anatomy demonstrator/clinical fellow (core) oral and

Anatomy Demonstrator/Clinical Fellow

(Core) In

Oral and Maxillofacial Surgery Plastic Surgery

Trauma and Orthopaedics Urology

Clinical Fellow (Core) /Anatomy Demonstrator

In

Otolaryngology (ENT)

Available from 5 August 2020 for 12 months Medical Staffing Department

Box 154 Cambridge University Hospitals NHS Foundation Trust

Cambridge Biomedical Campus Hills Road, Cambridge, CB2 0QQ

Tel: 01223 596311

[email protected] www.cuh.org.uk

mailto:[email protected]

http://www.cuh.org.uk/

Addenbrooke’s Hospital, Cambridge University Hospitals NHS Foundation Trust

Human Anatomy Centre, Anatomy Building

Department of Physiology, Development and Neuroscience (PDN)

On January 2006 the Department of Physiology, Development and Neuroscience (PDN) was formed from the merger of the Departments of Anatomy and Physiology. Headed jointly by Professors Sarah Bray and Bill Colledge, PDN is one of the largest

departments in the School of Biological Sciences.

Research in PDN is primarily in four major areas: Cellular and systems physiology, Developmental and reproductive biology, Form and function, and Neuroscience. PDN remains the home of Preclinical Teaching in Anatomy and Physiology for both medical

and veterinary students. It is also a main contributor to the Natural Science Tripos in the areas of Physiology, Developmental Biology, and Neuroscience.

PDN is located on the University Downing Site, occupying the Physiological Laboratory and the Anatomy Building. It is located close to other biological departments, including

Biochemistry, Genetics, Pathology, Pharmacology, Plant Sciences, Psychology and Zoology. Much of the space in the department has been recently refurbished to

provide state of the art research and teaching spaces. Excellent support facilities in PDN include the Anatomy Visual Media Group.

PDN accommodates the Centre for Trophoblast Research and the Cambridge Advanced Imaging Centre. The Department has strong collaborative links with the other

departments in the School of Biological Sciences and with the School of Clinical Medicine, Cambridge Centre for Brain Repair, Cambridge Stem Cell Institute, and the

Gurdon Institute. Duties of this post

Post holders will be expected to attend the Dissection Room (DR) and any other duties

required by the staff members of the Human Anatomy Centre. This will include helping with preparation and setting up for teaching sessions, which comprise dissection supervision, designing VH Dissector tutorials, and participating in ultrasound

demonstrations for Practical Dissection and Applied Anatomy sessions. Demonstrators will also have the opportunity to organise and participate in external courses for

clinicians and allied health professionals, produce anatomical prosections, undertake research in topographical anatomy and give oral/poster presentations at national meetings of the Anatomical Society and the British Association of Clinical Anatomists.

In addition, they will assist in invigilating for student examinations in March and June.

The annual intake of medical students is 320, with students assigned to table groups in the DR. The DR and adjoining Annexe are equipped with 20 wall-mounted Touchscreens with VH Dissector and Visible Body software installed. Our teaching

team comprises over 30 Senior Anatomy Demonstrators, including retired and current consultant surgeons, physicians and radiologists, who provide clinically relevant

teaching for both students and junior demonstrators. All staff attend a briefing session at 9am on Monday and Thursday mornings to ensure they are adequately prepared for teaching our undergraduates.

Our anatomy teaching programme benefits from the immense generosity of donors, as

we receive over 40 donors a year both for teaching and research. We undertake a large number of research projects with third-year preclinical students, clinical students on Student Selected Components, as well as collaborations with numerous clinical


colleagues from hospitals in Cambridge and beyond. Demonstrators will have many

opportunities to participate in such projects.

For more detailed information about all the activities of the Human Anatomy Teaching Group, please visit the following link: https://www.pdn.cam.ac.uk/research/groups/human-anatomy-teaching-group

A list of FAQs prepared by a previous postholder may be found at:

https://www.pdn.cam.ac.uk/research/groups/human-anatomy-teaching-group/Juniors/JuniorFAQs

Arrangements for Leave

Arrangements for booking leave are departmental and will be confirmed as part of

local induction. The annual leave entitlement for a full-time Clinical Fellow is based on a standard working week of five days:

a) On first appointment to the NHS: 27 days

b) After five years’ completed NHS service: 32 days

It is expected that the appropriate proportion of leave is taken during both your clinical and anatomy time. It is essential that eight weeks notice is given to allow for

proper planning and prevent cancellations of patients' appointments/surgery. This includes all forms of leave.

Study and Research

Cambridge University Health Partners, the academic health sciences centre, in conjunction with the Institute of Continuing Education at The University of Cambridge

are pleased to offer a one year Postgraduate Certificate in Clinical Medicine to all clinicians employed in Cambridge. Further details and registration:

www.ice.cam.ac.uk/ClinMed Teaching and Training

These posts are not recognised for training by the Postgraduate Dean.

The Postgraduate Medical Centre is situated within the Clinical School at Addenbrooke's Hospital, Hills Road, Cambridge. The Clinical School also houses the

Cambridge University Medical Library, which offers excellent facilities.

The successful candidate will be given every opportunity to increase their experience within their area of specialist interest however, as this is not a training post, Study leave expenses are not available from the Postgraduate Dean’s budget. It is

anticipated that an allowance may be made available from Trust funds.

https://www.pdn.cam.ac.uk/research/groups/human-anatomy-teaching-group



http://www.ice.cam.ac.uk/ClinMed


The Department of Oral and Maxillofacial Surgery

Introduction

The Department undertakes a full range of Oral and Maxillofacial Surgery. Patients are referred from Consultants within the Hospital or Hospitals in the region and from General Medical and Dental Practitioners. Patients are treated for maxillofacial

injuries, facial deformity and head and neck malignancy. The Dental Core Trainee (DCT) is expected to be involved in the management of these patients and to

undertake minor oral surgery procedures.

