SHEFFIELD TEACHING HOSPITALS NHS TRUST

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					               SHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST

              SPECIALTY REGISTRAR (ST3) IN DERMATOLOGY
               SOUTH YORKSHIRE TRAINING PROGRAMME
APPOINTMENT

Specialty Registrar in Dermatology at ST3 level to the South Yorkshire Dermatology Training
Programme. This is a new position.

The Postgraduate Dean has confirmed that this post has the required educational and staffing
approval.

Applicants considering applying for this post on a flexible training basis should initially contact
the Yorkshire and the Humber Deanery for a confidential discussion.

QUALIFICATIONS/EXPERIENCE REQUIRED

Please refer to the Person Specification for entry to specialty training at ST3: Dermatology (2011).

THE SOUTH YORKSHIRE DERMATOLOGY TRAINING PROGRAMME

Organisation of Training
This is a 4-year training programme designed to provide comprehensive specialist training in
dermatology based on the JRCPTB Generic and Specialty Curricula for Dermatology. Entry is at
ST3.

This is a new post. There are 5 other higher specialist trainees in dermatology in South Yorkshire,
based at Sheffield Teaching Hospitals NHS Foundation Trust. Specialist Paediatric Dermatology is
provided at Sheffield Children’s Hospital NHS Foundation Trust. All trainees rotate to
neighbouring district general hospitals (usually 2 of Barnsley, Chesterfield, Doncaster, and
Rotherham). To maintain peer contact all trainees spend at least one day each week in Sheffield
throughout training to include academic and educational activities. On call duties are in Sheffield.

Trainees are encouraged to take a proactive approach to planning and organising their training in
conjunction with their educational supervisors. The relatively small number of trainees on the
programme allows flexibility, particularly in the later stages of training, facilitating the
development of individual clinical, research, educational or leadership interests.

Clinical Experience
As well as a broad training in inpatient, outpatient and emergency general dermatology, the
programme offers training in all the major sub-specialties including dermatopathology, patch
testing, phototherapy, paediatric dermatology, dermatological surgery including Mohs
micrographic surgery, skin oncology and vulval disease. Particular clinical and research expertise
in the region includes occupational & contact dermatitis, hair disease, severe inflammatory skin
diseases, laser, phototherapy, skin cancer, skin disease in immunosuppressed individuals, vitiligo
and vulval diseases. Special clinical experience in other departments may be arranged in
conjunction with the Educational Supervisor including clinical genetics (there is an Ehlers-Danlos
Syndrome Specialist Service at Sheffield Children’s Hospital), GU medicine, laser, Oral Medicine,
Photo Investigation Unit and primary care. There are joint clinics with Rheumatology and the
Allergy Unit in Sheffield. Trainees will get regular exposure to patients in Intensive Care and High
Dependency settings and will gain experience in the management of patients with acute severe
blistering disorders (such as Toxic Epidermal Necrolysis) who may be nursed on the Burns Unit in
Sheffield. Extracorporeal Photophoresis is available in Rotherham, one of few centres offering this
treatment for cutaneous lymphoma in the UK. Nurse-led services in the region include acne,
biologics, diagnostic biopsies, dressings, drug monitoring, eczema & psoriasis, hypnotherapy, leg
ulcers, phototherapy, photodynamic therapy, iontophoresis and latex allergy. There is access to
cosmetic camouflage clinics. There are established training links with Nottingham, Leicester,
Leeds and Manchester.
Educational and Academic Activities
There is an active Postgraduate Educational Programme based in Sheffield including a regional
postgraduate clinical meeting, journal club, histopathology teaching, seminars, educational visits,
audit, clinical governance, research meetings and visiting speakers. Regional Training Days are
held twice per year in conjunction with Nottingham and Leicester. Trainees attend North of
England and Royal Society of Medicine Section of Dermatology meetings regularly. Study leave is
available for relevant courses or meetings in line with Trust and Deanery policy.

