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  2. 2. APPOINTMENT This is a non-resident 5 year Specialist Training post in Diagnostic Radiology to the Nottingham Radiology Training Scheme, which includes rotations to Nottingham University Hospitals (Queens Medical Centre and Nottingham City Hospitals campuses), Derby Hospitals Foundation Trust and Sherwood Forest Hospitals NHS Foundation Trust. The training scheme is fully accredited by the Royal College 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 to ensure that there has been satisfactory progress. The Postgraduate Dean has confirmed that this programme has the required educational and staffing approvals. There are currently 41 Specialist Training posts in the Nottingham Radiology Training Scheme, which provides training for the FRCR parts 1 & 2 and leads to the acquisition of a CCT in Clinical Radiology. This appointment is intended to provide modular training in all the radiological specialities and subspecialty training in particular areas of interest, based on the new curriculum in the document entitled Structured Training in Clinical Radiology published by the Royal College of Radiologists in 2007. Rotations are supervised by the Training Committee and occur every four months between the QMC and Nottingham City Hospital campuses during the first and second years, but in the final three years the rotations may be extended to eight months to include either Campus of Nottingham University Hospitals, Derby Hospitals Foundation Trust, and Kings Mill Hospital Mansfield. All centres on the rotation offer a comprehensive training in general plain film radiology, procedural radiology, interventional radiology, CT, MR, Ultrasound and nuclear medicine. After the acquisition of the FRCR, opportunity is given to an individual to gain experience in any aspect of radiology they wish to pursue including 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. 3. Duties of The Post To continue progressive training in radiological reporting and techniques under the overall supervision of the Consultant Radiologists. To supervise and report promptly on investigations undertake by the radiographic staff. To undertake “on-call” duties according to the rota and when “on-call” to ensure that availability at home is such that the Specialist Registrar is as fully on standby as if he/she were on standby at the hospital. To attend the clinico-radiological, audit and research meetings. Teaching To 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. Research To undertake radiological research and audit and so prepare articles, case reports and presentations as the opportunities arise using the specific sessions allocated. Administration To draw up an “on-call” rota and to ensure that these duties are adequately performed. To gain experience in Medical Management through membership for appropriate committees. Contracted Hours and On-Call Rota Arrangements for out of hours working are currently being revised to ensure compliance. Any previous information published on this Programme Description was for guidance only. Postgraduate Training Postgraduate training programmes have been set up for both general and specialist training as laid down by the colleges and Faculties and by the Postgraduate Dean’s network. At local level, college/speciality tutors work with Unit Postgraduate Clinical Tutors in supervising these programmes. Trainees will be expected to take part in these programmes including audit and to attend 3
  4. 4. counselling sessions/professional review. Study leave forms part of these educational programmes and will be arranged in conjunction with the appropriate tutor. Conditions of Service The appointment is subject to the Terms and Conditions of Service of Hospital Medical and Dental Staff (England and Wales) as amended from time to time and also other polices and procedures as may be agreed by the Employing Authority. Medical Examination This appointment is subject to clearance of the appointee’s Occupational Health Questionnaire and the appointee may be required to undergo a medical examination. Study Leave This is granted in accordance with the recommended allowance, subject to the maintenance of the service and