LECTURER (CLINICAL) IN
DIABETES AND ENDOCRINOLOGY
Job Ref: A-560710
Department: School of Clinical Sciences Division: Diabetes and Endocrinology
Salary: Depending on qualifications and experience Range: £30,685 - £53,132 pa
Tenure: 4 years, commencing 1 March 2010 Hours of work: Full-time
Closing Date: 23 November 2009 Interview Date: To be confirmed
Informal enquiries to Professor John Wilding on 0151 529 5885, email: email@example.com or
Professor Geoff Gill, email: firstname.lastname@example.org
Applications should comprise:
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* A copy of your full curriculum vitae
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If you have any particular requirements should you be invited to interview, please make this clear in your application.
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Shortlisting and Interviews
Shortlisting and interview arrangements are the responsibility of the recruiting Department. Please contact
Professor John Wilding on 0151 529 5885 if you have a query after the closing date.
Outcome of Applications
Vacancies at the University often attract a large number of candidates and it is not always possible to respond
individually to every application. If you have not heard from the recruiting Department by late December 2009
please take it that your application has not been successful.
Job Ref: A-560710
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COMMITTED TO DIVERSITY AND EQUALITY OF OPPORTUNITY
Job Ref: A-560710
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The University of Liverpool, together with Aintree University Hospital NHS Foundation Trust, wishes to
appoint a Lecturer to a replacement post in the Directorate of Diabetes and Endocrinology.
This post would be suitable for a candidate pursuing a career in Diabetes and Endocrinology and who
intends to spend more time in research, with the aim of developing their own research portfolio, whilst
continuing their clinical training as a Specialist Registrar. The successful applicant will be expected to have
experience in the speciality at registrar level as well as research experience, preferably having completed or
being close to completing a higher degree (PhD or MD). Applicants are required to hold membership of the
Royal College of Physicians (UK) or equivalent qualifications and to be fully registered with the General
The Trust serves a population of approximately one third of a million from North Liverpool, Sefton Borough
and Kirkby and is situated on two main hospital sites. Following the amalgamation of services from the two
acute general hospitals, all in-patient services and some out-patient services are provided from the University
Hospital Aintree, which is located in Fazakerley, and some out-patient services and day case surgery are
provided from the Walton Hospital site.
The person appointed will be based at the University Hospital Aintree (formerly Fazakerley Hospital) and will
be a member of the Diabetes & Endocrinology Directorate.
Further details of the post follow and include:-
1. General information about the area.
2. General information about the Aintree Hospitals.
3. Description of the General Medicine/ Diabetes & Endocrinology Services
4. The Job Plan and the Appointee’s Role.
5. Further information
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The North West Strategic Health Authority was formed from the amalgamation of the Mersey, North Western
and part of the Northern RHA’s and has a population of 6.6million.
Merseyside itself consists of 5 metropolitan boroughs, the largest being the City of Liverpool. Sefton
Metropolitan Borough is contiguous and stretches along the coastal strip north of the River Mersey as far as
Southport. The Sefton population is served by two main Hospital complexes, namely Aintree Hospitals,
serving South Sefton, and Southport and Formby District General Hospitals serving the North.
294,000 residents live within the geographical boundaries of Sefton Health Authority and around 175,000 in
the southern part of the area. The figure is expected to decline slightly but within this overall decline the
elderly population will increase.
Liverpool is a dynamic city. It has experienced a major revival over the past few years and Merseysiders
enjoy a superb quality of life. It is unusually compact and a journey to the centre rarely takes more than 30
The county abounds with fine architecture, lively cultural pursuits and outstanding sport. Tourism has
become a major industry and 20 million people visited the city last year, attracted both by the area’s natural
and manmade assets.
Liverpool was European Capital of Culture in 2008. Merseyside’s theatres, museums and art collections are
now amongst its strongest assets. The city is alive with independent theatre groups, authors, poets and
dance groups. Photography, sculpture, street art and video makers abound. The Walker Art Gallery
contains a collection equal to any in the provinces and the Tate Gallery opened in 1988 on Liverpool’s
waterfront in the refurbished Albert Dock.
The Philharmonic Orchestra is nationally acclaimed and there is a full range of musical activities of all types.
