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advanced medical training fellowship (amtf) advanced endoscopic sinus surgery and rhinologIC surgery AND ANTERIOR SKULL BASE SURGERY
glasgow royal infirmary
Information pack
reF: 44574D
Closing Date: 18th November 2016

www.nhsggc.org.uk/medicaljobs
SUMMARY INFORMATION
POST: ADVANCED MEDICAL TRAINING FELLOWSHIP (AMTF)
ADVANCED RHINOLOGIC SURGERY AND ENDOSCOPIC ANTERIOR SKULL BASE SURGERY


BASE: GLASGOW ROYAL INFIRMARY

This post is available from February 2017 for a period of one year. Training will be provided in all aspects of Open and Endoscopic Rhinologic Surgery. The Fellow will gain experience in modern Endoscopic approaches for Benign and Malignant Disease, and will work as part of a Tertiary Rhinology Service. The successful candidate will participate in the GG+C Skull Base Multidisciplinary Team (MDT), and the North Glasgow Head and Neck MDT.


You will have day to day responsibility for continuity of care of patients undergoing treatment and investigations for a spectrum of Rhinological conditions, with participation in Outpatient and Operative Sessions on various sites across NHSGGC.

It is anticipated that prior to commencing the post you will have demonstrated a sound Basic Training in Surgical Rhinology, and be competent in Endoscopic Sinus Surgical techniques. Experience of Skull Base Surgery, Surgical Navigation techniques and advanced open approaches is, however, not required as these will form the focus of the AMTF year. The successful candidate will provide on-call cover as part of the senior rota.

To practice medicine in the UK you need to hold both GMC registration and a licence to practice.
This post does not hold educational approval from the Postgraduate Dean.
For further information please contact Prof G McGarry, telephone: 0141 211 4423.


NHS Greater Glasgow & Clyde

Acute Services Division

Job Description




Advanced Medical Training Fellowship (AMTF)

Advanced Rhinologic Surgery and Endoscopic Anterior Skull Base Surgery



  1. Acute Services Division

NHS Greater Glasgow and Clyde is the Largest NHS Employer in the UK and in partnership with 8 local authorities, is responsible for the health needs of a population of 1.2 million, almost a quarter of the entire Scottish population. The Acute Services Division is split into nine Directorates across 18 sites with a workforce of 27,500 and an annual budget of £1.2 billion. The geographical area covered is diverse; it covers the major city of Glasgow, large and small towns, villages and some rural areas. We have significant challenges ahead as we deliver the objectives set out in Better Health Better Care and we seek to ensure that we have the right people for the right posts.


The Acute Services Division is the largest group of adult acute hospitals in Scotland. This allows individuals a wide range of opportunities for professional development whether in community-based care or general and specialty hospital services.
The investment in Acute hospital services in Glasgow in the last ten years has been considerable with two new Ambulatory Care Hospitals opened in 2009. Redevelopment of acute hospital estates has taken place to facilitate the centralisation of key specialties and integration of hospital sites in recent years. The Beatson West of Scotland Cancer Care Centre is a good example of the high standard of hospital development since transferring from the Western Infirmary to Gartnavel General in 2008.
Queen Elizabeth University Hospital
The £850 million development created new adult and children’s hospitals. This brings Maternity, Children’s and Adult acute services together in one of the most advanced clinical provisions in Europe with the biggest Critical Care complex and Emergency Departments in Scotland. The Queen Elizabeth University Hospital was handed over at the end of January 2015 with clinical services migrating from the end of April.
This has resulted in the major reconfiguration of services across GG & C and consultants were actively involved in the planning of this exciting development. This is a time of transformational change across Glasgow and Clyde with the Queen Elizabeth University Hospital designated to become a trauma centre from 2016.
A new state of the art Teaching and Learning Facility has been built on the site. This is a joint venture between NHS Greater Glasgow and Clyde and the University of Glasgow. It is co-located with the Queen Elizabeth University Hospital providing benefits for staff and students and ultimately enhancing services for patients. The facility consolidates a series of fragmented training locations throughout Greater Glasgow and Clyde. The new building also houses the Stratified Medicine Scotland Innovation Centre which provides unique services to enable world leading developments in Stratified Medicine in chronic diseases.
A substantial volume of complex surgical work is performed in the Glasgow hospital units that provide a range of tertiary and national services. We enjoy close links with Glasgow’s 3 universities and make a significant contribution to teaching at both undergraduate and postgraduate level. Research also has a high profile within the organisation. We provide excellent facilities for students and their tutors in the £15 million, state of the art, Wolfson Medical School based at Glasgow University adjacent to the old Western Infirmary site.
Living & Working in Glasgow
Today Glasgow is a compact, vibrant and modern city. The scale of the City comes as a surprise to many people. It has the largest suburban rail network outside London and is second only to the UK capital as a retail centre.
There are top-ranking schools, excellent leisure facilities, beautiful golf courses and elegant accommodation across all price ranges.
The night life and restaurants are renowned and its high quality opera, theatres, art galleries and museums offer an abundance of cultural stimulation.
From Glasgow, it is only a short journey to many picturesque sites including Loch Lomond (45 minutes), the Argyll peninsula – or over the sea to Arran, Skye, Iona and Mull.

