YORKSHIRE AND THE HUMBER DEANERY

Job Description

SPECIALIST REGISRARS

in

GASTROENTEROLOGY & GENERAL (INTERNAL) MEDICINE

SPR/1004 (Type I)

Updated 2008

SPR/1004

YORKSHIRE AND THE HUMBER DEANERY

SPECIALIST REGISTRARS IN GASTROENTEROLOGY & GENERAL (INTERNAL) MEDICINE

JOB DESCRIPTION

5-YEAR SPECIALIST REGISTRAR TRAINING SCHEME IN GASTROENTEROLOGY AND GENERAL (INTERNAL) MEDICINE

OUTLINE OF SCHEME

This is a five 5-year rotation which provide training in Gastroenterology and General Medicine as a Specialist Registrar. It will give the training and experience necessary to fulfil the training needs for a CCT in both specialities. A new 12-month post in Hepatology has been added recently to provide subspecialty training. There are 2 lecturers posts based at St James’s Hospital offering training in Gastroenterology in addition to the academic component.

The Scheme offers experience in a wide range of gastrointestinal disorders, diagnostic and therapeutic endoscopy, in addition to training in acute medicine. There are postgraduate centres incorporating libraries offering textbooks and periodicals in all the hospitals. The trainee will usually spend one year in each post starting at the beginning of October.

At present the trainees are allocated each year to a hospital where their training requirement is met, this is usually decided after the annual RITA assessments (will be replaced by ARCP). Each trainee will have an appropriate balance of hospitals in their five year period.

The training scheme is co-ordinated by the Regional Speciality Advisor for Gastroenterology/Programme Director (presently Dr M Dakkak).

With the agreement of the trainee, the Deanery, and the training committee, an SpR may be allocated to a post on another rotation, or approved out of programme experience for research or training abroad.

ERCPExcellent facilities are available for ERCP, but not all trainees can be selected for training. ERCP training is supervised by (Dr M Denyer) who is the co-ordinating consultant in conjunction with the programme director (Dr M Dakkak). A similar arrangement may developed for EUS.

In the following pages there is a brief description for each centre offering training in this scheme in alphabetical order.

AIREDALE (2 posts)

Airedale General Hospital is a purpose built district general hospital of 620 beds, opened in 1970, and is situated in the valley of the river Aire, midway between Keighley and Skipton and serving a population of approximately 200,000.

There are two Gastroenterologists: Dr D Clements & Dr C Healey

Other staff in the department: 2 Specialist Registrars1 SHO, 2 PRHOs1 Associate Specialist (part time in Gastroenterology)Hepatitis C nurse specialist

Timetable: 2 Medical Clinics1 Gastroenterology clinic2 Endoscopy lists1 ERCP list2 Ward rounds

Special Facilities: Gastroenterology – Wide range of Endoscopy including ERCP

Meetings: Weekly Radiology, Pathology, Postgraduate, & cancer MDTs

Teaching Duties: Junior staff and medical students

Research: available

Contacts: Dr D Clements - 01535 652511 ext 2347Dr C Healey – 01535 652511 ext 2037

BRADFORD ROYAL INFIRMARY (2 posts)

The 6 Gastroenterology Physicians (Dr A Manning, Dr L Juby, Dr R Reynolds, Dr S Jowett, and Dr C Beckett and DR S Moreea) work within the Digestive Diseases Centre in collaboration with the GI surgeons, radiologists, histopathologists and Specialist Nurses.

On the Gastro Unit, Bradford Royal Infirmary are carried out both upper and lower GI endoscopy as well as outpatient clinics. Further endoscopy, outpatient clinics and breath tests are currently performed at St Lukes Hospital, Bradford. Training and experience may be offered for diagnostic and therapeutic UGI endoscopy, flexible sigmoidoscopy, colonoscopy, ERCP and Endoscopic Ultrasound, depending on the SpRs needs as identified at RITA and by initial appraisal. The Unit has a commitment to endoscopy training; simulators are available.

The range of clinical experience available is broad. The special interests of the consultant gastroenterologists include liver disease, nutrition, IBD, therapeutic endoscopy and medical education. The Trust is Upper GI Cancer Centre for Western West Yorkshire and weekly MDT are held as are further weekly MDTs for Colorectal Cancer. Weekly GI Radiology meetings are held jointly with the GI surgeons as well as Histology meetings every 2 weeks. Clinical

Governance meetings are held on the Unit monthly; involvement in audit is expected.

