Multidisciplinary

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  • 1. PART ATitle of Post Gastroenterology & General Internal MedicineGrade Specialist TraineeSpeciality GastroenterologyDistrict Oxford RegionFull-Time/Part-Time Full-Time* Study Leave Arrangements* Annual Leave ArrangementsRegional Speciality Adviser - training Dr AJ Ellis - service TBARegional Programme Director Dr A EllisPostgraduate Dean Dr M Bannon* Leave must be planned in advance in line with department policy in local hospitalThis Post is Governed by the Medical and Dental Terms and Conditions of Service.Career CounsellingCareer advice and guidance should be sought, in the first instance, from your education supervisor,who will normally be a consultant for whom you work. Some, but not all units, will appoint amedically qualified and trained counsellor who will contact you direct. Career problems may bediscussed with your Regional Programme director and/or your Postgraduate Dean.
  • 2. PART BThere are 12 posts within the Oxford Deanery programme in Gastroenterology/General InternalMedicine.1a - Gastroenterology and General Medicine Milton Keynes Hospital Supervisors: Dr S Lanzon-Miller Dr R Madhotra..2a and 3a - Gastroenterology and General Medicine Royal Berkshire Hospital, Reading Supervisors: Dr A S Mee, Dr M Myszor Dr J C L Booth Dr J Simmons4a - Gastroenterology and Hepatology John Radcliffe Hospital, Oxford Supervisors Dr R Chapman Dr J Collier Dr S Travis5a - Gastroenterology John Radcliffe Hospital, Oxford Supervisors Dr R Chapman Dr S Travis1b - Gastroenterology and General Medicine Horton Hospital Banbury Supervisors Dr A Ellis Dr J Marshall.2b and 3b - Gastroenterology and General Medicine Wycombe Hospital Supervisors Dr A McIntyre Dr D Gorard Dr S Cullen4b - Gastroenterology and Hepatology John Radcliffe Hospital, Oxford Supervisors Dr R Chapman Dr J Collier Dr S Travis5b - Gastroenterology and General Medicine - Royal Berkshire Hospital, Reading Supervisors: Dr A S Mee, Dr M Myszor Dr J C L Booth Dr J Simmons1c - Gastroenterology and General Medicine Horton Hospital Banbury Supervisors Dr A Ellis Dr J Marshall.2c - Gastroenterology and General Medicine Milton Keynes Hospital Supervisors: Dr S Lanzon-Miller Dr R Madhotra..
  • 3. The rotation is built up on an individualised basis around the trainees interest, training requirementsand experience taking into account the availability of the posts and the needs of others in theTraining Programme. A rotation usually consists of starting in a junior Gastroenterology & GeneralMedicine post either 1a or 1b, moving to a slightly more senior post to consolidate training (2a and3a or 2b and 3b, or 2c). Training is then frequently completed in a more general post, often but notexclusively post 5b, 3b, occasionally 2a,3a or 1c.Those who stay on beyond CCST may be asked to return to posts early in the rotation to allowappropriate training for those who remain on the formal training programme.1. JOB DESCRIPTION I MAIN DUTIES AND RESPONSIBILITIES These vary slightly and according to the exact part of the rotation the trainee is attached to, but all posts include 6 fixed sessions consisting of 2 out-patients, 2 endoscopy and 2 ward round sessions. All posts including General Medicine include a commitment to acute General Medical Take including experience on CCU and/or ICU. There is a fixed half day teaching session in Oxford each week which will include post graduate rounds, a lecture programme and clinical meetings. Daily Commitment This varies between posts but is outlined in the timetables given with each rotation which is enclosed with this job description. TEACHING All trainers within the rotation are committed to teaching Specialist Trainees within the scheme. This includes a formal teaching programme organised for the Oxford Study Half Day. ADMINISTRATION/MANAGEMENT Full secretarial support is available within each post. The availability of office space varies between posts. Administrative duties (depending on post within rotation) include organisation of medical rotas, undergraduate teaching programme etc. II TRAINING SCHEME The full outline scheme is shown on the enclosed rotations. Research will be actively encouraged during the tenure of the post. Both clinical research carried out during the clinical parts of the rotation as well as active encouragement to take time out for a more formal supervised research programme whilst in Oxford. FACILITIES FOR STUDY LEAVE The usual arrangements for study leave will apply and all Trainees are actively encouraged to attend national meetings of the relevant specialist societies etc.