Administrative duties include the organisation of waiting lists, operating lists and Surgical audit. As an employee of an NHS Trust, you are expected to develop the IT skills necessary to support the tasks included in your post. You will therefore, be

required to undertake any necessary training to support this. This is to take account of the increasing need for all staff to be able to use the information systems relevant

to their post. The present medical staff establishment comprises:

Duties of this post

You would be required to work one on-call night shift per week plus one weekend in six as part of your on-call rota. During this time you would be on-call for the Oral &

Maxillofacial Surgery department and would be the first point of contact for the

Oral and Maxillofacial

Mr M Cameron Maxillofacial/Head & Neck Oncology

Mr M Thompson Maxillofacial/ Head & Neck Oncology (Specialty Lead)

Mr V Santhanam Maxillofacial Orthognathic

Mr C Fowell Maxillofacial Orthognathic

Miss K Moar Maxillofacial Cleft

Orthodontics:

Miss R Rimes Orthodontics

Mr H Jeremiah Orthodontics

Ms R Willis Orthodontics for Cleft

Ms N Wright Orthodontics

Restorative Dentistry

Mr A Barber Restorative Dentistry

Mrs J Smallridge Paediatric Restorative Dentistry for Cleft

Other Medical Staff

Staff Grades – 3 part-time Oral Surgery

5 Clinical Fellows (Out Of Hours Cover)

1 Senior Clinical Fellow

1 Anatomy Demonstrator

Trainee Medical Staff

Specialty Registrars – 2

DCT (CT1-3) - 5


Emergency Department as well as being responsible for the care of any inpatients

requiring medical input.

During university term time daytime duties Monday to Friday are covered by a different tier of staff including Dental Core Trainees. Outside of university term time you would be expected to be present in the department.


The Department of Plastic Surgery

Staffing: NHS and Academic

The present medical staff establishment comprises:

NHS Consultants Sub Specialty Interest

Mr Tariq Ahmad Primary cleft lip and palate surgery

Mr Per Hall Primary cleft lip and palate surgery (job share)

Ms Linda Treharne Primary cleft lip and palate surgery (job share)

Miss Sarah Benyon Breast reconstructive surgery

Mr Michael Irwin Breast reconstructive surgery

Mr Charles Malata Breast reconstructive surgery

Mr Amer Durrani Head and neck reconstruction, Melanoma

Mr Richard Price Head and neck reconstruction, Facial Palsy, Melanoma

Mr Patrick Gillespie Hand Surgery

Mr Ian Grant Hand Surgery and Paediatrics

Mr Keith Anderson Major Trauma, Lower Limb, Skin Cancer

Mr Ahid Abood Major Trauma, Lower Limb, Skin Cancer

Mr Animesh Patel Major Trauma, Head & Neck

Ms Tereze Laing Hand Surgery (Specialty Lead)

Other Medical Staff

Specialty Registrars (ST3+) 9

Specialty Registrars (CT1/2’s) 4

Clinical Fellows 5

Clinical Fellow/Anatomy Demonstrators 2

The department provides management of all aspects of Plastic Surgery, including a

significant emergency workload. It provides specialist surgery for breast reconstruction and head and neck cancers and cleft lip and palate surgery. The plastic surgery ward is staffed with specialist nurses and a new plastics admissions unit is due to open later

this year.

Within the plastic surgery clinic we have a fully staffed theatre for outpatient local anaesthetic cases 5 days per week. We have developed and implemented a “see and treat” clinic in conjunction with Dermatology for urgent skin cancers, which covers

Cambridge and the surrounding area.

The Department's work includes 2 - 3 main theatre operating sessions daily, day surgery sessions at Addenbrookes and Ely, 8-9 out-patient operating sessions (OPLA),

ward rounds/teaching, and multiple outpatient clinics at Addenbrooke's Hospital every week. We have a large emergency / trauma referral base and are in the process of increasing our theatre capacity to meet this demand.

In addition to working at Addenbrooke’s you may on occasion be required to work at

North West Anglia NHS Foundation Trust, and West Suffolk Foundation Trust, in


conjunction with the above Plastic Consultant Surgeons which provides a wealth of

opportunity for gaining experience.

Administrative duties comprise arranging of theatre lists and admission lists; participation in Journal Club and Teaching Meetings; monthly department M&M and audit; quarterly Regional Audit Meetings with the Plastic Surgery units from Norwich

and Stevenage. We are a major teaching hospital and therefore involvement in teaching and research is encouraged and supported.

Major burns are not treated at Addenbrooke’s Hospital but are referred to Chelmsford.

On-going Plastic Surgery Education

There is a weekly Monday morning teaching programme run for all junior doctors, with a timetable of topics and structured teaching designed to cover the entire Plastic Surgery syllabus.

There are whole afternoon consultant-delivered teaching sessions every month, on the

afternoon of the monthly Trust audit morning. These topics are planned and circulated in advance, with reading lists as appropriate.

Each fellow will have at least 1 day in main theatres and half a day in clinic each week.

Clinical Fellows will also have regular exposure to Local Anaesthetic lists with senior supervision, to be taught the surgical principles of Plastic Surgery reconstruction –

primary skin closure techniques, split and full thickness skin grafts, local flap reconstruction.

