Academic Medical Unit

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The Academic Medical Unit Foundation Year 2 Job Description

This FY2 programme for Academic Medicine has two main objectives:

      To provide a firm grounding in clinical medicine with competence
       based and clinical skills training – in preparation for higher specialist
      To provide exposure to clinical science and evidence-based clinical
       practice to provide a foundation for a career in academic medicine

The programme is based with the Academic Medical Unit (AMU), and
provides clinical training in General Internal Medicine and Cardiovascular
Medicine. It is aimed at FY2 trainees who are considering a career in hospital
medicine as a clinical academic engaged in clinical research and clinical
practice. This innovative programme provides exposure to clinical training in
acute medicine, coronary care, ward and clinic based medicine. In addition
this post provides experience in academic medicine via interaction with a
broad spectrum of ongoing research within the Academic Medical Unit. For
those contemplating future application for clinical research training fellowships,
this post offers an ideal opportunity to consider and plan this option.

Clinical Training Programme:

These 12-month programmes are divided into 3 clinical blocks. The first 4
months offers the post-holder clinical training in Acute Medicine via the
Medical Admissions Unit through full-time participation in the acute medicine
rota with the staff of the Academic Medical Unit (currently a full shift pattern).
The MAU admits ~50 unselected emergency admissions per day providing
trainees with extensive emergency medicine experience.

Further clinical ward-based work is divided between the Infectious Diseases
Unit and the Coronary Care Unit (4 months each). There is also the
opportunity to participate in weekly GIM or Specialist clinics during the ward-
based blocks. Approximately 40% of the timetable during the latter 8 months
is dedicated to academic activities.

The educational and training aspects of these posts are key to their success
and the entire clinical training programme are under the supervision of the
AMU staff in general, with a specific mentor who is responsible for appraisals.
The post-holder is expected to attend regular generic GIM training sessions
within the UHL Trust and clinical skills and procedure training. They are also
expected to complete an Advanced Life Support course by the of the FY2
year. Our aim is to generate highly competent and confident clinicians.
Academic Activities:

The post-holder will gain invaluable experience from becoming actively
engaged in the many ongoing clinical research and educational opportunities
offered within the AMU including weekly clinical research meetings during
which data from ongoing clinical studies are critically reviewed, weekly CME,
weekly journal review meetings and regular clinical audit meetings. There will
also be the opportunity to spend dedicated time within the Clinical Research
unit to gain understanding of the complexity of clinical research, data handling,
interpretation, ethics and regulatory issues, data analysis and writing skills.

There are also opportunities for teaching experience with small group
teaching of pre-clinical students at the University of Leicester and bedside
clinical teaching for the Introductory Clinical Course (2nd Year students) and
ward-based medical students (3rd to 5th Year).

The post-holder will be awarded an honorary visiting fellowship by the
University of Leicester, School of Medicine

Weekly Timetable:

This timetable provides a “flavour” of the time allocation to various activities – more
specific timetables for each post are given in the Appendix.

     Monday           Tuesday         Wednesday          Thursday            Friday
                                      OPD Clinic          Medical
   Ward-based        Consultant                                           Ward-based
                                        (GIM or           Student
   Clinical work     Ward Round                                           Clinical work
                                       Specialist)       Teaching

   Ward-based         Research        Clinical Audit      Research        Ward-based
   Clinical work      Activities         Projects         Activities      Clinical work

   Weekly lunchtime educational meetings include:
        o Acute Medical Unit and Cardiovascular Journal Clubs
        o Hypertension clinic review / audit
        o Physician „Grand Round‟

Leicester Royal Infirmary

The Leicester Royal Infirmary is an acute hospital with beds for each of the
main specialities and contains the only Accident and Emergency Unit in the
District. The hospital is currently undergoing a development programme to
provide additional facilities and an expansion of existing services.

The current bed allocation is as follows:

                      Acute Medical                 120
                      Rehabilitation &
                      Medicine for the Elderly        96
                      Paediatric Medicine             90
                      Paediatric C.I.C.U.              8
                      Infectious Diseases             18
                      Dermatology                      6
                      Neurology                       20
                      Rheumatology                    15
                      Haematology                     16
                      Bone Marrow Transplant           4
                      Radiotherapy                    39
                      General Surgery (inc. Paediatric
                      Surgery)                      103
                      ENT                             60
                      Oral Surgery                    14
                      Orthopaedics                  152
                      Ophthalmology                   45
                      Plastic Surgery                 40
                      Gynaecology                     38
                      Accident and Emergency           6
                      Maternity Beds                100
                      Delivery Suites                 18
                      Special Care Baby Cots          26
                      Hambleton Suite                  3
                      Day Ward (all specialities)     34
                      Ophthalmic Day Unit             15
                      Haematology Day Ward            20
                      Endoscopy Unit                  10
                      Medical Admissions Unit         22
                      ITU/CCU                         14
                      HDU                              3
                      Central Operating Department 1
There is a suite of 16 operating theatres with a 24 hour recovery area, and in
addition there are 3 other outlying theatres.

