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Job Title:
Junior Clinical Fellow
Departments:
Peritoneal Tumour Service/Pelvic Surgical Oncology
Division:
Cancer Centre Services
Base:
The Christie NHS Foundation Trust
ORGANISATIONAL ARRANGEMENTS
Accountable to:
Miss S T O’Dwyer, Divisional Director
Mr M S Wilson, Clinical Director
Joint Lead Clinicians - Peritoneal Tumour Service
Job Description
This job description outlines the principal clinical duties of the appointee and
the support that will be available, including the current facilities and staff at
The Christie.
Duties and Responsibilities
This will be a post for an initial period of twelve months participating in the
activities of the Peritoneal Tumour Service and the Pelvic Surgical Oncology
Team. This post provides training and exposure to peritoneal surgery and
advanced pelvic surgery. The successful applicant would be in a position to
gain clinical experience in the management of peritoneal surface tumours
including pseudomyxoma peritoneii and peritoneal carcinomatosis, complex
abdomino-pelvic malignancy and anal cancer. In addition there are facilities
for engaging in clinical research. It is possible that the successful applicant
could take part in the unit’s programme and submit presentations and
publications to the appropriate specialty associations and journals.
This post is applicable to surgical trainees who have a minimum of 2 years of
general surgical experience. The post holder will be provided with suitable
office accommodation and will receive IT support including a computer with
internet access and e-mail facilities.
The hospital has excellent library facilities offering a full range of services
including books, journals and facilities for personal and commissioned
computer on line searches. The medical illustration department is equipped
with modern facilities for computer generated graphics and a professional
medical artist to assist in the preparation of material for teaching and
publication.
Responsibilities will include:

Pre and post-op ward rounds

Clinical administration of MDT meetings

Co-ordination and administration of (HIPEC) Hyperthermic Intraperitoneal
Chemotherapy (training will be given)

Liaison with the Service Manager and Service Support Nurse

Assist with and perform surgical procedures

Peritoneal Tumour Service (PTS) and Colorectal out patient clinics

Clinical Research: co-ordinate specimen collection and processing, supervise
data collection and audit. Prepare papers for publication