By the end of the rotation if the junior fellow is well motivated they will be expected to be able to perform:

Split and full thickness skin grafts Simple local flaps Extensor tendon repair

Nerve repair Principles of flexor tendon repair

Clinical Fellows with an active research interest are strongly encouraged to participate and complete projects during their attachment. There is an active clinical research

interest in the department and there are links with departments offering formal full-time research projects for those wishing to pursue a period of full-time research. This

has been a regular pathway for previous trainees wishing to pursue a career in Plastic Surgery.

Study and Research

All junior fellows are allocated to firms and therefore have several clinical supervisors. At least one of these will provide opportunities for participating in, and writing up, research and audit projects.

Trust audit is undertaken monthly.

Relationships with other Departments

The department works closely with ENT, Maxillofacial, Neurosurgery, General Surgery and participates in multi-disciplinary Head and Neck and Breast clinics. There are also

close links with Dermatology, Oncology, Orthopaedics (especially lower limb and hand


trauma) and the Department of Radiology. It is expected that the successful candidate

will work closely with orthopaedic surgeons dealing with the combined management of compound fractures, non-unions, bone infection and the secondary reconstruction of

trauma patients.


The Department of Trauma and Orthopaedics

The present medical staff establishment comprises:

NHS Consultants University (Honorary Consultants)

Mr Joel Melton (T&O Specialty Lead) Prof Andrew McCaskie

Mr Andrew Carrothers Mr Stephen McDonnell

Mr Dennis Edwards Mr Wasim Khan

Mr James Hopkinson-Woolley

Mr Peter Hull (Trauma Lead)

Mr Phil Johnston

Mr Niel Kang

Mr Graham Keene

Mr Vikas Khanduja

Mr Matija Krkovic

Mr Jaikirty Rawal

Mr Daud Chou

Mr Julian Owen

Mr Fred Robinson

Mr Graham Tytherleigh-Strong (Upper Limb Lead)

Mr Lee Van-Rensburg

Mr Alastair Vince (Trauma Lead)

Ms Chinga Chileshe (Ortho-Geriatrics)

Ms Madhavi Vindlacheruvu (Ortho-Geriatrics)

Ms Elizabeth Ashby Paediatric Orthopaedics

Mr Mark Latimer Paediatric Orthopaedics

Mr Andreas Rehm Paediatric Orthopaedics

Ms Kuldeep Stohr Paediatric Orthopaedics

Other Medical Staff

Associate Specialists Arvind Arora

Specialty Senior Fellows Trauma (2), Upper limb (1), Foot and Ankle

(1)

The Department's work comprises trauma surgery, general and specialised elective orthopaedics.

The duties of the post include management of trauma and orthopaedic patients on the wards and in the ED. Assistance in theatre and pre-assessment. The post holder

works alongside the other team members in undertaking ward and trauma work and

Trainee Medical Staff

Foundation House Officer Two 4

Core Trainee (ST 1-2) 2

Junior Clinical Fellow 2

Junior Trauma Fellow 1

Anatomy Demonstrator 2

Clinical Fellow (Higher) 5

Specialty Registrar (ST 3-8) 11

Academic 1


cover duties at Addenbrooke's Hospital only. Administrative duties include discharge

summaries.

Trauma Meeting A trauma meeting is held at 8.00am in the seminar room at the entrance to ward C8. At this meeting all admissions from the previous night are discussed. After this

arrangements are made for these patients to have their surgery on the daily trauma lists. There is a computer notice board on which all the names of patients awaiting

acute emergency surgery are listed. It is the responsibility of the junior doctors looking after these patients to make sure that this list is kept up to date. There is also a Major Trauma Centre meeting at 07.30am which the oncall team attend.

Outpatient Clinics

Each consultant has weekly Fracture and Elective Clinics. Junior fellows are welcome to attend as their commitment permits. Usually work-based assessments can be accommodated to fulfil the ISCP requirements.

Pre-Operative Assessment Clinics

Most of the pre-assessment work is done by nurse practitioners and it is planned to expand their role. At present junior fellows are asked to cover some of these clinics as

demand dictates. This comprises the usual role of optimising patient safety and throughput perioperatively.

Operating Theatres There are daily trauma and elective lists. The junior fellows should endeavour to

attend one trauma list per week at which time they would get the opportunity to perform surgery under the supervision of the registrar or consultant running the trauma list and again to fulfil their training needs.

Discharge Summaries

When a patient is discharged it is imperative that a discharge summary is completed for purposes of audit and appropriate billing of patients from other regions and fund holding GPs.

Rota

The on call rota for junior doctors is a full-shift. Research opportunities

All junior fellows are allocated to firms and therefore have several clinical supervisors. At least one of these will provide opportunities for participating in, and writing up,

research and audit projects with the expectation of presentation at national meetings and / or publication in peer-reviewed journals. Trust audit is undertaken regularly. For those more committed to orthopaedic research, the Cambridge MusculoBiological

Research Unit (CAMBRU) is running several clinical trials and the Orthopaedic Research Unit (ORU) laboratory provides a location for contributing to up basic-

science projects which align with the established research agenda. On-going Orthopaedic Education

Teaching consists of a morning trauma meeting to discuss the previous day’s admissions and management options.

There is a weekly junior doctor teaching session, generally on a Friday, run by the Consultant lead for core surgical training, Mr Kang. A programme is drawn up at the

start of the programme for the next six months. This may also involve junior doctor input for various relevant topics.


Every Friday, the Trauma & Orthopaedics Unit hold a whole morning teaching session.

All surgical juniors are expected to attend.

The higher orthopaedic registrar teaching for the region is held at Addenbrooke’s Hospital on Thursdays throughout the year. Although the teaching is aimed at Registrars the junior fellows are welcome to attend if their commitments permit.

