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HEALTH EDUCATION WEST MIDLANDS
SPECIALIST REGISTRAR
IN ORTHODONTICS
POST CCST
TRAINING PROGRAMME
BIRMINGHAM DENTAL
HOSPITAL AND
KIDDERMINSTER
HOSPITAL
SPECIALIST REGISTRAR IN ORTHODONTICS
POST CSST APPOINTMENT
BIRMINGHAM DENTAL HOSPITAL
AND
KIDDERMINSTER HOSPITAL
This post, recognised by the SAC in Orthodontics, builds on the initial three year
training programme and equips trainees for the ISFE in Orthodontics and provides
the preparation for Consultant appointment.
The requirements of this programme are such that the timetable included with the
Job Description is to be regarded as provisional and flexible.
Every attempt will be made to adapt the programme to the needs of the individual
trainee so that an appropriate balance of experience can be successfully achieved
over the two year training period.
THE HOSPITALS AND DEPARTMENTS INVOLVED IN TRAINING IN
ORTHODONTICS
BIRMINGHAM DENTAL HOSPITAL
Birmingham is a thriving city with a population approaching one million, and forming
part of a larger conurbation of almost 2.5million. The city has excellent road and rail
links and its airport is currently the fastest growing in the country. A host of social,
cultural and sporting activities and entertainment are readily available within easy
travelling distance. The International Convention Centre is the largest in Europe and
includes a concert hall for the City of Birmingham Symphony Orchestra. Nearby are
the National Indoor Arena, Town Hall, Museum and Art Gallery and the City Library,
itself one of the largest in Europe. There are three professional theatres in the city
and Stratford-upon-Avon is only 30 miles distance. On the outskirts of the city is the
National Exhibition Centre which, besides being the regular home of many large
national and international exhibitions, is also the venue for an increasing number of
sports and entertainment events of note.
THE DENTAL HOSPITAL
The Dental Hospital shares a purpose built facility in the centre of the City with the
University of Birmingham School of Dentistry and is adjacent to Birmingham
Children’s Hospital. The Dental Hospital provides an out-patient and day-case
service with approximately 130,000 patient attendances per annum, of which some
20,000 are new patient registrations.
All the dental specialties are represented within the building by consultant clinics and
University teaching departments. Excellent liaison exists with clinical and laboratory
departments within local Hospitals and a comprehensive range of investigative and
reporting services is available to the site.
The Dental Hospital is a Clinical Directorate constituting one of the specialist
services of Birmingham Community Health Care Trust, the largest PCT in the
country.
It is proposed that the dental hospital will move to a brand new building located at
Pebble Mill in the autumn of 2015. This move will affect the successful applicant to
this post.
THE ORTHODONTIC DEPARTMENT
The Orthodontic Department is located on the Third Floor of the Dental Hospital,
adjacent to the Department of Paediatric Dentistry. The facilities are shared with the
School of Dentistry for undergraduate teaching.
There are 14 well-equipped dental units, including an enclosed surgery, a large
demonstration surgery, and a central administration area. Also within the department
is a tutorial room, a dedicated computer facility and a record model store. The
Orthodontic Laboratory is located adjacent to the Clinical Department, with an
establishment of five technicians. The department has a 1 WTE Senior Dental Nurse
and 6.6 WTE Dental Nurses plus 3.0 WTE trainee Dental Nurses. There is full
secretarial support.
The Orthodontic Clinical Staff establishment is:
2 NHS Consultants
Mr P J Turner
Miss L S Barreto
3 Visiting Consultants
Mr D J Spary
Mr R Linklater
Mr J Panesar
1 Cleft Consultant
Mr L Enocson
3 Post CCST Specialty Registrars
Up to 12 Specialty Registrars
The department runs a 3 year M.Orth/MPhil training programme, with an annual
intake of up to 4 Specialist Registrars.
The Orthodontic Department accepts referrals from Birmingham and the West
Midlands. In 2005-2006 there were some 11,500 patient attendances and
approaching 1,500 new patient referrals were received.
There is a close working relationship between the Orthodontic Department and the
Oral and Maxillofacial Surgery units in Birmingham. Joint planning and review clinics
take place regularly at Birmingham Dental Hospital with Orthognathic Surgery being
carried out at the OMFS hub at University Hospital Birmingham Trust.
