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Job Description and Information Pack Month 2011 Job Description and Information Pack Month 2011 Job Description and Information Pack January 2021 DIVISION OF Family and Therapies Appointment of Full Time International Training Fellow in Neonatology Based at the Grange University Hospital, South East Wales http://www.wales.nhs.uk/sitesplus/866/page/40418 Job Reference: 040-MTI-Neonates-2021 Anticipated Start Date: Required for an immediate start for a period of 24 months DIVISIONAL CONTACT FOR ENQUIRIES ABOUT THIS POST Dr Sue Papworth, Consultant Neonatologist and Clinical Director Tel 01633-234615 Dr Gautam Bagga, Consultant Neonatologist, Tel 01633-234615 Dr Tanoj Kollamparambil, Consultant Neonatologist, Tel 01633-234615 Links to Additional Information Aneurin Bevan Homepage Aneurin Bevan Values and Behaviours Framework Aneurin Bevan Demography Profile Medical Training/Careers in Wales Visit Wales Train Work Live Medical Resourcing Department, Ground Floor Portacabins, Llanfrechfa Grange, Cwmbran, NP44 8YN Email [email protected] Tel 01633623935 JOB DESCRIPTION The Job Itself Title: International Training Fellow in Neonatology (MTI) Professionally accountable to: Medical Director via Clinical and Divisional Directors Managerially accountable to: Supervising Consultant Base: Grange University Hospital, Cwmbran, South East Wales Other hospitals at which duties are performed: In view of the fact that the organisation is currently undertaking a review of its services and the locations at which they are undertaken, it is important to be aware that work patterns may change and the place(s) of duties modified. The Clinical Strategy of the Health Board is under constant development and the job holder may be required to undertake different duties agreed at the time of appointment. Purpose of the Post and General Responsibilities The Grange University Hospital has developed the MTI (P) scheme to enable non-UK/EEA paediatricians, with MRCPCH or other postgraduate qualifications, to under-take high-quality postgraduate training in neonatology for a maximum of 24 months, before returning to work in their home countries. Posts will be offered at a 'middle grade' level, equivalent in standard to Level 2 of the UK ST training curricula. After a period of three to six months induction at a more junior level it is expected that candidates will progress sufficiently to spend the remaining 18-21 months working at a more senior level. MTI (P) will also provide the International Fellow with the opportunity to enhance and develop skills across a range of areas including leadership and management, developing guidelines, conducting audit and research and understanding of clinical governance whilst working in an environment where a patient-centred approach is the main focus. A number of positions for International MTI Clinical Fellows in Neonatology are available at the Grange University Hospital Cwmbran UK. Grange University Hospital is one of the three neonatal training units in Wales. The Neonatal Unit of the Grange University Hospital is a Level III NICU with 7 designated Intensive Care cots, 10 High Dependency cots and 14 Special Care Cots. The Grange University Hospital has 6500 inborn deliveries per annum. Babies of all gestation are looked after here and all levels of service including therapeutic hypothermia, HFOV and NO therapy is provided. For Neonatal Cardiology and Neonatal Surgery, we have close links with the University Hospital of Wales, Cardiff where our babies are referred. We are part of the neonatal transport service for South Wales, and contribute 1/3 towards the 12 hour daily service. The unit produces annual reports regularly. There is a dedicated 24 hour consultant cover provided by the 11 neonatal consultants and a dedicated Middle-Grade cover of 8 doctors and 8 doctors in the Tier 1 rota. We have a total strength of 105 nurses of appropriate skill mix. Ancillary services of dietician, pharmacist, physiotherapist, SALT, audiologist, chaplaincy etc. are available in-house. Specific Responsibilities of the Post The Fellow will participate fully in all middle grade activities and duties, including a full shift which is EWT compliant. There will be full mentorship and guidance from his/her educational supervisor and clinical supervisors. Progress during this will be monitored by workplace based assessments including multisource feedback plus a letter writing instrument. There will be monitoring of progress and development in line with the agreed learning plan. The doctor will be encouraged to develop their portfolio in line with Royal College guidelines. Further details of the application process and the selection method, please go the RCPCH website http://www.rhttps://www.rcpch.ac.uk/resources/medical-training-initiative-paediatrics-guidance-applicants 2 Provisional Weekly Work Timetable Weekday Morning Lunchtime Afternoon Monday NICU W/Round (Cons) U/S Meeting NICU FU clinic Tuesday NICU W/Round (Cons) Teaching NICU FU Clinic/Murmur Clinic Wednesday Grand Rounds X Ray Meeting Audit/Admin* Thursday NICU W/Round (Cons) Protocol Discussion/Journal