Paediatric Urology Fellowship

Job responsibilities

An opportunity has arisen to appoint one Specialist Registrar into a Urology Fellowship for one year. This forms part of a training schedule which was established nationally to provide subspecialty training in Paediatric Urology, one each in Leeds and Manchester. Since 2014, both these posts have been advertised as a partnership with Manchester with the aim to provide the best possible training opportunity for the Paediatric Urology fellow. This has proved a success with the completion of training of many fellows in the sub-specialty, going on to substantive appointments locally, nationally and internationally.

It is envisaged that specialist training offered by this post would be best suited to an applicant who will have already completed most of their accredited specialist training in Paediatric Surgery and wishes to gain extra urological experience. The post will be for one year duration in Leeds.

The Specialist Registrar will receive training in every aspect of Paediatric Urology with the exception of bladder exstrophy. The training programme will therefore encompass routine elective urology, prenatal diagnosis and neonatal urology, minimally invasive urology, urodynamics and reconstruction, minimally invasive management of stone disease and DSD. In addition, the post will provide exposure to the management of renal failure in childhood, including transplantation, and relevant aspects of adult urology including endourology, reconstruction and andrology. The Specialist Registrar will be expected to undertake clinical research leading to presentation and publication during the tenure of the post and will receive the necessary supervision and support to achieve this.

LEEDS

Paediatric Urology in Leeds is an independent sub-speciality integrated within and linked to the Department of Paediatric Surgery. Both are large departments with national and international profiles within their specialties; providing a co-ordinated service at the Leeds Childrens Hospital in the Clarendon Wing at the General Infirmary. This appointment will function within the Paediatric Urology service providing some on call cover within the working time directive but will not be included in the emergency cover for Paediatric Surgery, which is on a separate rota.

Specialised services for children in the Yorkshire Region, with the exception of Hull, are concentrated in Leeds. The population of the Region is approximately 3.5 million with around 50,000 live births per year. The Department of Paediatric Urology provides an elective and acute urological surgical service for the children of Leeds (population approximately 750,000). The specialist regional services for children include the Regional Neonatal Surgical Unit, paediatric surgical gastroenterology, paediatric thoracic surgery, paediatric urology, paediatric oncology, minimally invasive surgery, hepatobiliary surgery, paediatric nephrology, paediatric renal transplantation and acute paediatric surgery. A full range of Adult Urological services are provided at St Jamess University Hospital.

Leeds is a long-established centre of surgical excellence. In addition to the Academic Departments of Surgery and Orthopaedic Surgery, other surgical disciplines are well represented, with thriving departments in the full range of surgical specialties. Leeds has been at the forefront of the development of minimally invasive surgery and has been Accredited by the Royal College of Surgeons and recognised by the Department of Health as one of the few designated training centres in the UK. Internationally, Leeds is one of the few centres undertaking Robotic Paediatric Urology. COPU, a recognised international training course in operative Paediatric Urology is held in Leeds every other year. Leeds and Manchester have been accredited as a European training centre for Paediatric Urology recognised by JCPU, and fellows who undertake a two-year fellowship successfully will sit the exam to obtain the specialist qualification of FEAPU. The successful applicant to this one year post will be encouraged to train towards the FEAPU examination if this has not already been achieved.

Leeds is a vibrant commercial and financial centre offering a wide range of cultural and sporting facilities. There is a good choice of residential accommodation in suburbs to the north of Leeds and in the neighbouring villages. Leeds offers easy access to the beautiful countryside of the Yorkshire Dales and to the historic city of York. There are rapid road and rail links with other parts of the country.

