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  • 1. SPECIALTY TRAINING PROGRAMME IN CLINICAL RADIOLOGYEAST MIDLANDS HEALTHCARE WORKFORCE DEANERY - NORTH NOTTINGHAM UNIVERSITY HOSPITALS DERBY HOSPITALS FOUNDATION TRUST & SHERWOOD FOREST HOSPITALS NHS FOUNDATION TRUST 1
  • 2. APPOINTMENTThis is a non-resident 5 year Specialist Training post in Diagnostic Radiology to theNottingham Radiology Training Scheme, which includes rotations to NottinghamUniversity Hospitals (Queens Medical Centre and Nottingham City Hospitalscampuses), Derby Hospitals Foundation Trust and Sherwood Forest HospitalsNHS Foundation Trust. The training scheme is fully accredited by the RoyalCollege of Radiologists for part 1 FRCR, part 2 FRCR and post FRCR training.During the course of each year there are regular appraisals and assessments toensure that there has been satisfactory progress. The Postgraduate Dean hasconfirmed that this programme has the required educational and staffing approvals.There are currently 41 Specialist Training posts in the Nottingham RadiologyTraining Scheme, which provides training for the FRCR parts 1 & 2 and leads tothe acquisition of a CCT in Clinical Radiology. This appointment is intended toprovide modular training in all the radiological specialities and subspecialty trainingin particular areas of interest, based on the new curriculum in the documententitled Structured Training in Clinical Radiology published by the Royal College ofRadiologists in 2007.Rotations are supervised by the Training Committee and occur every four monthsbetween the QMC and Nottingham City Hospital campuses during the first andsecond years, but in the final three years the rotations may be extended to eightmonths to include either Campus of Nottingham University Hospitals, DerbyHospitals Foundation Trust, and Kings Mill Hospital Mansfield.All centres on the rotation offer a comprehensive training in general plain filmradiology, procedural radiology, interventional radiology, CT, MR, Ultrasound andnuclear medicine. After the acquisition of the FRCR, opportunity is given to anindividual to gain experience in any aspect of radiology they wish to pursueincluding out of programme experience.The proposed initial sessional commitment is:- 4 Sessions of General Radiology 4 Sessions of Specialist Radiology 2 Sessions of Research, audit and study 2
  • 3. Duties of The PostTo continue progressive training in radiological reporting and techniques under theoverall supervision of the Consultant Radiologists.To supervise and report promptly on investigations undertake by the radiographicstaff.To undertake “on-call” duties according to the rota and when “on-call” to ensurethat availability at home is such that the Specialist Registrar is as fully on standbyas if he/she were on standby at the hospital.To attend the clinico-radiological, audit and research meetings.TeachingTo help other specialist registrars prepare for the FRCR.To undertake postgraduate teaching at the clinico-radiological meetings.To undertake undergraduate and postgraduate teaching to special groups.To teach and supervise other specialist registrars in radiology.ResearchTo undertake radiological research and audit and so prepare articles, case reportsand presentations as the opportunities arise using the specific sessions allocated.AdministrationTo draw up an “on-call” rota and to ensure that these duties are adequatelyperformed.To gain experience in Medical Management through membership for appropriatecommittees.Contracted Hours and On-Call RotaArrangements for out of hours working are currently being revised to ensurecompliance. Any previous information published on this Programme Descriptionwas for guidance only.Postgraduate TrainingPostgraduate training programmes have been set up for both general andspecialist training as laid down by the colleges and Faculties and by thePostgraduate Dean’s network. At local level, college/speciality tutors work withUnit Postgraduate Clinical Tutors in supervising these programmes. Trainees willbe expected to take part in these programmes including audit and to attend 3