The Department Journal Club meets monthly to discuss recent and past seminal

publications and to discuss critical appraisal of the orthopaedic literature. By the end of the rotation if the junior fellow is well motivated they will be expected to

be able to perform under supervision

MUA +/- K- wires of simple fractures DHS Hip hemiarthroplasty

Parts of long bone nailings


The Department of Urology

Staffing: NHS and Academic

NHS Consultants University (Honorary Consultants)

Mr T Aho Mr S Grant

Mr J Armitage Mr V Gnanapragasam

Miss S Biers

Ms A Colquhoun

Mr S Hayek

Mr C Kastner

Mr A Riddick

Mr K Saeb-Parsy

Mr N Shah

Mr N Thiruchelvam

Mr W Turner

Mr B Thomas

Mr O Wiseman

Mr B Lamb

Mr L Dragos

Mr A Tsiotras

Junior Medical Staff

Clinical Fellows 5

Anatomy clinical fellow 2

Academic Clinical Fellows (CST) 1

Foundation House Officer 2 1

Foundation House Officer 1 3

Middle Grade Medical Staff

Specialty Registrars (ST3-7) 3

Academic Clinical Fellow 2

Senior Clinical Fellow 2

Clinical Lecturers 2

The Department provides a service for adult Urology to part of East Anglia in addition

to fulfilling its District Hospital functions. The Urology ward and theatres moved to the new CUH Addenbrooke’s treatment Centre in 2007 which offers a very attractive

environment for patients and staff. Up to three theatres are used for in-patient surgery daily.

The Urology Clinic provides the facilities for outpatient consultations, and for specialist clinics, including prostatic biopsies using MRI fusion, flexible cystoscopy, lithotripsy,

prostate diagnostic sessions, urodynamics, and intravesical chemotherapy. Day case theatre is also provided at the Princess of Wales Hospital in Ely, providing

useful dedicated theatre session for clinical fellows for one-to one training with a consultant.

The Department has been designated by the West Anglian Cancer Network (population around 1.5 million) as its Cancer Centre for Urology. All radical


prostatectomy, radical cystectomy and complex renal cancer surgery from the

network is done at CUH. Da Vinci laparoscopic robotic surgery and Brachytherapy (which is jointly delivered by Urology and Oncology) are both offered as treatment

options for localised prostate cancer. The Department has extensive experience with bladder substitution following radical

cystectomy, and with nephron-sparing surgery for renal cancer. Retroperitoneal lymph node dissection for advanced testis cancer is carried out for East Anglia at CUH.

The hub of cancer management is the weekly multidisciplinary team meeting, which currently video links with Ipswich, Bedford, Bury St Edmunds, Hinchingbrooke, and

Peterborough.

Stone, endourology and laparoscopy services include percutaneous stone surgery, flexible ureteroscopy, ESWL with Wolf lithotripter, and laparoscopic surgery for renal cancer, upper tract TCC, PUJ obstruction, and non-functioning kidneys.

The Department at CUH has Holmium lasers, allowing laser prostatectomy, laser stone

ablation and incision of bladder necks and urethral strictures. CUH is recognised as a centre of excellence for Holmium Laser Enucleation of the Prostate. A stone

multidisciplinary team meeting co-ordinates the management of this service and a joint metabolic stone clinic exists, run with Nephrology.

Continence services are provided in a multidisciplinary manner by joint working with Uro-Gynaecology, Urology Specialist nurses, colorectal surgeons and a specialist pelvic

floor physiotherapist. There is a large Neuro-Urology practice that comes from the Regional Neurosciences Centre, based at CUH, and Addenbrooke’s Rehabilitation Unit. As well as surgery for stress urinary incontinence, bladder augmentation and

catheterisable urinary stoma surgery is done. There is a Joint Urology/Uro-Gynaecology Continence clinic.

Duties of this post

The post holder will be based in the Urology department. There are no clinical commitments outside of Urology.

The service requirement of this post is participation on the Urology Junior rota (1 in 7). This rota comprises running a full shift system of duties and consists of the

following junior doctors: one Academic Clinical Fellow (recognised training posts at CT level), one Foundation House Officer, two Anatomy Demonstrators and three Clinical

Fellows (Core) some of which are combined with a Urology Master’s Degree (self-funded) which is a distant learning course running over 2 years.

The rota for all 7 doctors is the same although only two posts are formal training posts; as such, this post holder will enjoy equal training privileges.

On call duties include liaising with GPs concerning referrals, assessment of acute admissions from GP referrals and A/E, and management of all emergencies arising in

Urology patients while on call out of hours, in conjunction with other members of the on call team.

When on call during normal working hours the post holders work closely with the on call Consultant who does not have any elective commitments whilst on call.

Foundation House Officer One’s typically cover the wards during the day. In the evenings, the post holder will be supported by a middle grade doctor and the

Consultant.


When not on call the post holders are encouraged to exploit the full range of

educational opportunities available in the Urology Department but will also be expected to cover ward duties at times of need.

During clinical weeks, Clinical Fellows are allocated into consultant teams, and have exposure to the full range of clinical activities in the department, including diagnostic

work (diagnostic clinics, transrectal ultrasound-guided prostate biopsies and flexible cystoscopies); urology clinic and theatre where you will be exposed to intermediate

and complex urological procedures. Day surgery sessions will also be timetabled in the Princess of Wales Hospital in Ely.

These happen on the second and fourth Fridays of the month, and give a valuable chance to operate with a consultant in day surgery techniques. You will be encouraged

to partake in audit and research and undergo formal workplace based assessments. There is flexibility during non-oncall time to spend time on the MSc. In addition, a further two weeks of programmed teaching activity per year will be factored into the

annual rota.