Birmingham Dental Hospital
St Chad’s Queensway
Birmingham
B4 6NN
THE WEST MIDLANDS REGIONAL CLEFT LIP AND PALATE SERVICE
The West Midlands Regional Cleft Lip and Palate Service was the first to be
designated in England and Wales as part of the reforms following the
recommendations contained in the Clinical Standards Advisory Group’s report
(CSAG February 1998). The multi-disciplinary team works across a twin-site centre
to give a comprehensive cleft service both to children and adults – with Birmingham
Children’s Hospital acting as the paediatric hub and Queen Elizabeth Hospital acting
as the adult hub.
Orthodontic treatment services are provided at Birmingham Dental Hospital, which is
closely situated to Birmingham Children’s Hospital and is the spoke service with the
major orthodontic component within the Region, as well as at other Regional
Orthodontic units. Mr Lars Enocson is the lead Cleft Orthodontic Consultant.
Birmingham Children’s Hospital
Steelhouse Lane
Birmingham
B4 6NH
Queen Elizabeth Hospital
Metchley Lane
Edgbaston
Birmingham B15 2TH
KIDDERMINSTER HOSPITAL
(Worcestershire Acute Hospitals NHS Trust)
TRUST PROFILE
KIDDERMINSTER HOSPITAL
Kidderminster Treatment Centre provides a total of four operating theatres with 2
intervention rooms. GP beds are available as are beds for overnight stay on a
flexible basis according to surgical case mix. The Treatment Centre provides daycase, short-stay elective treatment with diagnostic facilities and a local MIU.
Rehabilitation intermediate care is also provided. A satellite renal dialysis unit
opened in February 2002 with outpatient services delivered at Kidderminster across
all the major specialties.
ALEXANDRA HOSPITAL, REDDITCH
The Alexandra Hospital opened in 1986 on the borders of Worcestershire and
Warwickshire, providing 360 day and acute care beds and serving a population of
approximately 200,000. Urology and orthopaedic centres for the county are based in
Redditch. The Alexandra Hospital has cancer unit status for breast, lung, urology,
gynaecology and colo-rectal cancers and dermatology. The Radiology Department is
equipped with state of art the MRI and CT facilities.
WORCESTERSHIRE ROYAL HOSPITAL
The Worcestershire Royal Hospital (550 beds) opened to patients in March 2002
and serves a population of approximately 220,000, housed mainly within a ‘state of
the art’ building whilst additional buildings provide accommodation for
ophthalmology, care of the elderly, rheumatology and the Charles Hasting Education
Centre. The hospital has nine operating theatres including four ‘laminar’ theatres.
The facilities for medicine include a combination of a medical assessment unit, short
stay and acute medical beds, six bedded stroke unit and an eight bedded coronary
care unit with extensive critical care facilities.
Management Structure of the Trust
There is a strong commitment to clinical leadership within the Trust with a Trust
Operational Board and five county-wide Divisions namely Medicine, Surgery,
Women and Childrens, Ambulatory Care and Anaesthetics, and Clinical Support.
Each Division has a Divisional Medical Director and Clinical Directors in each
specialty area. The Trust works closely with the Local Negotiating Committee (LNC)
which is appointed by the Medical Staff Committee (MSC).
GENERAL BACKGROUND
Worcestershire is a largely rural County, with four main towns, Bromsgrove,
Kidderminster, Redditch and Worcester, lying between the Cotswolds, Welsh Border
and Birmingham. There are four further substantial market towns of Malvern,
Pershore, Evesham and Droitwich. Acute medical services are provided by two
District General Hospitals, a Treatment Centre and a number of Community
hospitals.
The major motorway network of the M42, M5 and M6, providing excellent
communications, intersect the county. Local leisure facilities are well developed
and the area has easy access to Birmingham/Solihull where the National Indoor
Arena, International Convention Centre with the Birmingham Symphony Hall and the
National Exhibition Centre are located. Stratford and the Royal Shakespeare
Company are on the doorstep. Worcester City lying on the banks of the River
Severn has the world famous cathedral, County Cricket Ground, Premiership Rugby
and is home to the Royal Worcester Porcelain Factory. The Malvern Hills and the
Wyre Forest are in the locality.
Worcestershire has many sites of historical interest and natural beauty.
The
economy of the county is based on agriculture, horticulture, light engineering and
increasingly service industries.
