YORKSHIRE AND THE HUMBER DEANERY Job Description SPECIALIST REGISRARS inGASTROENTEROLOGY & GENERAL (INTERNAL) MEDICINE SPR/1004 (Type I) Updated 2008 SPR/1004
YORKSHIRE AND THE HUMBER DEANERYSPECIALIST REGISTRARS IN GASTROENTEROLOGY & GENERAL (INTERNAL)MEDICINEJOB DESCRIPTION5-YEAR SPECIALIST REGISTRAR TRAINING SCHEME IN GASTROENTEROLOGYAND GENERAL (INTERNAL) MEDICINEOUTLINE OF SCHEMEThis is a five 5-year rotation which provide training in Gastroenterology and General Medicine asa Specialist Registrar. It will give the training and experience necessary to fulfil the trainingneeds for a CCT in both specialities. A new 12-month post in Hepatology has been addedrecently to provide subspecialty training. There are 2 lecturers posts based at St James’s Hospitaloffering training in Gastroenterology in addition to the academic component.The Scheme offers experience in a wide range of gastrointestinal disorders, diagnostic andtherapeutic endoscopy, in addition to training in acute medicine. There are postgraduate centresincorporating libraries offering textbooks and periodicals in all the hospitals. The trainee willusually spend one year in each post starting at the beginning of October.At present the trainees are allocated each year to a hospital where their training requirement ismet, this is usually decided after the annual RITA assessments (will be replaced by ARCP). Eachtrainee will have an appropriate balance of hospitals in their five year period.The training scheme is co-ordinated by the Regional Speciality Advisor forGastroenterology/Programme Director (presently Dr M Dakkak).With the agreement of the trainee, the Deanery, and the training committee, an SpR may beallocated to a post on another rotation, or approved out of programme experience for research ortraining abroad.ERCPExcellent facilities are available for ERCP, but not all trainees can be selected for training. ERCPtraining is supervised by (Dr M Denyer) who is the co-ordinating consultant in conjunction withthe programme director (Dr M Dakkak). A similar arrangement may developed for EUS.In the following pages there is a brief description for each centre offering training in this schemein alphabetical order.
AIREDALE (2 posts)Airedale General Hospital is a purpose built district general hospital of 620 beds, opened in 1970,and is situated in the valley of the river Aire, midway between Keighley and Skipton and servinga population of approximately 200,000.There are two Gastroenterologists: Dr D Clements & Dr C HealeyOther staff in the department: 2 Specialist Registrars 1 SHO, 2 PRHOs 1 Associate Specialist (part time in Gastroenterology) Hepatitis C nurse specialistTimetable: 2 Medical Clinics 1 Gastroenterology clinic 2 Endoscopy lists 1 ERCP list 2 Ward roundsSpecial Facilities: Gastroenterology – Wide range of Endoscopy includingERCPMeetings: Weekly Radiology, Pathology, Postgraduate, & cancerMDTsTeaching Duties: Junior staff and medical studentsResearch: availableContacts: Dr D Clements - 01535 652511 ext 2347 Dr C Healey – 01535 652511 ext 2037BRADFORD ROYAL INFIRMARY (2 posts)The 6 Gastroenterology Physicians (Dr A Manning, Dr L Juby, Dr R Reynolds, Dr S Jowett, andDr C Beckett and DR S Moreea) work within the Digestive Diseases Centre in collaboration withthe GI surgeons, radiologists, histopathologists and Specialist Nurses.On the Gastro Unit, Bradford Royal Infirmary are carried out both upper and lower GI endoscopyas well as outpatient clinics. Further endoscopy, outpatient clinics and breath tests are currentlyperformed at St Lukes Hospital, Bradford. Training and experience may be offered for diagnosticand therapeutic UGI endoscopy, flexible sigmoidoscopy, colonoscopy, ERCP and EndoscopicUltrasound, depending on the SpRs needs as identified at RITA and by initial appraisal. The Unithas a commitment to endoscopy training; simulators are available.The range of clinical experience available is broad. The special interests of the consultantgastroenterologists include liver disease, nutrition, IBD, therapeutic endoscopy and medicaleducation. The Trust is Upper GI Cancer Centre for Western West Yorkshire and weekly MDTare held as are further weekly MDTs for Colorectal Cancer. Weekly GI Radiology meetings areheld jointly with the GI surgeons as well as Histology meetings every 2 weeks. ClinicalGovernance meetings are held on the Unit monthly; involvement in audit is expected.
