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JOB DESCRIPTION
Title:
Specialty Registrar in Paediatric Dentistry
Directorate:
Eastman Dental Hospital & Great Ormond Street
Hospital
Board/corporate function:
Specialist Hospitals
Responsible to:
Clinical Lead
Accountable to:
Clinical Director
Hours:
10 PA (40 hours per work)
Location:
Paediatric Dentistry
UNVERSITY COLLEGE LONDON HOSPITALS NHS FOUNDATION TRUST
University College London Hospitals NHS Foundation Trust (UCLH), situated in the West
End of London, is one of the largest NHS trusts in the United Kingdom and provides first
class acute and specialist services both locally and to patients from throughout the UK and
abroad.
The new state-of-the-art University College Hospital which opened in 2005, is the focal point
of the Trust alongside six cutting-edge specialist hospitals. UCLH was one of the first trusts
to gain foundation status.
The Trust has an international reputation and a tradition of innovation. Our excellence in
research and development was recognised in December 2006 when it was announced that,
in partnership with University College London (UCL), we would be one of the country’s five
comprehensive biomedical research centres.
The Trust is closely associated with University College London (UCL), a multi-faculty
university. The Royal Free & University College Medical School (RFUCMS), which is one of
the highest rated medical schools in the country, forms the largest element of the Faculty of
Biomedical Sciences (FBS), which was formed on 1st August 2006. FBS comprises the
former Faculty of Clinical Sciences, four postgraduate Institutes (Ophthalmology, Neurology,
Child Health, Eastman Dental) and the Wolfson Institute for Biomedical Research. This
structural change further enhances the exceptionally strong base of research and teaching in
Biomedicine at UCL.
Alongside our relationship with the world leading UCL and Royal Free medical school, we
enjoy close links with London South Bank and City universities offering the very best in
training and education.
CLINICAL BOARD
The Specialist Hospital Board (SCHB) incorporates 6 Specialist Hospitals which include The
Elizabeth Garrett Anderson and Obstetric Hospital (EGA), The Heart Hospital, The Hospital
for Tropical Diseases (HTD), The National Hospital for Neurology and Neurosurgery (NHNN),
The Royal London Homeopathic Hospital and The Eastman Dental Hospital lead by the
Medical Director.
The SCHB works closely with the Acute Hospitals Board which incorporates the specialties
of Critical Care and Theatres, Outpatient and Imaging, Pathology, Emergency Services,
Medicine and Therapies, Surgery, lead by their own Medical Director.
DIVISION/DIRECTORATE/DEPT/WARD*
The Eastman Dental Hospital aims to build on its own reputation for high quality patient care
and clinical service as well as maintaining high quality education in line with the UCLH Trust
objectives. The Directorate will develop into a ‘pioneering pathfinder’ healthcare institution
with clinical quality, education and research at its core underpinned by innovation in all these
areas. The aim is to foster and encourage, in line with the global Trust objectives, access to
purpose designed specialist services which are integrated closely with those in the
community to minimize travelling for patients, at the same time as developing other specialist
services such that patients and families can benefit from changes driven as a result of audit,
research and investment in the health service.
The Eastman Dental Institute (EDI) is a postgraduate dental school forming part of University
College London (UCL), and works closely in the furtherance of its mission with the Eastman
Dental Hospital (EDH). EDI’s main activities are research and postgraduate education in the
field of oral healthcare sciences.
The Eastman Dental Institute and the Eastman Dental
Hospital are jointly referred to as the Eastman.
The Eastman operates as a single entity, with the clinical departments of the Hospital
doubling as research and teaching departments for the Institute, thus ensuring the highest
possible standard of evidence-based care for patients and the practical application of training
for postgraduates. Together they are able to enhance the experience of those working and
training at the forefront of clinical research and patient care. Last year approximately 80,000
patients were seen as outpatients in the Eastman Directorate.
The Eastman Dental Hospital is situated in its own site on Grays Inn Road and interfaces
very closely with the main Trust site and the other Specialist Hospitals. A number of joint
clinics are undertaken in liaison with the other Directorates to optimise patient care. The
Clinical Departments in the Eastman are grouped under 3 Divisions which are Growth and
Development, Restorative and Diagnostic Medical & Surgical Sciences. The Divisions are
comprised of the following Departments:



Growth and Development - Orthodontics, Craniofacial, Orthognathics and
Paediatric Dentistry
Restorative Dentistry - Prosthodontics, Endodontics, Periodontology, Implantology
and DCP training
Diagnostic Medical & Surgical Sciences - Oral surgery, Oral medicine, Facial Pain
and Special Care Dentistry
The clinical departments cover all aspects of dentistry and medically related fields. In
addition to the traditional subjects novel academic units supporting clinical advancements
and new areas of training include Biomedical Informatics, Continuing Professional
Development and Information Technology.
