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Job Title: Clinical Fellow (ST7+) - Neuro-Ophthalmology

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Job Title: Clinical Fellow (ST7+) - Neuro-Ophthalmology Job title: Clinical Fellow (ST7+) - Neuro-Ophthalmology Division: Queen Square Board/corporate function: Specialist Hospital Board Salary band: MN37 Responsible to: Lead Consultant in Department of Neuro-Ophthalmology Accountable to: Divisional Clinical Director Hours per week: Full Time, 40 hours per week Location: National Hospital for Neurology and Neurosurgery, Queen Square University College London Hospitals NHS Foundation Trust University College London Hospitals NHS Foundation Trust (UCLH) is one of the most complex NHS trusts in the UK, serving a large and diverse population. We provide academically-led acute and specialist services, to people from the local area, from throughout the United Kingdom and overseas. Our vision is to deliver top-quality patient care, excellent education and world-class research. We provide first-class acute and specialist services across eight sites: University College Hospital (incorporating the Elizabeth Garrett Anderson Wing) National Hospital for Neurology and Neurosurgery Royal National Throat, Nose and Ear Hospital Eastman Dental Hospital Royal London Hospital for Integrated Medicine University College Hospital Macmillan Cancer Centre The Hospital for Tropical Diseases University College Hospitals at Westmoreland Street We are dedicated to the diagnosis and treatment of many complex illnesses. UCLH specialises in women’s health and the treatment of cancer, infection, neurological, gastrointestinal and oral disease. It has world class support services including critical care, imaging, nuclear medicine and pathology. National Hospital for Neurology and Neurosurgery – Queen Square The National Hospital for Neurology and Neurosurgery (NHNN), Queen Square is an internationally renowned specialist hospital within UCLH Trust. The NHNN is the UK's largest dedicated neurological and neurosurgical hospital providing comprehensive inpatient and outpatient services for the diagnosis, treatment and care of all conditions that affect the brain, spinal cord, peripheral nervous system and muscles. The Department of Neuro-Ophthalmology provides a service to all other departments in the hospital for inpatient and outpatient consultations as well as running its own outpatient service. Fundus imaging, OCT and automated perimetry are available in the department. The National Hospital is part of University College London Hospitals NHS Foundation Trust, and there are close links on-site with University College London Institute of Neurology. Within the Department of Neuro-Ophthalmology there are close links with Moorfields Eye Hospital. The post-holder will be encouraged to attend post-graduate teaching activities at Moorfields as the timetable permits. Neuro-Ophthalmology The Department of Neuro-Ophthalmology provides a service to all other departments in the hospital for inpatient and outpatient consultations as well as running its own outpatient service. Fundus imaging, OCT and automated perimetry are available in the department. The National Hospital is part of University College London Hospitals NHS Foundation Trust, and there are close links on-site with University College London Institute of Neurology. Within the Department of Neuro-Ophthalmology there are close links with Moorfields Eye Hospital. The post-holder will be encouraged to attend post-graduate teaching activities at Moorfields as the timetable permits. Job Purpose The post is educationally approved as a Year 7 Advanced Speciality Training Post (ASTO)/ Trainee Selected Component in Neuro-Ophthalmology within the London Deanery/ Health Education England Training Programme in Ophthalmology. The post is at the National Hospital for Neurology and Neurosurgery and supervised by Mr James Acheson, Consultant Neuro-Ophthalmologist. Responsibilities include working in outpatient clinics to see ward referrals and booked outpatients under the supervision of consultant ophthalmologists and consultant neurologists. The trainee will acquire expertise in the assessment and management of a wide range of neuro-ophthalmic conditions including papilloedema and raised intracranial pressure, neurological causes of visual failure, ocular motility abnormalities and facial hyperkinetic syndromes. There is no surgical training or on-call responsibility in this post. Research The National Hospital is an important research institution and each individual will be expected to contribute to the research and development and teaching and training within the department. Key Working Relationships The post-holder reports to the consultant ophthalmologists and neurologists who undertake out-patient work in the Department of Neuro-Ophthalmology, Queen Square. The post-holder