Fellowship in Musculoskeletal Radiology St Luke’s Radiology Oxford www.stlukesradiology.org.uk. Introduction St Luke’s Radiology is an independent musculoskeletal imaging and musculoskeletal medicine practice based at St Luke’s Hospital in Headington, Oxford. This document describes a new post for a full-time Fellow in musculoskeletal radiology based at St Luke’s Radiology with links to NHS outsourced practice, teleradiology and a musculoskeletal interventional practice. There are many fellowships in musculoskeletal radiology, some of which are heavily service based. We firmly believe that the proper way to gain subspecialty experience is practice based on learning objectives with extensive supervised experience. This document describes the current practice of St Luke’s Radiology, its research activity, teaching programs and links with other healthcare services. The Fellowship job plan is in draft form, although this may require some adjustment based on experience of the successful candidate. St Luke’s Radiology Our practice was established in 1984 and has been in continuous operation since. In the last 2 years investment in equipment and additional personnel has led to a substantial increase in activity. We are a fully registered independent medical practice supervised by the Care Quality Commission and complying with appropriate guidelines, UK directives and European guidance. Facilities There is a large consulting room with diagnostic workstations and teleradiology facilities. There is an examination couch and equipment to perform clinical examination. We have recently installed a conventional radiographic suite. There is an ultrasound room containing a General Electric E9 with elastography, fusion imaging and needle tracking systems. In an annex to the consulting room there is an extremity CT scanner (Verity). The clinical team work in an administration office. Radiologists and staff also work from home using diagnostic workstations and there are electronic connections with the National Health Service and teleradiology companies. The fellow would be expected to work at St Luke’s Radiology for a substantial proportion of the week. There will be arranged visits to other establishments in the locale, collaborative meetings in the University and NHS plus attendance at the teaching courses organised by St Luke’s Radiology. Working practices St Luke’s Radiology provides outsourced imaging service to the National Health Service with contracts with the Oxford University Hospitals. We also provide primary reporting and audit services to teleradiology companies. We are currently closely linked to Medica in the UK and Global Diagnostic Imaging in the Republic of Ireland. We have a substantial medicolegal practice and provide private imaging services to local practitioners. Our intervention practice is undertaken using ultrasound and fusion imaging guidance at St Luke’s Hospital. We also have access to the nearby Manor Nuffield Hospital where there are fluoroscopic and CT interventional suites. Trainers Doctor David Wilson is a Consultant Musculoskeletal Interventional Radiologists who worked at the Nuffield Orthopaedic Centre from 1984 until 2012. He moved to independent imaging practice 2 years ago but remains a senior clinical lecturer in the University of Oxford. He holds an honorary clinical contract at the Oxford University Hospitals and is involved in collaborative research projects with the National Health Service and other independent sector providers. He is a founder member and former President of the British Society of Skeletal Radiology. He is currently Treasurer of the European Society of Skeletal Radiology and the President of the British Institute of Radiology. He has extensive experience in medical education; he started the first musculoskeletal radiology Fellowship scheme in the United Kingdom; he was the internal examiner for orthopaedics and accident and emergency for Oxford University Medical School and has been Vice President with responsibility for education at the British Institute of Radiology. He established MRI and ultrasound courses in Oxford and now runs 3 musculoskeletal ultrasound courses every year. He continues to lecture widely throughout the world. He is a co-editor of the Elsevier textbook Imaging of the Musculoskeletal System. He has published widely and is involved in several active research projects. He has particular expertise in spinal intervention and was the first practitioner to bring vertebroplasty into the United Kingdom. He was a pioneer in musculoskeletal ultrasound in the 1980s and continues to develop this aspect of the sub-specialty. Doctor Georgina Allen is a Consultant Musculoskeletal Radiologist and a Sports Physician. She is a qualified General Practitioner, Physician, Musculoskeletal Radiologist and Sports Physician. She trained in musculoskeletal radiology in Oxford and worked for 8 years in specialist bone tumour service and musculoskeletal radiology department at the Royal Orthopaedic Hospital and Selly Oak Hospital Birmingham. She now works for 2 days a week for the Oxford University Hospitals in the NHS and for the remainder of the week at St Luke’s Radiology. She was a Radiologist in the Royal Air Force. She has a particular expertise in sports medicine imaging combining this with her clinical skills. Her research includes ultrasound elastography where she is a pioneer. She is a director of musculoskeletal ultrasound skills courses and has extensive experience in teaching from undergraduate to fellowship level. She has recently completed a Master of Science in Sports Medicine at Bath University based on research methods and techniques. Marion Watson is our Superintendent Radiographer who worked for over 30 years in the NHS and has special expertise in MRI. She holds an MSc in radiography and is highly skilled in imaging methods. Poppy Brown is our Practice Manager and organises the workflow. Peter Selwood is Finance Manager and deals with all purchases and invoices. Stuart Bullock and Mark Maybury are Physiotherapists who work with this on research and clinical cases. Mark is trained in musculoskeletal ultrasound which he practices in the National Health Service including injection techniques. Work plan The Fellow will be registered practice for NHS outsourced cases by teleradiology reporting and will assist with ultrasound, CT and MRI private practice where we will double report all cases. We also expect close involvement in our research activities and expect the Fellow to become a co-author in publications and gain experience in presenting at international meetings. At first we expect that all procedures, including routine reporting, will be reviewed by one of our Consultants before reports being issued. All interventional procedures will be directly supervised in the first few months. Independent practice will only commence in areas where the Fellow has shown experience and expertise. We anticipate that this will take place gradually over the first 6 to 9 months. The Fellow should expect to be supervised for the large proportion of their work. In the last 3 months we anticipate allowing more independent practice but with dedicated time to review problem cases. There will be regular meetings to discuss the Fellow’s educational progress with review of the Fellow’s logbook of practice. The essence of the Fellowship will be direct supervision of all procedures and reporting, gradually moving to independent practice by the time the attachment to the practice is complete. The Fellow will not be used as an independent spare pair of hands. The intention of the appointment is to train a colleague to a high level of expertise over a one-year period. We have close collaboration with the nearby National Health Service hospitals and have outline agreement for the fellow to attend multidisciplinary team meetings in bone and soft tissue tumours, spinal injuries and trauma. We will arrange honorary contract with the appropriate organisations. We welcome applications from overseas candidates. For those who do not have English as a primary language we will offer one half day a week of English tuition. Similarly, for those who do not need English training, the time would be used for other associated education - for example learning a new clinical skill or an additional language. Requirements Essential Qualification in medicine with General Medical Council registration and inclusion on the Specialist Register. Radiological qualification with or equivalent. English language skills sufficient to undergo supervised tuition and intention to improve to a level sufficient for independent practice within 6 months. Appropriate residence and work status in the United Kingdom. Desirable Experience in research protocols. Qualification in a non-radiological medical specialty. Previous authorship of publications. Remuneration and terms of employment The duration of employment will be one year. However, those with previous fellowship experience may be considered for a shorter attachment. Employment will be for 40 hours per week which will include an allocation of time for continued education and research. This allocation will be flexible according to the demands of current research projects and the timing of education events however will be equivalent to at least 5 hours per week. Annual leave will be for 30 working days booked at least 2 months in advance with a maximum of 10 days per leave period. The annual salary will be £30,000 per annum payable by bank transfer at the end of each month. Termination of contract requires 2 months’ notice. David Wilson Consultant Musculoskeletal Radiologist 8th January 2015
© Copyright 2024