Job responsibilities
- General Information
JOB TITLE: Research Clinical Fellow in Haematology 12 months
GRADE: ST6+
HOURS: Monday to Friday 0900-1700
RESPONSIBLE TO: Dr Deepti Radia (Educational Supervisor)
ACCOUNTABLE TO: Head of Service Dr R Kesse-Adu
RESPONSIBLE FOR: Research Clinical Fellow in Haematology at ST6+ level
Organisational Values:
The post holder will:
Put patients first
Take pride in what they do
Respect others
Strive to be the best
Act with integrity
Key Relationships
Systemic Mastocytosis /Myeloproliferative neoplasm team Doctors, clinical nurse specialists and clinical trials teams.
Day Unit staff
Haematology outpatient clinic staff
The clinical haematology team, including: doctors, CNS, TYA, psychologists, and specialist teams involved in the comprehensive care of patients Haematology
Transfusion and haematology laboratory staff
Departmental managerial, clerical and secretarial staff
Acute Oncology Service staff
Cancer Day Unit staff
Example of the weekly time table
Day
Mon
Tues
Wed
Thurs
Fri
StR Haematology teaching
Morphology teaching
Journal club
Case of the week
Morning*^
Myeloproliferative
Neoplasia (MPN) OPA if cover needed.
Trial Admin
Trial work
SM OPA
Trials patients review
BM / blood film reporting
Myeloid MDT and consultant morphology reporting
Trusts grand round
Departmental seminar series
Afternoon*^
BM list/
SM OPA
CML OPA
Clinic/ trial related morphology
Trials patients bone marrows
Project time/Data base
Clinic admin
*Flexibility in the timing of specific duties and responsibilities will be necessary based on clinical needs of patients, service demands and schedules; and colleagues leave
Professional / Clinical responsibilities
Review of patients in both in and outpatient settings with senior support.
Ensure timely production of letters within current Trust targets.
Arrange appropriate investigations; ensure all treatments administered as prescribed and appropriate (using the MedChart and CIS/Mosaic systems or outpatient prescriptions); accurate and timely documentation (using the eNoting system); referrals and letters to GP as necessary.
Work alongside CNS team in the day-to-day management of patients.
Work with research nurses as required on relevant commercial and NCRN clinical trials.
Discuss cases with the appropriate consultant/team or specialised/disease-specific management team.
Perform practical procedures as necessary and after appropriate training including: bone marrow aspiration and biopsy and lumbar puncture (+/- insertion and removal of indwelling central venous catheter access).
Undertake appropriate work place based assessments as required e.g. DOPS/mini-CEX/CBDs.
Attend and contribute to departmental meetings / seminars and MDM sessions as required.
Work closely with CMT/CF/FY and specialist trainee colleagues to ensure the duties of the service are supported and work flexibly and co-operatively.
To cover the duties of colleagues who are unexpectedly absent.
Ensure leave requests are submitted with sufficient notice and clinical cover to maintain safe patient care.
Management and Leadership
Work within the Haematology MDT team.
Time management of work profile.
Information management
Trial data collection and entry
GCP training
eNoting
BigHand dictation
MedChart
EPR (and EDL)
CIS/Mosaic
PACS
Clinical coding
Education & Professional Development.
Self-directed learning
Formal external courses
Maintaining a personal portfolio
Undertaking the Appraisal process
Learning opportunities
Meetings (including Thursday afternoon seminars and M&M)
The Trusts weekly grand round presentation
Tuesday morning consultant delivered registrar subspecialty teaching
Wednesday morning morphology teaching
Friday morning Case of the week
Assessing and evaluating patients in outpatient settings
Developing and applying patient management plans independently and within the team
Experience in the further management of patients with haematological disorders through a multidisciplinary/speciality approach
Case reports, abstracts, publications or audits according to availability and interest
Participate in a laboratory or clinical project in MPN*
Course / self-directed study relevant to educational research/training*to be arranged
Competencies
Management of Haematology patients appropriate to subspeciality area and their investigation, treatment, follow-up and onward referral as appropriate
Management of acutely unwell haematology patients
Ability to deal with malignant and non-malignant haematological emergencies
Ad hoc reviews with CNS and/or consultant for elective or urgent patients
Supportive and palliative care as needed
Case-load prioritisation
Communication skills: with patients and relatives, within multidisciplinary teams and with colleagues in other specialities
Good Clinical Practice
Fire safety and other mandatory training.