Medical undergraduate teaching involves 2nd, 3rd and 5th year students.Junior staff currently attached to the Unit include 2 SpRs, 3 SHOs and 3 PRHOs. The weeklytimetable will be negotiated with each SpR depending on their training needs.G(I)M experience is gained on the MAU, with continuing care for a proportion of in-patients;MAU involvement entails attending CCU and ITU.Contact: Dr APManning – 01274 364538GRIMSBY (2 posts)The hospital serves a population of 168,000.There are two Gastroenterologists: Dr S Moss, Dr A A Naqvi and a visiting part-timeGastroenterologist Dr R Whiteoak.Other staff in the department: 2 Specialist Registrars,1 Staff Grade, 1 Clinical Assistant, 1 SHO, 1 HO.Timetable: 2 Medical Clinics 1 Gastroenterology Clinic 2 Endoscopy lists Inpatient careSpecial Facilities: Gastroenterology - Wide range of endoscopy includingERCP. This post offers a particular opportunity to train in colonoscopy Radiology – MRI and CT scannerMeetings: Journal club - weekly Radiology - weekly Histopathology - bi weeklyTeaching Duties: Junior staff and medical students from Sheffield &Hull/YorkResearch: availableContact: Dr S Moss – 01472 875519Moss – 01472 875392CALDERDALE ROYAL HOSPITAL, HALIFAX (1 post)This new PFI hospital serves a population of just under 200,000. There are two ConsultantGastroenterologists: Dr A Verma and Dr S Sonwalkar.Other staff in the department: 1 specialist registrars 1 Staff Grade SHOs
PRHOsTimetable: 2 Gastroenterology Clinics 2 Endoscopy Lists (gastroscopy, colonoscopy) 2 Consultant ward rounds 2 SpR ward rounds On call rota for medical and elderly in a full shift patternSpecial Facilities: Wide range of diagnostic and therapeutic endoscopy including ERCP, and advanced colonoscopy.Meetings: Radiology, Pathology & Postgraduate – weeklyTeaching Duties: Junior staff and medical studentsResearch: PossibleContact: Dr A Verma – 01422 224195HARROGATE DISTRICT HOSPITAL (1 post)The hospital serves a population of 170,000.There are two Gastroenterologists: Dr Gareth Davies, Dr Jo RidpathOther staff in the department: 1 Specialist Registrar 1 Clinical Assistant (endoscopy only) 1 SHO, ward-based house officers (6 in medicine)Timetable: 2 Medical/Gastroenterology Clinics 2 Endoscopy lists 2 Consultant Ward rounds 1 formal Registrar ward round ½ day study/research/audit 2 lunch time teaching sessions weekly X ray session 1 in 7 third on –call medicineSpecial Facilities: Gastroenterology – Wide range of endoscopy including ERCP Radiology – MRI scanner on site (new Jan 05); Spiral CTTeaching Duties: 3rd and 5th yr medical studentsResearch: EncouragedContact: Dr G Davies/J Ridpath 01423 555335.HULL ROYAL INFIRMARY and CASTLE HILL HOSPITAL (4 posts)The 2 hospitals serve a population of 580,000. The Department of Gastroenterology has its in-
patient base at this hospital, but some of its out-patient and endoscopy activity are based at Castlehill Hospital where the unit is a designated national training centre for Endoscopy. CHH also isthe base for the new cancer centre.There are eight Gastroenterologists: Dr M Dakkak, Dr T Diggory, Dr M H Giaffer, Dr S Khulusi,Dr S Sebastian, Dr L Sinha, Dr J A J Smithson, and Dr H H Tsai.Other Staff: 4 Specialist Registrars 3 SHOs 3 HOs 2 clinical assistant 3 Specialist nursesTimetable: 3 Gastroenterology clinics 2 Endoscopy listsSpecial Facilities: Gastroenterology - Wide range of endoscopy including oesophageal therapy, DB enteroscopy, EUS & ERCP. Oesophageal laboratory (manometry, pH monitoring, impedance). Capsule Endoscopy. Special clinics (Swallowing, Dyspepsia, IBD, Liver). Radiology - MRI scanners, spiral CT, PET scanners and angiography.Meetings: GI Radiology - weekly Upper GI cancer MDT- weekly Lower GI cancer MDT- weekly Gastroenterology seminars - weekly Gastroenterology Governance - monthly Medical Grand Round - weekly CPD Afternoon - weeklyTeaching Duties: Junior staff & HYMS medical studentsResearch: Oesophagus, coeliac disease, IBD, liver, nutrition, endoscopic modalities.For Contact: Dr S Smithson – 01482 674862THE GENERAL INFIRMARY AT LEEDS (4 posts)The hospital serves a population of 400,000. There are five Consultant Gastroenterologists: Dr SEverett, Dr PJ Hamlin, and Dr B R Rembacken (2 appointments to be made shortly currentlyoccupied by locum consultants).Other staff in the department: 4 specialist registrars (3 clinical and 1 in advancedendoscopy) 2 research registrars 3 SHOs 2 PRHOs
