Oncology Registrar - Clinical and Medical

at  Portsmouth Hospitals University NHS Trust

Company Description
Here at Portsmouth Hospitals University NHS Trust, we are proud to provide expert, compassionate care for our local population. We are ranked as the third in the country for research, embedding education and training across the organisation. Our main hub is the Queen Alexandra Hospital, which is one of the largest hospitals on the south coast employing over 8,700 staff.
Our patients come from all walks of life and so do we. We hire great people from a wide variety of backgrounds because it makes our hospital stronger. If you share our values and our enthusiasm for getting it right for patients, colleagues, and our community, you will find a home at Portsmouth Hospitals University NHS Trust.
Job Description
Portsmouth Hospital Trust is one of the largest acute hospital trusts in the country treating over half a million patients each year. Our purpose-built Haematology-Oncology Centre is situated in Queen Alexandra Hospital. Combined Haematology/ Oncology (CHOC) is a 46-bed unit on one floor across 3 wards (F5, F6 and F7). Haematology-Oncology Day Unit (HODU) is staffed by 13 full and part-time trained chemotherapy nurses and treat approximately 80 - 90 patients per day. Our Acute Oncology Service (AOS) has six dedicated acute oncology assessment and treatment beds for patients presenting with complications from cancer treatment and the management of acute/emergency cancer symptoms. This service was commended in Quality in Care - Oncology Excellence Awards in 2013. Radiotherapy equipment includes 4 Varian Linear accelerators all with 6 and 10 MV photons and a range of electron energies. The Clinical Oncology Department at Queen Alexandra Hospital offers a wide range of specialised radiotherapy techniques including; IMRT, IGRT, VMAT, 4D-RT, HDR brachytherapy, LDR seed brachytherapy. Other Treatment Equipment includes a dual energy – 250kv and 80-120kv Gulmay machine and a Toshiba CT simulator. All Linear Accelerators are currently being replaced by Varian TrueBeam linacs.
This is an opportunity for 2 full-time Specialty Trust Grade (Registrar) posts; 1 in Clinical Oncology and 1 in Medical Oncology. The appointee(s) will work together with 9+ other Clinical and Medical Oncology ST3+ trainees rotating through attachments of 6 months covering a range of tumour types. The post holder(s) will be required to demonstrate that they have experience in oncological management, and preferably will have MRCP or equivalent. The posts may be attractive to candidates who have completed Foundation and Core Medical competencies (or equivalent) and wish to gain further experience in either Clinical Oncology or Medical Oncology before pursing ST3 training, or those who wish to work towards attainment of FRCR outside of a training program, or for those working towards CESR in either specialty.
Although this is a non-training post, the successful candidate(s) will be assigned a consultant educational supervisor and will be encouraged to maintain an educational portfolio with appropriate assessments to their level of experience. There are regular educational, clinical governance and departmental meetings, as well as Wessex Regional Oncology study days. The department is committed to clinical research with participation in clinical trials in all major tumour sub-sites. There are also a wide range of opportunities to participate in clinical audit and quality improvement projects.
1 or 2 year fixed term post, with the opportunity for further extension.
Full GMC registration is essential.

CLINICAL EXPERIENCE

• Evidence of completion of Foundational level or Equivalent 2 year training programme.
• Evidence of completion of Core Training or equivalent (IMT/CT).
• Demonstrate knowledge, skills and experience in Oncology.
• Highly desired current NHS experience.
• Full GMC registration.
• Demonstrate evidence of being able to
• Clerk and provide day to day care for patients
• Perform clinical procedures e.g venesection, IV cannulation, urinary catheterisation, ascitic drain insertion, lumbar puncture
• Manage/ prioritise time
• Manage information effectively
• Prioritise clinical needs
• Organise ward rounds
• Ability to maximise safety and minimise risk
• Monitor developing clinical situations and anticipate issues
• Understanding of clinical risk management

EXPERIENCE

• Higher professional training at ST3+
• Completion of IMT / Core training
• NHS experience would be desirable

CLINICAL SKILLS

Demonstrate evidence of being able to:

• Clerk and provide day to day care for patients
• Perform clinical procedures e.g. venesection, IV cannulation, urinary catheterisation, ascitic drain insertion, lumbar puncture
• Manage/prioritise time
• Manage information effectively
• Prioritise clinical needs
• Organise ward rounds
• Ability to maximise safety and minimise risk
• Monitor developing clinical situations and anticipate issues
• Understanding of clinical risk management

KNOWLEDGE

• Able to demonstrate appropriate level of clinical knowledge
• Knowledge and use of evidence based practice
• IT skills
• Effective, confident presentation ability
• Experience in and outside specialty

• Provide Registrar level day to day care for oncology in-patients, together with ward rounds with the consultants
• Attend Oncology clinics
• Participate in the Registrar of the Week rota (~1 in 10)
• Participate in the Oncology Registrar on-call rota (~1 in 10 weekends, Saturday & Sunday 0900 - 2100)
• Provide day to day clinical supervision of junior doctors in Oncology
• Participation in MDT meetings
• Provision of clinical support to oncology clinical nurse specialists
• Co-ordinate and implement specialist care for patients with a new diagnosis of cancer or complications of cancer, initiate rapid referral to relevant oncology sub-site team and/or palliative care team.
• Supervise and assist Acute Oncology Team
• Participate in recruitment and management of patients into Clinical Trials
• Provide medical support for Haematology/ Oncology Day Unit
• Achieve basic competencies in Systemic Anti-Cancer Treatment prescribing and demonstrate progress
• Achieve basic competencies in Radiotherapy treatment planning and delivery, and demonstrate progress
• Teaching experience through the junior doctor induction and education programme, journal club, and opportunities to teach on MRCP programmes within the Trust
• Management and Leadership roles through participation in Chemotherapy Governance Group, Research Trial Protocol meetings, monthly Mortality/ Morbidity meetings
• Audit and Clinical Governance
• Undergo regular appraisal throughout the post
• Attend Trust educational and departmental meetings.
• Demonstrate awareness of national and local guidelines relating to specialty (e.g. NICE guidelines) and influence care developments in accordance with these.
• Identify, contribute to or lead on aspects in the development and dissemination of evidence-based guidelines, standards and protocols as required and implement change to improve the quality of patient care.
• Attend local, regional and national networks/meetings
• Present at seminars/conferences/meetings