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  1. 1. MERSEY DEANERY SPECIALTY TRAINING PROGRAMME STARTING AT ST3 in NEPHROLOGY PROGRAMME DESCRIPTION This is a run through training programme starting after the completion of Core Medical Training at ST3 level aimed at doctors who can demonstrate the essential competencies from the person specification to enter this level of training. The programme is designed to provide the opportunities for the postholder to achieve the Level 2 medical competencies as described in the General Internal Medicine (Acute Medicine) Curriculum and the Generic Curriculum for the Medical Specialities and the competencies described in the specialty curriculum. All the Mersey Deanery Medical training posts come under the organisation framework of the Mersey Deanery School of Medicine from the Core Medical Training (CMT) Scheme which was established in August 2005 and has been the RCP pilot site for many aspects of CMT including the development of the e portfolio and use of the curricula as a guide for learning in CMT. It will be necessary throughout specialty training to demonstrate satisfactory progress in workplace assessments of competence when these are reviewed at the Review of In Training Assessments (RITA). The milestones to be achieved will be described in a series of specialty specific RITA decision aids. This is a Deanery Wide run through programme which includes all the hospitals listed in the deanery. All the ST3 and subsequent ST4 – ST7 placements will be allocated by the specialty programme director on behalf of the School of Medicine. + + + Specialty Training in Nephrology This programme is designed to support training for a CCT in Nephrology. The programme incorporates ST3 –ST7 training and is based in hospitals in the Mersey Deanery and including: ♦ Royal Liverpool University Hospital (RLUH) ♦ Arrowe Park Hospital (APH) ♦ University Hospital of Aintree (UHA) Trainees will spend a minimum of two years at RLUH, and for the remaining time, in one or both of the other hospitals. The programme includes - General Internal Medicine (GIM) - All aspects of nephrology, dialysis and transplantation
  2. 2. - 6 months acute transplantation (mandatory) Allocation to places onto a Level 3 training programme which will provide training suitable for a CCT in Nephrology or Renal will be via the National Grid system. Trainees will be expected to complete a five year training program to be credentialed in renal medicine and GIM (acute), or to achieve single specialty CCT in renal medicine after four years. Trainees will have an opportunity to receive additional training in peritoneal dialysis (6 m) and haemodialysis (6 m) at RLUH. Currently, three trainees at any one time are undergoing GIM training at UHA (Diabetes), APH (Respiratory) and at RLUH, and are on- call or shift for GIM. Some examples of rotation are as follows: ROTATION 1 ST3 ARROWE PARK ST4 ROYAL LIVERPOOL ST5 ROYAL LIVERPOOL ST6 AINTREE ST7 ROYAL LIVERPOOL ROTATION 2 ST3 AINTREE ST4 ROYAL LIVERPOOL ST5 ARROWE PARK ST6 ROYAL LIVERPOOL ST7 ROYAL LIVERPOOL ROTATION 3 ST3 ROYAL LIVERPOOL ST4 ROYAL LIVERPOOL ST5 AINTREE ST6 ROYAL LIVERPOOL ST7 ARROWE PARK ROTATION 4 ST3 ROYAL LIVERPOOL ST4 ARROWE PARK ST5 AINTREE ST6 ROYAL LIVERPOOL ST7 AINTREE ROTATION 5 ST3 ARROWE PARK ST4 ROYAL LIVERPOOL ST5 AINTREE ST6 ROYAL LIVERPOOL ST7 ARROWE PARK Clinical duties throughout the rotations There will be some variations in different posts in different hospitals but this list is aimed at covering the majority of duties: 1. Supervise, monitor and assist the Foundation trainees (F2) and ST1 to ST2 trainees in the 2
  3. 3. day-to-day management of in-patients. 2. Liaise between nurses, junior trainees, patients, relatives and senior medical staff. 3. Attend and participate in ward rounds as timetabled 4. Attend outpatient clinics. 5. Take part in emergency work and as per rota or shift. ST3 trainee may be asked to participate in the renal SHO/ST rotas or shift in their first year at the RLUH. 6. Dictate discharge summaries. 7. Study for higher examination and maintain continued professional development. 8. Attend weekly educational and multidisciplinary sessions. 9. Undertake audit at various times throughout the rotations. 10. Teach medical students as directed. 11. Co-operate with members of the personnel department when monitoring hours of work and other personnel issues. 12. Attend induction in each hospital or new department 13. Comply with all local policies including dress code, annual and study leave STUDY AND TRAINING The Deanery is committed to developing postgraduate training programmes as laid down by PMETB, Colleges and Faculties and by the Postgraduate Dean’s Network. At local level, college/specialty tutors work with Unit Director or Postgraduate Education in supervising these programmes. Trainees will be expected to take part in these programmes (including audit) and to attend counselling sessions/professional review. A core course for the Renal curriculum is available. Study leave will form part of these education programmes. There is also a half day study day built in each of the timetable. All posts are recognised for postgraduate training. Study leave is