  • 4. 2. DEPARTMENT MEMBERS All hospitals in the scheme have two or more Gastroenterologists/General Physicians (present or pending). Within departments certain members have specialised interests, eg in Oxford Dr Travis – Inflammatory bowel disease and nutrition, Dr Chapman - hepatobiliary diseases, Dr Collier - Hepatology. Further information is available on the enclosed rotation details. All units have specialised endoscopy unit staff, supported by secretarial and clerical assistants. Regional Specialty Adviser in Gastroenterology for service, TBA. Regional Specialty Adviser in Gastroenterology for training Dr AJ Ellis Regional Programme Director, Dr A J Ellis.3. SPECIALITY SERVICES PROVIDED IN THE UNIT Within the rotations and centres to which a Trainee will be attached, virtually all gastroenterological specialisations are included. These include: interventional endoscopic techniques, experience in specialised hepatobiliary disorders, general hepatology, oesophageal pH testing, capsule endoscopy and endoscopic ultrasound, oesophageal and anorectal manometry, liaison psychiatry, and paediatric gastroenterology,. The only aspect of gastroenterology not formally covered is experience of liver transplantation within a specified centre. Trainees wishing to obtain such experience will be encouraged to undertake 3 month modules at a specialised centre (as dictated by availability).4. ADDITIONAL INFORMATION Each year trainees will be expected to develop a project in conjunction with their Education Supervisors. It is expected that this work will lead to presentation to a learned Society at Regional, National or International level and preferably to publication in due course. All trainees would be expected to present a project at least once during the year and those that have not presented to a learned Society will present to the members of the Specialty Training Committee.
  • 5. SPECIALIST TRAINING GRADE IN GASTROENTEROLOGY - OXFORD REGION ROTATION 1 1a MILTON KEYNES DR. LANZON MILLER AND MADHOTRA 2a & 3a READING DRS. MEE, MYSZOR AND DR. BOOTH 4a & 5a OXFORD PROFESSOR JEWELL, DRS CHAPMAN, COLLIER AND TRAVIS
  • 6. 1a -MILTON KEYNES (Dr. Lanzon-Miller & Madhotra)1. GENERAL INTERNAL MEDICINEAcute general medicine to include inpatient ward rounds, acute general medical take, post take ward rounds, general medical and ward follow-up clinic and including CCU Unit experience.2. Gastroenterology a) Management of gastroenterology inpatients including 2 general medical/gastroenterology ward rounds per week.b) Gastroenterology outpatients. A Combined General medical and gastroenterology clinic and a separate gastroenterology outpatient clinic will be held weekly.c) Endoscopy - Upper Gastrointestinal Endoscopy under supervision (>300 examinations) under Consultant direction - 2 sessions per week.d) Rigid and Flexible Sigmoidoscopye) Initial training in ultrasound technique, paracentesis and liver biopsy (> 20 liver biopsies will be performed during this year).f) Experience in parenteral nutrition. MILTON KEYNES HOSPITALMonday Tuesday Wednesday Thursday FridayGeneral OPD General Medical Registrar WardMedical (Gastroenterology) Ward Round RoundWard round Postgraduate Multidisciplinary Teaching Colorectal MeetingEndoscopy/ OPD Endoscopy Oxford Endoscopy/Flexible General Study Half Day FlexibleSigmoidoscopy Medicine/ Sigmoidoscopy Gastroenterology
  • 7. 2a - READING (Dr. Mee/Myszor/Dr. Booth/Simmons)1. Acute general medical take.This includes a full shift system on AMU and ward follow up clinic.2. Gastroenterologya) Management of gastroenterology inpatientsb) Gastroenterology outpatients to include general gastroenterology, inflammatory bowel disease and hepatology clinics.c) Experience of emergency gastroenterology (in particular upper gastrointestinal bleeding) and including emergency endoscopy under consultant supervision.d) Therapeutic upper gastrointestinal endoscopy with greater than 30 variceal injections/ variceal banding, oesophageal dilatations, insertion of oesophageal stents, insertion of feeding gastrostomy tubes.e) Colonoscopy - assisting at more than 50 colonoscopies and personally performing more than 50 colonoscopies under supervision. Commence training in colonoscopic polypectomy.f) Supervised training in ultrasound and experience of ultrasound guided liver biopsy (Dr. C Meanock, Consultant Radiologist)g) Experience in parenteral nutrition, capsule endoscopy and endoscopic ultrasound ROYAL BERKSHIRE HOSPITALMonday Tuesday Wednesday Thursday Friday x-Ray meetingEndoscopy OPD General OPD General Medical(Emergency and Medicine and (Gastroenterology) Ward roundtherapeutic Gastroenterology (Drs. Myszor/Booth) (Dr. Booth)(Dr.Myszor) (Dr. Myszor) Grand RoundGeneral Medical Colonoscopy Oxford StudyWard round (Dr. Booth) Half Day(Dr. Booth)HistologyMeeting