Partake in on-call surgical rota with non resident night duties at a 1b,
EWTD compliant level. (The Trust does not have an accident and
emergency department and hence the out of hours service is limited to
the surgical support for oncology patients undergoing elective in
patient treatment).
THE Christie NHS Foundation Trust
The Christie Hospital and Holt Radium Institute were united in 1932 and
together have grown to become the largest cancer centre in the United
Kingdom with registration of more than 12,000 new patients annually. The
Christie is a designated teaching hospital in the School of Cancer Studies of
the University of Manchester. The Hospital gained Foundation Trust status in
April 2007. The Foundation Trust is committed to taking a leadership role in
service provision, research and teaching as the Cancer Centre for the
Greater Manchester and North Cheshire Cancer Network (GMNCCN). The
Trust is the first UK institute to gain membership of the Organisation of
European Cancer Institutes (OECI).
The operational divisions reflect the integration of service, research and
teaching:
Clinical Divisions include Cancer Centre Services, (incorporating
surgery, anaesthetics and critical care, Director Prof Peter Trainer);
Networked Services (Director Dr Nick Slevin); and Support Services
(Director Dr Jeremy Lawrance). In addition there is a Division of Research
and Development (Director Professor J Radford) and a Division of Education
(Director
Dr
R
Cowan).
All
work
in
close
collaboration
providing
comprehensive services for patients in an environment encouraging training
and innovation.
Clinical Departments at The Christie
The approach to treatment at the Christie is through the multi-disciplinary
team within tumour-specific and disease-orientated groups. All the key
clinical specialties are available including surgical, medical and clinical
oncology, diagnostic and interventional radiological services (Director – Dr
Hans-Ulrich Laasch) including ultrasound, nuclear medicine, angiography,
CT, MR and PET scanning. Additional clinical groups include Paediatric and
Adolescent
Oncology,
Palliative
Care,
Cancer
Genetics
Psychological Medicine and Complimentary therapies.
Endocrinology,
The Oncologists provide outreach clinics to the majority of teaching and
district hospitals in Greater Manchester that in turn generates the need for
specialist tertiary referral to the cancer centre. Out patient, ambulatory and
in patient services are provided at the Christie site, with a dedicated day
case surgical facility and short stay facilities for chemo-radiotherapy. Of the
350 in patient beds at the hospital 32 are assigned to Surgery. Beds are
allocated as needed but a dedicated critical care bed is assigned to support
patients in the PTS.
An eight bed Critical Care Unit was opened in December 2006 with an
additional 4 bed surgical step-down unit supported by the Critical Care
outreach team. In addition the acute and chronic pain team assist with a
perioperative pain service.
Department of Surgery
There are
currently
16
Consultant
Surgeons with
variable
sessional
commitments. The group comprises:
Colorectal and Pelvic Surgical Oncology
Miss ST O’Dwyer
Divisional Director of Cancer Centre Services
Joint Lead Clinician for the Peritoneal Tumour
Service (PTS)
Mr MS Wilson
Clinical Director of Surgery
Joint Lead Clinician for the PTS
Mr PE Fulford
Lead Clinician Laparoscopic Colorectal Service
Mr AG Renehan
Senior Lecturer, University of Manchester
Lead Research Supervisor
Mr DJ Sherlock
Upper GI, Hepatobiliary
Urology/Pelvic Surgical Oncology
Professor NW Clarke
Mr VJ Chandramani
Mr M Lau
Lead Clinician Robotic Surgery
Mr VJ Sangar
Gynaecological Surgical Oncology
Mr R Slade
Mr A Ahmed
Mr M Smith
Mr B Winter-Roach
Plastic and Reconstructive Surgery
Mr G Ross
Mr D Mowatt
Mr D Oudit
Theatre facilities include five operating theatres for surgery, a day case unit
with endoscopy facilities and a separate radiotherapy theatre. A second
generation DaVinci robot has been installed in Jan 2008 as the first phase of
developing a new dedicated minimally invasive operating facility. Consultant
Surgeons and Anaesthetists are members of the Directorate of Surgery
(Director Mr Malcolm Wilson) within the division of Cancer Centre Services.
The Peritoneal Tumour Service (PTS)
The PTS was set up in November 2002 as one of two centres in the UK with
funding from the National Commissioning Group (NCG). Over 400 patients
have been evaluated to date from which 180 have undergone surgery. An
expansion of the service over the next three years has been agreed to
undertake 60 procedures per year by 2011. Initially the service concentrated
on pseudomyxoma peritonei and appendiceal carcinomatosis but recently
the treatment has been extended to include patients with colorectal cancer
and other primary peritoneal tumours (eg mesothelioma).
Extending the
service to meet the NICE guidelines for peritoneal carcinomatosis (IPG 116
2004) is an objective for the Department.
Mr Andrew Renehan supervises an active research programme with clinical
and laboratory based projects, including a tissue bank of peritoneal tumours.
The team have recently completed the first ever trial of adjuvant
chemotherapy with good response rates (published JCO). It is expected that
the Fellow would engage with the clinical and research projects as part of
the Peritoneal Tumour Service.
PTS Team members
The unit believes strongly in the multi-professional approach dealing with
these difficult problems by offering multi-specialist services supporting
patients through their entire treatment pathway.
Miss S T O’Dwyer/Mr M S Wilson
Joint Lead Clinicians
Mr P E Fulford
Consultant Surgeon
Mr D J Sherlock
Consultant Surgeon
Mr A G Renehan
Consultant Surgeon/Research Lead
Dr M P Saunders