granted in accordance with Deanery policy and is subject to the maintenance of the service. Main Conditions of Service The posts are whole-time and the appointments are subject to:- a) The Terms and Conditions of Service for Hospital Medical and Dental Staff (England and Wales) b) Satisfactory registration with the General Medical Council (London) c) Medical Fitness – You may be required to undergo a medical examination and chest x-ray. Potential applicants should be aware of the Department of Health and GMC/GDC requirements with regards to HIV/AIDS and Hepatitis viruses. Candidates must be immune to Hepatitis B. You will be required to provide, in advance of appointment, evidence of immunity or have a local blood test (as deemed necessary by the Occupational Health Department) Salary Scale The current nationally agreed pay scale for this grade is payable. Unforeseen Circumstances 3
  4. 4. In accordance with the Terms and Conditions of Service of Hospital Medical and Dental Staff (England and Wales) paragraph 110, Junior Doctors shall be expected in the run of their duties and within their contact and job description, to cover for the occasional and brief absence of colleagues as far as is practicable. European Working Time Directive (EWTD) All posts on the rotation comply with European Working Time Directive regulations. Junior Doctors’ Monitoring From 1 December 2000 there is a contractual obligation to monitor junior doctors’ New Deal compliance. In accordance with Health Service Circular 2000/031 junior doctors have a contractual obligation to monitor hours on request; this will include participation in local monitoring exercises. Removal expenses The removal expenses applicable to this post will be the policies issued by the Administrative Trust. You should not commit yourself to any expenditure in connection with relocation before first obtaining advice and approval from the Personnel Department at your Administrative Trust, otherwise you may incur costs, which you will be unable to claim. Use of Information Technology Under the Computer Misuse Act 1990, any individual who knowingly attempts to gain unauthorised access to any programme or data held on a computer can be prosecuted. An individual who modifies any programme or data in a computer which they are unauthorised so to do, is also liable under the Act. If found guilty of these offences a person may be given a custodial sentence of up to six months or a fine or both. The person would also be subject to disciplinary action which may result is dismissal. Similarly, in accordance with copyright law, any person involved in the illegal reproduction of software or who makes, acquires or uses unauthorised copies of computer software, will be subject to disciplinary action, which may lead to dismissal. Notification of Termination of Employment 3 months written notice Person Specification For a detailed person specification for these posts see MMC website at: Number of Posts For a detailed information on the number of posts available in this programme please see the MTAS website Further information about the Mersey Deanery and the Mersey Deanery School of Medicine will be posted on the Mersey Deanery website at: 4
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  6. 6. Appendix 1 Royal Liverpool University Hospital There are 8 full time equivalent Consultant Nephrologists (Drs GM Bell, H Anijeet, P Pai, J Harper, M Howse, P Williams, J Alexander, R Rustom, M Schulz). The Renal Department is an active tertiary centre and look after patients from Warrington, Whiston, Halton, Southport as well as provide support to the Nephrologists in Aintree (UHA) and the Wirral (APH). There is a large chronic dialysis program with more than 300 patients on haemodialysis and 100 patients on peritoneal dialysis. There is also an active kidney and kidney/pancreas transplant program in Liverpool. Trainees will be exposed to wide experience of nephrology, dialysis (haemodialysis, peritoneal dialysis, haemodiafiltration, plasma exchange), and acute transplantation. There is also the opportunity to gain experience in General Medicine during the training in Liverpool (Dr P Williams). There is an active local and regional teaching program for renal trainees along with regular MDT meetings. Trainees who wish to pursue research are encouraged to speak with Dr R Rustom, who is also the Senior Lecturer in Renal Transplantation. University Hospital of Aintree There are 4 Consultant Nephrologists/ Physicians (Drs A Abraham, C Gradden, B Pandya, C Wong). A busy renal department providing wide experience in both acute and chronic renal failure. There is a chronic haemodialysis unit on site and a satellite unit in Waterloo. Trainees will gain experience from both General Medicine (Diabetes) and Renal/ITU during their Aintree attachment. Arrowe Park Hospital There are a total of 4 Consultant Nephrologists (2 based in APH, and 2 based in Chester). Drs P McClelland, A Crowe are based at APH. Trainees will gain wide experience in all aspects of renal medicine during the renal attachment including obstetrics renal disease. Trainees who also wish to be trained for General Medicine have an opportunity to do so in APH (Cardiology). 6