Formal training in Information Management (as above)
Management of patients on clinical trials
Subject to specific training:
Performing bone marrow aspiration and biopsy
Blood film interpretation and reporting
Bone marrow aspirate smear interpretation and reporting
Lumbar puncture
Central Line insertion and Hickman line removal .
Assessment
Appraisal and goal setting meeting with clinical supervisor within 1st 2 weeks of commencement.
Mid placement appraisal with ES.
End of post appraisal and sign-off.
Duties and responsibilities:
Clinical: The postholder will, together with colleagues, be responsible for the provision of services to include:
(a) Diagnosis and treatment of patients of the trust in such hospitals, health centres or clinics or other premises as required.
(b) Continuing clinical responsibility for the patients in your charge, allowing for all proper delegation to, and training of, your staff.
Teaching: Expected to contribute as appropriate in the teaching of undergraduate and postgraduate students.
Clinical Governance: All medical and dental staff are expected to take part in clinical governance activity, including clinical audit, clinical guideline and protocol development and clinical risk management.
Mutual Obligation to Monitor Hours: There is a contractual obligation on employers to monitor working hours through robust local monitoring arrangements supported by national guidance.
European Working Time Directive (EWTD): All posts and working patterns are under constant review in line with EWTD guidelines and the Rota being new contract compliant.
Educational Programme: Neither the London Deanery nor the Royal College accredits this post for postgraduate training. However the postholder will be expected to attend and contribute to educational activities e.g. departmental meetings, x-ray meetings, pathology meetings, multidisciplinary meetings, journal clubs etc.
Appraisal: All medical and dental staff are required to undertake appraisal.
Additional Information: follow Trust policies and procedures which are regularly updated including:
Confidentiality / Data Protection / Freedom of Information
Post holders must maintain the confidentiality of information about patients, staff and other health service business in accordance with the Data Protection Act of 1998 and are liable to dismissal /prosecution in the event of breach
Following the Freedom of Information Act (FOI) 2005, post holders must apply the Trusts FOI procedure if they receive a written request for information.
Information Governance
All staff must comply with information governance requirements. These includes statutoryresponsibilities (such ascompliance with the Data Protection Act).
Equal Opportunities
Post holders must at all times fulfil their responsibilities with regard to the Trusts Equal Opportunities Policy and equality laws.
Health and Safety
All post holders have a responsibility, under the Health and Safety at Work Act (1974) and subsequently published regulations.
Infection Control
All post holders have a personal obligation to act to reduce healthcare-associated infections (HCAIs). They must attend mandatory training in Infection Control and be compliant with all measures required by the Trust to reduce HCAIs.
Risk Management
All post holders have a responsibility to report risks such as clinical and non-clinical accidents or incidents promptly. They are expected to be familiar with the Trusts use of risk assessments to predict and control risk, as well as the incident reporting system for learning from mistakes and near misses in order to improve services.
Safeguarding children and vulnerable adults
Post holders have a general responsibility for safeguarding children and vulnerable adults in the course of their daily duties.
Sustainability
It is the responsibility of all staff to minimise the Trusts environmental impact by recycling wherever possible.
Smoking Policy
The Trust is committed to providing a healthy and safe environment for all. Staff are therefore not permitted to smoke on Trust property or in Trust vehicle
Review of this Job Description
To be reviewed in conjunction with the post holder when the need arises.
Other: The Post holder may be asked to undertake other duties in line with the overall purpose and nature of the post as may be required from time to time.
Study Leave:
Study Leave will be granted at the discretion of the Clinical Lead.
Funding for CPD will be equivalent to that of the appropriate Training post.
Terms and Conditions of Employment:
Post is exempt from the Rehabilitation of Offenders Act 1974 and this means that any criminal conviction must be made known at the time of application.