Research
There is a diversity of research interests in the region. There is a Clinical Research Facility in
Sheffield. Professor Mike Cork is the head of academic Dermatology. Professor David
Gawkrodger also offers Academic Mentoring for trainees. The Academic Unit of Dermatology
Research is situated in the Medical School in Sheffield and has extensive facilities for supporting
molecular biological research. It comprises clinical and non-clinical staff with an interest in
inflammatory skin disorders including atopic eczema (dermatitis), psoriasis, alopecia areata and
vitiligo. Other research interests include disorders of hair growth; laboratory and clinical
investigation of contact dermatitis; epidemiology of melanoma and non-melanoma skin cancer;
medical informatics; skin cancer in organ transplant recipients

Trainees will be expected to develop an understanding of the principles of research, scientific
writing and critical evaluation. Time is available for research and trainees will be expected to
prepare and complete work for presentation and publication. Membership of the UK Dermatology
Clinical Trials Network is encouraged. Trainees wishing to take time out of programme, for
example to pursue a higher degree, would be encouraged.

Audit, Management & Clinical Governance
Skills in clinical audit, teaching, management and clinical governance are developed throughout
training. There is an active Regional Clinical Audit Programme and trainees are expected to
complete an audit project each year. There are opportunities to take on leadership roles such as
trainee representative.

Teaching
Speciality Registrars are expected to contribute to the teaching of undergraduate clinical students
of the University of Sheffield, junior doctors, nurses and other healthcare professionals.

Clinical Duties
Trainees will be responsible for the day-to-day supervision of dermatology inpatients, day
patients and outpatients throughout training. There will be a regular commitment to seeing
inpatient dermatological referrals including paediatric and neonatal problems.

Clinical timetables reflect the requirements of the Curriculum for Dermatology. These are
regularly reviewed and may be subject to change. Generally, fixed clinical sessions include 4-5
outpatient clinics, 1 surgical session and 1-2 ward rounds. The other sessions include time for
administration, audit, teaching, research and personal study.

Sample Timetables (may be subject to change)

Monday               Tuesday             Wednesday            Thursday            Friday
Ward round then
Outpatient Clinic    Outpatient Clinic                        Outpatient Clinic
                                                                                  Ward round then
Paediatric Clinic                        Outpatient Clinic    Academic            skin surgery

Monday               Tuesday              Wednesday           Thursday            Friday
Ward round then
Skin cancer target                                            MDT (alt week) /
clinic                                    Moh’s Surgery       Outpatient clinic   Skin surgery
                                          Outpatient clinic   Academic            Paediatric clinic
                                                                                                      2
On Call
Registrars participate in the on call rota for dermatological emergencies in Sheffield.

Library
The Sheffield University Clinical Library is housed on ‘C’ Floor of the Royal Hallamshire Hospital.
The Sheffield Dermatology Department has an extensive collection of textbooks and journals. IT
facilities including Internet and library search facilities are available to all trainees.

An Introduction To Sheffield Teaching Hospitals NHS Foundation Trust

Sheffield Teaching Hospitals NHS Foundation Trust manages the five adult hospitals in
Sheffield (Northern General, Royal Hallamshire, Jessop Wing, Weston Park and Charles
Clifford hospitals).

As a trust we are responsible for the planning and delivery of the highest quality patient care and
provide services for patients from not only Sheffield and South Yorkshire but all parts of the UK.
We have an annual budget of around £690 million, employ over 13,000 staff and provide around
one million patient episodes each year, making us the second largest NHS trust in England.

As well as providing hospital services for our local population, our hospitals provide a range of
vital regional and national specialties. Regionally these include cardiac and orthopaedic surgery,
neurology and renal care. National services include pulmonary hypertension treatment, particular
ophthalmology, spinal and neurosurgical care, and specialist cancer treatments.

We have been one of the best performing NHS organisations in the country over the last five
years. In October 2007 the Healthcare Commission scored us excellent in use of resources and
excellent for quality of services. We are also proud of our record as having the lowest MRSA
infection rates amongst major teaching hospitals in the UK, according to figures released by the
Health Protection Agency in 2007. The Trust was awarded the Dr Foster’ Hospital of the Year
accolade in 2005.

We also have a strong tradition of research and the Trust leads on a number of key studies
including prostate cancer, diabetes, breast cancer and chronic chest disease.