There are both Anglican and Roman Catholic Cathedrals and facilities for worship of every other faith in the
city. There are excellent schools for both sexes, including a variety of denominational schools in the private
and state sector.
The University Medical School and the Liverpool Medical Institution are within 20 minutes drive of Aintree
Very good housing in pleasant suburbs near the sea and in rural areas is easily available.
Two airports are within easy reach. Liverpool and Manchester International Airport are within half to three
quarters of an hour’s driving time. There are excellent train services and motorway links to all parts of the
country with easy access to the national parks, North Wales, the Peak District, the Lake District, as well a to
both Lancashire and North Wales coasts.
South Sefton is the home of the Grand National Racecourse at Aintree and also embraces the freeport of
Job Ref: A-560710
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University Hospital Aintree
University Hospital Aintree is a large teaching hospital for the University of Liverpool. It houses a large
Accident and Emergency Department and most major acute specialties are represented including General
Surgery, ENT, Orthopaedics, Urology, and acute medical services. In addition, there are specialised units for
Cardiology, Thoracic Medicine, Nephrology, Rheumatology and Rehabilitation, Gastroenterology, Medicine
for the Elderly, Regional Maxillofacial and Cancer of the Head and Neck and the Younger Disabled Unit.
There is a fully equipped 17 bed Critical Care Unit (General Intensive Care Unit and High Dependency Unit)
and a large Cardiac Intensive Care Unit as well as a dedicated acute Stroke Unit. It is also the site of the
Sub-Regional Public Health Laboratory and there is a large Radiology Department servicing the hospital. A
Cardiac Catheter Laboratory opened in September 2003.
Walton Hospital is situated approximately 4 miles from the city centre and 2½ miles from the University
Hospital Aintree, providing Out-patient and Day Case services (86 beds). The Ophthalmology Directorate is
based on this site. The services at Walton are expected to relocate to the UHA site in 2010 into a new
purpose-built daycase and outpatient centre.
Education, Teaching and Research
Aintree Hospitals has a strong commitment to and an excellent reputation for teaching and research,
providing facilities for Undergraduate clinical teaching and Postgraduate work for the University of Liverpool
with which there is a close relationship. The Trust makes a major contribution to the teaching and training of
medical students and postgraduate doctors.
Strong links with the University of Liverpool have been forged over the past few years to develop the Trust’s
academic base. Four University Professors with duties entirely at Aintree Hospitals have been appointed.
Professor Peter Calverley, Chair in Rehabilitation Medicine (Respiratory), Professor Mike Pearson (Clinical
Effectiveness)Professor Rob Moots, Chair of Rheumatology and Professor John Wilding, Chair of Medicine.
These appointments play a vital part in the Trust’s intention to enhance its academic reputation. Many other
specialties also have academic appointees.
The Trust has an Associate Medical Director - Medical Education (Dr John Earis), an Associate Medical
Director - Research and Development (Professor R J Moots), and an Associate Medical Director – Clinical
Governance (Dr N P Mercer).
A varied programme of lectures and seminars in a wide variety of specialties is organised by the
Postgraduate Centre and these are well supported by Hospital medical staff. There are weekly clinical
Grand Rounds and Clinical Audit meetings are held regularly. Facilities for medical illustration are available.
The Postgraduate Medical Centres at both Hospitals merged last year on the University Hospital Aintree
In 2001 a major new development to bring postgraduate education and academic staff together in a new
Clinical Sciences Centre on the University Hospital Aintree site was completed. This is one of the most
important developments in the history of the Trust and represents a partnership between Aintree Hospitals,
the Walton Centre for Neurology and Neurosurgery NHS Trust, the University of Liverpool, Edge Hill
University College and the Pain Relief Foundation.
The Clinical Sciences Centre for Research and Education houses the research units and offices of the
University Clinical Departments and those of the Walton Centre for Neurology and Neurosurgery NHS Trust.
In addition, the new building embraces the Directorate of Medical Education, comprising offices, seminar
rooms and undergraduate facilities. The Centre has a Lecture Theatre, with a capacity of 225, fully
equipped with audio visual aids and with the built in facility for video-conferencing. The Centre has already
Job Ref: A-560710
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become a popular venue for a number of national meetings, seminars and symposia. There is an exhibition
hall next to the Lecture Theatre.
