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  2. 2. PERSONAL SPECIFICATION FORM SPECIALITY REGISTRAR TRAINING PROGRAMME (ST3-7) IN RENAL MEDICINE AND GENERAL (INTERNAL) MEDICINE TRAINING ESSENTIAL DESIRABLE PROGRAMME REQUIREMENTS Qualifications Basic MBBS or equivalent BSc, MD etc Postgraduate MRCP part 1 Experience Minimum of 2 years general professional Period of experience of Nephrology at training and/or evidence of achievement of SHO grade ST2 competences in medicine. No unexplained career gap. Ability Competent level of knowledge of basic Knowledge science and of the ability to apply this to Evidence of understanding and clinical practice application Obtaining medical histories which are precise, logical, thorough and reliable Demonstration of understanding and proficiency in the performance of Clinical Skills and Conducting expert, focused physical certain renal diagnostic and technical Technical Skills examinations. procedures e.g. Central venous line insertion. Potential for understanding and proficiency in performance of certain renal diagnostic and technical procedures Motivation Commitment to Nephrology Ability to organise own learning and Commitment to learning time Punctual Initiative Personality Potential to cope with stressful situations Able to cope with stress and has and undertake responsibility leadership qualities. Honesty Good communication skills Ability to work as part of a multidisciplinary team Audit Understands principles Evidence of participation or enthusiasm Research & Understanding of importance of Renal Evidence of previous research activities Teaching Research or ideas for future potential research activity plus initiative. Willingness to participate in Unit studies Evidence of teaching experience and willingness to teach others Management Good inter-personal skills Shows interest, enthusiasm or demonstrates ability Other Requirements Ability to work in a potentially multidisciplinary environment eg Renal Medicine, General (Internal) Medicine, Renal Pathology, Renal Transplantation Nephrology.SpR july08 2
  3. 3. INFORMATION The ST training post is part of a 5 year rotational programme working towards CCT in Nephrology and General (Internal) Medicine. The NTN post holder rotates between the Royal Liverpool and Broadgreen University Hospitals NHS Trust and the Wirral Hospitals NHS Trust Arrowe Park Hospital and the University Hospital of Aintree Opportunities exist for developing a research interest within this flexible programme. At completion post holders will achieve joint CCT certification in Nephrology and General (Internal) Medicine but candidates wishing to pursue a career in Nephrology alone may be accommodated. The introductory year at Arrowe Park Hospital or Royal Liverpool and Broadgreen University Hospital or University Hospital of Aintree comprises both Nephrology (acute renal failure and chronic haemodialysis) and General (Internal) Medicine. At the Royal Liverpool University Hospital the programme will cover training in General Nephrology, CAPD, APD, Haemodialysis, Renal Transplantation and General (Internal) Medicine. At the Wirral Hospitals NHS Trust Arrowe Park Hospital and University Hospital of Aintree, general nephrology, acute and chronic haemodialysis and CAPD. For personal specific details see the enclosed form. For more details of the timetable see the enclosed programme, flow diagram and individual job descriptions. At the Royal Liverpool and Broadgreen University Hospitals NHS Trust the Regional Renal Unit provides care for all aspects of Nephrology with approximately 80 patients per year with Acute Renal Failure and with 400 patients on haemodialysis through a hospital based Haemodialysis Unit and 4 satellite dialysis units. Approximately 100 patients are on CAPD or APD and greater than 800 patients have received a functioning renal transplant. Approximately 80 renal transplants are performed locally each year. Set up at the Royal Liverpool University Hospital includes a 8 bedded day wards, 2 Nephrology wards with an allocation of 30 beds and a 5 bedded HDU, and a separate PDU for training patients in the CAPD/APD programme. Within the same building there is a separate 10 bedded regional Renal Transplant Unit. Candidates are trained for practical procedures such as medical vascular access procedures. Up to 7 days study leave are allocated each year. There are strong links within the Royal Liverpool and Broadgreen University Hospitals NHS Trust and Mersey Kidney Research, a locally sponsored kidney charity, and access to the laboratories and other facilities in the University Departments of Medicine, Clinical Chemistry and Immunology. Strong links also exist with other University Departments especially Pathology, Nuclear Medicine and Radiology including MR imaging. There are also regular MDT meetings including X ray, biopsy, and other departmental meetings. The current nephrology post is based mainly at the Royal Liverpool University Hospital, but includes one outreach clinic. The on-call or shift patterns maybe at SHO level depending on the experience of the post holder. The job content and location Nephrology.SpR july08 3
  4. 4. may be subject to change in order to suit the regional renal service requirement and the training needs of all of the trainees. Liverpool and Merseyside are the centres of much cultural, artistic and sporting activity. Pleasant suburbs with good schools are found in South Liverpool and Wirral where access to Liverpool City Centre is via the Mersey Tunnels. Southport and Chester are close by with the mountains and beaches of North Wales and the Lake District within reach by car in 2 hours. SPECIMEN JOB DESCRIPTIONS ROYAL LIVERPOOL AND BROADGREEN UNIVERSITY HOSPITALS NHS TRUST MEDICAL STAFFING Dr P Pai - Consultant Nephrologist Dr S Ahmed - Consultant Nephrologist Dr H Anijeet - Consultant Nephrologist DUTIES OF THE POST Nephrology The postholder will be responsible for in-patient supervision of approximately 20 patients. The following patient problems will be reviewed:- General Nephrology Acute Renal Failure Chronic Renal Failure Haemodialysis CAPD and APD Renal Transplantation There are daily ward rounds and the Consultant ward rounds per week. PROCEDURES The post holder will be trained for the following:- Temporary necklines and femoral lines insertion Renal US TEACHING There are 4 hours fixed teaching per week, and regular regional renal teaching. Nephrology.SpR july08 4
  5. 5. TIMETABLE (subject to review) MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY A Cons ward Reg W/R X ray meeting Cons ward Grand Round . round Procedure M Admin Reg W/R Reg W/R . L 12.30-1.30pm 12.30-1.30pm 12.30-1.30pm U Medical Renal Biopsy Renal Meeting N Meeting Meeting C H P Procedure Cons W/R Nephrology Nephrology clinic Management/ . Admin clinic teaching M (Warrington) . Nephrology.SpR july08 5