An NHS Foundation Trust
We became one of the first NHS Foundation Trusts in the country on 1st July 2004. NHS
foundation trusts have greater freedom from central government control and the ability to work
with their community and staff to set local health priorities. We have a well established elected
governor’s council, which is made up of patients, public, staff and partner organisations and
works with the Trust to help set strategic goals and make key decisions.

Our Hospitals

Although the Trust has overall management responsibility for the services provided, our hospitals
each have their own history, which we are rightly proud of. Between them they offer just about
every kind of service available in the modern NHS.

The Northern General is the largest of our hospitals with 1100 beds. Located to the north of the
city, the hospital is spread out over a large site. Amongst the specialist services located there are
orthopaedics, renal, spinal injuries, general surgery and cardiothoracic (heart and lung) services.
Sheffield’s adult accident & emergency department is also based here. A major £30 million state-
of-the-art new medical ward development, known as the Sir Robert Hadfield Wing, opened to
patients in April 2007 and a brand new critical care facility, one of the largest in Europe, opened in
2008.

The other Trust hospitals are based closely together on a campus to the west of the city centre; this
is known as the Central Campus.

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The Royal Hallamshire is a major acute teaching hospital based around a tower block of 800 beds
and a large outpatient department. The hospital is home to a range of expert specialist services
which include neurosciences, urology, general surgery, breast surgery, dermatology, hearing
services and ophthalmology. The hospital also has a minor injuries unit and an NHS Walk-In-
Centre for emergency care.

Linked to the Royal Hallamshire by a footbridge, the Jessop Wing is Sheffield’s 216 bed women’s
hospital. Opened in February 2001 it has brought together all of the city’s obstetric, gynaecology
and neonatology services in a state-of-the-art, purpose built, £24 million building. Almost 7000
births take place at the Jessop Wing each year.

Weston Park is one of only three purpose built specialist cancer hospitals in the UK and provides
a full range of non-surgical cancer services to the population of South Yorkshire, North
Nottinghamshire and North Derbyshire. It also enjoys national and international recognition for
certain specific treatments. It has 140 beds and is home to a specialist cancer research centre and
one of the UK’s only teenage cancer units.

The Charles Clifford is a dental teaching hospital linked to The University of Sheffield’s School of
Clinical Dentistry. The hospital provides dental outpatient services and emergency dental services
for the city.

As a teaching trust, all of the hospitals have close links to the University of Sheffield, home to
Sheffield’s medical school, and Sheffield Hallam University – which provides nurse training. It is
a major teaching centre for future health professionals.
The Trust Executive Team
Chairman                                             Mr David Stone OBE
Chief Executive                                      Sir Andrew Cash OBE
Chief Nurse/Chief Operating Officer                  Prof. Hilary Scholefield
Acting Director of Human Resources                   Mr Mark Gwilliam
Director of Service Development                      Mr Chris Linacre
Director of Finance                                  Mr Neil Priestley
Medical Director                                     Prof. Mike Richmond

Services Provided at Sheffield Teaching Hospitals NHS Foundation Trust
  Accident and Emergency                                Obstetrics/Gynaecology/ Neonatology
  Acute General and Elderly Medicine                    Occupational Health Service
  Assisted Conception                                   Operating Services
  Anaesthetics                                          Ophthalmology
  Cardiothoracic surgery & Cardiology                   Oral-maxillofacial Surgery
  Chemotherapy                                          Orthopaedics
  Clinical Research and Development                     Palliative medicine
  Communicable Diseases                                 Pharmacy
  Critical Care                                         Professions Allied to medicine
  Day Surgery                                           Radiology
  Dental Services                                       Radiosurgery
  Dermatology                                           Radiotherapy
  ENT, Hearing Services and Medical Audiology           Reconstructive Plastic Surgery and Burns
  General Surgery                                       Reproductive Medicine
  Haematology                                           Renal Services
  Laboratory Medicine                                   Rheumatology
  Medical Physics                                       Under and Post graduate Education
  Mobility and Specialised Rehabilitation Services      Urology
  Metabolic Bone Disease                                Vascular Surgery
  Neurosciences

For further information on STH please see www.sth.nhs.uk
                                                                                                   4
Clinical Directorates became operational at the Royal Hallamshire Hospital on 1 April 1991 and
are now well established. The Chief Executive appoints clinical Directors for a three-year period,
subject to annual review.