The Library and Information Resource Centre, on the first floor, provides a multidisciplinary service including
reference and lending collections from the School of Health Studies, the Postgraduate and Walton Centre
libraries and includes network and stand-alone electronic information services, including CD Rom and on-
line databases. Client training and support services, including interactive workbooks, electronic
information/self study packages, group training sessions and on screen printing can be provided. Remote
access to the information system is available outside opening hours at designated locations within the
The Walton Centre for Neurology and Neurosurgery NHS Trust
The Walton Centre is an NHS Trust providing neurology and neurosurgical services to a catchment
population consisting of Merseyside, North Wales, the Isle of Man and part of West Lancashire. The Centre
is a new purpose built hospital in the grounds of University Hospital Aintree and has 63 Neurosurgical beds,
36 neurology beds, 11 paediatric beds, 4 pain relief beds, ITU and Day-Case Unit. The Department of
Neuroscience of the Faculty of Medicine of the University of Liverpool is based at the Walton Centre.
Research in Diabetes, Endocrinology and Obesity at UHA
The Diabetes and Endocrinology Clinical Research Unit has its clinical base at the UHA, where Professor
John Wilding directs the Clinical Research Unit (CRU) which is housed in the Clinical Sciences Centre. The
Group is busy and productive and has a large external grant income (>£5 million since 1998). The Group
has an excellent publication output, for which it is recognised at international level.
External funding has been obtained to equip the clinical physiology laboratories in the Clinical Sciences
Centre for a wide range of metabolic and vascular studies in obesity and diabetes, and molecular and tissue-
culture laboratories are also available in the Centre. Facilities available include those needed for metabolic
studies such as euglycaemic clamps, assessment of metabolic rate, body composition (Bod-Pod)
measurements of vascular function, heart rate variability, baroreflex sensitivity, pulse wave analysis and
microneurography. Currently, the senior members of the Group comprise Professor John Wilding, Professor
Geoff Gill, Dr Christina Daousi, Dr Dan Cuthbertson and Professor Ian MacFarlane (Honorary Professor of
Endocrinology) who supervise clinical research at the CRU. The group also supervise non-clinical
researchers in the Obesity Research Unit (Neurob), headed by Professor Paul Trayhurn which is housed in
the Department of Medicine at the Royal Liverpool University Hospital near the main University campus.
Prof Geoff Gill has interests in cardiovascular risk in type 2 diabetes, long-term survivors of type 1 diabetes,
unstable type 1 diabetes and hypoglycaemia. He also an interest in diabetes in the tropics, and has close
links with the Liverpool School of Tropical Medicine
Personnel at the CRU supporting research in diabetes and endocrinology currently comprise the clinical
lecturer, four research fellows, five research nurses, two PhD students and a research dietician. The main
areas of research are metabolic and vascular studies in obesity, diabetes and growth hormone deficiency,
hypoglycaemia, risk factors in type 2 diabetes and studies in unstable type 1 diabetes, together with clinical
trials of new treatments in diabetes and obesity. The unit actively collaborates with several other groups on
site, including NHS and academic consultants in Diabetes and Endocrinology, Respiratory Medicine,
Neurology and Clinical Biochemistry.
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Description of General Medicine and Diabetes & Endocrinology Services at Aintree Hospitals NHS
General Medical Services and Medical Sub Specialties
General Medicine and medical sub-specialties are provided across the two hospital sites, led by Dr
Craig Gradden, Divisional Medical Director, Medical Services.
The Appointee will be a member of the Division of Medicine whose members include:
Aintree Cardiac Centre Dr E Rodrigues (Clinical Director), Dr A Amadi, Dr K Clarke, Dr
A Khand, Dr M. Burgess, Dr P Wong, G Davis, Dr H Haq and Dr
Aintree Chest Centre Professor P Calverley, Drs J Earis, Professor M Pearson,
P Davies, R Angus, C Warburton, L Davies, Dr J O’Reilly, Dr
Paul Walker + Senior Lecturer (TBA).
Diabetes & Endocrinology Professor J Wilding, Professor G Gill, Dr Christina Daousi (SL),
Dr Dan Cuthbertson (SL), Professor I MacFarlane (Hon Prof), Dr
I F Casson and Dr S Benbow (Clinical Director).