The post would therefore be suitable for those trainees who wish to obtain or add to existing Urology experience and make themselves competitive for training post

interviews for Urology, or those who wish to pursue a surgical career, but would like to gain Urology experience.

Provisional Timetable of clinical activity (subject to change)

Please note when you are attached to the department of anatomy the clinical requirements within Urology are the day and night on-call only.

WK Mon Tues Wed Thurs Fri Sat Sun

1 Day on-

call

Day on-

call

Day on-

call

Day on-

call Off

2 Ward/A&E/

Flexi

Ward/A&E/

Flexi

Ward/A&E/

Flexi Off

Night on-

call

Night on-

call

Night on-

call

3 Off Off Ward/A&E Ward/A&E Ward/A&E

4 Theatre/

Diagnostic

Theatre/

Diagnostic

Theatre/

Diagnostic

Theatre/

Diagnostic

Theatre/

Diagnostic

5 Night on-

call

Night on-

call

Night on-

call

Night on-

call Off

6 Off Off Off Off Day on-

call

Day on-

call

Day on-

call

7 Off Diagnostic Diagnostic Diagnostic

Diagnostic

Other opportunities for courses and training

There are a wide range of additional educational opportunities available including time to attend monthly half day departmental academic meetings, the opportunity to be

trained in outpatient and inpatient procedures and to participate in audits and clinical research with the goal of submitting papers for publication.


Opportunity also exists for assisting in theatre and to be taught to perform minor and

intermediate urological procedures. When on call the post holders work closely with the on call consultant who is freed from all elective activities in order to deal with on

call issues and provide on the job teaching.


The Department of Otolaryngology (ENT)

The department, which is based at both Cambridge University Hospitals and West Suffolk Hospital, covers a population of 680,000. It provides for the management of

all aspects of ENT surgery including a significant emergency workload. The department has a high national profile. Oto-neurosurgical and skull based surgery

has a world-wide reputation. The skull base team include Neurotologists and Skull Base surgeons, Neurosurgeons, Neuroradiologists and Geneticists. The department is

one of 4 National Centres offering NF2 care and one of 2 Nationally accredited Auditory Brain Stem Implantation Centres.

As one of 17 national cochlear implant centres, the department is able to manage all Otology. The Cambridge Centre for Hearing Implants has unrivalled facilities dedicated

to the management of deafness serving a population of over 6 million. The Centre has implanted over 1000 adults and children and has a large bone anchored hearing aid programme.

The team includes:

David Baguley, Audiology and CI Lead 4 Implant Surgeons 6 Audiological Scientists

6 Adult and Paediatric Rehabilitationists 2 Speech Therapists

The Department of ENT has been designated a Grade 1 Head & Neck Cancer Centre with a multi-disciplinary clinic that includes oncologists, head and neck, plastic and

maxillo-facial surgeons. The team manage all forms of thyroid and head and neck cancer from a wide referral base.

The department has two Rhinologists covering all aspects of rhinosinustis and facial plastics.

The unit is progressive in its approach to new ideas. Clinical Nurse practitioners play

an important role in tracheostomy care, cochlear implantation, head and neck cancer, skull base surgery, Neurofibromatosis type 2 and Otology. Aural care facilitator’s offer

dedicated care in out-patients. The department of Audiology, headed by David Baguley, offers the most complex

range of services presently available. Addenbrooke’s was a pilot site for digital hearing aids and has a neonatal screening program.

The Outpatient Department offers the very best in facilities. The ENT Ward has 26 beds. The Departmental Library is available in the Outpatient Department. There is a

thriving Postgraduate Centre and Library holding all Relevant ENT Journals and Texts.

Staffing: At Addenbrooke’s Only

Mr JR Tysome (Specialty Lead) Otology, Neurotology, Skull Base and Hearing Implantation

Mr NP Donnelly Otology, Neurotology, Skull Base and Hearing Implantation

Mr PR Axon


Otology, Neurotology, Skull Base and Hearing Implantation

Prof M Bance Otology, Neurotology, Skull Base and Hearing Implantation

Mr B Fish Head & Neck and Thyroid Surgery

Miss E Irune Head & Neck and Thyroid Surgery

Mr P Jani Paediatric ENT Surgery and Head and Neck and Thyroid Surgery

Mr N Jonas Paediatric ENT Surgery

Miss J Bewick Paediatric ENT Surgery

Miss I Fitzgerald O’Connor ENT Surgery

Mr R Sharma

Rhinology

At Addenbrooke’s and West Suffolk Hospital:

Mr D McKiernan Rhinology

Other Medical Staff:

Ms A Mitchell Associate Specialist Part Time

Mr T Chandrappa Associate Specialist Full Time Mr S Hashmi Associate Specialist Full Time Clinical Fellow Neurotology and Skull Base Surgery

Clinical Fellow Otology and Hearing Implant Surgery

Clinical Fellow Head and Neck Surgery

Trainee Medical Staff:

Specialty Registrars (year 3 and above)

Specialty Registrars (years 1 and 2)

Anatomy Demonstrators

Foundation House Officer Two

GP Trainees

Other Management Staff:

Miss S Benyon Divisional Director

Mr P Gillespie Clinical Director (ENT/Head & Neck/Plastics)

Mrs K Stone

Operations Manager for ENT

Duties of this post To take part in anatomy demonstrating duties at Cambridge University as well as

taking part in a full-shift rolling rota that provides a balanced combination of consultant supervised firm based teaching with clinical work covering the ward, referrals from accident and emergency and ENT emergency clinics. This ensures that

consultant-supervised sessions are provided to optimise your training opportunities within the department. You are also required to participate in audit and research

projects and in the Cambridge Undergraduate and postgraduate teaching program.