DEPARTMENTS OF DERMATOLOGY

ROYAL HALLAMSHIRE HOSPITAL, SHEFFIELD

Consultant Staffing:

Prof A G Messenger
Prof D J Gawkrodger
Prof M J Cork
Dr A J C McDonagh
Dr S E Cockayne
Dr H M Ramsay
Dr P N Athavale

Dermatology services in Sheffield are provided at the Royal Hallamshire Hospital and, for
patients less than 16 years of age, at Sheffield Children’s Hospital. Community based services
include consultant-led clinics and a GPwSI minor skin surgery service. The Department of
Dermatology is a dedicated unit situated in the Out-patient Department of the Royal Hallamshire
Hospital. It contains clinic rooms, an operating suite with facilities for Moh's micrographic
surgery, patch test room, and outpatient treatment centre including phototherapy, dressings clinic
and offices. Additional office space and a library/seminar room are located on G Floor and
inpatient beds on wards E1 and E2 in the main hospital. Clinical staff includes 7 consultant
dermatologists, a team of dermatology-trained nurses, specialty/specialist registrars 2 SHOs and
several GP clinical assistants. Specialist services include skin cancer, contact dermatitis, skin
surgery including Moh's, hair disorders, paediatric dermatology and transplant dermatology.
There are nurse-led clinics for psoriasis, eczema (adult and paediatric), leg ulcers acne,
phototherapy, drug monitoring and skin surgery. Between the adult and paediatric services we
currently see around 10,500 new patients and 20,000 follow-up patients per year.

Barnsley Hospital NHS Foundation Trust

http://www.barnsleyhospital.nhs.uk

Consultant Staffing

Dr J E Bothwell
Dr N Hardcastle

The Department of Dermatology is purpose built and was commissioned in 1991. There is a full
service for all skin disorders within the outpatient clinic for emergency and routine disorders.
Specialist training opportunities include a vulval clinic, paediatric clinic and phototherapy. The
trainee will be supervised and trained in basic minor surgery. There also will be exposure to
patch testing, phototherapy, iontophoresis, photodynamic treatment, prick testing and camouflage
treatments. Trainees will take part in local educational and skin cancer MDT meetings as well as
the Regional Educational Programme.

Chesterfield Royal Hospital NHS Foundation Trust

http://www.chesterfieldroyal.nhs.uk

Consultant Staffing
Dr G B Colver
Dr F Ezughah
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The dedicated Department was opened in 1998 and was designed to suit the requirements of an
out patient based specialty. There are five consulting rooms, two dressing cubicles, two operating
theatres, a recovery room and two phototherapy units as well as a small laboratory area. The
dermatology nurses play a strong role in patient management with daily clinics in phototherapy
and dressings. They also apply and read patch tests, perform skin dressings for inflammatory
skin disease and leg ulcers. Two nurses run the camouflage clinic for skin disfigurement. Two
senior nurses are also involved in cryotherapy, local anaesthetic injection, shave excision and skin
biopsies. We also have a clinical nurse specialist. Members of the Department take part in the
North Trent Audit Group, North of England Dermatological Society Meetings and the Regional
Clinical Meetings.
Dr Colver has a special interest in dermatological surgery and will enable the trainee to develop
confidence in managing skin cancer. Supervision of graft and flap surgery and nail surgery is
available and all aspects of wound healing will be covered. There is a close link with the
Department of Faciomaxillary Surgery and their Specialist Registrar spends one session each week
in our Department. Dr Ezughah has an interest in vulval disease and photobiology.
Doncaster and Bassetlaw Hospitals NHS Foundation Trust
http://www.dbh.nhs.uk/
Consultant Staffing
Dr S B Bittiner
Dr N Hallai
The Department of Dermatology at Doncaster Royal Infirmary is a combined inpatient and
outpatient unit which offers phototherapy, contact clinic, skin surgery, day care services and
specialist nurses who also work in the community. Mexborough Montagu Hospital has a small
outpatient unit. There is open access to the clinics through the departmental secretaries for
emergencies from general practice and hospital colleagues giving the trainee excellent
opportunities in the diagnosis and management of acute dermatoses. There are fortnightly multi-
disciplinary team meetings for skin cancer involving representation from plastic surgery,
oncology, dermatology and histopathology.
A joint ward round and clinic are held on Thursday mornings to provide the trainee with
educational opportunities with unusual cases. There is a photodynamic therapy service. There are
monthly dermato-pathology meetings, bimonthly governance meetings and regular journal clubs.
The trainee is encouraged to take a critical analytical view of their work doing presentation of
cases at meetings and reviewing series of cases for audit. There is access to the department
computerized diagnostic index. The post-holder will be encouraged to attend the North of
England and North Trent Dermatology meetings and North Trent Audit Meetings.
Rotherham District General Hospital
http://www.rotherhamhospital.nhs.uk
Consultant Staffing
Dr M L Wood
Dr A E Muncaster
Dr S Garg
The Dermatology Department within the General Hospital is a modern integrated unit,
inaugurated in 1994. The Department has an out-patient suite with clinic and examination rooms,
a treatment suite with facilities for tar baths, TLO1 UVB, PUVA and dressings, operating theatre,
offices and reception. Specialist and multi-disciplinary clinics held within the Department include
skin oncology clinic and MDT, vulval, paediatric and counselling clinics. Dr Wood has a special
interest in Vulval Diseases including a joint clinic with Dr Christine Bowman in GUM (for all
GUM related dermatoses including HIV), 2 monthly. Special experience is also available in Botox
therapy for hyperhidrosis, reconstructive skin surgery and pulsed dye laser treatment.