  • 8. 3a - READING (Dr. Mee/Myszor/ Dr. Booth/Simmons)1. Acute general medical take, as for year 22. Gastroenterologya) Management of gastroenterology inpatientsb) Gastroenterology outpatients to include general gastroenterology, inflammatory bowel disease and hepatology clinics.c) Experience of emergency gastroenterology (in particular upper gastrointestinal bleeding) and including emergency endoscopy under consultant supervision.d) Therapeutic upper gastrointestinal endoscopy with greater than 30 variceal injections/ variceal banding, oesophageal dilatations, insertion of oesophageal stents, insertion of feeding gastrostomy tubes.e) Colonoscopy - continue with training under supervision. Continue training in colonoscopic polypectomy.f) Supervised training in ultrasound and experience of ultrasound guided liver biopsy (Dr. C Meanock, Consultant Radiologist)g) Commence training in ERCP.h) Experience in parenteral nutrition. ROYAL BERKSHIRE HOSPITALMonday Tuesday Wednesday Thursday Friday X Ray MeetingOPD General Medical OPD General Endoscopy ERCPColitis clinic Ward Round Medicine/ /Colonoscopy (Dr Mee)(Dr Mee) (Dr. Mee) Gastroenterology (Dr Mee) General (Dr. Mee) Medicine WardEndoscopy (Dr Simmons) Round(Dr Simmons) (Dr. Simmons)Histology Meeting Nutrition Round Grand Round (Dr Simmons)ERCP or OPD Colonoscopy Oxford Study Pancreatico –(Dr. Mee)(Dr (Dr Simmons) Half Day Biliary MDTSimmons) 1st Friday of month (Dr Mee)
  • 9. 4a - OXFORD (Prof. Jewell, Drs Chapman, Collier & Travis)1. GastroenterologyThe Service is consultant led. Dr Travis has a major interest in luminal gastroenterology and nutrition; Dr Collier runsthe liver clinic; Dr Chapman has an interest in both with particular emphasis on hepatobiliary disorders. The serviceconsists of gastroenterological medicine incorporating endoscopy, gastroenterological surgery, parenteral nutrition andstoma therapy.Teaching and Training The gastroenterology unit currently undertakes training of first and third year clinical Oxfordmedical students, as well as medical students from overseas. These activities specifically include tutorials, teachingward rounds and seminar sessions as well as less formal ward and outpatient based teaching. Education of juniormedical staff is carried out through a journal club, two histopathology and x-ray sessions as well as a joint postgraduateteaching session held between physicians and surgeons on a weekly basis.Research The Oxford gastroenterology unit is acknowledged as one of the premier units for gastroenterologicalresearch in Europe and attracts research fellows from all over the world. The unit has developed a reputation in theaetiopathogenesis and treatment of inflammatory bowel disease, coeliac disease, and Helicobacter pylori infection inthe field of luminal gastroenterology, as well as primary sclerosing cholangitis, autoimmune liver disease and viralhepatitis in the hepatological field.The gastroenterology Specialist Trainees rotate in 3-4 month blocks round subspecialty areas (luminal, hepatology,hepatobiliary, nutrition). The general medical commitment is limited to night cover in rotation with all the specialistregistrars (32) at the John Radcliffe.a) Management of Gastroenterology inpatients including 2 gastroenterology ward rounds per week. The specialist GI ward has 21 beds for secondary and tertiary referrals needing inpatient treatment.b) Gastroenterology outpatients. A general weekly gastroenterology clinic and a weekly hepatology inflammatory bowel disease clinic.c) Advanced endoscopy/colonoscopy/ERCP training. The opportunity to learn endoscopic ultrasound techniques.d) Opportunity to learn upper and lower GI motility techniques, including oesophageal manometry, oesophageal pH testing and rectal manometry.e) Nutrition training JOHN RADCLIFFE HOSPITALMonday Tuesday Wednesday Thursday Friday OPD Endoscopy/ OPD Hepatology Gastroenterology Colonoscopy (Dr. Collier) (Dr. Chapman)Liver Histology GI X Ray Student and SHOMeeting Conference teachingWard Round ERCP Ward Round Oxford Study(Dr. Collier) (Dr. Chapman) (Dr. Chapman) Half Day
