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  • 1. MERSEY DEANERY SCHOOL OF MEDICINE SPECIALTY TRAINING PROGRAMME STARTING AT ST3 LEVEL in NEUROLOGY PROGRAMME DESCRIPTION This training programme starts at ST3 Level after the completion of Core Medical Training or Acute Care Common Stem (ACCS) and is aimed at doctors who can demonstrate the essential competencies from the person specification to enter this level of training. The programme is designed to provide the opportunities for the postholder to achieve the competencies described in the Neurology Curriculum and the Level 2 medical competencies described in the Generic Curriculum for the Medical Specialities. All the Mersey Deanery Medical training posts come under the organisation framework of the Mersey Deanery School of Medicine from the Core Medical Training (CMT) Scheme which was established in August 2005 and has been the RCP pilot site for many aspects of CMT including the development of the e portfolio and use of the curricula as a guide for learning in CMT. It will be necessary throughout specialty training to demonstrate satisfactory progress in workplace assessments of competence when these are reviewed at the Annual Review of Competence Progression (ARCP). The milestones to be achieved are described in latest version of the specialty specific ARCP decision aid on the JRCPTB website. All the ST3 and subsequent ST4 – ST7 placements will be allocated by the specialty programme director on behalf of the School of Medicine. This is training programme is based in the Walton Centre for Neurology + + + NEUROLOGY The post is suitable for candidates who wish to pursue a career in Neurology. The Walton Centre is a new purpose-built building in Lower Lane, Fazakerley. The Centre is the only integrated Neurology and Neurosurgery NHS Trust in the UK. The three storey building accommodates: 36 Neurology beds 7 Intensive care beds 12 Day beds (including pain relief clinic beds) 4 High dependency beds 57 Neurosurgical beds 11 Paediatric Neurology & Neurosurgery beds In addition, there are departments of: Neuropathology Pain Management Programme Neuroradiology Occupational Therapy Neurophysiology Physiotherapy Neuropsychology Neurorehabilitation
  • 2. Neuro theatres and the Neuro Out-patients Department are also within the same building. The Walton Centre provides one of the most comprehensive ranges of Neurosciences in the UK to approximately there million people across the North West, North Wales and the Isle of Man, but also to the UK as a whole. The new Centre contains all the services necessary for effective diagnosis, treatment and care of patients under one roof. The Centre is in the grounds of the University Hospital, Aintree, which is a busy District General Hospital providing excellent medical and general surgical support for the Unit and requiring a considerable number of neurological consultations. Consultant staff at present comprises: 14 Neurologists – including Professor and 2 Senior Lecturers 1 Paediatric Neurologist 9 Neurosurgeons 3 Neuroradiologists 3 Neurophysiologists 9 Neuroanaesthetists 2 Neuropathologists 3 Pain Relief Specialists The neurologists provide out-patient clinics at the 13 District General Hospitals in the Mersey Region and North Wales, admitting patients to the Unit for investigation and treatment. A wide range of special interests is covered: epilepsy, cerebrovascular disease, neuromuscular disease, multiple sclerosis, movement disorders, dementia, mononeurone disease, neurological and brain injury rehabilitation, neuroimmunology and neurogenetics. Junior Staff currently in post are: 5 SHOs rotating general medical posts 2. 2 Lecturers/Specialist Registrars in Neurology 3 Other Specialist Registrars 1 Specialist Registrar Neurology/Neurophysiology All undergraduates from Liverpool University Faculty of Medicine are taught in the Unit. They are attached to groups of 10-15 for a period of 3 weeks for clinical and tutorial teaching. The Specialty Registrar will be expected to take part in this teaching programme. Each week there is a clinical meeting, a neuropathology meeting, 2 neuroradiology meetings and a journal club. Once each month, the journal club takes the form of an audit meeting. Monthly guest lecturers are given on a wide variety of topics. There is a formal teaching programme for Neurology and Neurosurgery for junior staff. There is a small library in the University Neuroscience Department and a good general medical library in the Postgraduate Centre in the grounds of the University Hospital, Aintree. The Postgraduate Centre holds weekly grand rounds and frequent additional meetings, symposia, etc. The successful applicant would be expected to take advantage of the excellent opportunities for research offered by the continuing work of the Department.