Timetable: 2 Gastroenterology Clinics & alternate week - IBD clinics 2 Endoscopy Lists (gastroscopy, colonoscopy and possibly ERCP) 2 Ward rounds On call rota for gastroenterology and acute GI haemorrhage. (non-resident)Special Facilities: Wide range of diagnostic and therapeutic endoscopy including ERCP, enteroscopy, capsule endoscopy, advanced colonoscopy and endoscopic ultrasound. Large IBD Clinic. Well developed quality assurance programme for endoscopy. Gastroenterology/Endoscopy intranet site.Meetings: Radiology and Pathology seminars Wednesday afternoons are free of clinical activity and are devoted to education, research, and clinical governanceTeaching Duties: Junior staff and medical students (2nd,3rd, and th 5 years)Research : Helicobacter Pylori, IBD, EndoscopyOther Information: The three clinical SpRs rotate within the department every four months – i.e. two four month periods on the GI Ward (with different Consultants) and four months attached to the endoscopy unit and short stay ward. Eight months are spent taking part in Gastroenterology on- call rota and four months on the Acute Admitting Medical Register Rota (Partial Shift).Contact: Dr S Everett – 0113 3923124ST JAMES’S UNIVERSITY HOSPITAL – Luminal GE (4 posts including lecturers)The hospitals serve a population of 365,000.Consultants: Dr M E Denyer in patients at St James’s, out patients/endoscopy at Seacroft Dr R V Heatley in patients & out patients at St James’s Professor P Howdle in patients & out patients/endoscopy at St James’s Dr M A Hull in patients & out patients/endoscopy at St James’s Professor G Sandle in patients & out patients/endoscopy at St James’sOther Staff 3 SpRs [1 on elderly rotation] and 2 Lecturers [1 on, 1 off the wards at any one time] 2 SHOs 2HPs
Arrangements for post:SpRs do 6 months gastroenterology followed by 6 months hepatology, or vice versa.In-patients: Dr Denyer and Dr Heatley are on the wards continuously, whilst Professor Howdle,Dr Hull and Professor Sandle each spend 3 months on and 6 months off in rotation.Dr Denyer and Dr Heatley share an SHO and HP and each have nominally 6-8 in-patients at atime, whilst the other consultant has his own SHO and HP and looks after the remaining 14-16beds.On-take arrangements:The SpR will be RMO 2 [resident] for acute medicine roughly 2-3 timesa month. He/She will also be expected to participate in the on-call endoscopy emergency bleederrota, which is non-resident approximately 1 in 6. The on-call duties are made concurrent as oftenas possible. A full shift system operates.Out-Patients: 3 clinics per week.Endoscopy: 2 lists per week, both consultant supervised. There may also be the opportunity todo extra lists if the SpR is fully trained in any one form of endoscopy. Some preliminary trainingin enteroscopy is also available.ERCP training: can only be offered to 2 of the 6 SpRs [Hepatology and GI] and 2 Lecturers atany one time and only those thoroughly competent at upper GI endoscopy and with someexpertise and colonoscopy will be considered for this. It maybe possible to arrange off sitecontinued training for a 3rd SpR.Training in Endoscopic Ultrasound is Available but, at present, Limited.Special Facilities: Specialist endoscopic training-see above. Oesophageal laboratory [at Seacroft Hospital] Special clinics- joint IBD clinics at Seacroft Hospital [Dr Denyer, Mr Ambrose] and at St James’s [Dr Heatley and Mr Jayne]. Coeliac clinic – Professor Howdle Multi-disciplinary cancer management. Close links with research departments.Meetings: General medicine – weekly Radiology – weekly Histopathology – monthly Multi-disciplinary cancer – weekly Journal club- bi-monthly Audit - monthlyTeaching duties: Junior staff and medical studentsResearch: Various, including ERCP, oesophageal motility, Helicobacter pylori, coeliac disease, inflammatory bowel disease, gut electrolyte transport, molecular biology.HEPATOLOGY – ST JAMES’S UNIVERSITY HOSPITAL – LEEDS (4 posts)