  • 4. counselling sessions/professional review. Study leave forms part of theseeducational programmes and will be arranged in conjunction with the appropriatetutor.Conditions of ServiceThe appointment is subject to the Terms and Conditions of Service of HospitalMedical and Dental Staff (England and Wales) as amended from time to time andalso other polices and procedures as may be agreed by the Employing Authority.Medical ExaminationThis appointment is subject to clearance of the appointee’s Occupational HealthQuestionnaire and the appointee may be required to undergo a medicalexamination.Study LeaveThis is granted in accordance with the recommended allowance, subject to themaintenance of the service and to prior formal approval by the Postgraduateauthorities.ResidenceThis is a non-resident post. Irrespective of his/her place of residence it is theresponsibility of the appointee to ensure that when on-call, he/she will be availableby telephone and able to reach the hospital in time to meet his/her commitments.Removal ExpensesEnquiries in respect to relocation expenses should be addressed to the MedicalStaffing Department.Health and SafetyThe Employing Authority recognises its duties under the Health and Safety at WorkAct 1974 to ensure, as far as is reasonably practicable, the health, safety andwelfare at work of all its employees and in addition the business of the authorityshall be conducted so as to ensure that patients, their relatives, contractors,voluntary workers, visitors and members of the public having access to Authoritypremises and facilities are not exposed to risk to their health and safety.All Medical and dental staff under contract to the Employing Authority will beexpected to comply with the Health and Safety Policies of the Trust.Information or Visit 4
  • 5. For further information or to arrange a visit after short-listing contact:Dr N Broderick, Head of Training, Nottingham City Hospital, Tel: 0115 9249924Ext: 61091OrDr R O’Neill Clinical Tutor, University Hospital, Nottingham, Tel: ????? 5
  • 6. NOTTINGHAM HEALTH AUTHORITYQueens Medical Centre Campus, Nottingham University Hospitals NHS TrustThe Queen’s Medical Centre is a large University Teaching Hospital with 1,340beds, situated in Nottingham, serving a population of 650,000. University Hospitalwas opened in 1978 and commissioning was completed in 1985. The Queen’sMedical Centre comprises both University Hospital and the Medical School of theUniversity of Nottingham.The Queen’s Medical Centre provides specialist care in General Medicine,Neurology, Cardiology, Gastroenterology, Dermatology, General Surgery,Neurosurgery, Vascular Surgery, Orthopaedics and Trauma, Obstetrics andGynaecology, ENT Surgery, Ophthalmology, Paediatric Medicine and Surgery,Geriatric Medicine and Psychiatry and has the only major Accident and EmergencyCentre in Nottingham.There are 36 rooms in the x-ray department with facilities for plain film radiology,urography, barium studies, angiography and interventional radiology,neuroradiology, cardiac radiology, ultrasound, obstetric ultrasound, paediatricradiology, nuclear medicine, CT and MR. The new Imaging centre was opened in1993 and contains one of the spiral CT scanners and two 1.5 Tesla MR scanners.Presently there are up to 16 Specialist Trainees in Years 1-5 based at the Queen’sMedical Centre, including one Year 5 post in Vascular and InterventionalRadiology. The Specialist Trainees have a large reporting room in the maindepartment and there is a small radiological library with IT facilities within theDepartment. There