Consultant Oncologist
Dr Carel Van Oldenbeek
Consultant Anaesthetist
Dr D Tansey
Consultant Anaesthetist
Dr B M Carrington
Consultant Radiologist
Dr M Prakash
Consultant Radiologist
Dr B Taylor
Consultant Radiologist
Dr B Chakrabarti
Consultant Histopathologist
Ms A Usansky
Snr Colorectal Nurse Specialist
Miss R Halstead
Clinical Nurse Specialist
Ms S McCormack
Nurse Endoscopist
Ms S Collins
Snr Nurse Practitioner
Mr J McDonald
Junior Clinical Fellow
Mr P Crighton
HIPEC Provision Manager
Mrs J Kielty
Secretary
Mrs N Warburton
Divisional Data Co-ordinator
The Department of Colorectal and Pelvic Surgical Oncology
The
Pelvic
Surgical
Oncology
Team
includes
colorectal,
urological,
gynaecological and oncoplastic surgeons. The specialist team provides a
coherent, multidisciplinary approach for patients with advanced colorectal,
gynaecological, urological and other rare pelvic and retroperitoneal tumours.
Patients are referred from the Northwest of England, North Wales, North
Midlands and on occasion from other areas of the United Kingdom.
Management is streamlined through a weekly MDT meeting incorporating
surgical and non-surgical oncologists, palliative care specialists, radiologists
and pathologists. The Histopathology department provides a tertiary review
service for the evaluation of rare tumours and difficult diagnostic problems.
The unit hosts the Anal Cancer MDT for GMNCCN and coordinates the Supra
regional audit for anal cancers. The team has the largest experience of
salvage surgery for anal tumours in the UK with five year cancer related
survival of 40%.
Non Consultant Staff
The team is supported by two second year Foundation posts, a junior Clinical
Fellow and three Specialist Registrars on Colorectal, Gynaecology, Urology
and plastic surgical sub specialty training programmes.
There is a Senior Colorectal Nurse Practitioner, a Nurse Endoscopist, 4
Stoma Therapists, a Clinical Nurse Specialist and a Senior Nurse Practitioner
in pelvic surgery.
Research
Research at The Christie is encouraged with a Divisional Director for
Research (Prof. J Radford) supported by a Research & Development
Manager. Cancer research is a strong feature in the University of Manchester
with Cancer Studies achieving 5 stars at the last Research Assessment
Exercise.
The Trust has been supported by Cancer Research UK and the
University of Manchester to develop a new Manchester Comprehensive
Cancer Centre. The Paterson Institute for Cancer Research, adjacent to The
Christie, is core funded by Cancer Research UK (Director Professor Nic
Jones) and houses a wide range of laboratory/translational research.
Within the Department of colorectal and pelvic surgical oncology clinical and
laboratory research is directed towards prevention, diagnosis and treatment
of colorectal, anal and peritoneal malignancies. There is an established
programme supervising research fellows to degrees by thesis. Six fellows
have achieved one PhD, three MDs, with a further two in preparation over
the last 5 years. The Research Lead is Mr Andrew Renehan who holds
monthly meetings and co-ordinates and designates projects for all staff in
the PTS and Colorectal Surgical Service. It is expected that the Fellow will
contribute to the programme.
Teaching
The Trust is a designated teaching hospital and the surgical department
plays an active role in undergraduate and postgraduate teaching supporting
the University of Manchester Medical School. It is expected that the fellow
would engage with teaching within the Trust as deemed appropriate and
would be encouraged to participate in a wide range of educational activities.
The Area
Close to the centre there are many attractive residential areas and within
easy reach of the beautiful countryside of Cheshire and North Derbyshire the
Lake District, Snowdonia, and the Yorkshire Dales.
There are many good
schools in the area and there are excellent road, rail and air links
(Manchester
International
international destinations.
Airport
is
nearby)
to
both
national
and
Monday
AM
Tuesday
AM
Wednesday
AM
Thursday
AM
Friday
AM
Pelvic MDT
Ward Round
Colorectal Business
Meeting
PTS MDT (2 weekly)
Ward Round
Ward round
Research/Admin
Anal MDT (2weekly)
Admin
Theatre
Out patients
Theatre
PM
PM
PM
PM
PM
Theatre
Research/Admin
Theatre
Chemotherapy Clinic
Pathology MDT
(monthly)
PTS business meeting
(monthly)
Research meeting
(monthly)
Job plan
Person Specification - Junior Clinical Fellow in Peritoneal Tumour
Service/Pelvic Surgical Oncology
Requirements
Essential
Desirable
Method of Assessment
Qualifications & Training
MBChB or equivalent
FRCS/MRCS or equivalent


Yes
Yes
Certificates/AF
Certificates/AF
Interview/AF



Yes
Yes
Yes
AF/Interview
Certificates/AF/Interview
Experience
Experience in abdominal surgery and critical care
Completed specialist course eg. CRISP/ATLS
Minimum 2 years experience in abdominal surgery
Teaching and Audit
Interest in teaching
Experience of audit


Yes
Yes
Interview
Interview/AF





Yes
Yes
Yes
Yes
Yes
Academic Achievements & Research
Publications in recognised surgical journals
Specialist interest in GI/colorectal surgery
Interest in performing clinical research
Clinical research experience
Membership of a specialist society
Knowledge of up to date literature

Yes
AF
Interview/AF
Interview
AF/Interview
AF/Interview
Interview



Yes
Yes
Yes
Interview/references
Interview/references
Certificate

Yes
Health Assessment


Yes
Yes
Certificate
Certificate/Interview
Interpersonal Skills
Good communication skills (Written & verbal)
Good organisation skills
International English Language Testing System
(IELTS) – If applicable
Physical/General Health
Medical clearance by The Christie NHS Foundation
Trust
Other Requirements
Registration with the General Medical Council
IT Experience, Microsoft Word, Excel, Power Point,
internet