You are also required to attend the Departments medical audit and in continuing

medical education program.

When not with the department of anatomy you will rotate through sub-specialty firms in Head and Neck, Rhinology and Paediatric ENT and Otology, cochlear implantation and skull base surgery.


PERSON SPECIFICATION Post: Anatomy Demonstrator and Clinical Fellow (Core)

ESSENTIAL CRITERIA DESIRABLE CRITERIA

Education / Qualifications

MBBS or equivalent Medical Degree

Full Registration and a Licence to

Practice with the General Medical Council

FRCS/MRCS or other postgraduate qualification

ALS/ATLS

AO Course

CCrISP

Experience

Completion of Foundation House Officer

competencies or equivalent

Previous experience in a surgical specialty

Able to deal with general emergency admissions

Completion of a Core Surgical

Training Programme or equivalent

Experience in the clinical department to which you would

like to be attached

Presentations/Publications

Logbook indicating validated

experience of appropriate range and number of clinical

procedures.

Skills / Ability / Knowledge

Basic surgical skills and patient care

including a completed Basic Surgical Skills Course

Competence in pre-operative and post-operative management of surgical

patients

Good organisation

Ability to organise own learning and time

Previous experience of audit

Basic computer skills including Microsoft word and Outlook

Qualities / Attributes

Ability to work as part of a team

Ability to keep good medical records and

communicate with other hospital departments and primary care

Ability to understand and communicate with patients and colleagues

Ability to undertake research projects and audit

Show interest in investigative,

audit and research work outside

immediate clinical responsibility.


Other

requirements

The applicant must have demonstrable

skills in listening, reading, writing and

speaking in English that enable effective

communication about medical topics with

patients and colleagues, as set out in the

GMC’s Good Medical Practice (2013).

If the Primary Medical Qualification

including clinical contact was not carried

out using English, applicants must

either:

• Have an academic IELTS score of at

least 7.5 in each domain and overall, or

demonstrate equivalence by providing

evidence of English language skills.

or

• Complete the Occupational English Test (OET) and achieve grade B in each of the

four domains tested in the OET to meet the GMC’s requirements


General Information Cambridge University Hospitals NHS Foundation Trust in profile

Cambridge University Hospitals NHS Foundation Trust (CUH) is a thriving, modern NHS hospital based in Cambridge, England.

The hospital fulfils a number of important functions. It is the local hospital for people living in the Cambridge area, it is a specialist centre for a regional, national and

international population, it is the teaching hospital for the University of Cambridge, and it is a world-class centre for medical research.

CUH's is a flagship NHS hospital having achieved NHS Foundation Trust status in July 2004. It is also working in partnership with the University and their research partners

(the MRC and CRUK) to make The Cambridge Biomedical Campus an internationally leading centre for biomedical and translational research.

The hospital already shares its site with a range of other organisations including the

University Clinical School, the National Blood Authority, and laboratories funded by the Medical Research Council (MRC), the Wellcome Trust and Glaxo SmithKline, University of Cambridge Hutchison/Cancer Research UK (CRUK) Cancer Centre and The Medical

Research Council’s stunning 270,000 sq ft facility to house the Laboratory of Molecular Biology. The most recent addition is Papworth Hospital which relocated to the Campus

in April 2019. Building is currently underway on a new global R&D Centre and Corporate HQ for AstraZeneca.

CUH’s commitment as part of the wider health community is to re-examine, re-evaluate and explore new ways of working: with our partners in health services, social

care, and the city; with each other as colleagues; and with patients and the public. The agenda for modernisation drives this commitment; modernisation is not perceived as a separate issue, but rather as something that informs the whole structure,

thinking and culture of the Trust.

Our commitment to our patients and our community is as an open, accountable and responsive organisation that fosters patient and public involvement, which we consider is crucial to the development of a modern hospital fit for the 21st century.

We pride ourselves on the teamwork, energy and commitment of our excellent staff –

they are our most important assets. Recognising this, we have taken a positive approach to supporting them in their work through schemes to help work-life balance, improvements in the working environment and initiatives to make it easier for staff to

explore new career opportunities and to develop professionally and personally.

CUH provides: accessible high-quality healthcare for local people

specialist services for people in the East of England and beyond

support for education and training in all healthcare staff, and a workplace where all

staff have access to continuing learning and personal development

support for research and development generating new knowledge, leading to

improvements in population health and in healthcare delivery


a contribution to economic growth, sustainable communities and a good quality of life for those we serve

Cambridge University Hospitals NHS Foundation Trust in detail

Addenbrooke’s Hospital, part of Cambridge University Hospitals NHS Foundation Trust (CUH) provides emergency, surgical and medical services, and is a centre of

excellence for specialist services for liver transplantation, neurosciences, renal services, bone and marrow transplantation, cleft lip and palate reconstruction, treatment of rare cancers, medical genetics and paediatrics. CUH also includes The

Rosie Hospital, which provides a full range of women’s and maternity services.

Last year 62,171 men, women and children were treated as inpatients, 112,861 people attended accident and emergency, and there were 730,973 visits to outpatient clinics (2016 figures). CUH medical staff hold clinics in 14 different regional hospitals

so that patients do not have to travel to Cambridge. Nearly 100 of our Consultants hold some form of joint appointment with a dozen neighbouring hospitals.

CUH is a teaching hospital for medical undergraduates and postgraduates, nurses and

students in other clinical professions and has a variety of initiatives to encourage life-long learning’. Many training schemes are in place in our National Vocational Qualification Centre, Postgraduate Medical Education Centre and Learning Centre.