St James’s University Hospital is a large teaching hospital.Two of these SpRs are part of a six-month internal rotation with the SJUH gastroenterology unit(luminal). The third SpR spends 1 year in post. The fourth SpR who spends 6 months in thispost and 6 months in Sheffield is appointed in a competitive interview from the cohort ofGastroenterology SpRs in the UK.The Specialist Registrar will be responsible to 4 Consultant Hepatologists: Dr M H Davies, Dr CE Millson, Dr M Aldersley and D R Jones.Other Staff: 1 Transplant fellow 4 Specialist Registrars 2 SHO’sTimetable: 2 Hepatology clinics (including 1 transplant clinic) 4 Endoscopy lists (including GI Endoscopy,Colons) In-patient care on the liver unit 24 hour partial shift on-callSpecial Facilities: Wide range of endoscopy Specialised liver unit including care of patients undergoing transplantation Experience – ITU (ward round)Meetings: Clinical, radiology, histology, journal and researchTeaching duties: Junior staff and medical students (3rd and final year)Research: Transplantation, Hepatitis C etc. Audit – wide-rangingContact: Dr M Davies 0113 206 4856 Dr C Millson 0113 206 6301 Dr M Aldersley 0113 206 7223FRIARAGE HOSPITAL – NORTHALLERTON (1 post)The Friarage Hospital, Northallerton is a modern district general hospital providing a full range ofacute medical and surgical services to a predominately rural population. It offers services inGeneral Medicine, Elderly Medicine, General Surgery, Psychiatry, Paediatrics, Obstetrics andGynaecology and Orthopaedics.There are two Gastroenterologists: Dr G M Connolly and Dr J Hancock. The Hospital hasgood links with the Gastroenterology Department at James Cook University Hospital where thereare several Consultant Gastroenterologists and SpRs.Other staff in the Department: 1 Specialist Registrar (this post), 2 or 3 SHO, 2 HOTimetable: 1 Medical Clinic 1 Gastroenterology clinic 2 Ward rounds
2 Endoscopy lists Inpatient careMeetings: Postgraduate – weekly Radiology – weekly HistopathologyTeaching Duties: Junior staff & undergraduatesResearch: AvailableContact: Dr J Hancock 01609 762138PINDERFIELDS GENERAL HOSPITAL (1 post)The hospital serves a population of 180,000.Gastroenterology Services at the Pontefract and Pinderfields sites have been fully integratedunder the umbrella of the Mid-Yorkshire Hospitals NHS Trust Digestive Diseases Centre (seealso Pontefract). Ward cover is provided by 5 consultant gastroenterologists, who rotate throughthe Gastroenterology wards at the two sites.The 3 gastroenterologists primarily are Dr Deven H. Vani (special interests: hepatology, IBD,therapeutic endoscopy), Dr Syed G Shah (special interests: ERCP, therapeutic endoscopy), andDr Neela Sundar (special interests: Nutrition, IBD).).Other Staff in the Department: 1 specialist registrar (this post), 1 Acute Medicine Registrar, 2 SHOs, 1 PRHO, 1 IBD Nurse Specialist, 2 Nutrition Nurse Specialists.Timetable: Inpatient care 2 Outpatient clinics 2 Endoscopy lists 1 ERCP list if appropriate 1 acute assessment unitSpecial Facilities: Gastroenterology - wide range of diagnostic and therapeutic endoscopy including ERCP and acute GI bleed service (24/7); a Liver Clinic, a Nutrition clinic, and a Colitis Clinic (Clayton Hospital). 2 Nutrition Nurse Specialists, weekly consultant’s Nutrition ward round.Teaching duties Undergraduates (for Leeds) and junior doctor programmeResearch & Audit There are ample opportunities for research and the department has a robust audit programme.Contact: Dr Deven H vani (secretary) 01924 212 847 Dr Syed G Shah (secretary) 01924 212 847 Dr Neela Sundar (secretary) 01924 212 519