Medical undergraduate teaching involves 2nd, 3rd and 5th year students.

Junior staff currently attached to the Unit include 2 SpRs, 3 SHOs and 3 PRHOs. The weekly timetable will be negotiated with each SpR depending on their training needs.

G(I)M experience is gained on the MAU, with continuing care for a proportion of in-patients; MAU involvement entails attending CCU and ITU.

Contact: Dr APManning – 01274 364538

GRIMSBY (2 posts)

The hospital serves a population of 168,000.

There are two Gastroenterologists: Dr S Moss, Dr A A Naqvi and a visiting part-time Gastroenterologist Dr R Whiteoak.

Other staff in the department: 2 Specialist Registrars,1 Staff Grade, 1 Clinical Assistant, 1 SHO, 1 HO.

Timetable: 2 Medical Clinics1 Gastroenterology Clinic2 Endoscopy listsInpatient care

Special Facilities: Gastroenterology - Wide range of endoscopy including ERCP.

This post offers a particular opportunity to train in colonoscopyRadiology – MRI and CT scanner

Meetings: Journal club - weeklyRadiology - weeklyHistopathology - bi weekly

Teaching Duties: Junior staff and medical students from Sheffield & Hull/York

Research: available

Contact: Dr S Moss – 01472 875519

Moss – 01472 875392

CALDERDALE ROYAL HOSPITAL, HALIFAX (1 post)

This new PFI hospital serves a population of just under 200,000. There are two Consultant Gastroenterologists: Dr A Verma and Dr S Sonwalkar.

Other staff in the department: 1 specialist registrars1 Staff GradeSHOsPRHOs

Timetable: 2 Gastroenterology Clinics2 Endoscopy Lists (gastroscopy, colonoscopy) 2 Consultant ward rounds2 SpR ward roundsOn call rota for medical and elderly in a full shift pattern

Special Facilities: Wide range of diagnostic and therapeutic endoscopy including ERCP, and advanced colonoscopy.

Meetings: Radiology, Pathology & Postgraduate – weekly

Teaching Duties: Junior staff and medical students

Research: Possible

Contact: Dr A Verma – 01422 224195

HARROGATE DISTRICT HOSPITAL (1 post)

The hospital serves a population of 170,000.

There are two Gastroenterologists: Dr Gareth Davies, Dr Jo Ridpath

Other staff in the department: 1 Specialist Registrar 1 Clinical Assistant (endoscopy only) 1 SHO, ward-based house officers (6 in medicine)

Timetable: 2 Medical/Gastroenterology Clinics2 Endoscopy lists 2 Consultant Ward rounds 1 formal Registrar ward round½ day study/research/audit2 lunch time teaching sessionsweekly X ray session1 in 7 third on –call medicine

Special Facilities: Gastroenterology – Wide range of endoscopy including ERCP

Radiology – MRI scanner on site (new Jan 05);Spiral CT

Teaching Duties: 3rd and 5th yr medical students

Research: Encouraged

Contact: Dr G Davies/J Ridpath 01423 555335.

HULL ROYAL INFIRMARY and CASTLE HILL HOSPITAL (4 posts)

The 2 hospitals serve a population of 580,000. The Department of Gastroenterology has its in-patient base at this hospital, but some of its out-patient and endoscopy activity are based at Castle hill Hospital where the unit is a designated national training centre for Endoscopy. CHH also is the base for the new cancer centre.

There are eight Gastroenterologists: Dr M Dakkak, Dr T Diggory, Dr M H Giaffer, Dr S Khulusi, Dr S Sebastian, Dr L Sinha, Dr J A J Smithson, and Dr H H Tsai.

Other Staff: 4 Specialist Registrars3 SHOs3 HOs2 clinical assistant3 Specialist nurses

Timetable: 3 Gastroenterology clinics2 Endoscopy lists

Special Facilities: Gastroenterology - Wide range of endoscopy including oesophageal therapy, DB enteroscopy, EUS & ERCP.

Oesophageal laboratory (manometry, pH monitoring, impedance). Capsule Endoscopy. Special clinics (Swallowing, Dyspepsia, IBD, Liver).

Radiology - MRI scanners, spiral CT, PET scanners and angiography.