The Sandringham Building which opened in 1980, provides Pathology,
Medical Physics and Physiological Measurement departments, and separate,
purpose built laboratories for Histopathology, Chemical Pathology and the
Public Health Laboratory Service.

Medical Physics and Physiological Measurement occupy two floors, with
accommodation for Radio Isotopes, E.C.G. diagnostic reporting service,
E.E.G., E.N.T. measurements and many special procedures.

The Robert Kilpatrick Clinical Sciences Building of the University of Leicester
is situated on the Royal Infirmary site and provides offices, , and research
laboratories for Medicine, Surgery, Obstetrics and Gynaecology, Paediatrics,
and Pathology,

The Windsor Building opened in November, 1992, includes Acute wards, The
Children‟s Hospital, Integrated Medicine wards, Haematology and Bone
marrow transplant wards, X-Ray, Pharmacy, Mortuary, Medical Illustration,
Ophthalmic Outpatients, Child Development Centre, Staff Changing, and
Kitchen/Dining area.

The Osborne Building opened in October 1997. It provides an integrated
service including the Departments of Haematology and Oncology. New
radiotherapy equipment has been installed and outpatient, inpatient and
hostel facilities is available within the building. Regular meetings and lectures
by invited speakers take place in the seminar suite within the Osborne

Obstetric and all other women‟s and neonatal services have been combined
into the Women‟s Hospital which opened in 1997. The centralisation of all
these services is designed to improve the provision of women‟s health in

University of Leicester, School of Medicine

Dean: Professor Ian Lauder, MB BS, FRCPath, FMedSci

As part of the School of Medicine‟s commitment to the maintaining and
improving on its existing high standards of research and teaching, it carried
out an extensive restructuring process in 2003. There are five substantial
academic departments, defined primarily by their research interests and
spanning the traditional clinical subject areas. These are Cancer Studies and
Molecular Medicine (Head: Professor W P Steward); Cardiovascular Sciences
(Head: Professor N J Samani); Health Sciences (Head: Professor R H Baker);
Infection, Immunity and Inflammation (Head: Professor P W Andrew); and
Medical and Social Care Education (Head: Professor S Petersen).

These Departments are able to bring considerable intellectual resources to
bear on a range of vital medical challenges and reflect the priorities of the
National Health Service. They provide a stimulating environment for research
and for study at all levels, and offer a wide range of opportunities for
professional training and development.

In addition to the departments there are clinical divisions, which bring together
clinical academics from cognate specialties, and whose role is to co-ordinate
links with NHS colleagues, the Royal Colleges and postgraduate medical
education. There are clinical divisions for Anaesthesia, Critical Care and Pain
Management; Child Health; Epidemiology and Public Health; General Practice
and Primary Health Care; Medical Physics and Radiology; Medicine;
Obstetrics and Gynaecology; Oncology; Pathology; Psychiatry; and Surgery,
Orthopaedic Surgery and Ophthalmology.

The NHS in Leicestershire & Rutland

There has never been a more exciting time to be involved in the delivery of
healthcare in Leicestershire & Rutland.

In April 2000, the three hospitals in Leicester (Glenfield Hospital, Leicester
General Hospital, and Leicester Royal Infirmary) came together as one trust
(University Hospitals of Leicester NHS Trust) to enable them to better utilise
National Health Service (NHS) resources and to provide the residents of
Leicester and the surrounding areas with more modern and efficient
healthcare services.

Working in partnership with healthcare providers across Leicestershire and
Rutland, UHL in the same year, proposed a Strategic Outline Case (SOC) and
secured support to progress a modernisation project.

In October 2002, the Leicestershire, Northamptonshire and Rutland Strategic
Health Authority approved UHL's Outline Business Case (OBC) which sets
out a £403 million / eight year plan to extensively refurbish and modernise the
three hospitals in Leicester; in partnership with private sector partners.

The scheme is entitled the „Pathway project‟ and represents the largest
investment for an NHS hospital rebuilding and modernisation scheme outside
of London to-date.

The main elements of the plan include developing a new Women's and
Perinatal Unit by merging the two maternity units onto the Glenfield Hospital,
refurbishing the majority of the service facilities at the Leicester Royal
Infirmary, developing state-of-the-art planned care and rehabilitation facilities
at the Leicester General Hospital and developing a new multi-professional
education and training centre in partnership with the University of Leicester
School of Medicine and the De Montfort University School of Nursing &

It is planned that the modernisation scheme will be carried out in a phased
approach, with several buildings being completed by 2007 and the remainder
completed by 2011.
Further information on the pathway project is available from the website

Main conditions of service

The post is covered by the Terms and Conditions of Service for Hospital
Medical and Dental Staff (England and Wales) as amended from time to time,
and also such other policies and procedures as may be agreed by the
University Hospitals of Leicester NHS Trust.