PAEDIATRIC UROLOGY

The Service is provided by:

Prof. Ram Subramaniam Consultant Paediatric Urologist (Reconstructive and Minimally invasive Urology including robotics, DSD and General Paediatric Urology)

Mr. Alexander Turner Consultant Paediatric Urologist (Reconstructive and Minimally invasive Urology including robotics, DSD and General Paediatric Urology)

Miss Anna Radford Consultant Paediatric Urologist, split with Hull

Mr. Salahuddin Syed Specialist in Paediatric Urology

Mr Anand Upasani Locum Consultant Paediatric Urologist

Specialist Registrars

Leeds is a member of the Leeds/Sheffield/Nottingham/Leicester/ Newcastle/Hull consortium for Higher Surgical Training in Paediatric Surgery. There are currently six posts recognised for training by the Specialist Advisory Committee (SAC) in Paediatric Surgery and this post recognised for sub-specialty training in paediatric urology. There is a further non-training post at registrar level, and the seven registrars in total participate in a compliant rota.

Leeds Childrens Hospital, Clarendon Wing

This wing of the General Infirmary, which opened in 1983, accommodates the neonatal surgical unit, which with neonatal intensive care and neonatal medicine forms the Peter Congden Neonatal Unit. Approximately 300 neonates are admitted annually to the neonatal surgical unit.

Infants and older children are admitted to a 20 bed surgical ward which is shared with the other surgical disciplines. There is a 12 bed surgical day ward and a regional paediatric intensive care unit. There are 14 neonatal intensive care and 14 neonatal high dependency beds, and a 10 bed surgical newborn ward.

In addition to neonatal surgery, paediatric gastroenterology, paediatric thoracic surgery, the paediatric surgeons in the Clarendon wing undertake a broad range of general paediatric surgery. Recently the paediatric surgical service both for Leeds and for the region has been concentrated in the Clarendon Wing. The operating theatre complex is adjacent to the surgical newborns unit.

DUTIES OF THE POST

The level of clinical and administrative responsibility attached to the post will correspond to years 4 to 6 of specialist training and it is anticipated that this will also be reflected in complexity of surgical procedures performed with and without supervision. The successful applicant will be part of the Paediatric Urology service and will provide an on-call service that is compliant with the working time directive and the New deal. The post will be non-resident with a on call band of 1B. The fellow may come with either a Paediatric Surgical or an Adult urology background and will not participate in the Paediatric Surgical emergency on call rota.

The fellow will work in tandem with the designated Paediatric Surgery Registrar who will join the urology firm on a six-monthly rotation. This is to ensure that the service provides sufficient exposure and training for the Paediatric Surgery fellows. The Urology and surgery fellow will between them cover three consultants.

There are between 7-8 theatre sessions and equal number of clinics within the service. A working schedule will be drawn up to share between the surgical registrar and Urological fellow. In addition, there is a MDT clinic combined with Nephrologists once a month on a Wednesday morning, with urodynamics in the afternoon. There is also a MDT conference on Wednesday lunchtime once a month with the nephrologists and on a Friday morning once a month with the radiologists. There is a monthly audit programme covering half a day with the rest of the day dedicated to formal teaching. Combined Manchester/Leeds governance and audit meetings take place 2-3 times per year.

TEACHING

Under-graduate the Specialist Registrar will be expected to participate in the teaching programme for medical students during their paediatric block in co-operation with the University department of Paediatrics.

Post-graduate the Specialist Registrar will be actively encouraged to participate fully in the post-graduate surgical teaching.

RESEARCH/STUDY/TRAINING

It is expected that the registrar will contribute actively to the post-graduate surgical and paediatric teaching programmes. Formal post-graduate teaching in paediatric urology is incorporated into the Postgraduate programme of the Department of Paediatric Surgery which holds regular morbidity/mortality meetings and an ongoing programme of regular clinical audits. The Specialist Registrar in Urology will be required to attend these meetings and play a full role in the process of clinical audit. The trainee will also be encouraged to attend those parts of the SpR training programme in adult Urology, which are of relevance to paediatric urology. In addition to the departmental teaching programme, Leeds offers teaching in paediatrics, perinatal medicine, general surgery and the other surgical disciplines.