Meetings: GI Radiology - weeklyUpper GI cancer MDT- weeklyLower GI cancer MDT- weeklyGastroenterology seminars - weeklyGastroenterology Governance - monthlyMedical Grand Round - weeklyCPD Afternoon - weekly

Teaching Duties: Junior staff & HYMS medical students

Research: Oesophagus, coeliac disease, IBD, liver, nutrition, endoscopic modalities.

For Contact: Dr S Smithson – 01482 674862

THE GENERAL INFIRMARY AT LEEDS (4 posts)

The hospital serves a population of 400,000. There are five Consultant Gastroenterologists: Dr S Everett, Dr PJ Hamlin, and Dr B R Rembacken (2 appointments to be made shortly currently

occupied by locum consultants).

Other staff in the department: 4 specialist registrars (3 clinical and 1 in advanced endoscopy)

2 research registrars3 SHOs2 PRHOs

Timetable: 2 Gastroenterology Clinics & alternate week - IBD clinics2 Endoscopy Lists (gastroscopy, colonoscopy and possibly ERCP) 2 Ward roundsOn call rota for gastroenterology and acute GI haemorrhage. (non-resident)

Special Facilities: Wide range of diagnostic and therapeutic endoscopy including ERCP, enteroscopy, capsule endoscopy, advanced colonoscopy and endoscopic ultrasound.

Large IBD Clinic.Well developed quality

assurance programme for endoscopy.Gastroenterology/Endoscopy

intranet site.

Meetings: Radiology and Pathology seminarsWednesday afternoons are free

of clinical activity and are devoted to education, research, and clinical governance

Teaching Duties: Junior staff and medical students (2nd,3rd, and 5th years)

Research : Helicobacter Pylori, IBD, Endoscopy

Other Information: The three clinical SpRs rotate within the department every four months – i.e. two four month periods on the GI Ward (with different Consultants) and four months attached to the endoscopy unit and short stay ward. Eight months are spent taking part in Gastroenterology on-call rota and four months on the Acute Admitting Medical Register Rota (Partial Shift).

Contact: Dr S Everett – 0113 3923124

ST JAMES’S UNIVERSITY HOSPITAL – Luminal GE (4 posts including lecturers)

The hospitals serve a population of 365,000.

Consultants: Dr M E Denyer in patients at St James’s, out patients/endoscopy at Seacroft

Dr R V Heatley in patients & out patients at St James’sProfessor P Howdle in patients & out patients/endoscopy at St James’sDr M A Hull in patients & out patients/endoscopy at St James’sProfessor G Sandle in patients & out patients/endoscopy at St James’s

Other Staff 3 SpRs [1 on elderly rotation] and 2 Lecturers [1 on, 1 off the wards at any one time]2 SHOs2HPs

Arrangements for post:

SpRs do 6 months gastroenterology followed by 6 months hepatology, or vice versa.

In-patients: Dr Denyer and Dr Heatley are on the wards continuously, whilst Professor Howdle, Dr Hull and Professor Sandle each spend 3 months on and 6 months off in rotation.

Dr Denyer and Dr Heatley share an SHO and HP and each have nominally 6-8 in-patients at a time, whilst the other consultant has his own SHO and HP and looks after the remaining 14-16 beds.

On-take arrangements:The SpR will be RMO 2 [resident] for acute medicine roughly 2-3 times a month. He/She will also be expected to participate in the on-call endoscopy emergency bleeder rota, which is non-resident approximately 1 in 6. The on-call duties are made concurrent as often as possible. A full shift system operates.

Out-Patients: 3 clinics per week.

Endoscopy: 2 lists per week, both consultant supervised. There may also be the opportunity to do extra lists if the SpR is fully trained in any one form of endoscopy. Some preliminary training in enteroscopy is also available.

ERCP training: can only be offered to 2 of the 6 SpRs [Hepatology and GI] and 2 Lecturers at any one time and only those thoroughly competent at upper GI endoscopy and with some expertise and colonoscopy will be considered for this. It maybe possible to arrange off site continued training for a 3rd SpR.

Training in Endoscopic Ultrasound is Available but, at present, Limited.

Special Facilities: Specialist endoscopic training-see above.Oesophageal laboratory [at Seacroft Hospital]Special clinics- joint IBD clinics at Seacroft Hospital [Dr Denyer, Mr Ambrose] and at St James’s [Dr Heatley and Mr Jayne]. Coeliac clinic – Professor HowdleMulti-disciplinary cancer management.Close links with research departments.