  • 10. 5a - OXFORD (Drs Chapman, Collier & Travis) 1. Gastroenterology a) Management of gastroenterology inpatients including gastroenterology ward rounds, specializing in complex inflammatory bowel disease and intestinal failure b) Gastroenterology outpatients, both general gastroenterology clinic and inflammatory bowel disease clinic. c) Endoscopy. Further experience in therapeutic and interventional ERCP techniques as well as advanced endoscopy including experience in argon plasma coagulation, or endoscopic ultrasound techniques. JOHN RADCLIFFE HOSPITALMonday Tuesday Wednesday Thursday FridayEmergencyEndoscopy list Colonoscopy/ Ward Round Endoscopy ( Dr Travis) GI X Ray Student and SHO Meeting teaching OPD Intestinal failure Oxford Study IBD Clinic Gastroenterology ward round Half Day (Dr Travis) (Dr Travis) (Dr Travis)
  • 11. SPECIALIST TRAINING GRADE IN GASTROENTEROLOGY - OXFORD REGION ROTATION 2 1b HORTON HOSPITAL BANBURY DR. A ELLIS & DR.J MARSHALL 2b & 3b BUCKINGHAMSHIRE HOSPITALS DR. A McINTYRE & DR. D GORARD & DR S CULLEN 4b OXFORD PROFESSOR JEWELL, DRS CHAPMAN, COLLIER & TRAVIS 5b READING DR. A S MEE, DR. M MYSZOR & DR. BOOTH
  • 12. 1b – Horton Hoapital Drs Ellis and Marshall1. General Medicinea) Acute general medicine to include general medical take and post take ward round.b) Management of acute general medicine inpatients.c) General Medical Outpatients to include general medical referrals and ward follow up clinic.d) Coronary care experience.2. Gastroenterologya) Management of gastroenterology in-patients including 2 general gastroenterology ward rounds per week.b) Gastroenterology outpatients. One clinic in general gastroenterology / IBD and one general gastroenterology / hepatology.c) Training in upper gastrointestinal endoscopy under supervision (> 300 examinations) 2 sessions per week under consultant direction.d) Focused initial training in colonoscopye) Rigid and flexible sigmoidoscopy.f) Supervised training in ultrasound will commence as well as paracentesis and liver biopsy ( More than 20 liver biopsies to be performed during this year) Horton HospitalMonday Tuesday Wednesday Thursday FridayWard Round – reg Endoscopy Admin / Clinic W/R – regOr UGI / pancreatico ERCP Gastroenterology Or admin- biliary MDT (Dr A Ellis) / IBD (Dr A Ellis)Journal Club Medical cases Grand roundOPD Consultant Admin Oxford Consultant W/Gastroenterology / W/R Study Half Day RHepatology (Dr A Ellis)
  • 13. 2b – BUCKINGHAMSHIRE HOSPITALS, HIGH WYCOMBE - Dr. Gorard1. Acute general medical take.This would include CCU experience and ward follow up clinic.2. Gastroenterologya) Management of gastroenterology inpatientsb) Gastroenterology outpatients to include general gastroenterology, inflammatory bowel disease and hepatology clinics.c) Experience of emergency gastroenterology (in particular upper gastrointestinal bleeding) and including emergency endoscopy under consultant supervision.d) Therapeutic upper gastrointestinal endoscopy with greater than 30 variceal injections/ variceal banding, oesophageal dilatations, insertion of oesophageal stents, insertion of feeding gastrostomy tubes.e) Colonoscopy - assisting at more than 50 colonoscopies and personally performing more than 50 colonoscopies under supervision. Commence training in colonoscopic polypectomy.f) As the year progresses initial training in ERCP will commence.g) Supervised training in ultrasound and experience of ultrasound guided liver biopsy.h) Experience in parenteral nutrition BUCKINGHAMSHIRE HOSPITAL, HIGH WYCOMBEMonday Tuesday Wednesday Thursday FridayOPD General OPD ERCP Ward RoundMedicine/ Gastroenterology Colonoscopy/ (Dr. Gorard)Gastroenterology (Dr. Gorard) Therapeutic(Dr. Gorard) EndoscopyGeneral Medical Endoscopy List Oxford X-ray Meeting,Ward Round (Dr. Gorard) Study Half Day Journal Club &(Dr. Gorard) GI meetingClose links will be encouraged between Oxford and Wycombe for year 2 and 3 of this rotation to take advantage of theproximity of the two hospitals and the variety in training that this would give.
