Sub-Specialty Training In Diagnostic and Interventional Neuroradiology

Sub-Specialty Training Posts ST3+ 1

Recruitment Timetable

Apply from 3 May 2018
Closing date 16 May 2018
Interview dates 29 May 2018.

Applications are invited for the post of Sub-Specialty Trainee in Diagnostic and Interventional Neuroradiology based at North Bristol NHS Trust.  This post is suitable for trainees wishing to practice in diagnostic neuroradiology and/or interventional neuroradiology. Post to commence August 2018.

This is an RCR accredited 4th/5th/6th year post, for two or three years, and provides the opportunity for comprehensive training in all aspects of Diagnostic and Interventional Neuroradiology.  The diagnostic training will be over 2 years and the interventional training will be over 3 years in line with the GMC approved Interventional Radiology curriculum.

The post has Royal College of Radiologists’ approval and conforms to the curriculum outlined in the college document ‘Sub-specialist training in Clinical Radiology’. Training may be varied depending on the interests of the appointee

This post is open to holders of a UK NTN or equivalent in Clinical Radiology, with successful completion of clinical radiology training to ST3 level confirmed by RITA C or ARCP outcome 1, and passed FRCR 2A prior to starting post.

Applicants should have 3 years’ experience within the specialty and have obtained all Part 2A modules of the FRCR examination.

The appointment(s) will be subject to yearly assessment/appraisal.

The Postgraduate Dean confirms that this placement and/or programme has the required educational and the Dean’s approval.

Please refer to the person specification, to check the eligibility criteria, prior to submitting an application.

Full information to assist with your application is available under the Resources tab.

Interviews will be in Bristol on 29 May 2018.

To contact us please email SEVRecruitment.SW@hee.nhs.uk  or telephone the support line on 01454 252610 (between 8:30am and 4:00pm).

*Please note that the vacancies advertised may be subject to change prior to interview.

This post is suitable for trainees wishing to practice in diagnostic neuroradiology and/or interventional neuroradiology.

 

JOB DESCRIPTION:

 

This is an RCR accredited 4th/5th/6th year post, for two or three years, and provides the opportunity for comprehensive training in all aspects of Diagnostic and Interventional Neuroradiology.  Diagnostic training will be over 2 years.  Interventional training will be over 3 years according in line with the GMC approved Interventional Radiology curriculum.

 

The post has Royal College of Radiologists’ approval and conforms to the curriculum outlined in the college document ‘Sub-specialist training in Clinical Radiology’. Training may be varied depending on the interests of the appointee.

 

MRI/CT

 

The registrar in Diagnostic and Interventional Neuroradiology will be expected to develop their skills in reporting of MR/CT in neuroradiological practice to a sub-specialist level. Teaching is in the form of pre-reporting of routine departmental workload with checking by a consultant. The acquisition of knowledge concerning the use of advanced MR techniques in the diagnosis and monitoring of neurological disease is expected.

 

ANGIOGRAPHY

 

The ST will participate in routine check and diagnostic angiography in order to develop core competence in cerebral catheter techniques.

 

INTERVENTION

 

When a sufficient level of skill is obtained in cerebral angiography, an interested ST would progress to training in neurointerventional techniques, principally endovascular treatment of cerebral aneurysms, tumour and fistula embolisation and interventional treatment of stroke.

 

PAEDIATRICS

 

Opportunity exists for training in paediatric neuroradiology. If an ST has a specialist interest then sessions will be arranged at the Bristol Children’s Hospital.

 

Specimen timetable:

 

Mon

Tue

Wed

Thur

Fri

Neurovascular meeting

Angiography

Angiography/ Reporting

Multidisciplinary and academic Meetings

Reporting/

Myelography

Intervention/

Reporting

Intervention/

Reporting

Reporting

 

Intervention/

Reporting

Facet joint injections/nerve root blocks

Intervention/

Reporting

 

 

TEACHING

 

The registrar would be expected to participate in teaching of general radiology registrars and, occasionally, medical students.

 

SUPERVISION OF MR/CT

 

Whenever in the department, the registrar should be prepared to participate in the supervision of radiographers in the MRI and CT suites.

 

RESEARCH/AUDIT

 

Participation in these activities is an essential component of training.

 

ON CALL

 

There is a 1:8 on call rota for neuroradiology. The ST would be supervised by one of the consultant neuroradiologists in rotation in final year, either year 5 or 6.  There will be a requirement to cover radiology on-call in year 4 and/or 5 as part of the general on-call on a 1:10 basis.  This includes a week of nights on a full-shift rota.

 

ANNUAL LEAVE

 

Six weeks per annum.

 

STUDY LEAVE

 

Thirty days per annum.

 

 

 

MEETINGS

 

The registrar would be expected to attend clinical-radiological meetings and from time to time present at the weekly joint neurosciences meeting. Attendance at national/international meetings relating to the neurosciences is also encouraged.

