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JOB DESCRIPTION Research Fellow In Gastrointestinal Oncology Full Time Job Description Person Specification Terms and Conditions Job Reference 08 417 1 Job Description for Research Fellow in Gastrointestinal Oncology The Christie Hospital and Holt Radium Institute was founded in 1932 and has grown to be the largest Cancer Hospital in the UK and one of the largest Cancer Centres in Europe covering a large population in North West England. The hospital is a designated teaching hospital of the University of Manchester and is the focal point of the Regional Cancer Network. All cancer related specialties are fully operational and more than 12,000 new patients with cancer are seen each year. It is a major Cancer research centre and combined with the Paterson Institute and University of Manchester comprises the Manchester Cancer Research Centre. The Post This is a 10-session research fellow post based at the Christie Hospital site within the Gastrointestinal Disease Orientated Group (GI DOG). This position is suitable for individuals who wish to gain specialist training in Oncology (either Clinical or Medical Oncology) with an emphasis on clinical research. Background Both the Departments of Clinical Oncology (Director: Dr Ron Stout) and Medical Oncology (Director: Professor Robert Hawkins) have international reputations for their clinical work. All consultants are site specialised and common treatment policies are developed as part of Disease Oriented Groups (DOGs). In addition to Clinical Oncology and Medical Oncology the Hospital also has clinical groups specialising in Palliative Medicine, Surgical Oncology, Paediatric and Adolescent Oncology, Endocrinology, Psychological Medicine and Clinical Genetics. The GI DOG is committed to providing excellent clinical care and clinical research across the spectrum of phase I – III studies participating in clinical trials sponsored by the National Cancer Research Institute (NCRI), the University of Manchester/ Christie Hospital NHS Trust as well as studies in partnership with the Pharmaceutical Industry. Clinical Staff (GI DOG) There are ten consultants in the non-surgical GI DOG who run the clinical service and research practice (with the following emphases): • • • • • • • • • • Dr Mark Saunders – Clinical Oncologist and DOG chair (colorectal, anal and gastric cancers) Dr Juan Valle – Medical Oncologist (colorectal, hepatopancreatobiliary and neuroendocrine tumours) Dr Greg Wilson – Medical Oncologist (colorectal, also breast cancer) Dr Vivek Misra – Clinical Oncologist (colorectal, also breast cancer) Dr Jurjees Hasan - Medical Oncologist (colorectal, also ovarian cancer) Dr Catherine McBain – Clinical Oncologist (colorectal, also brain tumours) Dr Ed Levine – Clinical Oncologist (colorectal and anal cancer) Dr Saifee Mullamitha – Medical Oncologist (colorectal cancer) Professor Robert Hawkins – Medical Oncologist (oesophago-gastric cancer, also renal and Clinical Director of Medical Oncology) Dr Was Mansoor – Medical Oncologist (oesophago-gastric cancer) 2 The consultant team is supported by 2 Nurse Clinicians, 5 Research Nurses, 1 Senior Clinical Trials Coordinator, 4 Data Managers, 1 Clinical Trials Assistant as well as allocated Specialist Registrars. Senior House Officer/F2-grade doctors are currently ward-based, rather than attached to individual consultant teams. Trust facilities 1. General medical oncology wards - 44 beds are available on modern wards with excellent facilities. 2. A twenty bedded overnight stay ward is available for regimens requiring in patients care. 3. The Derek Crowther Unit is a purpose built clinical research unit with 14 beds for early phase clinical trials. 4 When needed the hospital has a 4 bedded high dependency unit with anaesthetic cover and an enlarged critical care unit has recently opened. A wide range of different types of cancer are managed in these ward facilities and practical training in all aspects of cancer medicine is provided at SHO/F2 and SpR levels. A general medical training for junior medical staff is reinforced since infective, metabolic and neurological complications of malignant disease are commonplace. Special clinical facilities include: 1. The Adult Leukaemia Unit provides facilities for patients undergoing high dose therapy. 