PONTEFRACT (1 post)The hospital serves a population of 170,000.Gastroenterology Services at the Pontefract and Pinderfields sites have been fully integratedunder the umbrella of the Mid-Yorkshire Hospitals NHS Trust Digestive Diseases Centre (seealso Pinderfields). Ward cover is provided by 5 consultant gastroenterologists, who rotatethrough the Gastroenterology wards at the two sites.The 2 gastroenterologists primarily are Dr Pulak Sahay (special interests: upper GI, ERCP) andDr Lionel Gracey-Whitman (special interests: IBD, IBS, Nutrition).Other Staff in the Department: 1 specialist registrar (this post), 3 SHO & 1 full time Clinical Fellow, 1 IBD Nurse SpecialistTimetable: Inpatient care 2 Outpatient clinics 2 Endoscopy lists 1 ERCP list 1 acute assessment unitSpecial Facilities: Gastroenterology - wide range of diagnostic and therapeutic endoscopy including Barrett’s surveillance, chromo- endoscopy, PEG service, acute GI bleeds (Mon-Fri, 9-4)..Meetings: Medical meeting weekly Clinical case conference weekly X-ray meeting weekly Presentations/lectures fortnightly Audit monthly Journal Club weekly Histology meeting fortnightly Multi-disciplinary teaching weeklyTeaching duties: Junior staff and medical students Research: Research related to Helicobacter, Barrett’s oesophagus, early gastric cancer and gastro- oesophageal reflux disease.Contact: Dr Sahay – 01977 600694 (secretary) Dr Lionel Gracey-Whitman: 07789 374 162 (mobile)SCARBOROUGH GENERAL HOSPITAL (2 posts)The hospital serves a resident population of 220,000 but this increases considerably during theholiday season. The Gastroenterology services have been completely integrated betweenMedicine and Surgery for the past 10 years so that middle grade staff look after surgical as wellas medical patients. A new two-theatre Endoscopy Unit containing office accommodation for allstaff including SpRs and outpatient consulting facilities is currently being built and should openin 2005. Coincident with this a state-of-the-art MRI scanner will be installed.
The Gastroenterology staff at Consultant level are Dr C J Mitchell and Dr P S Babu as Physiciansand Mr J MacFie, Mr K Mainprize and Mr C Mahon as Surgeons.Other staff in the department: 2 Specialist Registrars, 2 HOs, 1 GP Clinical Assistant (3 sessions) 1 Nurse ColonoscopistTimetable: 2 Gastroenterology/G(I)M clinics 2 Endoscopy lists Inpatient care for Gastroenterology and general medicine On-call general medicine 1:9 partial shiftsSpecial Facilities: Full endoscopy service including ERCP Close links with GI surgery including weekly joint round and MDT Monthly joint OP clinics and shared inpatient care Specialist Nutrition Support Group State of the art spiral CT and MRIMeetings: Clinical – weekly Grand Round (G(I)M) and quarterly Gastroenterology teaching day Radiology – weekly G(I)M meeting plus Gastroenterology X-rays as part of MDT Histopathology – weekly meeting as part of MDTTeaching duties Undergraduate (for Leeds and HYMS) and junior doctor programmeResearch There is an active Gastroenterology Research Group with an excellent publication record. Research meetings form part of the quarterly Gastroenterology meeting.Contact: Dr C Mitchell – 01723 368111SCUNTHORPE GENERAL HOSPITAL (1 post)This is a modern 530 bed District General Hospital providing a full range of acute medical andsurgical services to a population of 185,000. It offers services in General Medicine, GeneralSurgery, Psychiatry, Paediatrics, Orthopaedics and Obstetrics & Gynaecology.There are two Gastroenterologists: Dr. P. C. Mysore & Dr. J. P. PenstonOther Staff in the Department 1 Specialist registrar, 1 Staff grade, 1 senior SHO, 2 SHOs, 1 PRHO and 1 Nurse specialistTimetable 2 mixed Gastroenterology and Medical clinics Monthly Hepatitis C clinic 1 Endoscopy list Inpatient careSpecial facilities: Wide range of Endoscopy and ERCP
Meetings: Weekly Gastroenterology meeting Weekly General Medical meeting Weekly Upper and Lower GI cancer MDTTeaching duties: Junior medical staff and medical studentsResearch: Available to interested candidatesYORK DISTRICT HOSPITAL (2 posts)The hospital serves a population of 280,000.There are four Gastroenterologists: Dr S M Kelly, Dr A J Turnbull, Dr JL Turvill and Dr SJ Smale.Other staff in the department: 2 Specialist Registrars, 1 Clinical Assistant (5 sessions weekly), 1 SHO, 1 HO 3 colorectal and 2 upper GI consultant surgeons.Timetable: 2 Medical/Gastroenterology Clinics 2 Endoscopy lists (type to suit trainee) 2 Ward rounds Inpatient careSpecial Facilities: Gastroenterology – Wide range of endoscopy including ERCP Radiology – MRI scanner, Dept Nuclear Medicine ManometryMDT meetings: Weekly joint radiology, upper GI and lower GI cancer meetings. Gastro team educational meeting weekly. Monthly Histoptah meeting.Teaching Duties: Junior staff and medical students (Leeds & HYMS)Research: Encouraged. Projects and limited funds available. Links with Biology Dept. York University.Contact: Dr S.Kelly 01904-725601