Training schemes include cadet schemes in nursing, office technology, science, modern apprenticeships in clinical engineering and supporting training placements for

biomedical scientists. CUH has:

Around 7500 staff An income of around £700 million per annum

Around 1,000 beds Five intensive care units

Addenbrooke's history

Addenbrooke's was one of the first provincial, voluntary hospitals in England. The Hospital opened its doors in 1766 with 20 beds and 11 patients. Dr John Addenbrooke, a fellow and former Bursar of one of the Cambridge Colleges, left just

over £4500 in his will "to hire and fit up, purchase or erect a small, physical hospital in the town of Cambridge for poor people".

In 1540, two centuries before Addenbrooke's was founded, the Regius Professorship of Physic in the University of Cambridge was founded by Henry VIII. Medical training

on a modest scale developed at Addenbrooke's during the late 1700s, and in 1837 (the year of Queen Victoria's accession to the throne) the hospital became a

recognised school of medicine. Addenbrooke's grew rapidly during the 19th and early 20th centuries, as medical

science developed. By the 1950s, the hospital was having difficulty accommodating the expansion generated by the introduction of the National Health Service.

In 1959, building began on a new 66-acre site south of Cambridge, and the first phase of the Hospital was opened by Her Majesty the Queen in May 1962. Work continued to

provide the majority of Addenbrooke's as we know it today, with a fully-fledged Clinical School being established in 1976.


History

1766 Addenbrooke's Hospital was opened in Trumpington Street

1847 The first general anaesthetic using ether at Addenbrooke's was carried out two weeks after it was first used in the USA

1918 Addenbrooke's welcomed its first female medical student

1962 New site on Hills Road was officially opened by the Queen 1966 The first kidney transplant in the NHS was carried out at Douglas House Renal

Unit 1968 Professor Sir Roy Calne carried out the first liver transplant in the NHS 1975 The first open heart surgery was carried out at Addenbrooke's

1981 Addenbrooke’s first whole body scanner opened by Prince of Wales 1983 The Rosie Hospital was opened on the Addenbrooke’s Campus

1984 Last patient left the ‘old’ Addenbrooke’s Hospital site in Trumpington Street 1992 Addenbrooke's NHS Trust formed 1995 MRC Cambridge Centre for Brain repair opened by Duke of Edinburgh

2004 Addenbrooke's Hospital becomes a Foundation Hospital as is known as- Addenbrooke’s Hospital Cambridge University Hospitals NHS Foundation Trust

National Centre for pancreatic surgery was opened 2006 Addenbrooke’s Hospital was named one of five National Institute for Health

Research comprehensive biomedical research centres 2007 New European headquarters for Cancer Research UK based on the campus were opened by the Queen

2009 CUH and local partners in clinical care, education and research became one of the government’s new academic health science centres, forming an alliance

called Cambridge University Health Partners 2009 CUH was named by Dr Foster as one of the country’s best performing trusts for

patient safety

2012 CUH is now the designated level 1 Major Trauma Centre for the East of England region

2014 Our new electronic patient record system (EPIC) was implemented at CUH making us the first hospital in the UK to go paperless

Positioning for the future

Cambridgeshire is one of the fastest growing counties in the UK and it is estimated that the number of people over 45 years of age will rise by 55% over the next 20 years, and the county will see the continued expansion of research, business and

high-tech industries.

Planning is already well advanced for additional capacity to meet this growing local demand. But it is not just a matter of providing extra beds and recruiting extra staff. The hospital needs to ensure high standards of patient care by supporting training and

education for staff, and work closely with NHS partners and others to ensure that care is tailored to the needs and expectations of users. This is likely to involve developing

some alternatives to hospital-based care. Another challenge will be to ensure that improvements in clinical facilities keep up

with the rapid pace of research investment, and that processes and governance support this growing research activity, some of which involves sensitive ethical, legal

and social issues. CUH contributes to the economic strength of the greater Cambridge area as a major

employer and, with our research partners, to the biotechnology sector. As a public benefit corporation, the new NHS Foundation Trust will work in partnership with other


local bodies, primarily local authorities and education providers, to support sustainable

economic development in the locality.

Research and development - working for tomorrow's medicine Cambridge medical research enjoys an international reputation for excellence, a

reputation that extends from the laboratory to the bedside.

A great deal of research is carried out within the hospital. Over 1,000 projects and 400 clinical trials are run by Addenbrooke's staff. Much of the research is clinical and translational, turning basic science into new drugs and new therapies to improve

patient care.

The Cambridge Biomedical Campus combines world-class biomedical research, patient care and education on a single site. Now undergoing a major expansion that includes the co-location of companies alongside the existing 12,000-strong community of

healthcare professionals and research scientists, the Campus is on track to becoming one of the leading biomedical centres in the world by 2020.

Research activity is supported by the Cambridge NHS Research and Development

Consortium consisting of Addenbrooke's Hospital, Royal Papworth Hospital, the Cambridgeshire Mental Health Partnership NHS Trust and Primary Care Trusts, with representation from the Institute of Public Health.

University of Cambridge School of Medicine

The University Of Cambridge School of Clinical Medicine is a major centre for biomedical research and education of world leading quality. In the most recent

University Funding Council Research Selectivity Exercise Cambridge shared the highest score for any Medical School in the country. Whilst the University of

Cambridge has granted medical degrees since at least 1363, the university could not offer undergraduate clinical education until the Clinical School was formally established in 1975 with purpose built accommodation at Addenbrooke’s. In addition

to these facilities comprising lecture theatres, seminar rooms and first class medical library, a postgraduate education centre was opened in the Clinical School building in

1980. The most recent HEFC teaching quality assessment of the undergraduate clinical education judged the learning facilities and the teaching in the clinical school to be of the highest quality.