to prior formal approval by the Postgraduate authorities. Residence This is a non-resident post. Irrespective of his/her place of residence it is the responsibility of the appointee to ensure that when on-call, he/she will be available by telephone and able to reach the hospital in time to meet his/her commitments. Removal Expenses Enquiries in respect to relocation expenses should be addressed to the Medical Staffing Department. Health and Safety The Employing Authority recognises its duties under the Health and Safety at Work Act 1974 to ensure, as far as is reasonably practicable, the health, safety and welfare at work of all its employees and in addition the business of the authority shall be conducted so as to ensure that patients, their relatives, contractors, voluntary workers, visitors and members of the public having access to Authority premises and facilities are not exposed to risk to their health and safety. All Medical and dental staff under contract to the Employing Authority will be expected to comply with the Health and Safety Policies of the Trust. Information or Visit 4
  5. 5. For further information or to arrange a visit after short-listing contact: Dr N Broderick, Head of Training, Nottingham City Hospital, Tel: 0115 9249924 Ext: 61091 Or Dr R O’Neill Clinical Tutor, University Hospital, Nottingham, Tel: ????? 5
  6. 6. NOTTINGHAM HEALTH AUTHORITY Queens Medical Centre Campus, Nottingham University Hospitals NHS Trust The Queen’s Medical Centre is a large University Teaching Hospital with 1,340 beds, situated in Nottingham, serving a population of 650,000. University Hospital was opened in 1978 and commissioning was completed in 1985. The Queen’s Medical Centre comprises both University Hospital and the Medical School of the University 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 and Gynaecology, ENT Surgery, Ophthalmology, Paediatric Medicine and Surgery, Geriatric Medicine and Psychiatry and has the only major Accident and Emergency Centre 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, paediatric radiology, nuclear medicine, CT and MR. The new Imaging centre was opened in 1993 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’s Medical Centre, including one Year 5 post in Vascular and Interventional Radiology. The Specialist Trainees have a large reporting room in the main department and there is a small radiological library with IT facilities within the Department. There is the Greenfield medical library with IT facilities in the Medical School. The new Postgraduate Medical Education Centre was opened in 1996 and also has IT facilities. There is also an Academic Department of Radiology for the Professor of Radiology who has a lecturer and several research fellows. There is a radiological library and a film museum within the academic department as well as IT facilities for undergraduate and postgraduate teaching. Directorate of Radiology The Clinical Director is Dr S.Ryder who, with the Radiology Services Manager, Mr Keith Hollis, is responsible for the management of the directorate. Consultant Radiologists Dr R Dhingsa GI Radiology Dr N Broderick Paediatric Radiology Dr S Dawson Musculoskeletal Radiology Dr S Habib Vascular Radiology 6
  7. 7. Dr K Dunn GI Radiology Dr R Gregson Vascular Radiology Dr K Halliday Paediatric Radiology Dr A Evans Neuroradiology Dr T Jaspan Neuroradiology Dr R Kerslake Musculoskeletal Radiology Dr R Lenthall Neuroradiology Dr C Ludman MR Imaging Dr N McConachie Neuroradiology Dr P Emberton Musculoskeletal Radiology Dr J Somers Paediatric Radiology Post vacant (vice Dr. Twining) Dr R Ganatra Nuclear Medicine Dr S Whitaker Vascular Radiology Dr D Annesley-Williams Neuroradiology DrJ Shah Neuroradiology Dr L Fender O & G and Paediatric Radiology Dr.G Ramjas ` Vascular/Interventional Radiology Dr.M Kumuran Chest radiology Academic Radiology Professor D Auer Dr.Rob Dineen Radiological Training The Head of Training and Programme Director is Dr Nigel Broderick and the College Tutor is Dr Richard O’Neill Junior Radiological Staff Current compliment is a maximum of 16 Specialist Registrars at QMC in years 1-5 of training. 7
