Sub-Specialty Training In Diagnostic and Interventional Radiology

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 Radiology.  This post is suitable for trainees wishing to practice in vascular and non-vascular interventional radiology.  Post to commence August 2018.

This is an RCR accredited 4th/5th/6th year post, for three years, and provides the opportunity for comprehensive training in all aspects of Interventional Radiology based at North Bristol NHS trust, with rotation to vascular units at surrounding trusts within the deanery.

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.

At completion of training the successful application would gain dual CCT in Diagnostic Radiology and Interventional Radiology. 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 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 vascular and non vascular interventional radiology.

 

JOB DESCRIPTION:

 

This is an RCR accredited 4th/5th/6th year post, for three years, and provides the opportunity for comprehensive training in all aspects of Interventional Radiology based from North Bristol NHS trust, with rotation to vascular units at surrounding trusts within the deanery.

 

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. At completion of training the successful application would gain dual CCT in Diagnostic Radiology and Interventional Radiology. Applicants should have 3 years experience within the speciality and have obtained all part IIA modules of the FRCR examination.

 

Plain film and Cross Sectional Imaging

 

The registrar in Diagnostic and Interventional Radiology will be expected to develop their skills in reporting of plain film, ultrasound and MR/CT in radiological practice to a specialist level. The registrar will be expected to develop cross sectional reporting in areas related to interventional radiology to a subspecialist level. Teaching is in the form of pre-reporting of routine departmental workload with checking by a consultant. Trainees are welcome to attend departmental registrar teaching to further knowledge of general radiology.

 

On call

 

The registrar will be expected to participate in the diagnostic on call rota during years 4 and 5. During year 6 the successful applicant will be first on call for interventional radiology in a supported capacity

.

Vascular intervention

 

The successful registrar will gain competence in diagnostic angiography of the aorta, visceral vessels and peripheral arterial system. North Bristol is a tertiary vascular unit and has an active EVAR and complex EVAR programme. There is a wide range of arterial intervention including peripheral angioplasty and stenting. There is an active below the knee angioplasty programme for critical limb ischaemia.  North Bristol is a transplant centre and there is a lot of work in managing the dialysis population access, and will learn to intervene on AV fistulas and grafts, and complex line placement. Embolization is a key part of training, to include both emergency and elective embolization for a variety of conditions.

 

Non vascular intervention

 

General abscess drainage and diagnostic biopsy: The registrar will be expected to become competent in percutaneous biopsy and abscess drainage using a range of imaging modalities.

 

Urology Intervention: The urology department is one of the busiest in the UK and the registrar will learn common urological interventions including nephrostomy, ureteric stent placement. For the interested trainee there is the opportunity to learn access for PCNL or cryoablation for renal tumours.

 

GI intervention & Hepatobiliary intervention is also common place with plentiful training opportunities

 

 

Specimen timetable:

 

Mon

Tue

Wed

Thur

Fri

Intervention

EZ cover

Vascular meeting

Intervention

Intervention

Intervention

Reporting

 

Intervention

Audit

Intervention

 

 

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.

 

 

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 interventional radiology is also encouraged.

 

Monday:                        12.30pm Renal Meeting

                                       1.30pm local vascular meeting  

                                       5.00pm PCNL planning meeting

 

Wednesday                  08:00 vascular meeting

                                       12.30 Transplant assessment meeting

 

Friday                            14:00 renal access meeting

 

 

ON CALL

 

There is a 1:6 on call rota for interventional radiology. The registrar would be supervised by one of the consultant radiologists in rotation in year 6.  There will be a requirement to cover diagnostic radiology on-call in year 4 and 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.

 

 

 

INTERVENTIONAL RADIOLOGY DEPARTMENT

 

Interventional radiology is part of the North Bristol NHS Trust Imaging Department and has five full time consultant interventional radiologists, and two general radiologists with part time interventional interests. There are two visiting interventional radiologists from RUH Bath who contribute some sessions to NBT as part of the recent vascular merger. The interventional radiology department provides a full range of intervention services to North Bristol NHS Trust and tertiary interventional services to the surrounding region. 

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      Consultant areas of specialist interest

Dr Neil Collin

 

 

 

 

 

Dr Graham Collin

 

 

 

 

 

 

Dr Alexander Horsch

 

 

 

 

 

Dr Peter Mezes

 

 

 

 

 

Dr Pavel Kavcic

 

 

 

 

 

Dr Eric Loveday

 

 

 

 

Dr Dominic Fay

 

 

Dr John Hardman

 

Vascular intervention.

EVAR

Urological intervention and PCNL

Renal access

Renal cryoablation

 

Vascular intervention

EVAR and EVAS

Urology intervention and PCNL

Renal access

Hepatobiliary intervention

Vascular malformation

 

Vascular intervention

EVAR

Urology intervention

Renal access

Research lead

 

Vascular intervention

EVAR and fEVAR

Urology intervention and prostate embolization

Renal access

 

Vascular intervention

Urology intervention

Renal access

Tumour ablation

 

Vascular intervention

Urology intervention

Renal access

Hepatobiliary intervention

Diagnostic GI radiology

 

Vascular intervention

(+ other interests at RUH Bath)

 

Vascular intervention

EVAR, FEVAR, EVAS

(+ other interests at RUH Bath)

 

 

 

 

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 with additional 1.5T MRI expected 2016.

 

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, with PET scanner installation expected in 2016.

 

 

Library and educational facilities:

 

There is a library within the Learning and Research Building at Southmead in addition to our departmental library. Appropriate journals are located here or through the use of online passwords. A full range of radiology and other medical journals are available.