is the Greenfield medical library with IT facilities in the MedicalSchool. The new Postgraduate Medical Education Centre was opened in 1996and also has IT facilities.There is also an Academic Department of Radiology for the Professor of Radiologywho has a lecturer and several research fellows. There is a radiological library anda film museum within the academic department as well as IT facilities forundergraduate and postgraduate teaching.Directorate of RadiologyThe Clinical Director is Dr S.Ryder who, with the Radiology Services Manager, MrKeith Hollis, is responsible for the management of the directorate.Consultant RadiologistsDr R Dhingsa GI RadiologyDr N Broderick Paediatric RadiologyDr S Dawson Musculoskeletal RadiologyDr S Habib Vascular Radiology 6
  • 7. Dr K Dunn GI RadiologyDr R Gregson Vascular RadiologyDr K Halliday Paediatric RadiologyDr A Evans NeuroradiologyDr T Jaspan NeuroradiologyDr R Kerslake Musculoskeletal RadiologyDr R Lenthall NeuroradiologyDr C Ludman MR ImagingDr N McConachie NeuroradiologyDr P Emberton Musculoskeletal RadiologyDr J Somers Paediatric RadiologyPost vacant (vice Dr. Twining)Dr R Ganatra Nuclear MedicineDr S Whitaker Vascular RadiologyDr D Annesley-Williams NeuroradiologyDrJ Shah NeuroradiologyDr L Fender O & G and Paediatric RadiologyDr.G Ramjas ` Vascular/Interventional RadiologyDr.M Kumuran Chest radiologyAcademic RadiologyProfessor D AuerDr.Rob DineenRadiological TrainingThe Head of Training and Programme Director is Dr Nigel Broderick and theCollege Tutor is Dr Richard O’NeillJunior Radiological StaffCurrent compliment is a maximum of 16 Specialist Registrars at QMC in years 1-5of training. 7
  • 8. Nottingham City Hospital Campus, Nottingham University Hospitals NHSTrustThe City Hospital Nottingham is a large University Teaching Hospital with 1190beds, situated in Nottingham serving a population of 650,000. The City Hospitalprovides specialist care in General Medicine, Respiratory medicine, RenalTransplantation, Rheumatology, Haematology, General Surgery, CardiothoracicSurgery, Breast Surgery, Urology, Plastic Surgery and Burns, Orthopaedics,Oncology and Radiotherapy, Obstetrics and Gynaecology, Neonatal Medicine andSurgery, Geriatric Medicine and Psychiatry.There are 32 rooms in the x-ray department with facilities for plain film radiology,urography, barium studies, angiography and interventional radiology, cardiacradiology, mammography, ultrasound, obstetric ultrasound, nuclear medicine andbone densitometry, CT and MR. Breast screening is carried out at the NottinghamBreast Institute, which is one of four nationally designated training centres in theUK.Presently there are up to 14 Specialist Trainees in Years 1-5 based at the CityHospital Nottingham, including one post in Breast Imaging. The SpecialistTrainees have a reporting room in the main department and there is a largeradiological library and an IT room for study within the department. There is amedical library within the postgraduate medical education centre, which wasopened in 1972, but has recently been extended.Department of RadiologyThe Clinical Director is Dr S.Ryder who is responsible for the management of thedepartment.Consultant RadiologistsDr H Burrell Breast ImagingDr J Fairbairn Musculoskeletal RadiologyDr D Green Nuclear Medicine and Oncology imagingDr A O’Connor Cross Sectional and Oncology imagingDr C Jobling GI RadiologyDr K Latief GI RadiologyDr. R Ahmad Interventional and GI/GU RadiologyDr J Lloyd Interventional RadiologyDr K Pointon Chest RadiologyDr.R O’Neill Interventional/vascular RadiologyVacant post Breast ImagingVacant Post Breast Imaging 8
  • 9. Dr E Cornford Breast ImagingDr J James Breast ImagingDr L Hamilton Breast ImagingRadiological TrainingThe College Tutor is Dr.Lisa Hamilton.Junior Radiological StaffCurrent compliment is a maximum of 14 Specialist Trainees at CHN in years 1-5 oftraining. 9