Meetings: General medicine – weekly Radiology – weeklyHistopathology – monthlyMulti-disciplinary cancer – weekly

Journal club- bi-monthlyAudit - monthly

Teaching duties: Junior staff and medical students

Research: Various, including ERCP, oesophageal motility, Helicobacter pylori, coeliac disease, inflammatory bowel disease, gut electrolyte transport, molecular biology.

HEPATOLOGY – ST JAMES’S UNIVERSITY HOSPITAL – LEEDS (4 posts)

St James’s University Hospital is a large teaching hospital.

Two of these SpRs are part of a six-month internal rotation with the SJUH gastroenterology unit (luminal). The third SpR spends 1 year in post. The fourth SpR who spends 6 months in this post and 6 months in Sheffield is appointed in a competitive interview from the cohort of Gastroenterology SpRs in the UK.

The Specialist Registrar will be responsible to 4 Consultant Hepatologists: Dr M H Davies, Dr C E Millson, Dr M Aldersley and D R Jones.

Other Staff: 1 Transplant fellow4 Specialist Registrars2 SHO’s

Timetable: 2 Hepatology clinics (including 1 transplant clinic)4 Endoscopy lists (including GI Endoscopy,

Colons)In-patient care on the liver unit24 hour partial shift on-call

Special Facilities: Wide range of endoscopySpecialised liver unit including care of patients undergoing transplantationExperience – ITU (ward round)

Meetings: Clinical, radiology, histology, journal and research

Teaching duties: Junior staff and medical students (3rd and final year)

Research: Transplantation, Hepatitis C etc.Audit – wide-ranging

Contact: Dr M Davies 0113 206 4856Dr C Millson 0113 206 6301Dr M Aldersley 0113 206 7223

FRIARAGE HOSPITAL – NORTHALLERTON (1 post)

The Friarage Hospital, Northallerton is a modern district general hospital providing a full range of acute medical and surgical services to a predominately rural population. It offers services in General Medicine, Elderly Medicine, General Surgery, Psychiatry, Paediatrics, Obstetrics and Gynaecology and Orthopaedics.

There are two Gastroenterologists: Dr G M Connolly and Dr J Hancock. The Hospital has good links with the Gastroenterology Department at James Cook University Hospital where there are several Consultant Gastroenterologists and SpRs.

Other staff in the Department: 1 Specialist Registrar (this post), 2 or 3 SHO, 2 HO

Timetable: 1 Medical Clinic1 Gastroenterology clinic2 Ward rounds2 Endoscopy listsInpatient care

Meetings: Postgraduate – weeklyRadiology – weeklyHistopathology

Teaching Duties: Junior staff & undergraduates

Research: Available

Contact: Dr J Hancock 01609 762138

PINDERFIELDS GENERAL HOSPITAL (1 post)

The hospital serves a population of 180,000.

Gastroenterology Services at the Pontefract and Pinderfields sites have been fully integrated under the umbrella of the Mid-Yorkshire Hospitals NHS Trust Digestive Diseases Centre (see also Pontefract). Ward cover is provided by 5 consultant gastroenterologists, who rotate through the Gastroenterology wards at the two sites.

The 3 gastroenterologists primarily are Dr Deven H. Vani (special interests: hepatology, IBD, therapeutic endoscopy), Dr Syed G Shah (special interests: ERCP, therapeutic endoscopy), and Dr Neela Sundar (special interests: Nutrition, IBD).).

Other Staff in the Department: 1 specialist registrar (this post), 1 Acute Medicine Registrar, 2 SHOs, 1 PRHO, 1 IBD Nurse Specialist, 2 Nutrition Nurse Specialists.

Timetable: Inpatient care2 Outpatient clinics2 Endoscopy lists1 ERCP list if appropriate1 acute assessment unit

Special Facilities: Gastroenterology - wide range of diagnostic

and therapeutic endoscopy including ERCP and acute GI bleed service (24/7); a Liver Clinic, a Nutrition clinic, and a Colitis Clinic (Clayton Hospital). 2 Nutrition Nurse Specialists, weekly consultant’s Nutrition ward round.

 Teaching duties Undergraduates (for Leeds) and junior doctor

programme Research & Audit There are ample opportunities for research

and the department has a robust audit programme. Contact: Dr Deven H vani (secretary) 01924 212 847

Dr Syed G Shah (secretary) 01924 212 847Dr Neela Sundar (secretary) 01924 212 519

PONTEFRACT (1 post)

The hospital serves a population of 170,000.