The Eastman also offers various training programmes several of which are recognised as
contributing to specialization. The Hospital also incorporates the Burkhart School of Dental
Hygiene and Dental Therapy, the School of Dental Nursing and a Dental Technician Training
School, and is dedicated to high quality training for all members of the dental team.
The post holder will be based within the Paediatric Dental Department and will liaise with a
wide range of teams both clinical and non clinical under the guidance of the Consultants in
the department.
WORK AND INTERESTS OF THE DEPARTMENT OF PAEDIATRIC DENTISTRY
The Department forms part of the Division of Growth and Development. The range of
specialty services provided by the department includes:
o
o
o
o
o
o
o
Preventive advice and therapy
Paediatric restorative dentistry
Pharmacological behaviour management techniques including inhalation
sedation, intravenous sedation and general anaesthesia
Care of medically compromised children and children with disability/learning
difficulty
Management of children with oro-dental trauma
Management of children with complex dental anomalies
Management of paediatric oral pathology
SOURCE OF PATIENT REFERRALS
The Department provides advice and treatment for a wide range of patients up to the age of
18 years, referred by general dental practitioners; community dental officers; general medical
practitioners; dental specialists, including those in other departments within the Eastman;
and a variety of paediatric medical specialties from UCLH and Great Ormond Street Hospital
for Children.
SPECIALIST SERVICES PROVIDED WITHIN THE DEPARTMENT
Specialist services in paediatric dentistry are provided at The Eastman Dental Hospital site
under local anaesthesia, inhalation sedation and intravenous sedation as appropriate.
The day-case general anaesthetic facility is located within the main UCLH site on Euston
Road. Paediatric dentistry has 9 day-case operating sessions per week for comprehensive
dental care and minor oral surgery under general anaesthesia. This includes 2 sessions per
week for children with medical disabilities.
Multidisciplinary clinics held within the department include:
 Hypodontia clinic held with our orthodontic and restorative colleagues
 Paediatric Oral Medicine clinic
 Joint Orthodontics and Paediatric Dental clinic.
A weekly dental anomalies clinic is held within the department with a special interest in the
diagnosis and management of inherited dental anomalies. The department is a major referral
centre for oro-dental trauma, with care being planned and delivered on specialist trauma
clinics.
TRAINING OPPORTUNITIES
1. The Consultation Clinics at The Eastman Dental Hospital provide the trainee with a
diverse group of patients presenting with a wide range of clinical problems. The
trainee will gain experience in the assessment and treatment planning of new patients
with complex medical problems; behaviour management problems; dento-alveolar
trauma; dental anomalies and oral pathology.
2. The Eastman Dental Hospital has 9 GA sessions per week for comprehensive dental
care and minor oral surgery. One of the consultants in paediatric dentistry is on the
Oral Surgery Specialist list providing experience in the management of more complex
surgical cases.
3. The trainee would be expected to participate in multidisciplinary clinics such as the
Hypodontia Clinic, Orthodontic & Paediatric Dental clinics, the Paediatric Oral
Medicine clinic and the Dental Anomalies clinic.
4. The trainee would be expected to participate in Trauma clinics.
5. UCLH has general paediatric services and is a major centre for adolescent oncology.
The paediatric dental department has close links with Great Ormond Street Hospital
fro Children (GOSH), with two of the department’s Consultants holding part-time
Consultant posts at GOSH; the trainee would spend 3 sessions per week within the
department at GOSH to gain experience in the management of children with complex
medical problems and craniofacial disorders including cleft lip and palate, under both
general anaesthesia and on an outpatient basis.
6. The trainee would be expected to undertake audit projects, research, submission of
manuscripts for publication and quality improvement projects within their training
period. Adequate time is built into the timetable for these activities.
7. The trainee would be expected to participate in weekly departmental teaching
meetings, journal club and the monthly departmental Clinical Governance meetings.