  • 14. 3b – BUCKINGHAMSHIRE HOSPITALS, HIGH WYCOMBE - Dr. McIntyre1. Acute general medical take.This would include CCU experience and ward follow up clinic.2. Gastroenterologya) Management of gastroenterology inpatientsb) Gastroenterology outpatients to include general gastroenterology, inflammatory bowel disease and hepatology clinics.c) Experience of emergency gastroenterology (in particular upper gastrointestinal bleeding) and including emergency endoscopy under consultant supervision.d) Therapeutic upper gastrointestinal endoscopy with greater than 30 variceal injections/ variceal banding, oesophageal dilatations, insertion of oesophageal stents, insertion of feeding gastrostomy tubes.e) Colonoscopy - assisting at more than 50 colonoscopies and personally performing more than 50 colonoscopies under supervision. Commence training in colonoscopic polypectomy.f) Supervised training in ultrasound and experience of ultrasound guided liver biopsy.g) Continuing diagnostic and interventional ERCP. HIGH WYCOMBE HOSPITALMonday Tuesday Wednesday Thursday FridayERCP General Medical Colonoscopy/ Ward Round(Dr. McIntyre) Ward Round Therapeutic (Dr. McIntyre) (Dr. McIntyre) Endoscopy X-ray Meeting, Journal Club & GI meeting Alternate weeksOPD General Out Patient Clinic / Oxford Endoscopy ListMedicine/ General Medicine / Study Half Day (Dr. McIntyre)Gastroenterology Gastroenterology Alternate weeks(Dr. McIntyre) (Dr. McIntyre)
  • 15. 4b - OXFORD (Drs Chapman, Collier & Travis)2. GastroenterologyThe Service is consultant led. Dr Collier runs the liver clinic; Dr Chapman has an interest in both with particularemphasis on hepatobiliary disorders; Dr Travis has a major interest in luminal gastroenterology and in nutrition. Theservice consists of gastroenterological medicine incorporating endoscopy, gastroenterological surgery, parenteralnutrition and stoma therapy.Teaching and Training The gastroenterology unit currently undertakes training of first and third year clinical Oxfordmedical students, as well as medical students from overseas. These activities specifically include tutorials, teachingward rounds and seminar sessions as well as less formal ward and outpatient based teaching. Education of juniormedical staff is carried out through a journal club, two histopathology and x-ray sessions as well as a joint postgraduateteaching session held between physicians and surgeons on a weekly basis.Research The Oxford gastroenterology unit is acknowledged as one of the premier units for gastroenterologicalresearch in Europe and attracts research fellows from all over the world. The unit has developed a reputation in theaetiopathogenesis and treatment of inflammatory bowel disease, coeliac disease, and Helicobacter pylori infection inthe field of luminal gastroenterology, as well as primary sclerosing cholangitis, autoimmune liver disease and viralhepatitis in the hepatological field.The gastroenterology Specialist Trainees rotate in 3-4 month blocks round subspecialty areas (luminal, hepatology,hepatobiliary, nutrition). The general medical commitment is limited to night cover in rotation with all the specialistregistrars (32) at the John Radcliffe.e) Management of Gastroenterology inpatients including 2 gastroenterology ward rounds per week. The specialist GI ward has 21 beds for secondary and tertiary referrals needing inpatient treatment.f) Gastroenterology outpatients. A general weekly gastroenterology clinic and a weekly hepatology or inflammatory bowel disease clinic.g) Advanced endoscopy/colonoscopy/ERCP training. The opportunity to learn endoscopic ultrasound techniques.h) Opportunity to learn upper and lower GI motility techniques, including oesophageal manometry, oesophageal pH testing and rectal manometry.e) Nutrition training JOHN RADCLIFFE HOSPITAL(illustrative purposes only, since all Specialist Trainees in Oxford rotate through the different specialties)Monday Tuesday Wednesday Thursday Friday OPD Endoscopy/ OPD Hepatology Gastroenterology Colonoscopy (Dr. Collier) (Dr. Chapman)Liver Histology GI X Ray Student and SHOMeeting Conference teachingWard Round ERCP Ward Round Oxford Study(Dr. Collier) (Dr. Chapman) (Dr. Chapman) Half Day