Dermatology Dr G Wong and Dr T Clayton
Gastroenterology Drs R Sturgess, P O’Toole, K Bodger (Senior Lecturer), Dr S
Hood,Dr S Sarkar and Dr N Kapoor.
Medicine for the Elderly Dr S Durariaj, D McDowell, J Turner, M Siddiqi, J Clague and Dr
Haematology Dr A Olujohungbe, Dr B E Woodcock, Dr Dasgupta and Dr
Rheumatology Drs R Thompson, E Williams and Professor R Moots, Dr C
Estrach, Dr M Anderson (Senior Lecturer) and Dr N Goodson
Nephrology Drs C Gradden, Dr A Abraham, Dr B Pandya, Dr C Wong, Dr T
Chandrasekar, Dr C. Goldsmith
Medical Assessment Unit Dr B Maher, Dr A Crowther, Dr D Deepak
There are approximately 20,000 in-patient episodes per annum to the Medical Services with acute
admissions accepted from the Accident and Emergency Department. The service operates on a
specialty led Directorate structure.
The total Junior Medical Staff complement for the medical specialties is:
Specialist Registrars 25
Senior House Officers 38
Foundation Yr 2 Posts 15
House Officers 20 + 5 Trust Grade
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The Medical Services at Aintree Hospitals are making considerable efforts to increase the
support/supervision provided to junior medical staff while caring for emergency medical admission.
A new medical assessment/admissions unit (38 beds) opened in 2003 and 2 Consultant Physician
posts in Emergency Medicine have been appointed (four other consultants to be appointed).
The Diabetes and Endocrinology Directorate
The Diabetes and Endocrinology Directorate at Aintree Hospitals serves the local population
(approximately 350,000) and, because of the specialist interests of the consultants, also takes
patients from a much wider catchment area including the North West of England and North Wales.
As well as managing diabetic patients, the existing Consultants provide essential services in related
disciplines, notably endocrinology, obesity and lipid disorders, and also fulfil a substantial General
The Diabetes Centre at Aintree Hospital was established in 1990 in purpose-built premises at Walton
Hospital. A comprehensive range of out-patient services is provided, with easy access to the multi-
disciplinary diabetes care team. There is a Nurse Consultant in Diabetes/Endocrinology (Maureen
Wallymahmed) and a team of Specialist Nurses (4), Diabetes Educators and Ward Liaison Nurses
(4), Dietitians and Chiropodists. There are also close links with the Ophthalmologists, Vascular
Surgeons, Nephrologists and Endocrine Surgeons.
Daily diabetes clinics and health education sessions are held, with separate clinics for adolescents,
pregnant patients with diabetes, foot problems and erectile dysfunction
In addition, lipid, endocrinology and obesity clinics are held weekly. Combined neurosurgical-
endocrine clinics are held in The Walton Centre for Neurology & Neurosurgery and close links exist
with the endocrine surgery clinics.
In 2006-7 there were more than 6,000 out-patient attendances at the Diabetes Centre and over 3,000
patients are registered at the Centre. Referrals from outside the usual catchment population are also
In view of the increasingly elderly population in Sefton and the high prevalence (10%) of diabetes in
the over 70s, the demand for diabetes care will undoubtedly continue to increase. It is predicted that
the prevalence of diabetes will double in the next decade. Since its inception, the Aintree Diabetes
Centre has been active in developing links with Primary Care and Community colleagues and there is
an agreed shared-care protocol “Diabetes Care Guidelines” in conjunction with South Sefton and
Liverpool Primary Care Trusts.