8. The trainee will have a unique opportunity to participate in IV sedation clinics. UCL
also offers a course in pain management and sedation in dentistry which they might
want to consider doing alongside their training if interested.
The department occupies 11 clinical chairs and is supported by a full complement of dental
nurses, reception staff and secretaries and it works closely with the other teams at The
Eastman Dental Hospital.
STAFF OF THE DEPARTMENT
Consultant and Clinical Lead (UCLH)
Mrs Prabhleen Anand (p/t)
Academic Lead (UCL)
Dr Paul Ashley
Senior lecturer and Consultant in Paediatric Dentistry (f/t)
Academic staff (UCL)
Dr Susan Parekh
Senior lecturer and Consultant in Paediatric Dentistry (8 PAs)
Consultants in Paediatric Dentistry at UCLH
Ms Adele Johnson
(f/t)
Mrs Amanda O’Donnel (pt)
Mrs Isabelle Holroyd (p/t)
Miss Ursula Devalia
(p/t)
Miss Kathy Harley
(p/t)
Miss Suzanne Dunkley (p/t)
Consultants in Paediatric Dentistry at GOSH
Miss Carol Mason
Ms Ursula Devalia
Ms Gehan Aboumeira
Dr Susan Parekh
Specialists in Paediatric Dentistry (UCLH)
Ms Sue Kidd (p/t)
Junior Hospital Staff (UCLH)
Monica Neil Specialist Registrar (FTTA) (f/t)
Ayesha Patel Specialist Registrar (NTN) (f/t)
1 DCT1 (f/t)
1 DCT2 (f/t)
Postgraduates (UCL)
10 postgraduates undertaking the three year DDent in Paediatric Dentistry.
Other professionals
Play Specialist
General Manager
Ms Rachel Bambi
Admin and Clerical Staff:
Secretarial support is provided to all staff and the Department is supported by a service
delivery manager and a team of reception staff.
All staff have access to IT facilities. The Paediatric Dentistry Department is supported by the
Trust’s Electronic Patient Record.
GREAT ORMOND STREET HOSPITAL FOR CHILDREN NHS FOUNDATION TRUST
Great Ormond Street Hospital for Children NHS Foundation Trust (GOSH) is a national
centre of excellence in the provision of specialist children's health care, currently delivering
the widest range of specialist care of any children's hospital in the UK. It aspires to offer
outcomes for children in the top five in the world. the largest centre in the UK for children
with heart or brain problems, and, with UCLH it is the largest centre in Europe for children
with cancer. It is the only specialist Biomedical Research Centre for paediatrics, it works in
partnership with the UCL Institute of Child Health (ICH), part of University College London,
and together they form the largest paediatric research and teaching centre in the UK, and
one of the largest in the world.
The hospital at Great Ormond Street is the only exclusively specialist children's hospital in
the UK. It does not have an Accident and Emergency department and largely only accepts
specialist referrals from other hospitals and community services. The population of children
served by the hospital is characterised by those with multiple disabilities and/or health
problems and rare and congenital (present at birth) conditions. Many children need the help
of different specialist teams. Improvements in health care and diagnosis mean that many
children have dramatically improved survival rates and more therapeutic options than was
the case 10 years ago. Sadly though, many of the children cared for at GOSH still have lifethreatening or life-limiting conditions.
We have well over 192 828 admissions or outpatient appointments a year. Over 90 per cent
of these are specialist services. This includes clinics we run around the country with our
specialists going out to help local services.
We have around 3,729 full time and part time hospital staff. The ICH has around 470 staff.
Many senior staff have roles in both organisations.
We have 318 open beds for all our services. 32 of these are intensive care beds
63 per cent of our specialist inpatients would count as intensive care or high dependency
patients in another hospital, showing what heavy levels of nursing they require.
The hospital website lists 55 clinical, diagnostic and support services.
The Trust employs a total of 2,600 staff.
The Interim Chief Executive is Mr Julian Nettel.
The General Manager for Surgery is Ms Sarah Metson and the Divisional Director is Dr
Elizabeth Jackson.
THE MAXILLOFACIAL AND DENTAL DEPARTMENT
3.1
Aims and Objectives
The Maxillofacial and Dental department at Great Ormond Street Hospital lies within
the Clinical Unit of Surgery. The department provides maxillofacial surgery,
orthodontic services, paediatric and restorative dentistry within the Trust. Over 5000
patients are seen annually as outpatients within the department. The inpatient
workload is just under 300 episodes.