This is a whole-time appointment - resident only when on-call.

The salary for this appointment will paid on the minimum of the SHO payscale

N.B.   It is possible that during the lifetime of this contract of
employment, further, appropriate adjustments will be made to the
working patterns for the post, in order to meet the requirements of the
New Deal.


The University Hospitals of Leicester NHS Trust recognises its duties under
the Health and Safety at Work Act 1974 to ensure, as far as is reasonably
practicable, the health, safety and welfare at work of all its employees and, in
addition, the business of the Trust shall be conducted so as to ensure that
patients, their relatives, contractors, voluntary workers, visitors and members
of the public having access to hospital premises and facilities are not exposed
to risk to their health and safety.

The duties of this post may require the postholder to carry out exposure prone
invasive procedures on patients of the University Hospitals of Leicester NHS
Trust. In order to protect its patients from acquiring blood borne viral
infections from staff the Trust requires that the following conditions be met
before appointment to the post is made:

1.    The candidate must provide acceptable documentary evidence to the
      Occupational Health Service as part of pre-employment screening of
      non-infectivity and/or immunity to Hepatitis B infection and non-
      infectivity with Hepatitis C if appropriate. If the candidate is non-
      immune to Hepatitis B the University Hospitals of Leicester NHS Trust
      will require a blood test to be carried out for Hepatitis B markers before
      appointment. The duties of this post are such that no candidate with
      positive blood borne viral infectious markers in accordance with the
      latest DOH/GMC guidelines could be appointed.

2.    Any appointee who is not immune to Hepatitis B, but is currently
      carrying out exposure prone invasive procedures, accepts that regular
      checks on Hepatitis B markers may need to be carried out by the
      Occupational Health Service appointed by the University Hospitals of
      Leicester NHS Trust.
The tests can be arranged, if the candidate agrees, in confidence through a
local consultant microbiologist or the occupational health physician. All costs
for testing will be borne by the University Hospitals of Leicester NHS Trust.

Criminal Records Bureau Clearance

This post requires a enhanced disclosure by enhanced criminal records
certificates as this post is regulated by the Protection of Children Act 1999,
The Criminal Justice Courts Act 2000 and / or the Care Standards Act 2000
and such other authority committed by statute.

Failure to disclose details if you are currently / or in the future are the subject
of police investigation / proceedings which could result in a conviction, caution
or bind over order is a disciplinary matter, and may result in dismissal.

Unforeseen Circumstances

In cases of extreme urgency, the holder of the post may be required to
undertake duties in a hospital outside the Unit to which he/she is appointed.
Such secondment for other duties would be reduced to the minimum.

Other Facilities

The Medical School Library in included in the Clinical Sciences Building at the
Leicester Royal Infirmary.

There is a Postgraduate Medical Centre situated at the Leicester Royal
Infirmary, which has a large Lecture Theatre, Seminar Room, Laboratory and
a Museum. Lectures on all topics are held regularly.

There is a weekly postgraduate clinical presentation or lecture on Fridays, in
addition to many other postgraduate activities.

The Leicester Royal Infirmary is situated approximately 400 yards from the
main city shopping centre. It has its own staff multi-storey car park.


The three Leicester acute Hospitals are extremely short of married
accommodation, and this cannot be guaranteed.

The three Leicester acute Hospitals are extremely short of married accommodation,
and this can not be guaranteed.

The three Leicester hospitals only pay abatements when you are living and working
at the same Trust. If you chose not to move in the course of a rotation you will lose
your abatement.

Please Note:

Trent 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 Postgraduates Dean‟s network.           At local level,
  college/speciality tutors work with unit postgraduate clinical tutors in
  supervising these programmes. Trainees will be expected to take part in
  these programmes (including audit) and to attend counselling
  sessions/professional review. Study leave will form part of these educational
  programmes and will be arranged in conjunction with the appropriate tutor.

  Medical Rotation – SHO

Please note that the programme/post information provided is subject to change.

Infectious Diseases Unit

   Monday          Tuesday         Wednesday         Thursday        Friday
                                   OPD Clinic
                 Consultant                          Academic
 Clinical work                      (General                      Clinical work
                 Ward Round                          activities

                   Academic         Academic         Academic
 Clinical work                                                    Clinical work
                   activities       activities       activities

Coronary Care Unit:

   Monday          Tuesday         Wednesday         Thursday        Friday
     CCU              CCU           Academic         Academic          CCU
Clinical work*   Clinical work*     activities       activities   Clinical work*

                                   OPD Clinic
     CCU           Academic                          Academic         CCU
 Clinical work     activities                        activities   Clinical work

   *Includes consultant ward rounds

   Academic activities:
      Research projects within the clinical research unit
      Clinical audit projects
      Medical student teaching

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