The Directorate is responsible for 49 medical beds at University Hospital Aintree on two wards. The
Consultant staff participate in the Medical Directorate “post-take” ward round system which currently
involves 5 teams of physicians (Gastroenterology, Cardiology, DME, Respiratory and
The Consultants working in the Directorate all undertake General Medical duties and have special
interests as follows:
Dr S Benbow (Clinical Director)
Community Diabetes Care, diabetic neuropathy
Prof I A MacFarlane
Adolescent diabetes, endocrinology, neuro-endocrinology
Professor G Gill
Endocrinology and lipid disorders, diabetic foot problems
Professor J Wilding
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Dr Christina Daousi
Diabetes, Endocrinology, obesity
Dr Dan Cuthbertson
Dr I F Casson
Medical Disorders of Pregnancy
The Junior Medical Staff complement for the Directorate is:
Lecturer (SpR) 1
Specialist Registrars 4
Specialist Trainee (ST1, ST2) 2
Foundation Year 2 3
Foundation Year 1 3
Dr van Heyningen, Consultant in Clinical Chemistry and Dr David Wile (Associate Specialist)doctor
also work closely with the directorate in the Lipid and Diabetes Clinics.
Job Ref: A-560710
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Section 4 – Job Description
The Diabetes and Endocrinology Research Group has its clinical base at the UHA, where Professor John
Wilding directs the Clinical Research Unit, housed in the Clinical Sciences Centre. The Group has a large
external grant income and an excellent publication output, for which it is recognised at international level.
Facilities are available to undertake a wide range of studies into metabolism and vascular function in obesity,
diabetes and endocrine disease, and it is expected that the post-holder, in collaboration with academic and
clinical colleagues, would develop their own research theme, building on their own experience and that of the
The undergraduate medical curriculum at Liverpool puts strong emphasis on self-directed learning and
vertical integration, with clinical skills introduced early in the course. The first graduates from the current
course qualified in 2001. The undergraduate teaching load at UHA has increased recently with the changes
in the curriculum, and is set to rise further with the forthcoming expansion of medical student numbers. One
session is devoted entirely to teaching, and this may be spent undertaking ward-based teaching or
supervising other work such as Special Study Modules (SSMs), Selectives in Advanced Medical Practice
(SAMPS), and acting as a Problem Based Learning Tutor. The lecturer would also be expected to contribute
to the organisation of teaching within the directorate, and helping with undergraduate examinations during
their tenure of the post.
The lecturer will be attached to the academic team in Diabetes and Endocrinology (Professors John Wilding,
Geoff Gill and Dr Christina Daousi), supported by a Trust-funded SpR/Research Fellow and F2 and F1
Foundation year post. They will be expected to attend up to two ward rounds per week (shared 50:50 with
Trust-funded SpR/Research Fellow), and assist in ward consultations.
The appointee will rotate through the general medical and endocrine clinics that take place on a Friday
morning at Walton Hospital (including the joint endocrine surgical clinic) to give a broad range of experience
in general medical and endocrine disease. The second clinic session is flexible, to allow rotation through the
specialist clinics required for specialist registration in Diabetes and Endocrinology (clinics available at Aintree
include: joint pituitary clinic, adolescent diabetes clinic, erectile dysfunction clinic, diabetic foot clinic, medical
disorders of pregnancy clinic, obesity clinic). The post-holder will also be encouraged to attend other clinics
as required, including renal, vascular, paediatric, retinopathy and reproductive endocrine clinics.
The on-call commitment for the post includes a contribution to the resident Specialist Registrar on-call rota
(Band 2A) and also may include post-take ward rounds with consultant cover, depending on the seniority of
the person appointed.
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Monday am Diabetic clinic / (flexible session for clinical training)
pm Ward Round
Tuesday am Research
Wednesday am Research
Thursday am Ward Round
pm Teaching (flexible)
Friday am General Medical / Endocrine Clinic
The postholder will be expected to complete the RITA assessments required for accreditation for higher
medical training. Furthermore, the post-holder will be expected to contribute to research activity within the
University, and will be expected to complete the portfolio of activity and University Appraisal process.
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Prospective applicants are encouraged to discuss the post with:
Professor John Wilding
Clinical Sciences Centre
University Hospital Aintree
L9 7 AL
Professor Geoff Gill
University Hospital Aintree
L9 7 AL
Shortlisted candidates will be offered the opportunity to visit the unit.
The Occupational Pension Scheme associated with this appointment is the Universities Superannuation
Scheme (USS). Under the provisions of this scheme a member of staff currently contributes at a rate of 6.35%
of his or her pensionable salary and the University such sum as may be required to maintain the full benefit of
the scheme. Employees of the Faculty of Medicine who at the time of their appointment have been a member
of the National Health Service Pension Scheme (NHSPS) in the previous 12 months, may apply to continue
their membership of the NHSPS during their employment at the University.