2. ManPET provides a PET facility to support development of new agents 3. There are specialist pharmacokinetic facilities in the Paterson 4. In conjunction with the National Blood Service we have developed a GMP cell therapy unit which can provide cells for experimental therapies. Outpatient facilities Routine medical oncology clinics are held daily at the Christie Hospital for new patients and follow up. There are specialised cancer site related collaborative clinics and routine outpatient clinics. Specialist nurse facilities Teams of specialist chemotherapy and research nurses are available. These nurses have special expertise and training in the administration of chemotherapy. Specialist nurses have been trained to insert Central Venous Catheters, to carry out bone marrow aspiration/trephine procedures, to operate the cell separators for leukapheresis and provide psychological support with counselling. Other departments The regional Department of Radiotherapy provides a service to Lancashire and North Cheshire through regular consultative clinics (mainly weekly) staffed by its consultants in every main town in this area. A good liaison exists between the departments of radiotherapy and medical oncology. Many of the clinical protocols are run jointly between the two departments and there is an excellent opportunity at specialist registrar level to participate in joint teaching programmes. The Department of Histopathology provides a regional cancer service. The Department of Diagnostic Radiology has two whole body CT scanners and an MR scanner in addition to standard radiological and radionuclide imaging facilities. The Cancer Research UK Department of Psychological Medicine is involved in collaborative research projects concerning psychological assessment and counseling in the context of clinical trials and is responsible for staff training in aspects of psychological support. 3 B. CLINICAL AND LABORATORY SCIENTIFIC RESEARCH Clinical A wide range of clinical research studies is in progress and there are opportunities for junior staff to participate in these studies and training in the development and planning of new studies is provided. These include Phase I, II and III chemotherapy studies, combined surgery, radiotherapy and chemotherapy studies and patient evaluation studies (staging procedures, psychological assessment etc). A special interest is taken in the development of new biological therapies. There is a close association with the Department of Medical Statistics. Data managers are in post to help handle clinical and laboratory research data. Training is given in this important aspect of clinical research. Laboratory Christie Hospital has strong links with the adjacent Paterson Institute of Clinical Research where basic science research is undertaken including drug development, cell-cycle research, immunotherapy, gene therapy and cancer biology. Duties of the Post 1. Main Duties: To be a Research Fellow in Gastrointestinal Oncology at the Christie Hospital NHS Trust. This will involve close liaison with members of the consultant and SpR team. The major role will be to manage patients undergoing treatment under the care of Drs Mark Saunders and Juan Valle. This will particularly focus on the management of colorectal cancer and neuroendocrine tumours within clinical trials although cover will extend to nontrial patients. 2. Clinical Management: Manage patients in selected out-patient clinics (with a research emphasis) under the supervision of Dr Mark Saunders, Dr Juan Valle or designated Specialist Registrars and Nurse Clinicians. 3. Clinics: The Research Fellow in Gastrointestinal Oncology would be required to attend 5 clinics per week (seeing new referrals, follow-ups and trial patients). The 'on call' duties are to be agreed but there is the potential to be part of the on-call rota for Nathan House. 4. Protocols: The post holder will be expected adhere to treatment protocols and will be expected to undertake the administrative duties associated with the care of their patients. 5. Research: As the main thrust of this post, the appointee would be encouraged to contribute to current research projects within the unit and/or set up new projects and will be expected to be involved in writing papers and reviews. It is not expected that this post would lead to a research degree but for a suitably motivated individual this may be a possibility. 6. Databases: The post-holder will be expected to contribute towards the collection of data on selected patient groups, and to take the lead on updating and converging the neuroendocrine patient database with a parallel database held by the Liverpool Neuroendocrine Multi-disciplinary Team. 7. Teaching Commitment: The post holder will be expected to contribute actively to the training of peer SHO/F2s and occasional undergraduates attached to the team. The post holder will also be expected to contribute towards the training of nursing and multidisciplinary staff in both in-patient and outpatient departments. 