Club Audit/Admin* Friday NICU W/Round (Cons) Postnatal ward meeting NICU FU Clinic *Audit and Administration time will be taken flexibly but will be available The daily routine of the unit 1. The intensive care ward rounds start at 9:00 am 2. The Middle grade-Junior tier form 2 teams – the intensive care team and the HD/SC team. The intensive care team attend the ITU round and the HD/SC split and do the preparatory round for Nursery 1 and Nursery 2. They join the ITU round when the preparatory round is over. 3. The ITU rounds are presented by the night shift team – 2 of the most complicated cases are presented by the Middle grade and the rest by the junior tier doctor. The Night Shift team leaves at 10:00 am. 4. The ITU team leave the rounds after the ITU rounds and carry on with the jobs in the ITU. 5. The HDU/SC team then present the Nursery 1 and 2 babies Rota Template: Monday Tuesday Wednesday Thursday Friday Saturday Sunday Week 1 Long day Long day Ward work Off Night Night Night Week 2 Off Off Off Long day Long day Long day Long day Week 3 Off Ward work Ward work Ward work Ward work Off Off Week 4 Off Ward work Ward work Ward work Ward work Off Off Week 5 Ward work Night Night Night Off Off Off Week 6 Ward work Ward work Ward work Ward work Off Off Off Teaching and Training Facilities The training and teaching available to the doctor is detailed below, but the individual can choose specific areas of interest or need and develop them further. Neonatal Resuscitation: We will be able to provide the full range of opportunities for training in Neonatal Resuscitation and this will include: In house training: 1. Experience will be available to develop leadership skills in resuscitation situations 2. Simulation scenarios are regularly conducted by experienced simulator trainers 3. Experience will be available for attending technically difficult resuscitation situations 4. Support will be provided to take decisions in ethically difficult resuscitation conditions All difficult and ethically challenging resuscitation situations that the doctor has attended will be critically appraised and feedback given for learning purposes. Outside Training: The doctor will be expected to be Neonatal Life Support (NLS) (Resuscitation Council of UK) accredited. 3 Respiratory care and mechanical ventilation: In house training: We use the Drager Babylog VN500/800 as the standard ventilator both for conventional and high frequency ventilation. We also use the Infant Flow System (EME) for Nasal CPAP and the Infant Flow Advance System (EME) for nasal Bi Level Synchronised CPAP (BiPAP). We would be able to provide extensive experience and a high quality training in the use of various modes of ventilation including, Assist Control (AC), Pressure Support Ventilation (PSV) with Volume Guarantee (VG) and High Frequency Oscillatory Ventilation (HFOV) on the Drager VN500/800 and nasal CPAP, nasal BiPAP, HHFNC and the use of nitric oxide (NO). The doctor would be able to learn and appreciate complex lung physiology and mechanics and we would be able to provide training to develop an understanding into ventilation under different clinical conditions, example severe RDS, air-leak syndromes, pulmonary hypertension, BPD etc. Outside training The doctor would be encouraged to attend the highly popular Wales Neonatal Ventilation course that is conducted annually. Neonatal Neurology In house Training We would be able to teach and train to perform a structured neurological assessment on newborn babies, and train in the initial and ongoing management of babies with seizures and encephalopathies. Training in detailed neurological and developmental assessment can be obtained in regular Neonatal Follow up Clinics in Outpatients. Cranial Ultrasound We would be able to provide in-depth training on all aspects of neonatal cranial US examinations. We organise weekly reviews of cranial U/S where the recordings are played and critically appraised. A consultant radiologist with special interest in paediatric radiology is available to discuss difficult scans. Whole body cooling We have the latest servo-controlled cooling equipment (Inspiration, Tecotherm Neo) that we use to provide whole body hypothermia to babies with hypoxic ischaemic encephalopathy (HIE). We cool approximately 25 babies annually. Cerebral function monitor We have cerebral function monitors for recording and displaying amplitude integrated EEG and training in this will be provided and the opportunity will be available to use this modality in selected cases. The doctor will have the opportunity to see the use of and discuss and interpret conventional EEG and cranial CT scanning as and when they happen. Neurodevelopmental assessment We run regular clinics for follow up for all at risk babies, and offer a Bayley’s Neurodevelopment Assessment to a select group. Approximately 70 babies are assessed by this tool. The interested doctor could be formally trained and supervised and finally gain expertise in this assessment. Outside Training The doctor will be encouraged to attend a structured cranial ultrasound course.
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