Description of the department


2015 saw the opening of the state of the art Queen Elizabeth University Hospital which provides a 29 bed centralized site for ENT major elective and all emergency inpatients. Outpatient services are also provided on this site along with Glasgow Royal Infirmary, New Stobhill Hospital, New Victoria Hospital, Vale of Leven Hospital, Gartnavel General Hospital, Royal Alexandra Hospital and Inverclyde Royal Hospital. Day surgery is undertaken at Gartnavel General, New Victoria Hospital, Royal Alexandra Hospital and Inverclyde Royal Hospital. The ENT inpatient service at the Queen Elizabeth University Hospital is co-located with Neurosurgery and Oral Maxillofacial surgery. The Department is supported by an audiology service, nurse practitioners and clinical nurse specialists. There is a recently re-established monthly meeting programme with departmental clinical governance and morbidity/mortality meetings, trainee and Consultant meetings. A research subgroup is taking forward the supervision of a visible and active trainee research/audit programme.

Description of post


This is a one year AMTF post in Advanced Rhinology. Training will be provided in all aspects of open and endoscopic rhinologic surgery. The Fellow will gain experience in modern endoscopic approaches for benign and malignant disease. Training will be under the supervision of Prof G W McGarry and will involve working as part of a tertiary rhinology service. The Fellow will participate in the GG+C Skull Base MDT and the North Glasgow Head and Neck MDT.

Out-patient sessions and operative sessions will be held at various sites across NHS Greater Glasgow and Clyde.

The Fellow will have day to day responsibility for continuity of care of patients undergoing treatment and investigations for a spectrum of rhinological conditions.
It is anticipated that prior to commencing the post the Fellow will have demonstrated a sound basic training in surgical rhinology and be competent in endoscopic sinus surgical techniques. Experience of Skull Base Surgery, Surgical Navigation techniques and advanced open approaches is, however, not required as these will form the focus of the AMTF year. The candidate will also work closely with the national ocular oncology service in providing skull base support for orbital lesions.
Learning Outcomes
By completion of the AMTF year the Fellow will be expected to produce a clinical and surgical log-book detailing cases managed and operations performed. In addition a major audit project of publishable quality will be expected of the post holder. Opportunity for a research project to be completed, presented and published is also part of the programme. The Fellow will also be expected to participate in the training of more junior colleagues.
Typical Job Plan (illustrative)

AM PM


MON: Head and Neck MDT, Admin / Audit Clinic /Surgical Planning

TUES: MCN meeting/ Head and Neck Clinic Research Session/ Theatre

WED: Operating Theatre Rhinology Clinic

THUR: Operating Theatre Operating Theatre

FRI: Ward Round/ Skull Base MDT/ Day Surgery Research session
The post holder will participate in the Senior on-call rota
Study and training
There are library facilities across the sites in Glasgow and large libraries at Glasgow University and the Royal College of Physicians and Surgeons of Glasgow. There is a state of the art Teaching and Learning Centre on the new Queen Elizabeth University Hospital campus.
There are MDT meetings every week for Head and Neck and monthly for Thyroid. Departmental meetings are organised on a regular basis and active participation in these is encouraged.

Terms and conditions of service


This post is covered by the Terms and Conditions of Hospital Medical and Dental Staff (Scotland) and by the General Whitley Conditions of Service.
In line with European Work Time Regulations and the New Deal, Acute Services Division is committed to reducing Junior Doctors working hours; accordingly, the banding supplement associated with this rota may be subject to change.
Conditions of appointment
For all new entrants to the Health Service a medical examination will be required prior to confirmation of this appointment.

Immunisation against Hepatitis B is advised.


Arrangements to visit
Short-listed candidates may contact Prof G McGarry, Consultant ENT Surgeon, Glasgow Royal Infirmary on 0141 211 4423 to discuss the post or arrange visits to the sites.

Date when the post is vacant February 2017





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