Gynaecological Oncology Subspecialist Trainee

Job overview

The post is based in the Gynaecological Oncology team at Hammersmith Hospital, which is the largest centre for the treatment of gynaecological cancers in Northwest London. The post offers an opportunity to take up 75% clinical work, with exposure to all aspects of the treatment of gynaecological cancers through surgery, while allowing significant time (25%) for dedicated research into gynaecological cancers, experience in radical surgical treatments or leadership / management experience according to the trainee’s needs. The post will be for 6 months, but may be extended.  The post is suitable for trainees of ST6 grade or higher. They must have completed IMT (or equivalent) and hold MRCP, and are looking to gain expertise in Gynaecological Oncology alongside gaining experience in a related aspect such as research, procedures or management.

Main duties of the job

The trainee will work as part of a multi-disciplinary team undertaking care for women with suspected and diagnosed gynaecological cancer. All aspects relating to the highest standards of care will the taught. They will have opportunities to cover both clinical and surgical care for patients on the gynaecological oncology pathway. The MDT clinic runs once a week each Monday and there are theatre lists to support across 4 days per week. There will be a degree of flexibility to accommodate the successful candidate’s preferences and interest alongside the needs of the service.

Detailed job description and main responsibilities

Key areas of responsibilities

• 1 1)Provide high quality care to patients in Gynaecological Oncology. The post holder must be medically qualified and maintain GMC specialist registration.
• To develop and maintain the competencies required to carry out the duties required of the post.
• To ensure prompt attendance at agreed direct clinical care programmed activities.
• To ensure patients are involved in decisions about their care and to respond to their views.

2) Research, teaching and training

• Where possible to collaborate with academic and clinical colleagues to enhance the Trust’s translational research portfolio, at all times meeting the full requirements of research governance.
• To provide high quality teaching to medical undergraduates and members of other health care professions as required by clinical director.
• To act as educational supervisor and appraiser as delegated by the divisional director/clinical director to ensure external accreditation of training post.

3) Performance management

To work with medical, nursing and managerial colleagues to ensure high performance in the following areas:

• Clinical efficiency e.g. LOS reductions, reducing cancelled operations and DNA rates.
• Quality of outcomes e.g. infection control targets, reducing re-admission rates
• Financial management e.g. identification, implementation and achievement of cost improvement programmes and participating in efforts to ensure services are provided cost effectively e.g. managing locum agency spend, monitoring and managing the drug budget to target, ensuring accuracy of clinical data for the team
• Operational efficiency e.g. day-case rates, waiting list activity and demand management. 4) Medical staff management To work with colleagues to ensure junior doctors’ hours are compliant in line with EWTD and New Deal.
• To ensure that adequate systems and procedures are in place to control and monitor leave for junior medical staff and to ensure that there is appropriate cover within the clinical areas, including on-call commitments
• To participate in the recruitment of junior medical staff as delegated by the divisional director or clinical director.
• To participate in team objective setting as part of the annual job planning cycle.
• To be responsible for the annual appraisal of all doctors in training, Trust doctors and non-consultant grades as delegated by the divisional director, clinical director or general manager.

5) Governance

• To review clinical outcomes in designated area using external benchmarking data where appropriate, to identify and advise variances to the divisional director or clinical director.
• To participate in clinical audit, incident reporting and analysis and to ensure resulting actions are implemented.
• To work closely with the directorate, patient and public involvement panels in relation to clinical and services developments as delegated by the divisional director/clinical director
• To participate in ensuring NICE requirements are reviewed and implemented and monitored in the speciality areas.
• To ensure clinical guidelines and protocols are adhered to by junior medical staff and updated on a regular basis.
• To keep fully informed about best practice in the speciality areas and ensure implications for practice changes are discussed with the divisional director/clinical director
• To role model good practice for infection control to all members of the multidisciplinary team. 6) Strategy and business planning
• To participate in the business planning and objective setting process for the directorate and Trust where appropriate.
• To represent the Trust at appropriate clinical networks/other external clinical meetings, as delegated by the divisional director/clinical director.

7) Leadership and team working

• To demonstrate excellent leadership skills with regard to individual performance, clinical teams, the Trust and when participating in national initiatives.
• To work collaboratively with all members of the multi-disciplinary team and Imperial College London as required.
• To chair regular meetings for the specialties.
• To resolve conflict and difficult situations through negotiation and discussion, involving appropriate parties.
• To adhere to Trust/departmental guidelines on leave including reporting absence