The department has 3 operating lists per week shared between the specialties. A bid is
in place to increase this to 4 sessions due to 18 week pathway pressures on
Paediatric Dentistry. Beds are allocated on Peter Pan ward. There are also beds
available on the Island Day Unit.
3.2
Present Staffing:
Miss Caroline Mills
Mr Norman Hay
Mr Brijesh Patel
Mr Robert Evans
Mr Peter Ayliffe
Miss Carol Mason
Dr Susan Parekh
Dr. Urshala Devalia
Dr. Gehan Abou-Ameira
Mr Simon Critchlow
Mr Daljit Gill
Specialty Lead and Consultant Oral & Maxillofacial Surgeon 8
PA’s
Consultant Orthodontist, 10 PA’s
Consultant Orthodontist, 8 PA’s
Consultant Orthodontist, 10 PA’s
Consultant Oral & Maxillofacial Surgeon 7 PA’s
Consultant Paediatric Dentist, 7 sessions
Honorary Consultant in Paediatric Dentistry, 2 PA’s
Consultant in Paediatric Dentistry 4 PA’s
Consultant in Paediatric Dentistry 6 PA’s
Consultant in Restorative Dentistry, 2 PA’s
Consultant Orthodontist, 5 PA’s
There are also;
- 3 part-time technicians in a well-equipped laboratory.
- 2 part-time dental hygienists.
- 6 dental nurses
- 2 receptionists.
- 2 part-time secretaries.
Junior Staff:
0.4 StR FTTA Orthodontics
0.5 StR FTTA Orthodontics
–
–
0.8 StR Maxillofacial Surgery
2 F/T SHO (CDP) Paediatric Dentistry
1 F/T SHO (DF2) Maxillofacial Surgery
–
–
linked with Barts and the London
linked with Barts and the London
linked with UCLH
linked with UCLH
Year 1: ProvisionalTimetable for FTTA EDH/GOSH
Day
Monday
Tuesday
Wednesday
Thursday
Friday
Time
am
pm
Activity
GOSH: GA 1:2
Consultant Clinic 1:2
Consultant Cover / Specialist Cover
Miss C. Mason
Miss G Abouameira
GOSH: GA 1:2
Outpatient treatment session 1:2/Cleft clinic?
Ms U Devalia
am
EDH: Consultant Clinic
Ms A Johnson/ Miss O’Donnell
pm
Miss C Mason /Ms U Devalia
am
GOSH – preassessment clinic 1:2
Admin 1:2
EDH: Hypodontia MDT clinic 1:2
EDH: Outpatient treatment session 1:2
pm
EDH: Trauma clinic
am
EDH: Paediatric oral medicine clinic 1:2
Research 1:2
Ms A Johnson & Mr T Hodgson (Oral
medicine)
pm
EDH: Anomalies clinic 1:2
Admin 1:2
Dr S Parekh & Miss K Harley
am
Outpatient treatment session 1:2
IV sedation clinic 1:2
Miss I Holroyd
pm
Admin
Miss K Harley
Dr P Ashley
Miss S Dunkley
Year 2: Provisional Timetable for FTTA EDH/GOSH
ay
Monday
Tuesday
Time
am
pm
Activity
GOSH: GA 1:2
Consultant Clinic 1:2
Consultant Cover / Specialist Cover
Miss C. Mason
Miss G Abouameira
GOSH: GA 1:2
Outpatient treatment session 1:2 cleft clinic?
Ms U Devalia
am
EDH: Consultant Clinic
Ms A Johnson/ Ms O’Donnell
pm
GOSH :EB clinic 1:2
Admin 1:2
Miss C. Mason/Ms U. Devalia
Ms A. Johnson/ Ms A O’Donnell
Wednesday
am
pm
Thursday
Friday
EDH: GA special needs list 3:4
GA fully comprehensive list 1:4
EDH: GA special needs list 3:4
GA fully comprehensive list 1:4
am
EDH: orthodontic/paediatric clinic 1:2
Research 1:2
Dr P Ashley/Mr J. Noar (Consultant
orthodontist)
pm
EDH: Anomalies clinic 1:2
Admin 1:2
Dr S Parekh & Miss K Harley
am
Outpatient treatment session 1:2
IV sedation clinic 1:2
Admin
Mrs I Holroyd
Mrs P.Anand
pm
JD/PS Trust Format – February 2007
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