There are a wide range of high quality State and Private schools serving the county
The Orthodontic department
The Department of Oral Facial Surgery and Orthodontics is split over two sites
namely Kidderminster Hospital (KH) and Worcestershire Royal Hospital (WRH). The
staffing in this department includes:
Mr Peter J Rice
Mrs Shanthi Sidhom
Mr John Allwork
Mr Graham James
Mr Philip Earl
Mr Kieron McVeigh
Mr Neal Barnard
Mr Tim Hall
Consultant Orthodontist and Clinical
Lead for Orthodontics
Consultant Orthodontist
Consultant Orthodontist
Consultant Oral and Maxillofacial
Surgeon and Medical Director for
Surgery
Consultant Oral and Maxillofacial
Surgeon
Consultant Oral and Maxillofacial
Surgeon
Consultant Oral and Maxillofacial
Surgeon
Consultant Oral and Maxillofacial
Surgeon
Miss Lorraine Holtom
Associate Specialist in Oral Surgery
In addition, there are two Higher Specialist Trainees in Oral and Maxillofacial
Surgery, 2 Specialist Registrars in Orthodontics, 4 Senior House Officers in Oral and
Maxillofacial Surgery, 2 Specialist Orthodontists and 1 Orthodontic Clinical Assistant.
The Department also benefits from a comprehensive Orthodontic and Maxillofacial
Laboratory at both Kidderminster and Worcester sites with 4 technicians and 1
trainee technician located alongside the main clinical departments. The department
also has Dolphin Imaging fully networked across sites and full facilities for
orthognathic planning.
The Orthodontic Consultants accept referrals from the whole Worcestershire area
with a high caseload at both sites.
Joint Clinics for facial deformity patients from both sites are now centralised at
Kidderminster Hospital and joint Oral Surgery / Orthodontic patients all go through a
multidisciplinary joint clinic pathway.
Dept. of Oral Facial Surgery and Orthodontics
Kidderminster Hospital,
Bewdley Road,
Kidderminster,
Worcestershire.
DY11 6RJ
01562 823424 x 55118 or 55133
SPECIALIST REGISTRAR
IN ORTHODONTICS
POST CCST TRAINING APPOINTMENT
TRAINING PROGRAMME
The Fixed Term Training Appointment in Orthodontics is for an additional two years
following on from the 3 year UK specialty programme. It is structured to equip
trainees to meet the regulations for the Intercollegiate Specialty Board Examination
in Orthodontics (ISFE) of the Royal Colleges and to provide eligibility for
appointment to a Consultant post in Orthodontics in the National Health Service.
This post is based at a major Dental Hospital and the trainee is involved in the
service and the undergraduate and postgraduate teaching activities of a Hospital
and University Orthodontic department.
In addition, access is provided to all dental specialties with established joint working
arrangements and with an emphasis on a multi-disciplinary approach. The trainee
will be an integral member of the team providing the orthognathic component in the
joint assessment, planning and treatment of patients requiring orthognathic surgery
by the Birmingham Oral and Maxillofacial Surgical Consultants, whose in-patient hub
is centred at the Queen Elizabeth Hospital.
The trainee will be a member of the West Midlands Regional Cleft Lip and Palate
Team based at Birmingham Children’s Hospital. The orthodontic management of the
cleft patients is undertaken within the orthodontic department of the dental school.
The trainee will also attend clinics of the Supra-Regional Cranio-facial Team.
Up to four sessions each week are spent at the regional Orthodontic Unit at
Kidderminster Hospital where the trainee is a member of the clinical team involved
with the Consultants in Oral and Maxillofacial Surgery in the management and
treatment of patients requiring elective Orthognathic Surgery.
At both centres expertise and training will be provided throughout the training period
to develop appropriate management skills. Study time is made available and further
research and publications are encouraged.
SPECIALIST REGISTRAR POST CCST TRAINING APPOINTMENT
6.0
AIM OF THE POST CCST TRAINING APPOINTMENT
6.1
7.0
8.0
To prepare for a Consultant post and for the ISFE in Orthodontics held
by the Royal Colleges.