Gastroenterology Services at the Pontefract and Pinderfields sites have been fully integrated under the umbrella of the Mid-Yorkshire Hospitals NHS Trust Digestive Diseases Centre (see also Pinderfields). Ward cover is provided by 5 consultant gastroenterologists, who rotate through the Gastroenterology wards at the two sites.

The 2 gastroenterologists primarily are Dr Pulak Sahay (special interests: upper GI, ERCP) and Dr Lionel Gracey-Whitman (special interests: IBD, IBS, Nutrition).

Other Staff in the Department: 1 specialist registrar (this post), 3 SHO & 1 full time Clinical Fellow, 1 IBD Nurse Specialist

Timetable: Inpatient care2 Outpatient clinics2 Endoscopy lists1 ERCP list1 acute assessment unit

Special Facilities: Gastroenterology - wide range of diagnostic and therapeutic endoscopy including Barrett’s surveillance, chromo-endoscopy, PEG service, acute GI bleeds (Mon-Fri, 9-4)..

Meetings: Medical meeting weeklyClinical case conference weeklyX-ray meeting weeklyPresentations/lectures fortnightlyAudit monthlyJournal Club weeklyHistology meeting fortnightlyMulti-disciplinary teaching weekly

Teaching duties: Junior staff and medical students

Research: Research related to Helicobacter, Barrett’s oesophagus, early gastric cancer and gastro-oesophageal reflux disease.

Contact: Dr Sahay – 01977 600694 (secretary)Dr Lionel Gracey-Whitman: 07789 374 162 (mobile)

SCARBOROUGH GENERAL HOSPITAL (2 posts)

The hospital serves a resident population of 220,000 but this increases considerably during the holiday season. The Gastroenterology services have been completely integrated between Medicine and Surgery for the past 10 years so that middle grade staff look after surgical as well as medical patients. A new two-theatre Endoscopy Unit containing office accommodation for all staff including SpRs and outpatient consulting facilities is currently being built and should open in 2005. Coincident with this a state-of-the-art MRI scanner will be installed.

The Gastroenterology staff at Consultant level are Dr C J Mitchell and Dr P S Babu as Physicians and Mr J MacFie, Mr K Mainprize and Mr C Mahon as Surgeons.

Other staff in the department: 2 Specialist Registrars, 2 HOs,1 GP Clinical Assistant (3 sessions)1 Nurse Colonoscopist

Timetable: 2 Gastroenterology/G(I)M clinics2 Endoscopy listsInpatient care for Gastroenterology and general medicineOn-call general medicine 1:9 partial shifts

Special Facilities: Full endoscopy service including ERCP Close links with GI surgery including weekly joint round and MDTMonthly joint OP clinics and shared inpatient careSpecialist Nutrition Support GroupState of the art spiral CT and MRI

Meetings: Clinical – weekly Grand Round (G(I)M) and quarterly Gastroenterology teaching dayRadiology – weekly G(I)M meeting plus Gastroenterology X-rays as part of MDTHistopathology – weekly meeting as part of MDT

Teaching duties Undergraduate (for Leeds and HYMS) and junior doctor programme

Research There is an active Gastroenterology Research Group with an excellent publication

record. Research meetings form part of the quarterly Gastroenterology meeting.

Contact: Dr C Mitchell – 01723 368111

SCUNTHORPE GENERAL HOSPITAL (1 post)

This is a modern 530 bed District General Hospital providing a full range of acute medical and surgical services to a population of 185,000. It offers services in General Medicine, General Surgery, Psychiatry, Paediatrics, Orthopaedics and Obstetrics & Gynaecology.

There are two Gastroenterologists: Dr. P. C. Mysore & Dr. J. P. Penston

Other Staff in the Department 1 Specialist registrar, 1 Staff grade, 1 senior SHO, 2 SHOs,

1 PRHO and 1 Nurse specialist

Timetable 2 mixed Gastroenterology and Medical clinicsMonthly Hepatitis C clinic1 Endoscopy list

Inpatient care

Special facilities: Wide range of Endoscopy and ERCP

Meetings: Weekly Gastroenterology meetingWeekly General Medical meetingWeekly Upper and Lower GI cancer MDT

Teaching duties: Junior medical staff and medical students

Research: Available to interested candidates

YORK DISTRICT HOSPITAL (2 posts)

The hospital serves a population of 280,000.