Cambridge University Health Partners, the academic health sciences centre, in

conjunction with the Institute of Continuing Education at The University of Cambridge are pleased to offer a one year Postgraduate Certificate in Clinical Medicine to all clinicians employed in Cambridge. Further details and registration:

http://www.ice.cam.ac.uk/mst-clinical-medicine

http://www.ice.cam.ac.uk/mst-clinical-medicine


General Information

www.visitcambridge.org

Cambridge is one of Britain’s smallest cities but also one of the fastest growing. The Arts Theatre within Cambridge is thriving and there are many musical activities to

enjoy. The Fitzwilliam Museum is world famous. The Colleges within the University provide architectural and historical interest and punting on the River Cam is, of

course, the quintessential tourist attraction

The City is well served by many shops, restaurants and cafes for every taste.

For those with children of school age, there is a full range of public and private

education institutions covering all age groups.

Cambridge can be accessed by the national motorway network (M11, A14) and regular train services to London King’s Cross or London Liverpool Street have a journey time of less than one hour. The City has excellent Park and Ride services

http://cambridgeparkandride.info/ and links to the local area by way of the Guided Busway http://www.thebusway.info/

Within CUH itself, the main concourse offers excellent shopping facilities; an advice centre; Barclays Bank; cafés (Costa Coffee and Starbucks); clothes boutique;

financial advisory services; hairdressing salon; Marks and Spencer Simply Food; newsagent; The Body Shop; gift shop and solicitor. There is a Food Court which offers

“fast-food”, as well as conventional options 24 hours a day. In addition the Frank Lee Leisure and Fitness club provides comprehensive facilities

for swimming, racquet sports, a multi-sports hall, a floodlit outdoor multi-sports facility, gym and bar facilities.

The Cambridge University Postgraduate Medical Centre has catering facilities as well as the library, lecture theatres and seminar rooms.

Within the University of Cambridge, there is an unrivalled range of educational

facilities, diverse cultural, sporting and other leisure activities.

http://www.visitcambridge.org/

http://cambridgeparkandride.info/

http://www.thebusway.info/


General Conditions of Appointment

1. This appointment shall be governed by the Terms and Conditions of Service for Clinical Fellows at Cambridge University Hospitals 2018, as amended from time to time, and adhere to Trusts policies and procedures as appropriate.

2. All matters relating to patient’s health and personal affairs and matters of a

commercial interest to the Trust are strictly confidential and under no circumstances is such information to be divulged to any unauthorised person.

Breach of Trust policy may result in disciplinary action in accordance with the Trust’s disciplinary procedure. A summary of the Trust’s Confidentiality Policy, Data Protection and IM & T Security Policy are provided in the Staff Handbook.

3. Cambridge University Hospitals NHS Foundation Trust is committed to a policy of

Equal Opportunities in Employment. A summary is detailed in the staff handbook. Any act of discrimination or harassment against staff, patients, service users or other members of the public will be subject to disciplinary proceedings which could

include dismissal.

4. As an employee of a Trust, you are expected to develop the IT skills necessary to support the tasks included in your post. You will therefore be required to undertake any necessary training to support this. As a user of Trust computer facilities you

must comply with the Trust’s IM & T Security Policy at all times.

5. You are normally covered by the NHS Hospital and Community Health Services indemnity against claims of medical negligence. However, in certain circumstances (especially in services for which you receive a separate fee) you may not be

covered by the indemnity. The Health Departments therefore advise that you maintain membership of your medical defence organisation.

6. The Trust will ensure compliance with the Health and Safety at Work Act 1974.

7. The post is based on a whole time appointment calculated on an average of 40

hours work per week; the salary for this appointment is £37,935 per annum

(October 2019 figures). This is a fixed nodal pay point and does not increase incrementally.

8. In addition weekend and on-call allowances will be paid where appropriate for

agreed hours of duty within the working pattern.

9. This post is superannuable and you will be subject to the NHS Superannuation

Scheme unless you chose to opt out.

a) The current rate of contribution is 7.1% for posts equivalent to F1

b) The current rate of contribution is 9.3% for posts equivalent to F2, CF Core and CF Higher

c) The current rate of contribution is 12.5% for posts equivalent to Senior Clinical Fellows

10.The successful candidate will be expected to complete a medical questionnaire and

attend the Cambridge Centre for Occupational Health at Addenbrooke’s for

clearance of the form.

11.The Trust requires the successful candidate to have and maintain registration and a license to practice with the General Medical Council and to fulfill the duties and


responsibilities of a doctor as set out by the GMC.

12.With the Terms of DHSS Circular (HC)(88) – Protection of Children – applicants are

required when applying for this post to disclose any record of convictions, bind-over orders or cautions. The Trust is committed to carefully screening all applicants who will work with children and you will be expected to undertake a

'disclosure' check.

The appointment is exempt from the provisions of Section 4(2) of the Rehabilitation of Offenders Act 1974 by virtue of the Rehabilitation Act 1974 (Exemptions) Order 1975. Applicants are not entitled therefore to withhold

information about convictions which for other purposes are "spent" under the provision of the Act, and in the event of employing any failure to disclose such

convictions could result in dismissal or disciplinary action by the Trust. Any information given will be completely confidential and will be considered in relation to an application for positions to which the Order applies.

13.The appointment is conditional upon the following being received prior to the

commencement of employment; full occupational health clearance, satisfactory references, evidence of GMC/GDC registration, immigration status and all medical

qualification.

14.This post is not recognised for training.

15.Removal expenses will be available to successful applicants within the limits of the

Trust policy.

anatomy demonstrator/clinical fellow (core) oral and

Documents