  8. 8. Nottingham City Hospital Campus, Nottingham University Hospitals NHS Trust The City Hospital Nottingham is a large University Teaching Hospital with 1190 beds, situated in Nottingham serving a population of 650,000. The City Hospital provides specialist care in General Medicine, Respiratory medicine, Renal Transplantation, Rheumatology, Haematology, General Surgery, Cardiothoracic Surgery, Breast Surgery, Urology, Plastic Surgery and Burns, Orthopaedics, Oncology and Radiotherapy, Obstetrics and Gynaecology, Neonatal Medicine and Surgery, 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, cardiac radiology, mammography, ultrasound, obstetric ultrasound, nuclear medicine and bone densitometry, CT and MR. Breast screening is carried out at the Nottingham Breast Institute, which is one of four nationally designated training centres in the UK. Presently there are up to 14 Specialist Trainees in Years 1-5 based at the City Hospital Nottingham, including one post in Breast Imaging. The Specialist Trainees have a reporting room in the main department and there is a large radiological library and an IT room for study within the department. There is a medical library within the postgraduate medical education centre, which was opened in 1972, but has recently been extended. Department of Radiology The Clinical Director is Dr S.Ryder who is responsible for the management of the department. Consultant Radiologists Dr H Burrell Breast Imaging Dr J Fairbairn Musculoskeletal Radiology Dr D Green Nuclear Medicine and Oncology imaging Dr A O’Connor Cross Sectional and Oncology imaging Dr C Jobling GI Radiology Dr K Latief GI Radiology Dr. R Ahmad Interventional and GI/GU Radiology Dr J Lloyd Interventional Radiology Dr K Pointon Chest Radiology Dr.R O’Neill Interventional/vascular Radiology Vacant post Breast Imaging Vacant Post Breast Imaging 8
  9. 9. Dr E Cornford Breast Imaging Dr J James Breast Imaging Dr L Hamilton Breast Imaging Radiological Training The College Tutor is Dr.Lisa Hamilton. Junior Radiological Staff Current compliment is a maximum of 14 Specialist Trainees at CHN in years 1-5 of training. 9
  10. 10. SOUTHERN DERBYSHIRE HEALTH AUTHORITY The Royal Derby Hospital The Royal Derby Hospital is new £250m building project, as part of a £330m PFI, to centralise all acute services on the Derby City General Hospital site, incorporating Derby City General Hospital and The Derbyshire Royal Infirmary. The hospital is situated 3 miles from the city centre and serves a population of over 500,000 in South Derbyshire. We are a cancer centre and there is a Graduate Entry Medical School on site (affiliated to Nottingham 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, including three MRI scanners (one a 3T machine) and three CT scanners (two of which are 64 slice and include a cardiac package), five fluoroscopy suites (including two dedicated interventional rooms) and eight general ultrasound rooms. An £18m contract is currently held by Isoft for the installation and maintenance of an Electronic Patient Record which includes GE PACS. We have been fully digital in the main Radiology Department from 2004 and from 2007 in the Breast Unit (now including screening mammography). We have an HSS RIS and hospital-wide soft copy viewing of images 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 on rotation from Nottingham and Leicester. The Department is well staffed with a full complement of Radiographers. We have a generous number of Radiographic Helpers and have positively developed role extension including Radiographer plain film extremity and barium enema reporting, Radiographer performed IVUs and barium enemas and Assistant Radiographic Practitioner roles. Derby Hospitals NHS Foundation Trust prides itself in providing high quality care and traditionally attracts high quality clinical staff. Derby has recently opened brand new accommodation for the Derby Graduate Entry Medical School allied to the University of Nottingham. The first intake of 90 students started October 2003. There are already academic departments in Medicine, Paediatrics, Obstetrics and Gynaecology, Rehabilitation and Surgery. 10