There are four Gastroenterologists: Dr S M Kelly, Dr A J Turnbull, Dr JL Turvill and Dr SJ Smale.

Other staff in the department: 2 Specialist Registrars, 1 Clinical Assistant (5 sessions weekly), 1 SHO, 1 HO

3 colorectal and 2 upper GI consultant surgeons.

Timetable: 2 Medical/Gastroenterology Clinics2 Endoscopy lists (type to suit trainee)2 Ward rounds Inpatient care

Special Facilities: Gastroenterology – Wide range of endoscopy including ERCP

Radiology – MRI scanner, Dept Nuclear Medicine

Manometry

MDT meetings: Weekly joint radiology, upper GI and lower GI cancer meetings.

Gastro team educational meeting weekly.

Monthly Histoptah meeting.

Teaching Duties: Junior staff and medical students (Leeds & HYMS)

Research: Encouraged. Projects and limited funds available.

Links with Biology Dept. York University.

Contact: Dr S.Kelly 01904-725601

CONDITIONS OF SERVICE

General

The appointment is covered by the Terms and Conditions of Service for Hospital Medical and Dental Staff and by the Whitley Councils for the Health Services (Great Britain) Conditions of Service, as well as local agreements as amended from time to time.

Hours and Salary

The standard hours of duty will be the working week of forty hours, for which the salary scale currently applicable is £26,760 - £39,000 (wef 1.4.2003)

In addition, the appropriate intensity multiplier will be payable commensurate with the on-call duty performed.

Additional Duty Hours

Applicants will be aware of the current moves to facilitate a reduction in the out-of-hours work which junior doctors are asked to undertake. As a result, most rotas are under review and it is not possible to give details of rotas at each placement.

While on call the trainee may be expected to be resident in the hospital.

Study and Annual Leave

Study leave will be granted according to the nationally agreed Terms and Conditions.

The appropriate annual leave should only be taken after agreement with Consultant colleagues.

Travelling Expenses

Trainees may be eligible to claim travelling expenses in accordance with Section 23 (except paragraph 2.4 and 4) of the GWC Conditions, and paragraph 227-302 of The Hospital Medicine and Dental Staff Terms and Conditions.

Any offer of appointment is subject to satisfactory medical clearance and confirmation that the successful candidate is Hepatitis B immune. Titre levels are checked by the Occupational Health Service prior to formal offer of appointment.

Medical Indemnity

The employee is normally covered by the NHS Hospital and Community Health Service indemnity against the claims of medical negligence. Health Departments advise that employees maintain membership of a defence organisation, as in certain circumstances (especially in services for which a fee is paid) the employee may not be covered by the indemnity.

The employee must hold current registration (full or limited) with the General Medical Council.

Visits Prior to Interview

Candidates may visit the hospital(s) by arrangement.

Rehabilitation of Offenders Act 1974

Because of the nature of the work, this post is exempt from the provisions of Section 4(2) of the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975. Applicants for the post are not entitled to withhold information about convictions which for other purposes are 'spent' under the provisions of the Act and, in the event of employment, any failure to disclose such convictions could result in disciplinary action or dismissal by the Authority. Any information given will be completely confidential and will be considered only in relation to an application for a position to which the order applies.

ROTATIONS

All rotations are subject to revision in the light of recommendations by the Speciality Training Committee.

ACCOMMODATION

Whilst hospital accommodation may be available for non-resident staff, this will be determined by staff making their own local enquiries. Such accommodation MUST be vacated when the trainee leaves or moves on to the next stage of the rotation.

TRAINING IN RADIATION PROTECTION

Any person who has direct control over the exposure of a patient must have a 'Core of Knowledge'.

NOTICE

A period of three months' notice is applicable to this appointment (Paragraph 197a of the Terms and Conditions of Service for Hospital Medical and Dental Staff refers). Resignation letters must be sent to Yorkshire Deanery Medical Personnel Department.

FLEXIBLE TRAINING

Applicants considering working flexibly should contact Dr R Roden, Careers and Personal Development Adviser on 0113 233 1503 for a confidential discussion.

EMPLOYMENT ARRANGEMENTS

The Leeds Teaching Hospitals NHS Trust holds the employer's responsibility for all Registrars, Senior Registrars and Specialist Registrars within the Yorkshire Deanery and therefore doctors appointed to this post will be employed by the Leeds Teaching Hospitals NHS Trust. Details of employment policies are provided on appointment.

These arrangements are fully supported by the BMA.