  • 3. Clinical duties throughout the rotation: There will be minor variation in duties in different posts but this list is designed to outline the majority of duties. 1. Attend and participate in ward rounds as timetabled. 2. Attend out patient clinics and other clinical training sessions as required. 3. Supervise, monitor and assist foundation trainees and other junior members of medical staff in the day to day management of in-patients. 4. Liaise between nurses, junior medical staff, patients, relatives and senior medical staff. 5. Take part in rostered ‘on call’ duties. 6. Dictate discharge summaries. 7. Maintain continuing professional development. 8. Undertake workplace based assessments as outlined in the Neurology Curriculum plus the Generic Curriculum for Medical Specialties. 9. Obtain appropriate training in research methodology and statistics. 10. Obtain experience of NHS management. 11. Attend Trust educational sessions. 12. Attend Regional teaching sessions in the dedicated Neurology training programme (70% attendance expected). 13. Undertake regular audit activity. 14. Teach medical students, postgraduate medical trainees, nurses and professions allied to medicine as requested. 15. Administration duties such as organisation of local meetings/rotas may be required in some Trusts. 16. Co-operate with members of the personnel department when monitoring hours of work and other personnel issues. 17. Attend induction in each hospital or new department. 18. Comply with all local policies including dress code, annual and study leave. Study and Training The Deanery is committed to developing postgraduate training programmes as laid down by PMETB, Colleges and Faculties and by the Postgraduate Dean’s Network. At local level the
  • 4. Programme Director / Deputy Programme Director and Specialty STEC supervise the programme. Progress will be assessed on a regular basis by a named educational supervisor and by the annual ARCP process. Assessment of trainees is changing in line with MMC, and Workplace Assessment Tools are now being used. A Knowledge Based Assessment in Acute Medicine will become mandatory. All trainees will have an Educational Supervisor. Emphasis throughout the programme is placed upon active personal research. All posts are recognised for postgraduate training. Study leave is granted in accordance with Deanery policy and is subject to the maintenance of the service. Main Conditions of Service The posts are whole time and the appointments are subject to: a) The Terms and Conditions of Service for Hospital Medical and Dental staff (England and Wales) – The Gold Guide. b) Satisfactory registration with the General Medical Council (London) c) Medical Fitness – You may be required to undergo a medical examination and chest X- ray. Potential applicants should be aware of the Department of Health and GMC requirements with regard to HIV/AIDS and Hepatitis viruses. Candidates must be immune to Hepatitis B. You will be required to provide, in advance of appointment, evidence of immunity or have a local blood test (as deemed necessary by the Occupational Health Department) Salary scale The current nationally agreed pay scale for this grade is payable Unforeseen circumstances In accordance with the Terms and Conditions of Service of Hospital Medical and Dental Staff (England and Wales) paragraph 110, Junior Doctors shall be expected in the run of their duties and within their contract and job description, to cover for the occasional and brief absence of colleagues as far as is practicable. European Working Time Directive (EWTD) All posts on the rotation comply with European Working Time Directive regulations. Junior Doctors’ Monitoring From 1st December 2000 there is a contractual obligation to monitor junior doctors’ New Deal compliance. In accordance with Health Service Circular 2000/031 junior doctors have a contractual obligation to monitor hours on request; this will include participation in local monitoring exercises. Removal expenses The removal expenses applicable to this post will be the policies issued by the Administrative Trust. You should not commit yourself to any expenditure in connection with relocation before
  • 5. first obtaining advice and approval from the Personnel Department at your Administrative Trust, otherwise you may incur costs, which you will be unable to claim. Use of Information Technology Under the Computer Misuse Act 1990, any individual who knowingly attempts to gain unauthorised access to any programme or data held on a computer can be prosecuted. An individual who modifies any programme or data in a computer which they are unauthorised so to do, is also liable under the Act. If found guilty of these offences a person may be given a custodial sentence of up to six months or a fine or both. The person would also be subject to disciplinary action which may result in dismissal. Similarly, in accordance with copyright law, any person involved in the illegal reproduction of software, or who makes, acquires or uses unauthorised copies of computer software, will be subject to disciplinary action which may lead to dismissal. Notification of Termination of Employment 3 months Person Specification For a detailed person specification for these posts see MMC website at: http://www.mmc.nhs.uk/default.aspx?page=478 Number of Posts For detailed information about the number of posts currently available please see the job advertisement. Further information about the Mersey Deanery and the Mersey Deanery School of Medicine is posted on the Mersey Deanery website at: www.merseydeanery.nhs.uk
  • 6. first obtaining advice and approval from the Personnel Department at your Administrative Trust, otherwise you may incur costs, which you will be unable to claim. Use of Information Technology Under the Computer Misuse Act 1990, any individual who knowingly attempts to gain unauthorised access to any programme or data held on a computer can be prosecuted. An individual who modifies any programme or data in a computer which they are unauthorised so to do, is also liable under the Act. If found guilty of these offences a person may be given a custodial sentence of up to six months or a fine or both. The person would also be subject to disciplinary action which may result in dismissal. Similarly, in accordance with copyright law, any person involved in the illegal reproduction of software, or who makes, acquires or uses unauthorised copies of computer software, will be subject to disciplinary action which may lead to dismissal. Notification of Termination of Employment 3 months Person Specification For a detailed person specification for these posts see MMC website at: http://www.mmc.nhs.uk/default.aspx?page=478 Number of Posts For detailed information about the number of posts currently available please see the job advertisement. Further information about the Mersey Deanery and the Mersey Deanery School of Medicine is posted on the Mersey Deanery website at: www.merseydeanery.nhs.uk

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