTIES AND RESPONSIBILITIES

This is a 40 hours per week appointment (full time) at Specialty Registrar level, working in one of the countrys leading Gynaecological Oncology centres. It is expected that the successful candidate will play a key part in the team, as a clinical fellow but also concentrating on a particular area of service development. More focused surgical training can be tailored to the suitable candidate. There will be fully supervised and supported work in both ward and outpatient settings, oncological procedures in theatre, and research. The area of research may fall into: robotic surgery, introduction of HIPEC in ovarian cancer and psychosexual health following gynaecological surgery.

The post holder will support the Consultant Gynaecological Oncology Surgeons, work alongside Junior Doctors and liaise closely with Senior Medical colleagues and all grades and levels of AHP and management teams. The appointees professional time will be deployed flexibly in appropriate areas: clinical duties, administration, teaching, research, clinical audit etc. Detailed elements of the job plan arrangements are to be agreed with the successful applicant when in post.

The center wishes to build its current research portfolio and continue regional collaboration, publication and presentation and it is expected that the post-holder will actively participate in this.

In addition to Gynaecological Oncology work, the Christie team works closely with other surgical specialties at The Christie as part of a tertiary referral Pelvic Surgery Team. This team comprises 9 Colorectal, 7 Urological and 4 Oncoplastic Surgeons specialising in complex abdomino-pelvic malignancy. They undertake ultra-high volume complex pelvic and exenterative surgery for a population of > 8 million people.

Continuing Professional Development

The Trust supports the requirements for continuing professional development (CPD) as laid down by the GMC and surgical colleges and is committed to providing time and financial support for these activities.

Role Planning

The following provides an outline of the expected clinical activity and clinically related activity components of the job plan which occur at regular times in the week. Agreement should be reached between the appointee and their Training Programme Director with regard to the scheduling of all other activities, including the Supporting Professional Activities. Upon appointment, the subspecialty trainee will be given a specific work programme detailing the initial allocation of direct clinical care activities and supporting activities. A formal weekly timetable will be agreed between the appointee and the Training Programme Director. There is routine ward work, Consultants rounds, gynaecology oncology outpatient clinics and operating sessions. There will be a requirement to maintain colposcopy accreditation through regular attendance to colposcopy clinics.

Provisional timetable

Monday

Tuesday

Wednesday

Thursday

Friday

morning

Inpatient review

Inpatient review

Inpatient review

Inpatient review

Inpatient review

AM session

Theatre

Audit/ Research

Theatre

Clinic

MDT

Lunch time

teaching

Clinical Governance

PM session

Theatre

Audit/ Research

Theatre

Clinic

Admin

This timetable is indicative; the definitive timetable will be agreed by the Trust and the appointee and subject to regular review.

On call Commitments

This role does require participation in the surgical clinical fellow on-call rota.

PERSON SPECIFICATION

Essential for the post

Desirable for the post

METHOD OF ASSESSMENT

1. ATTAINMENTS

Educational & Qualifications

Full registration with the GMC and with License to Practice

Basic medical qualification (MB BS or equivalent)

Satisfactory ST4 ARCP by commencement of post or equivalent

MB BS (or equivalent)

MD/PhD

CRiSP Course

(if not undertaken would be expected within 6 months of commencement)

CE

Professional Qualifications

GMC registration

CE

Research / Publications

Evidence of a commitment to research

To show a broad range of publication and research activity

AF/I

2. TRAINING

ST5 and above or equivalent, with sequential annual appraisals

A portfolio of experience and publication of research in the specialty

experience with statistics

AF/I/R

3. EXPERIENCE

Job Specific

Minimum 4 years completed training period in the National Health System required for the specialty.

Experience in research or

published papers in area

of special interest

CE

Management / Audit

Evidence of self audit.

Desire to participate in research at post graduate level

Ability to audit and critically appraise clinical care delivery by a multidisciplinary team

AF/I

4. TEACHING

Interest in postgraduate and undergraduate teaching

Involvement in organizing teaching

AF/I

5. PERSONAL SKILLS

Acceptability

Good organisational ability and a willingness to be flexible in accordance with the demands of team working across Gynaecological network

Computer Literate

Experience of working in a clinical team with good communication skills

Ability to communicate effectively with clinical colleagues, colleagues in pathology and support staff

Good knowledge of, and ability to use, spoken and written English

Ability to present effectively to an audience, using a variety of methods, and to respond to questions and queries

Good presentation skills.

AF/I

Leadership

Good communication skills, enthusiasm, leadership, ability to work well as a team member and ability to work well with present consultants/department.

A flexible approach to delivery of service in a changing environment.

Demonstrates understanding and commitment to Equality, Diversity and Inclusion.

Previous responsibility for service improvement.

Management skills

Initiative in tailoring training and experience to develop novel techniques in treatment

Self- reliance

Needs to be comfortable with managing own workload with minimal supervision

Motivation

Self motivated to complete tasks independently and manage own workload

6. CIRCUMSTANCES

Domicile

Within 30 minutes travel time to the hospital. Ability to travel across sites.

Abbreviations for Methods of Assessment:

AF Application Form

I Interview

R References

CE Certification Evidence

Person Specification

Qualifications

Essential

Full registration with the GMC and with License to Practice Basic medical qualification (MB BS or equivalent) Satisfactory ST4 ARCP by commencement of post or equivalent MB BS (or equivalent) GMC registration Evidence of a commitment to research ST5 and above or equivalent, with sequential annual appraisals A portfolio of experience and publication of research in the specialty

Desirable

MD/PhD CRiSP Course (if not undertaken would be expected within 6 months of commencement) To show a broad range of publication and research activity experience with statistics

CIRCUMSTANCES Domicile

Essential

Within 30 minutes travel time to the hospital. Ability to travel across sites.

Experience

Essential

Minimum 4 years completed training period in the National Health System required for the specialty. Evidence of self audit. Desire to participate in research at post graduate level Interest in postgraduate and undergraduate teaching

Desirable

Involvement in organizing teaching Ability to audit and critically appraise clinical care delivery by a multidisciplinary team Experience in research or published papers in area of special interest

Personal skills

Essential

Good organisational ability and a willingness to be flexible in accordance with the demands of team working across Gynaecological network Computer Literate Experience of working in a clinical team with good communication skills Ability to communicate effectively with clinical colleagues, colleagues in pathology and support staff Good knowledge of, and ability to use, spoken and written English Ability to present effectively to an audience, using a variety of methods, and to respond to questions and queries Good communication skills, enthusiasm, leadership, ability to work well as a team member and ability to work well with present consultants/department. A flexible approach to delivery of service in a changing environment. Demonstrates understanding and commitment to Equality, Diversity and Inclusion. Needs to be comfortable with managing own workload with minimal supervision Self motivated to complete tasks independently and manage own workload

Desirable

Initiative in tailoring training and experience to develop novel techniques in treatment Management skills Previous responsibility for service improvement.

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