  • 16. 5b - READING (Drs. Mee, Myszor & Booth)1. Acute General Medical take To include general medical inpatient ward rounds, post take ward rounds and general medical follow up clinic under the direction of General Physician (to be decided).2. Gastroenterologya) Management of gastroenterology inpatients including gastroenterology ward rounds.b) Gastroenterology outpatients, both general gastroenterology clinic and inflammatory bowel disease clinic.c) Endoscopy. Further experience in therapeutic interventional ERCP techniques as well as advanced endoscopy including further experience in laser techniques etc.D) Attachment of experience in ITU is available if required. ROYAL BERKSHIRE HOSPITALMonday Tuesday Wednesday Thursday Friday X Ray/Gastro meetingOPD General Medical OPD ERCPGeneral Medicine/ Ward Round Gastroenterology (Dr. Mee)Gastroenterology (Dr. Mee) (Dr. Mee)(Dr. Mee) Grand Round Colonoscopy General Medical (Dr. Booth) Ward Round (Dr. Mee)Histology Meeting
  • 17. 1c HORTON GENERAL HOSPITAL (Dr AJ Ellis, Dr J Marshall)1. General Internal MedicineAcute general medicine includes participation on the on-call rota, inpatient ward rounds and participation in routineoutpatient clinics. This post includes experience in ITU / CCU2. Gastroenterology - Management of gastroenterology in patients - Gastroenterology outpatient clinics to include patients with liver disease, IBD and general gastroenterology referrals - Upper GI endoscopy. 2 endoscopy lists will be available with consultant supervision which will be sufficient for Yr 1 Specialist Trainee’s to become proficient and able to practice independently for routine lists - Flexible sigmoidoscopy. Appropriate training to allow proficiency to be achieved by Yr 1 / Yr 2 Specialist Trainee’s. - Colonoscopy. Teaching available in mixed lists commesurate with experience to allow 50-100 procedures / yr - Experience of nutrician Specialist Trainee’s may join Dr Marshall for nutrition round and participate in PEG service - ERCP. Senior Specialist Trainee’s can arrange training with Dr AJ Ellis Monday Tuesday Wednesday Thursday Friday X-Ray Meeting Endoscopy Admin ERCP Admin Ward Round (Dr J Marshall (Optional Dr A Ellis) (Dr J Marshall) Journal Club Teaching Medical cases Grand Round Clinic Ward Round Endoscopy Oxford training Clinic (Dr J Marshall) (Dr Marshall) (Dr J Marshall / half day (Dr J Marshall) Dr J Harrison)3b – OXFORD RADCLIFFE HOSPITAL (Drs Chapman & Collier)see separate description
  • 18. Specialist Trainee Training Programme In GastroenterologyPerson Specification Training programme Essential Desirable requirementsQualification • MBBS or equivalentBasic -ST1Postgraduate -ST3 • MRCP or equivalent Experience • A minimum of two years • A period of experience in general professional training (CMMT) in Gastroenterology at SHO approved posts, GradeAbility/Knowledge • Good basic and wide ranging • More advanced knowledge of knowledge of clinical medicine General Medicine ALS, ACLS or equivalent • More advanced knowledge of GastroenterologyClinical skills and • Ability in history taking, clinical • Potential to develop clinicalTechnical skills examination and keeping good medical skills and skills of manual records. Some manual dexterity. dexterityMotivation • A commitment to and enthusiasm for • Potential to develop these skills Gastroenterology • A commitment to learning • Punctuality. Time management • Organisational ability • InitiativePersonality • Ability to analyse and develop • The potential to develop these management strategy for complex qualities further medical problems. • Ability to take responsibility. Good communication skills. • Ability to work as part of a multi- disciplinary team • Leadership qualitiesAudit • An understanding of the principles and • More advanced participation in previous participation in audit audit and enthusiasm for the topicResearch • An understanding of the principles of research • Evidence of involvement and enthusiasm for the subjectManagement ability • Showing some ability to organise • Potential to developOther requirements • Registration with the GMC • Clear competency in reading, writing and • Sense of humour speaking the English language • Prepared to rotate as specified • Potential to develop • Access to independent transport to undertake duties of the post • Potential to cope with stressful situationsTeaching skills • An understanding of the role of teachers • Potential to develop and an enthusiasm for teaching