  • 10. SOUTHERN DERBYSHIRE HEALTH AUTHORITYThe Royal Derby HospitalThe Royal Derby Hospital is new £250m building project, as part of a £330m PFI, tocentralise all acute services on the Derby City General Hospital sit e, incorporating DerbyCity General Hospital and The Derbyshire Royal Infirmary. The hospital is situated 3 milesfrom the city centre and serves a population of over 500,000 in South Derbyshire. We area cancer centre and there is a Graduate Entry Medical School on site (affiliated toNottingham University).Radiology services relocated in May 2009 into a new, purpose built, Imaging Department.The Department is well equipped with largely brand new imaging equipment, includingthree MRI scanners (one a 3T machine) and three CT scanners (two of which are 64 sliceand include a cardiac package), five fluoroscopy suites (including two dedicatedinterventional rooms) and eight general ultrasound rooms.An £18m contract is currently held by Isoft for the installation and maintenance of anElectronic Patient Record which includes GE PACS. We have been fully digital in themain Radiology Department from 2004 and from 2007 in the Breast Unit (now includingscreening mammography). We have an HSS RIS and hospital-wide soft copy viewing ofimages from 2007. All modalities are archived to PACS and all radiology reporting is ‘soft-copy’. Work is ongoing to extend the PACS to our community hospitals.There is a funded establishment for 23 Consultants and four Specialist Registrars onrotation from Nottingham and Leicester.The Department is well staffed with a full complement of Radiographers. We have agenerous number of Radiographic Helpers and have positively developed role extensionincluding Radiographer plain film extremity and barium enema reporting, Radiographerperformed IVUs and barium enemas and Assistant Radiographic Practitioner roles.Derby Hospitals NHS Foundation Trust prides itself in providing high quality care andtraditionally attracts high quality clinical staff. Derby has recently opened brand newaccommodation for the Derby Graduate Entry Medical School allied to the University ofNottingham. The first intake of 90 students started October 2003. There are alreadyacademic departments in Medicine, Paediatrics, Obstetrics and Gynaecology,Rehabilitation and Surgery. 10
  • 11. Currently there are 21 Consultant Radiologists within the Department, with additionalfunding for a further two posts. Consultant Special Interest Dr Allison Ashworth Oncology and Gynaecology Dr Mark Bagnall Breast (Clinical Lead for Radiology) Dr Jim Birchall Nuclear Medicine Dr Peter Bungay Vascular Intervention Dr Dominic Clarke Gastrointestinal Dr Neil Cozens Ultrasound Dr Mario DeNunzio Vascular Intervention Dr Simon Elliott Neuroradiology & Paediatrics (Clinical Director Assessment & Diagnostic Directorate) Dr Judy Holt Oncology & Thoracic Dr Agnes Lee Uroradiology Dr Gill McCulloch Thoracic Imaging Dr Jill Minford Paediatrics Dr Geoff Narborough Neuroradiology Dr Fang Musculoskeletal Dr Graham Pollock Interventional and Chest Dr Shama Puri Breast Dr Rajeev Singh Gastrointestinal Dr Duncan Smith Musculoskeletal Dr Anne Turnbull Breast Dr Gill Turner Uroradiology and Gynaecology Dr Peter Thurley Gastrointestinal Vacant post Vascular Intervention (this post) Vacant post (new post) MusculoskeletalJunior Medical StaffThree Specialist Registrars on rotation from NottinghamOne Specialist Registrar on rotation from Leicester Directorate Non-Medical Staffing Establishment Staff Grade Diagnostic Imaging Breast Service wte wte Senior Managers 1.00 0 Clinical Radiographers 92.49 7.8 Specialist Nurses 6.4 5.2 Helpers/Aids/Assistant Practitioners 25.41 7.4 Clerical & Secretarial Support Staff 40.85 10.59 11
