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  2. 2. 2. DEPARTMENT OF MAXILLOFACIAL & ORAL SURGERYSENIOR HOUSE OFFICER APPOINTMENTTHE DIVISION OF ORAL SURGERY AND ORTHODONTICSConsultants:Mr M C Gregory Consultant Oral & Maxillofacial Surgeon Clinical Director, Division of Oral Surgery & OrthodonticsMr J Llewelyn Consultant Oral & Maxillofacial SurgeonMr S W Wigglesworth Consultant OrthodontistMiss H Taylor Consultant Orthodontist (Nevill Hall)Mr M S Sirikumara Associate Specialist in Oral & Maxillofacial Surgery (Special Needs)1 Staff GradeVisiting Registrar - Vacant6 Senior House Officers2 Maxillofacial Technicians1 Orthodontic TechnicianFull Nurse support
  3. 3. 3.THE ROYAL GWENT HOSPITALThe Royal Gwent Hospital is the largest district general hospital in Wales with a current bed allocation of over1000 beds. It provides the full range of medical specialties with the exception of neurosurgery which is based 8miles away in Cardiff. The hospital is well equipped and has an excellent department of Radiography, whichincludes a modern CT scanner and an MRI machine with a TMJ coil. There is a room dedicated to head andneck radiography and it is also possible to arrange scintiscans and TMJ arthrography when required.THE DEPARTMENT OF MAXILLOFACIAL & ORAL SURGERYThe Department of Maxillofacial & Oral Surgery covers the whole of Gwent, which has a population base of550,000. The main base is the Royal Gwent Hospital, Newport. Outpatient clinics and day case sessions areheld at Nevill Hall Hospital, Abergavenny.The department in the Royal Gwent Hospital was opened 7 years ago and has six outpatient rooms, a dressingroom, two operating theatres, a surgical recovery room, a day ward with four bays and a sedentary recoveryroom. There is a laboratory with facilities for three technicians, a computer room and office accommodation.The current activity of the Maxillofacial & Oral Surgery Department involves the provision of a routine oralsurgery and oral medicine service for Gwent patients. A wide range of orthognathic surgery is currentlyundertaken and many patients are referred on a supra district basis. There is an increasing demand for treatmentof patients with head and neck malignancy and it is hoped to establish the Royal Gwent Unit as a designatedcancer unit. Recently the New Opportunities Fund has provided funding for a laser, the acquisition of whichhas opened a new method of treating leukoplakias.A trauma service is provided for the treatment of maxillofacial injuries and a general anaesthetic service for thetreatment of children is provided.The Royal Gwent Unit has 10 designated beds for Maxillofacial & Oral Surgery and trauma patients are usuallyadmitted to the additional beds. Two beds are usually available to the department for the admission of children.There is a designated theatre for Maxillofacial & Oral Surgery which is fully equipped to carry out the full rangeof Maxillofacial & Oral Surgery. All instrumentation for both theatres and the outpatient department isprovided on tray systems by the CSSD.The unit provides an outpatient service to the Nevill Hall Trust Hospital, Abergavenny. The department wasconstructed in 1990 and has a minor operating theatre and 4 clinical areas for Oral surgery and 3 Orthodonticchairs. It also has a fully equipped laboratory for Maxillofacial and Orthodontic purposes.At present one outpatient clinic and two local anaesthetic sessions are undertaken. Those patients requiringadmission are transferred to the Royal Gwent Hospital.
  4. 4. 4.DUTIES OF THE POSTThe posts are resident when ‘on call’ and are based at The Royal Gwent Hospital, Newport. Attendance willalso be required at The Nevill Hall Trust Hospital.The clinical duties will include attendance at outpatient clinics and operating sessions as directed by theconsultants and the clinical care of all admissions. The Senior House Officer will be ‘on call’ for trauma andemergency cases on a one in five basis with prospective cover for colleagues on annual or study leave.Joint clinics are held monthly: Maxillofacial/Orthodontics Maxillofacial/RadiotherapyThe House Surgeon accepts that he/she will also perform duties on occasional emergencies and unforeseencircumstances at the request of the appropriate Consultant in consultation with his colleagues. It has beenagreed between the professions and the Department that while juniors accept that he/she will perform suchduties, the Secretary of State stresses that additional commitments arising under this sub-section are exceptional,and in particular that juniors should not be required to undertake work of this kind for prolonged periods or ona regular basis.POSTGRADUATE EDUCATIONThe post if recognised by the Royal College of Surgeons under the MFDS regulations. The SHOs areencouraged to obtain the Membership diploma of one of the Royal Colleges at the earliest opportunity.Formal postgraduate teaching sessions are held within the department on a weekly basis. Audit and Divisionmeetings are arranged bimonthly and these meetings are followed by a postgraduate presentation. It is expectedthat all members of the department should attend the audit meetings.TERMS AND CONDITIONS OF SERVICEThe post is covered by the Terms and Conditions of Service as laid down from time to time by the Medical andDental Staff Council and the General Council of the Whitley Council. The successful applicant must hold arecognised dental qualification and be registered with the General Dental Council.A MEDICAL examination may be required prior to appointment following completion of a medicalquestionnaire.HEPATITIS BThe post holder must comply with the UK Health Department’s guidance on ‘Protecting Health Care Workersand Patients from Hepatitis B’ (PSM(93) 12).For staff who will be involved in carrying out * ‘exposure prone procedures’ (see note below) the appointment isconditional on the production of documentary evidence of:(a) Proof of immunity against Hepatitis B; or(b) If previously infected, the evidence that you are not a carrier of Hepatitis B e-antigen.If the prospective post holder is non immune, agreement to undertake Hepatitis B immunisation under thesupervision of the Occupational Health Department at St Woolos Hospital, and the appropriate blood testsevery six months.If the prospective post holder is s non responder to Hepatitis B vaccine, agreement to have appropriate bloodtests every six months
  5. 5. 5.‘Exposure prone procedures’ are those where there is risk that injury to the worker may result in the exposure ofthe patient’s open tissues to the blood of the worker. These procedures include those where the worker’sgloved hands may be in contact with sharp instruments, needle tips and sharp tissues (spicules of bone or teeth)inside a patient’s open body cavity, wound or confined anatomical space where the hands or fingertips may notbe visible at all times.HOURS OF DUTYStandard working week of 40 hours plus resident on-call commitments. Only one SHO will be allowed to beaway on study leave or vacation at any one time.The SHO must remain in the hospital at all times when ‘on call’. Suitable accommodation will be provided.Salary Scale: £19,185 to £20,975Arrangements may be made to visit the hospital and meet the staff prior to interview and for this purposecandidates should contact:Medical Staffing DepartmentPostgraduate CentreThe FriarsFriars FieldNEWPORTNP9 4EZTel: 01633 238098January 2005