4 8. Clinical Governance: The post-holder will be expected to participate in all relevant aspects of clinical governance, including maintaining up to date protocols, guidelines and clinical audit, under the supervision of the consultants in the unit. 9. Audit: The appointee will play a full role in clinical audit as a member of the GI DOG. 10. Professional Development: He/she will maintain a level of continuing professional development consistent with the recommendations of the Royal College of Physicians / Royal College of Radiologists. Appropriate arrangements for study leave will be made in conjunction with colleagues. There is the potential to attend international meetings to present research work. The post-holder will also be required to undergo an annual appraisal. POST MANAGED BY: Dr Mark Saunders and Dr Juan Valle 5 Provisional Sessional Timetable for Research Fellow in Gastrointestinal Oncology Proposed Sessional Activities CLINICAL Outpatients Christie Hospital Ward Rounds Administration (and Teaching) Emergencies and On-Call Research and Audit 5 1 (Dr Mark Saunders) 1 0.5 2.5 10 A Sessional Activity is 4 hours 6 PERSON SPECIFICATION POST: Research Fellow in Gastrointestinal Oncology BASE: Christie Hospital, Withington, South Manchester _____________________________________________________________________ REQUIREMENTS ESSENTIAL DESIRABLE _____________________________________________________________________ HIGHER QUALIFICATIONS TRAINING & EXPERIENCE MBBS or equivalent MRCP, or equivalent Wide experience of acute General Medicine Experience in general Oncology Experience in teaching undergraduates Experience in teaching postgraduates ACADEMIC ACHIEVEMENTS PERSONAL SKILLS Recent publications in peer-reviewed journals Evidence of productive ethical research relevant to Oncology or Acute medicine Evidence of clinical leadership skills; excellent written and oral communication skills; flexibility, commitment and compatibility with colleagues and staff in the department; ability to work under pressure; capacity for staff motivation. PERSONAL CIRCUMSTANCES Reliable work record In good health Residence to allow for the carrying out of clinical duties ________________________________________________________________ 7 TERMS AND CONDITIONS OF SERVICE PAY The salary details for this post are based on Whitely Medical and Dental Council Guidelines. CONFIDENTIALITY The post-holder must maintain the confidentiality of information about patients, staff and other health service business. HEALTH AND SAFETY Employees must be aware of the responsibilities placed on them under the Health & Safety at Work Act (1974), to ensure that the agreed safety procedures are carried out to maintain a safe environment for employees. RISK MANAGEMENT All staff have a responsibility to report all clinical and non-clinical accidents or incidents promptly and when requested to co-operate with any investigation undertaken. EQUAL OPPORTUNITIES The Trust has adopted an equal opportunities policy and it is the duty of every employee to comply with the detail and spirit of the policy CONFLICT OF INTEREST The Trust is responsible for the service for the patients in its care meets the highest standards. Equally, it is responsible for ensuring that staff do not abuse their official position to gain or to benefit their family or friends. The Trust’s standing orders require any officer to declare any interest, direct or indirect with contracts involving the Trust. Staff are not allowed to further their private interest in the course of their NHS duties. INFECTION CONTROL Healthcare workers have an overriding duty of care to patients and are expected to comply fully with the best practice standards. You have a responsibility to comply with Trust policies for personal and patient safety and for prevention of healthcare-associated infection (HCAI); this includes a requirement for rigorous and consistent compliance with Trust policies for hand hygiene, use of personal protective equipment and safe disposal of sharps. Knowledge, skills and behaviour in the workplace should reflect this; at annual appraisal you will be asked about application of practice measures known to be effective in reducing HCAI NO SMOKING The Trust operates a no smoking policy. Anyone who wishes to smoke may do so only in one of the designated smoking areas at a time agreed with their line manager. MEDICAL EXAMINATION All appointments with Christie NHS Trust are subject to re-employment health screening. CAR PARKING/TRANSPORT Car parks for staff are available; however there is a high demand and a space cannot be guaranteed. 8 Informal Visits are welcome and interested candidates should visit the department by arrangement with: Dr Juan Valle on 0161 446 8106 or e-mail [email protected] or Dr Mark Saunders on 0161 446 3357 or email [email protected] 9