  11. 11. Currently there are 21 Consultant Radiologists within the Department, with additional funding for a further two posts. Consultant Special Interest Dr Allison Ashworth Oncology and Gynaecology Dr Mark Bagnall (Clinical Lead for Radiology) Breast 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 (Clinical Director Assessment & Diagnostic Directorate) Neuroradiology & Paediatrics 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) Musculoskeletal Junior Medical Staff Three Specialist Registrars on rotation from Nottingham One Specialist Registrar on rotation from Leicester Directorate Non-Medical Staffing Establishment Staff Grade Diagnostic Imaging wte Breast Service 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. 12. Equipment London Road Community Hospital Equipment Type No. of Rooms Manufacturer Installed Date MRI Scanner 1 GE 1.5T 2005 CT Scanner 1 GE Lightspeed 16 slice 2004 General Radiographic & Dental Rooms 2 Room P1 - Philips Room P2 - Philips OPG Fiad Dental Room P3 – Philips 1998 1998 2001 Royal Derby Hospital CT Scanner MR scanners 2 2 Toshiba Aquilion, 1 cardiac enabled Philips Achieva 1.5T Philips Achieva 3T Fluoroscopy Rooms 8 Philips Allura xper FD20 Philips Allura xper FD20 GE Precision D GE Precision D (endoscopy) Philips Omnidiagnost Philips Omnidiagnost Toshiba Ultimax Siemens Uroscop 2006 2009 1994 1995 2009 2009 2009 2006 Ultrasound 7 Siemens Antares Philips iU22 Siemens Versa Philips Envisor Siemens Antares Siemens Antares Siemens Acuson Philips HDI1500 (vascular room) 2006 2005 1996 2005 2005 2009 2009 2002 General Radiographic & IVU Rooms 1 1 3 5 1 1 1 1 Two Tabled IVU room Philips General Purpose room + Orth Oralix OPG Philips General Purpose room Philips Diagnost TH Philips Digital TH Planmeca promax (OPG) Dental 2005 2004 2006 2009 2009 2009 12
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  14. 14. Activity Statistics Diagnostic Imaging DRI & DCGH 2008 - 2009 Out-turn Directorate / Source Examinations Surgical Directorate : General Surgery; Urology, ENT Ophthalmology; Maxillofacial; Dental ; Plastic Surgery; Audiology 54041 Trauma & Orthopaedic Directorate : 58982 Medical Directorate : Integrated Medicine; Cardiology; Dermatology; GU Medicine; Neurology; Neurosurgery; Rheumatology 54592 Accident & Emergency : 55162 Directorate of Cancer Specialties : Clinical Oncology; Palliative Medicine; Clinical Haematology 13919 Obstetrics & Gynaecology : 34460 Paediatrics : Paediatrics; Paed. ENT; Paed Ophthalmology; Paed.Orthopaedics; Accident & Emergency 7774 GP Direct Access Services 60601 Other Sources 18332 TOTAL 357863 Examination Type ( All Sources ) Number 2008 -2009 General Radiography 213484 Fluoroscopy ; Contrast & Bone Densitometry 10431 Ultrasound 84094 CT Scans 29277 MRI Scans 18404 Vascular & Interventional 2173 14
  15. 15. NORTH NOTTINGHAMSHIRE HEALTH AUTHORITY Kings Mill Hospital, Sherwood Forest Hospitals NHS Foundation Trust Kings Mill Hospital is a large District Teaching Hospital with 650 beds, situated two miles from the town centre of Mansfield, serving a population of 400,000. Kings Mill Hospital provides specialist care in General medicine, General Surgery, Urology, ENT Surgery, Ophthalmology, Orthopaedics, Obstetrics and Gynaecology, 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. The Specialist Trainees have an office and reporting room and there is a large radiological library and a film museum within the Department. There is a Postgraduate medical education centre and a medical library with IT facilities within the hospital. Department of Radiology The Clinical Director is Dr Clive Butcher who in conjunction with Mrs Jayne Burkitt, the Radiography Services Manager is responsible for the management of the Department. Consultant Radiologists Dr S Brauer Ultrasound, Gynaecology and Oncology imaging Dr C Butcher CT, MR and Paediatric Radiology Dr P Panto GI and vascular Radiology Dr S Geary Radionuclide radiology Dr C Squirell Interventional/General radiology Dr S Stinchcombe Breast Imaging and Musculoskeletal Radiology Dr P Smart Staff Grade in Radiology Dr I Au-Yong Head and Neck and oncological imaging Dr. I Rozalli Musculoskeletal and oncology Dr.C. Corry Cross sectional imaging and paeds Radiological Training The College Tutor is Dr Susan Geary Junior Radiological Staff 15
  16. 16. There are 2 Specialist Trainees at KMH in years 3-5 of training. 16