will liase as required with Consultant Neurologists and Neurosurgeons and their junior staff through the hospital to arrange consults in the department or on the wards as clinically required. The post-holder will work with the ophthalmology and neurology trainees, the orthoptists and the medical photographer within the department to ensure the correct clinical and diagnostic tests are undertaken. The post-holder will assist with the teaching and training of less experienced medical and technical staff attached to the department as appropriate. Key Results Areas Main Duties and Responsibilities The post holder must be the holder of the Fellowship of the Royal College of Ophthalmologists, or equivalent, and must be registered with the General Medical Council and be eligible to work in the UK. The hospital has a no-smoking policy and all staff are required to observe this at all times. All staff are also required to observe and promote the Trust’s Equal Opportunities policy. 1. To attend consultant-supervised clinics as per timetable. 2. To be available during normal office hours for consultations with neurosurgical and neurology staff relating to inpatients in the hospital and to facilitate inpatient consultations on request. These are normally seen in consultant-supervised clinics. 3. To undertake fundus fluorescein angiograms, perimetry and ocular coherence tomography studies on patients as directed by supervising consultants. 4. To undertake peri-ocular botulinum injections as directed by supervising consultants. 5. To participate in the postgraduate teaching programme at the National Hospital and in Neuro-Ophthalmology at Moorfields Eye Hospital. This comprises one-monthly clinical neuro-ophthalmology demonstration on Monday afternoons, and Tuesday lunchtimes and weekly neurology Grand Rounds on Thursday afternoons. 6. The timetable includes cataract surgery and general ophthalmology to reflect the curriculum requirements for Ophthalmic Specialist Training at ST7 level and has educational approval from the Royal College of Ophthalmologists. For post-CCT trainees, this option can be converted to further Neuro-Ophthalmology experience as appropriate to the candidates training requirements. Timetable Mon Mon pm Tues am Tues pm Wed am Wed pm Thurs am Thurs pm Fri am Fri pm am Fellow Study Clinic FB Gen Clinic GP Ward Clinic JA Radiology. Neurology Clinic FB Ward (TSC/ Clinic patients Clinic JA Grand-round patients ST7 pre- CCT option) Mon Mon pm Tues am Tues pm Wed am Wed pm Thurs am Thurs pm Fri am Fri pm am Fellow Study Clinic FB Theatre - Clinic GP Ward Clinic JA General Neurology Clinic FB Ward Post-CCT cataract patients hospital Grand-round patients option ward round FB OST Study MEH clinic Clinic FB Clinic GP Study Clinic JA Radiology Neurology MEH MEH clinic Clinic JA grand round clinic FB Mr.Fion Bremner – Consultant Ophthalmologist JA Mr.James Acheson – Consultant Ophthalmologist GP Dr Gordon Plant – Consultant Neurologist MEH Moorfields Eye Hospital ASTO Advanced sub-specialty training opportunity TSC Trainee selected component OST Ophthalmic Speciality Trainee The post holder will be expected to carry out all the necessary administrative duties associated with the care of patients. We are committed to providing a supportive learning environment in order to maximise the career potential of the successful candidate. The post-holder will be encouraged to attend post-graduate teaching activities at Moorfields as the timetable permits. Governance Clinical governance is assuming ever greater importance within the NHS and there is Strong emphasis on this area within UCLH. The appointee will be expected to contribute and participate in governance activities in depth and breadth .A strong desire to improve governance standards is essential. The appointee will have an overriding duty of care to patients and is expected to comply fully with best practice standards and Trust policies for personal and patient safety. This includes a requirement for rigorous and consistent compliance with Trust policies for hand hygiene, IVlineinsertion, taking blood cultures, and other policies for prevention of healthcare-associated infection (HCAI). Other The job description is not intended to be exhaustive and it is likely that duties may be altered from time to time in the light of changing circumstances and after consultation with the post holder. You will be expected to actively participate in annual appraisals and set objectives in conjunction with your manager. Performance will be monitored against set objectives. Our Vision and Values The Trust is committed to delivering top quality patient care, excellent education and world-class research. We deliver our vision through values to describe how we serve patients, their families and how we are with colleagues in the Trust and beyond. We put your safety
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