OBJECTIVES OF THE SPECIALIST REGISTRAR
FIXED TERM TRAINING APPOINTMENT
7.1
To provide an appropriate clinical training in the procedures of
Orthodontic diagnosis, treatment planning and case management
7.2
To gain experience in the joint management and treatment of cases
requiring elective surgery, including Orthognathic Surgery
7.3
To participate in the team approach to the care and treatment of
patients with cleft of lip and palate
7.4
To develop expertise in the assessment and treatment of problems
requiring inter-disciplinary dental specialty management
7.5
To gain expertise in the assessment and appropriate case
management of patients whose Orthodontic treatment is to be
undertaken outside of the Hospital service
7.6
To gain experience of and be involved in Orthodontic training at
undergraduate and graduate levels, both specialist and non-specialist
7.7
To continue to develop teaching and communication skills
7.8
To gain insight into issues relevant to the provision of Orthodontic
services, to be exposed to management issues, and to develop
appropriate management skills
7.9
Through involvement in continuing professional education, clinical
audit and peer review to develop the skills of critical self appraisal in
the delivery of patient care
GENERAL CONSIDERATIONS
8.1
The period of training will follow completion of three year specialty
training and the acquisition of a Membership in Orthodontics of the
Royal College of Surgeons, or equivalent
4.0
5
8.2
The training programme will normally be two years’ duration
8.3
During this training period the Specialist Registrar will be expected to
publish research and observations of clinical importance
FACILITIES AVAILABLE TO THE SPECIALIST REGISTRAR AT THE
DENTAL HOSPITAL
4.1
The Specialist Registrar will work in a modern, fully-equipped clinical
department with appropriate supporting facilities and staff including
Radiography and chairside and secretarial assistance
4.2
A dedicated Orthodontic Laboratory adjacent to the department
provides full technical support
4.3
The services of a department of Clinical Illustration and a University
department of Medical Photography are readily available
4.4
Computer facilities and digitisation are provided within the department
4.5
A well-stocked library is available within the Hospital containing a
comprehensive range of journals and text books. The library has
connection to the High Speed Campus Network at the University and
internet facilities
4.6
Appropriate accommodation and opportunity for study is provided
FACILTIES AVAILABLE TO
KIDDERMINSTER HOSPITAL
THE
SPECIALIST
REGISTRAR
AT
5.1
The Kidderminster department has four well equipped surgeries and
office accommodation
5.2
Full radiographic and computer facilities are available with the
department
5.3
The department has computer facilities for cephalometric analysis and
surgical planning (Dolphin Imaging)
5.4
The department is well staffed with experienced orthodontic and
maxillofacial surgery nurses and full secretarial support.
5.5
A dental laboratory is located alongside the main clinical department.
6
PROGRAMME CONTENT
6.1
The Consultant with overall responsibility for the programme will be Mr
P J Turner
6.2
Consultants involved in the Training Programme include:
Birmingham Dental Hospital
Mr P J Turner
Miss L S Barreto
Mr L Enocson
Mr D J Spary
Mr R A Linklater
Mr J Panesar
Dr A Dhopatkar
Mr K Fairbrother
Ms K Warren
Mr A Summerwill
Mr S Dover
Mr B Speculand
Mr A Monaghan
Mr R Williams
Mrs S McKaig
Mrs C Brown
Consultant Orthodontist, Head of Department and
Programme Training Director
Consultant Orthodontist
Consultant Orthodontist & Lead Cleft Orthodontist
Consultant Orthodontist
Consultant Orthodontist
Consultant Orthodontist
Senior Lecturer/Honorary Consultant Orthodontist
Consultant in Restorative Dentistry
Consultant in Restorative Dentistry
Consultant in Restorative Dentistry
Consultant in Oral & Maxillofacial Surgery
Consultant in Oral & Maxillofacial Surgery
Consultant in Oral & Maxillofacial Surgery
Consultant in Oral & Maxillofacial Surgery
Consultant in Paediatric Dentistry
Consultant in Paediatric Dentistry
Kidderminster
Mr P Rice
Mrs Shanthi Sidhom
Mr J Allwork
Consultant Orthodontist and Clinical Lead
Consultant Orthodontist
Consultant Orthodontist
Birmingham Children’s Hospital
Mr R Slater
Mr B Richard
Mr L Enocson
Mr I Sharp
Ms V Clark
Ms S McKaig
Consultant Plastic Surgeon
Consultant Plastic Surgeon
Consultant Orthodontist & Lead Cleft Orthodontist
Consultant in Oral & Maxillofacial Surgery
Consultant in Paediatric Dentistry
Consultant in Paediatric Dentistry
6.3
The training post will be based at Birmingham Dental Hospital with
normally, four sessions each week being spent at Kidderminster
Hospital.