 

Daily         08:00           Neurosurgical Business Meeting

                  08:00           Intensive Care Unit Meeting      

 

Mon          16:00           Dementia (1st week of month)

 

Tues         13.00           Type II Neurofibromatosis (quarterly)

                  16:00           Gamma Knife

 

Wed          08:30           Paediatric Neurology (BCH)

                  09:00           Neuro-oncology MDT

                  09:30           Paediatric Epilepsy (1st week of month - BCH)

                  09:30           Adult Epilepsy (2nd week of month)

                  11:00           Joint Neurosciences

                  12:00           Stroke

 

Thurs        12:00           Neurovascular Meeting

                  12:30           Skull Base MDT (bimonthly)

                  14:00           Neuroinflammation

                  14:00           Spine MDT

 

 

NEURORADIOLOGY DEPARTMENT

 

Neuroradiology is part of the North Bristol NHS Trust Imaging Department and has eight full time consultant neuroradiologists, all of whom participate in routine brain and spine reporting. The neuroradiology department provides a full range of imaging services to the Neurosciences in Bristol and surrounding region. 

 

The adult service is based in the Brunel Building of Southmead Hospital, a state of the art super-hospital for North Bristol opened in 2014. Paediatric services are based at Bristol Royal Hospital for Children, with new facilities built for the Centralisation of Paediatric services in 2014 and the Gamma Knife Unit is a new facility opened in 2013 within University Hospitals Bristol. The neuroradiology department also provides an imaging service to cover the North Bristol NHS Trust role as a busy District General Hospital.

 

 

 

      Consultant areas of specialist interest

 

Dr Shelley Renowden

 

 

Dr Marcus Bradley

 

 

 

Dr Neil Stoodley

 

 

Dr Verka Beric

 

Dr Marcus Likeman

 

 

 

Dr Paul Smith

 

Dr Fionn Williams

 

 

Dr Rob Crossley

 

Dr Alex Mortimer

    

 Neurovascular Intervention

 Neuro-oncology and Skull Base

 

 Neurovascular Intervention

 Neuro-oncology

 Gamma Knife

 

 Paediatric Neuroradiology

 General Neuroradiology

 

 Spine and Spinal Intervention

 

 Paediatric Neuroradiology

 Epilepsy

 Dementia

 

 General Neuroradiology

 

 Paediatric Neuroradiology

 Diagnostic Neuroradiology

 

 Neurovascular Intervention

 

 Neurovascular Intervention

 Stroke

 

 

 

 

List of major equipment :

 

MRI

Two Phillips 3T scanners, One Philips 1.5T scanner with intra-operative MRI capability, One GE 1.5T scanner, One Philips 1.5T fixed mobile unit at Cossham Hospital, One Siemens 3T scanner at BCH

 

Angiography

Two Siemens Biplane angiography suites, Two Siemens Monoplane angiography suites, One Philips Monoplane angiography suite, One Siemens Monoplane Hybrid Interventional suite.  One Siemens Biplane Cardiac/Neuro Hybrid theatre at BCH.

 

CT

Three GE CT scanners, One Toshiba Aquilion CT scanner at Southmead, One Toshiba CT at BCH.

 

Radionuclide

Two GE dual-headed Gamma Cameras, one with SPECT/CT. One GE PET/CT scanner (run by Alliance Medical).

 

 

Diagnostic Examination Workload

 

Type of Examination

Approximate number of examinations

CT                  Brain 

                        Spine

                            15000

                             2000

MRI                 Brain 

                        Spine      

                            7000

                            10000

Cerebral Angiograms

                            250

Myelography

                            100

     

 

 

 

 

Interventional Procedure Workload

 

Procedure

Approximate number of procedures performed per annum

 

Endovascular Aneurysm Repair

Intracranial stent insertion (aneurysms)                                                                              

Temporary /permanent balloon occlusion                                      

Embolisation of arteriovenous malformations                                

Stroke Thrombectomy                                                                           

Vertebroplasty

Nerve Root Blocks

 

                               200

                                 20

                                

                                 10

                                

                                 15 

                                  

                                 50

                                 50 

                               2500                           

 

 

Library and educational facilities:

 

There is a library within the Learning and Research Building at Southmead. Neurosurgical journals are located here or through the use of online passwords.  A full range of Neurology and other Neuroscience journals are available.

 

Neuroscience unit:

 

The neurosurgical unit consists of twelve consultant neurosurgeons including four paediatric neurosurgeons and provides a comprehensive neurosurgical service to a core population of 2.2 million. It receives further specialist referrals for complex spinal neurosurgery, and paediatric neurosurgery over a wider catchment area and receives further specialist referrals from elsewhere in the UK and abroad. Paediatric, Spinal, Vascular, Functional, Cerebrovascular, Epilepsy, Skull Base sub specialist neurosurgical services are provided.

 

There are eighteen Consultant Neurologists including a Chair in clinical neurosciences in the University of Bristol.  There are six consultant paediatric neurologists at Bristol Royal Hospital for Children.

 

There are three Consultant Neuropathologists, including a Chair in Neuropathology, four Consultants in Neurophysiology, two Consultants Neuropsychiatrists and two Consultants in Neuro-rehabilitation.