Facilities for study are excellent. The main University Medical School Library is situated in the Medical School and is readily accessible by a link corridor from the Clarendon Wing. On the main LGI site there is also a postgraduate medical library.

Enquiries to: Mr A Turner (Programme Director)

Email: alexander.turner@nhs.net

Secretary Tel: 0113 3926228

Email: rachael.neale@nhs.net

Qualifications

Essential

• MBBS or equivalent medical qualification
• Successful completion of MRCS or equivalent

Clinical, Academic, and Personal Skills

Essential

• Understanding of basic research principles, methodology & ethics, with a potential to contribute to research commensurate with totality of period of training
• Demonstrates understanding of the basic principles of audit clinical risk management & evidence-based practice
• Evidence of relevant academic & research achievements e.g. degrees, prizes, awards, distinctions, publications, presentations other achievements commensurate with totality of period of training
• Evidence of participation in risk management and/or clinical/laboratory research commensurate with totality of period of training
• Judgement Under Pressure:
• Capacity to operate effectively under pressure & remain objective In highly emotive/pressurised situations
• Awareness of own limitations & when to ask for help
• Communication Skills:
• Capacity to communicate effectively & sensitively with others
• Able to discuss treatment options with patients in a way they can understand
• Problem Solving:
• Capacity to think beyond the obvious, with analytical and flexible mind
• Capacity to bring a range of approaches to problem solving
• Situation Awareness:
• Capacity to monitor and anticipate situations that may change rapidly
• Organisation & Planning:
• Capacity to manage time and prioritise workload, balance urgent & important demands follow instructions
• Understands importance & impact of information systems

Eligibility, Fitness to practice, and Language Skills

Essential

• Eligible for full registration with the GMC at the time of appointment and hold a current licence to practice.
• Evidence of achievement of Core and Foundation competences from a UKFPO affiliated Foundation Programme or equivalent by time of appointment in line with GMC standards/ Good Medical Practice includi
• Eligibility to work in the UK

Experience

Essential

• Evidence that career progression is consistent with personal circumstances
• Ability to provide complete details of employment history
• Evidence that present achievement and performance is commensurate with totality of period of training
• Royal College of Surgery Fellowships are open to trainees with an existing National Training Number (NTN) in Paediatric Surgery or Urology (adult), with a CCT date within 2 years of the Start date.
• They must have passed the part 1 of the intercollegiate specialty board examination prior to the start date or have an equivalent qualification and they should be confident in achieving the required
• Paediatric trainees must have a total of at least 6 months of Paediatric Urology training.
• Urology (adult) trainees must have a total of at least 6 months accumulated paediatric practice within adult posts (with evidence).
• For UK trainees on a CCT pathway
• Must have passed the part 1 of the intercollegiate specialty board examination prior to the start date and a supporting letter from their TPD about the feasibility
• For those not on a CCT pathway
• Appropriate career progression towards paediatric urology
• Validated logbook documentation of surgical exposure to date
• Demonstrates appropriate technical and clinical competence and evidence of the development of diagnostic skills and clinical judgement
• Capacity to apply sound clinical knowledge & judgement & prioritise clinical need

Desirable

• For trainees on a CCT pathway
• For paediatric trainees, 6 months experience in adult urology For urology (adult) trainees, 6 months experience in paediatric surgery
• For those not on a CCT pathway
• 1 year experience in paediatric surgery in UK by start date
• Less than 12 months independent practice
• Eligibility to go on the GMC Specialist Register
• Shows aptitude for practical skills e.g. hand-eye co-ordination, dexterity, visuo-spatial awareness
• Successful completion of . APLS PALS or equivalent by time of application

Additional

Essential

• Shows realistic insight into paediatric surgery/urology and the personal demands of a commitment to paediatric surgery
• Demonstrates knowledge of the paediatric surgical training programme & commitment to own development
• Shows critical & enquiring approach to knowledge acquisition, commitment to self-directed learning and a reflective/analytical approach to practice

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).