Full particulars of the schemes can be obtained, on request, from the Director of Human Resources.
An acceptance of this appointment will be taken as an application to join USS or remain in NHSPS and have
the appropriate contributions deducted from pensionable salary unless the Director of Human Resources
expressly notified in writing either before commencing employment, within three months of that date or on
expiry of three months notice, that the appointee intends to make his or her own pension arrangements.
Should the appointee decide to make his or her own personal pension arrangements, the University will not
contribute to the personal arrangement. No other form of supplementation of pension benefits will be available
from the University.
It may be possible for a newly appointed member of staff who has not been in USS to have his or her accrued
benefits from his or her former pension scheme transferred to the USS. In such a case, USS will be asked to
investigate a transfer payment and will provide, on actuarial advice, a proposal for a number of years' credit in
USS which such payment would secure. The member of staff is at liberty either to accept this or elect to deal
with his or her accrued benefits as determined by the rules of his or her former scheme.
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The appointment is subject to retirement at the age of sixty-five and upon the basis of the Statutes, Ordinances
and Regulations of the University for the time being. The terms of appointment will be in accordance with the
Education Reform Act, 1988.
(a) The University will normally provide financial assistance to newly appointed members of staff
(excluding research staff funded from outside sources) who are required to relocate within a
reasonable distance of the University.
(b) Claims for relocation from any point in the British Isles
In normal circumstances claims for reimbursement will not exceed;
(i) The full costs of removing furniture and personal effects to the new area; costs of
storage incidental to the move will normally be met for a period not exceeding two
weeks. The member of staff must personally obtain three written quotations from
independent removal companies, if appropriate, or alternatively are permitted to submit
claims for carrying out their own removal. The member of staff may choose any of the
three companies, however the University will only reimburse the cost of the lowest
quotation. The member of staff must submit a receipted invoice.
(ii) Any identified costs connected with the move up to a maximum of one month’s gross
basic salary (as payable on commencing the appointment attracting eligibility to
removal expenses) as specified in your letter of appointment or Statement of Terms
and Conditions. Such other expenses may include legal fees, estate agents and
surveyors fees, preliminary visits to the area to view prospective properties, stamp
duty, fixtures and fittings etc. Storage costs for furniture and personal effects may be
reimbursed beyond two weeks from within the one month’s gross basic salary
claimable by the member of staff.
(c) Claims for relocation from Abroad
Claims for reimbursement will be considered individually on their merits by the Director of
Human Resources but will as far as possible be in line with the procedure set out in (b) above.
(d) In making a claim for removal expenses a member of staff must:-
(i) have received and accepted a written offer of employment with the University.
(ii) acknowledge that should the appointment not last for a period of three years, the
University retains the right to reclaim all, or a proportion of the payment made.
Up to 6 months 100% reclaim
Over 6 months up to 12 months 80% reclaim
Over 12 months up to 18 months 60% reclaim
Over 18 months up to 24 months 40% reclaim
The requirement to repay removal expenses will be waived where a member of staff leaves
before three years have expired through any change instigated by the University over which
the individual has no direct control.
Any claims for relocation should normally be made within three years of taking up an
appointment attracting eligibility for removal expenses.
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Post Title: Lecturer in Medicine (Diabetes and Salary: £30,685 - £53,132 pa
Department: School of Clinical Sciences Job Ref: A-560710
Attributes No. Essential Desirable How Identified
1.1 SpR in Diabetes & Endocrinology
1. EXPERIENCE and General Internal Medicine CV/Supporting
1.2 Research experience (either
clinical or laboratory)
2. EDUCATION 2.1 Working towards or have CV/Supporting
QUALIFICATIONS completed higher degree (MD or Statement/References/Interview
2.3 Full Registration with General
3.1 Research experience in any area Successful in obtaining grant
3. SKILLS, GENERAL of diabetes or endocrinology; applications (as applicant or co- CV/Supporting
AND SPECIAL publications in peer-reviewed applicant) Statement/References/Interview
4. PERSONAL 4.1 Able to work well in a team CV/Supporting
ATTRIBUTES AND Statement/References/Interview
Job Ref: A-560710
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