                                                                                                  6
POSTGRADUATE TRAINING

The Region is committed to developing postgraduate training programmes for both general and
higher professional training as laid down by Colleges and Faculties, and by the Postgraduate
Dean’s network. At local level, college/speciality tutors work with the Unit Postgraduate Clinical
Tutors in supervising these programmes. Trainees will be expected to take part in these
sessions/professional reviews. Study leave will form part of these educational programmes and
will be curriculum-focussed and arranged in conjunction with the appropriate Educational
Supervisor and Programme Director. A system of mentoring and Educational Supervision is
operational within the Department for all doctors-in-training.

Trainees will be expected to undergo the requisite training assessments and clinical evaluation
exercises and will be subject to ARCP procedures.
OTHER FACILITIES
Clubs etc.

There is a Medical Staff Mess on ‘C’ Floor of the Royal Hallamshire Hospital and an active sports
club at Fulwood.

Shops
The city has excellent shopping facilities and good suburban shopping centres are close to most
hospitals. Sheffield is situated on the edge of the Peak District National Park.
Car Parking

There is a multi-storey car park at the Royal Hallamshire Hospital, although there are only limited
spaces available for staff.

Transport

All the major Units are adjoining a regular bus route to the city.

RESIDENCE
This is a non-resident post.

Irrespective of his/her place of residence, it is the responsibility of the appointee to ensure that
when on-call, he/she is available to meet his/her clinical commitments.
POINTS OF CONTACT AND VISITING ARRANGEMENTS

If candidates wish to visit the hospitals concerned, they are at liberty at make arrangements direct
with:-

Training Programme Director Dermatology
(South Yorkshire)
Prof David J Gawkrodger
Consultant Dermatologist
Royal Hallamshire Hospital
Glossop Road
Sheffield
S10 2JF
Telephone:    (0114) 271 2203
E-mail: david.gawkrodger@sth.nhs.uk
Secretary : Rachel Handley
Telephone: (0114) 271 2203
E-mail: rachel.handley@sth.nhs.uk


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Postgraduate Dean                                     Administrative Trust
South Yorkshire and South Humber Deanery              Sheffield Teaching Hospitals NHS Foundation Trust
Don Valley House                                      Medical Personnel Department
Savile Street East                                    8 Beech Hill Road
Sheffield                                             Sheffield
S4 7UQ                                                S10 2SB
Telephone:                          (0114) 266 4401   Telephone:   (0114) 271 13471
JobDes/SpecialtyTraining/Dermatology-ST3
07.2011




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