CONDITIONS OF SERVICEGeneralThe appointment is covered by the Terms and Conditions of Service for Hospital Medical andDental Staff and by the Whitley Councils for the Health Services (Great Britain) Conditions ofService, as well as local agreements as amended from time to time.Hours and SalaryThe standard hours of duty will be the working week of forty hours, for which the salary scalecurrently applicable is £26,760 - £39,000 (wef 1.4.2003)In addition, the appropriate intensity multiplier will be payable commensurate with the on-callduty performed.Additional Duty HoursApplicants will be aware of the current moves to facilitate a reduction in the out-of-hours workwhich junior doctors are asked to undertake. As a result, most rotas are under review and it is notpossible to give details of rotas at each placement.While on call the trainee may be expected to be resident in the hospital.Study and Annual LeaveStudy leave will be granted according to the nationally agreed Terms and Conditions.The appropriate annual leave should only be taken after agreement with Consultant colleagues.Travelling ExpensesTrainees may be eligible to claim travelling expenses in accordance with Section 23 (exceptparagraph 2.4 and 4) of the GWC Conditions, and paragraph 227-302 of The Hospital Medicineand Dental Staff Terms and Conditions.Any offer of appointment is subject to satisfactory medical clearance and confirmation that thesuccessful candidate is Hepatitis B immune. Titre levels are checked by the Occupational HealthService prior to formal offer of appointment.Medical IndemnityThe employee is normally covered by the NHS Hospital and Community Health Serviceindemnity against the claims of medical negligence. Health Departments advise that employeesmaintain membership of a defence organisation, as in certain circumstances (especially in servicesfor which a fee is paid) the employee may not be covered by the indemnity.The employee must hold current registration (full or limited) with the General Medical Council.Visits Prior to InterviewCandidates may visit the hospital(s) by arrangement.
Rehabilitation of Offenders Act 1974Because of the nature of the work, this post is exempt from the provisions of Section 4(2) of theRehabilitation of Offenders Act 1974 (Exceptions) Order 1975. Applicants for the post are notentitled to withhold information about convictions which for other purposes are spent under theprovisions of the Act and, in the event of employment, any failure to disclose such convictionscould result in disciplinary action or dismissal by the Authority. Any information given will becompletely confidential and will be considered only in relation to an application for a position towhich the order applies.ROTATIONSAll rotations are subject to revision in the light of recommendations by the Speciality TrainingCommittee.ACCOMMODATIONWhilst hospital accommodation may be available for non-resident staff, this will be determinedby staff making their own local enquiries. Such accommodation MUST be vacated when thetrainee leaves or moves on to the next stage of the rotation.TRAINING IN RADIATION PROTECTIONAny person who has direct control over the exposure of a patient must have a Core ofKnowledge.NOTICEA period of three months notice is applicable to this appointment (Paragraph 197a of the Termsand Conditions of Service for Hospital Medical and Dental Staff refers). Resignation letters mustbe sent to Yorkshire Deanery Medical Personnel Department.
FLEXIBLE TRAININGApplicants considering working flexibly should contact Dr R Roden, Careers and PersonalDevelopment Adviser on 0113 233 1503 for a confidential discussion.EMPLOYMENT ARRANGEMENTSThe Leeds Teaching Hospitals NHS Trust holds the employers responsibility for all Registrars,Senior Registrars and Specialist Registrars within the Yorkshire Deanery and therefore doctorsappointed to this post will be employed by the Leeds Teaching Hospitals NHS Trust. Details ofemployment policies are provided on appointment.These arrangements are fully supported by the BMA.