6.4
The programme will include a total of 8 clinical sessions per week, of
which 5 will be for personal treatment of patients. The detailed
timetable will be organised to allow flexibility depending on the
previous specialty training and experience of the appointee
6.5
At the Dental Hospital the Specialist Registrar will participate in joint
assessment and planning sessions with other dental specialties,
including Paediatric Dentistry, Restorative Dentistry, Oral and
Maxillofacial Surgery and Surgical Dentistry
6.6
The Specialist Registrar will be a member of the West Midlands
Regional Cleft Lip and Palate Team and will participate in the activities
of that Team including joint clinics and focused training goals
6.7
The Specialist Registrar will have the opportunity to attend joint clinics
for patients with a mandibular deformity and provide treatment for
these patients under guidance
6.8
The Specialist Registrar will participate in joint assessment and
planning clinics for patients requiring elective Orthognathic Surgery,
and be involved in the pre-, peri- and post-operative care of such
patients
6.9
The Specialist Registrar will be expected to be involved in the
supervision and training of junior members of staff and will participate
in other training programmes, including undergraduate teaching
6.10
There will be active participation in formal audit and quality assurance
programmes, at departmental and regional levels
6.11
The Specialist Registrar will be expected to participate in management
and administration as part of their training
6.12
Study leave will be granted for appropriate courses, conferences and
meetings provided there is support from the Consultant in charge of
the programme and the Postgraduate Clinical Tutor
6.13
The Specialist Registrar will be accountable through the Consultant in
charge of the Orthodontic Department to the Director of Dental
Services
6.14
7
Training progress will be assessed on a regular basis and in particular
progression in training will be monitored using the ARCP process
MAIN CONDITIONS OF SERVICE
7.1 The post is covered by National Health Service Terms and Conditions of
Service for hospital medical and dental staff (England and Wales) as
variously amended in consultation between the Trust and Staff
7.1 The post is a whole time appointment
7.2 There is no residential accommodation and no requirement to be a
resident
7.3 An appropriate Honorary contract with the University of Birmingham will
be applied for
7.4 Full registration with the General Dental Council is mandatory
7.5 The salary will be paid on Specialist Registrar scale
8 OTHER FACILITIES
8.1 Social and recreation facilities are available within The University of
Birmingham
8.2 Car parking will be subject to availability
9 CONDITIONS OF APPOINTMENT
9.1 Candidates will not be considered for appointment unless they hold a
Fellowship in Dental Surgery of one of the Royal Surgical Colleges or
Equivalent and a CCST in Orthodontics
9.2 CONFIDENTIALITY
Your attention is drawn to the confidential nature of information collected
within the National Heath Service
The unauthorised use or disclosure of patient or other personal
information is regarded as gross misconduct and will be subject to the
Trust Disciplinary Procedures and in case of computerised information
could result in a prosecution of an offence or action for civil damages
under the Data Protection Act 1984
9.3 INVESTORS IN PEOPLE
All employees have a responsibility to participate in regular appraisal
with their manager to identify performance standards of the post. As
part of the appraisal process, every employee is responsible for
participating in identifying their own training and development needs to
meet those performance standards
9.4 HEALTH AND SAFETY
Attention is drawn to the responsibility of all employees to take
reasonable care for the health and safety of themselves and other
people who may be affected be their actions at work
9.5 MEDICAL SCREENING
All employment with the Trust is subject to satisfactory health
screening by the Occupational Health Department
9.6 SUPERANNUATION
Any member of staff working at least half time, aged 16 or over is
entitled to join the NHS Superannuation Scheme. From 6th April 1988
members of staff are entitled to make their own personal arrangements
and are not obliged to join the NHS scheme. However, unless a form
SD502 (available from Personnel) is completed and returned,
superannuation will automatically be deducted from the salary
9.7 EQUAL OPPORTUNITIES
Birmingham Specialist Community Health NHS Trust is committed to
Equal Opportunities in employment and holds the Investors in People
Award
9.8 NO SMOKING POLICY
The Trust operates a No Smoking Policy in all its establishments. Staff
are not allowed to smoke on the premises
BIRMINGHAM DENTAL HOSPITAL
KIDDERMINSTER HOSPITAL
Outline Timetable (provisional)
Monday
am
BDH
Treatment
Monday
pm
BDH
Treatment
Tuesday
am
Kidderminster
Treatment/New Patient Clinic
Tuesday
pm
Kidderminster
Treatment
Wednesday am
BDH
Treatment/New
Wednesday pm
BDH
Treatment
Thursday
am
Kidderminster
Treatment
Thursday
pm
Kidderminster
Study/Research/Audit
Friday
am
BDH
Orthognathic Clinic/Treatment
Friday
pm
BDH
Treatment
Joint clinics are held at the Dental Hospital with Oral & Maxillofacial Surgery,
Restorative Dentistry, Paediatric Dentistry and Oral Surgery.
Regular attendance at the Regional Cleft Lip and Palate Centre is structured around
specific learning outcomes.
Attendance at other clinics for example, the Craniofacial Team will be organised as
appropriate.
Throughout the programme, sessions will be built-in to involve both undergraduate
and postgraduate clinical and formal teaching.
When the dental hospital relocates to the Pebble Mill site it is the intention of the
service to conduct evening clinics on two nights a week. The successful appointee to
this post may be asked to work on one or two evening sessions per week and
should be prepared to meet this requirement. The total weekly sessions worked will
remain at 10.