  • 12. Equipment London Road Community Hospital Equipment Type No. of Manufacturer Installed Date RoomsMRI Scanner 1 GE 1.5T 2005CT Scanner 1 GE Lightspeed 16 slice 2004General Radiographic 2 Room P1 - Philips 1998& Dental Rooms Room P2 - Philips OPG 1998 Fiad Dental Room P3 – Philips 2001Royal Derby HospitalCT Scanner 2 Toshiba Aquilion, 1 cardiac enabledMR scanners 2 Philips Achieva 1.5T Philips Achieva 3TFluoroscopy Rooms 8 Philips Allura xper FD20 2006 Philips Allura xper FD20 2009 GE Precision D 1994 GE Precision D (endoscopy) 1995 Philips Omnidiagnost 2009 Philips Omnidiagnost 2009 Toshiba Ultimax 2009 Siemens Uroscop 2006Ultrasound 7 Siemens Antares 2006 Philips iU22 2005 Siemens Versa 1996 Philips Envisor 2005 Siemens Antares 2005 Siemens Antares 2009 Siemens Acuson 2009 Philips HDI1500 (vascular room) 2002General Radiographic & 1 Two Tabled IVU room 2005IVU Rooms 1 Philips General Purpose room + 2004 3 Orth Oralix OPG 5 Philips General Purpose room 2006 1 Philips Diagnost TH 2009 1 Philips Digital TH 2009 1 Planmeca promax (OPG) 2009 1 Dental 12
  • 13. Activity StatisticsDiagnostic Imaging DRI & DCGH2008 - 2009 Out-turn Directorate / Source ExaminationsSurgical Directorate : General Surgery; Urology, ENT 54041Ophthalmology; Maxillofacial; Dental ; Plastic Surgery; AudiologyTrauma & Orthopaedic Directorate : 58982Medical Directorate : Integrated Medicine; Cardiology;Dermatology; GU Medicine; Neurology; Neurosurgery; Rheumatology 54592Accident & Emergency : 55162Directorate of Cancer Specialties : Clinical Oncology; PalliativeMedicine; Clinical Haematology 13919Obstetrics & Gynaecology : 34460Paediatrics : Paediatrics; Paed. ENT; Paed Ophthalmology;Paed.Orthopaedics; Accident & Emergency 7774GP Direct Access Services 60601Other Sources 18332TOTAL 357863 Examination Type ( All Sources ) Number 2008 -2009General Radiography 213484Fluoroscopy ; Contrast & Bone Densitometry 10431Ultrasound 84094CT Scans 29277MRI Scans 18404Vascular & Interventional 2173 13
  • 14. NORTH NOTTINGHAMSHIRE HEALTH AUTHORITYKings Mill Hospital, Sherwood Forest Hospitals NHS Foundation TrustKings Mill Hospital is a large District Teaching Hospital with 650 beds, situated twomiles from the town centre of Mansfield, serving a population of 400,000. KingsMill Hospital provides specialist care in General medicine, General Surgery,Urology, ENT Surgery, Ophthalmology, Orthopaedics, Obstetrics andGynaecology, Paediatrics and Psychiatry and has a busy A&E Department.There are 16 rooms in the x-ray department with facilities for plain film radiology,urography, barium studies, angiography and interventional radiology,mammography, ultrasound, nuclear medicine, MRI and CT. Plain film, CT,ultrasound and MR are also provided at Newark hospital.There are two Specialist Trainees in Years 3-5 based at Kings Mill Hospital. TheSpecialist Trainees have an office and reporting room and there is a largeradiological library and a film museum within the Department. There is aPostgraduate medical education centre and a medical library with IT facilities withinthe hospital.Department of RadiologyThe Clinical Director is Dr Clive Butcher who in conjunction with Mrs Jayne Burkitt,the Radiography Services Manager is responsible for the management of theDepartment.Consultant RadiologistsDr S Brauer Ultrasound, Gynaecology and Oncology imagingDr C Butcher CT, MR and Paediatric RadiologyDr P Panto GI and vascular RadiologyDr S Geary Radionuclide radiologyDr C Squirell Interventional/General radiologyDr S Stinchcombe Breast Imaging and Musculoskeletal RadiologyDr P Smart Staff Grade in RadiologyDr I Au-Yong Head and Neck and oncological imagingDr. I Rozalli Musculoskeletal and oncologyDr.C. Corry Cross sectional imaging and paedsRadiological TrainingThe College Tutor is Dr Susan GearyJunior Radiological Staff 14
  • 15. There are 2 Specialist Trainees at KMH in years 3-5 of training. 15