Yorkshire Deanery Handbook
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HANDBOOK FOR OVERSEAS DOCTORS September 2004 Version
Transcript of Yorkshire Deanery Handbook
HANDBOOK
FOR
OVERSEAS DOCTORS
September 2004 Version
CONTENTS
INTRODUCTION .......................................................................................................... 3 HANDBOOK FOR OVERSEAS DOCTORS .......................................................................................... 3 OVERSEAS DOCTORS ................................................................................................................ 4
MEDICAL TRAINING IN THE UNITED KINGDOM ...................................................... 5 OUTLINE ................................................................................................................................ 5 PLANNING YOUT TRAINING ......................................................................................................... 6
GENERAL MEDICAL COUNCIL (GMC) ...................................................................... 8 REGISTRATION ......................................................................................................................... 8
Full Registration .............................................................................................................. 8 Provisional Registration .................................................................................................. 8 Limited Registration ........................................................................................................ 8
PROFESSIONAL & LINGUISTIC ASSESSMENTSBOARD (PLAB) TEST ........................................................ 9 Exemption from PLAB ..................................................................................................... 9
GOOD MEDICAL PRACTICE ......................................................................................................... 9 PERMIT-FREE TRAINING ......................................................................................... 11
INITIAL GRANT OF PERMIT-FREE TRAINING ....................................................................................... 11 APPLYING FOR AN EXTENSION TO PERMIT-FREE TRAINING ................................................................... 11 SPOUSE STATUS ..................................................................................................................... 12
GETTING ADVICE AND GUIDANCE ......................................................................... 13 Department of Health .................................................................................................... 13
OBTAINING A TRAINING POST ............................................................................... 15 STARTING A NEW JOB ............................................................................................. 16 CLINICAL ATTACHMENTS ....................................................................................... 17 DOMESTIC AND CULTURAL MATTERS .................................................................. 18 CONTACTS AND ADDRESSES: ............................................................................... 20
THE ROYAL COLLEGES ............................................................................................................ 20 OTHER NATIONAL BODIES ....................................................................................................... 21 YORKSHIRE REGIONAL ADVISERS .............................................................................................. 22 YORKSHIRE REGIONAL SPECIALTY ADVISERS (MEDICINE) ................................................................. 24 YORKSHIRE REGIONAL SPECIALTY ADVISERS (PATHOLOGY) ............................................................. 25 YORKSHIRE REGIONAL SPECIALTY ADVISERS (PSYCHIATRY) .............................................................. 26 YORKSHIRE REGIONAL SPECIALTY ADVISERS (SURGERY) ................................................................. 27 HOSPITAL TELEPHONE NUMBERS ................................................................................................ 28 YORKSHIRE DIRECTORS OF POSTGRADUATE MEDICAL EDUCATION ...................................................... 29 MENTORS FOR OVERSEAS DOCTORS ........................................................................................... 30
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INTRODUCTION
HANDBOOK FOR OVERSEAS DOCTORS
Yorkshire Deanery aims to provide excellent training for doctors from overseas who come here to further their own professional development, and who, in the process, make a valuable contribution to the National Health Service.
Overseas doctors are subject to complex regulations, they may be used to a very different health care and training system, they may find themselves disadvantaged in the competition for the most appropriate training posts, the training provided may not be relevant to the situation they will return to in their own country, and, in the past at least, may have found the balance tilted too far towards service provision and too far away from training.
This handbook is intended as a guide for doctors from overseas, to help them to make the most of their time in Yorkshire and in the UK, with outlines of the regulations and structures, and sources of more detailed help and information.
It is also intended to help consultants, tutors, postgraduate medical centre staff, medical personnel departments and others who have dealings with overseas doctors.
I am quite happy for pages, sections or the whole book to be reproduced for any useful purpose; it is presented in computer disc form for this reason, as well as to allow ready updating. I have made every effort to ensure that the information is accurate, but I cannot guarantee it, and I can take no responsibility for the consequences of actions based on the information in this handbook. If you do notice any errors, or if you have ideas to improve on the information provided, then please let me know.
I am very grateful to Dr Maeve Keaney, Associate Postgraduate Dean in Manchester, for permission to plagiarise the excellent handbook that she produced for overseas doctors in the Northwest Region.
Dr Patrick NeliganAssociate Postgraduate DeanYorkshire DeaneryWillow Terrace RoadUniversity of LeedsLEEDSLS2 9JT
Tel: 0113-343 1567 Fax: 0113-343 1530 E-mail [email protected]
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OVERSEAS DOCTORS
An “Overseas Doctor” is one who, regardless of where (s)he obtained his/her primary medical qualification, does not have right of residence in the UK, or does not have “settled status”.
Doctors from the *European Economic Area (EEA) are not really overseas doctors. They have entitlement to stay in the UK and, once they have completed the registration requirements of their country of qualification, have no restriction on employment and medical training in the UK. They are, however, foreign to the practice of medicine in the UK, and may have some problems in common with overseas doctors.
A doctor who is not an EEA national and who qualified in the UK is an overseas doctor for purposes of immigration and employment.
A UK national who qualified outside of the EEA is not an overseas doctor but will initially be restricted to Limited Registration (qv).
Some overseas nationals can acquire settled status (eg by marriage to a British citizen, or, for Commonwealth citizens, if one or more grandparents was born in Britain) and then have no restriction on employment.
On entry to the country a doctor’s passport will be endorsed with a stamp indicating any limit on time, restriction or prohibition of employment, or other conditions including the need to register with the police. The passport stamp will be the indicator of the current period of “Permit-free Training”(qv), but those words are not on the stamp.
Any doubts on status should be clarified with the Home Office.
*EEA countries: Austria, Belgium, Denmark, Finland, France, Germany, Greece, Iceland, Ireland, Italy, Liechtenstein, Luxembourg, Netherlands, Norway, Portugal, Spain, Sweden, and the UK. There is also mutual recognition for Swiss nationals and Swiss qualifications.
Since May 2004, 10 new states have joined the EEA, Cyprus, Czech Republic, Estonia, Hungary, Latvia, Lithuania, Malta, Poland, Slovakia, and Slovenia. In principle doctors from these countries will have the right to live and work in the UK and to register as doctors without further assessment, but the details still need clarification; check with Home Office and GMC.
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MEDICAL TRAINING IN THE UNITED KINGDOM
OUTLINE
Postgraduate medical training in the UK involves paid employment as a junior doctor providing the service to patients, gaining clinical experience under supervision, while also studying and receiving tuition. Entry to a training programme is by successful appointment to a job, and not by enrolment on a course. In the hospital specialties this training is in three parts:
1) Pre-registration House Officer (PRHO) year or General Clinical Training sometimes called “Internship”. Twelve months of carefully supervised training, including at least three months in Medicine and three months in Surgery, and usually six months of each, is an essential requirement for GMC registration for graduates of UK Medical Schools. This period is overseen by the Medical Schools, and the number of posts is matched to the number of graduates.
2) Basic specialist training (BST) or general professional training (GPT) in the senior house officer grade (SHO). This follows completion of pre-registration requirements, and lasts for two or three years, during which time the doctor takes the professional examinations of the relevant Royal College that constitute the entry requirements for higher training.
3) Higher specialist training (HST) in the specialist registrar grade (SpR). The old grades of registrar and senior registrar are obsolete. The full programme lasts for 4-6 years depending on specialty, consists of a structured rotation to give balanced experience, and leads to a Certificate of Completion of Specialist Training (CCST). Part of the programme may be advertised as a Locum appointment for training (LAT). Such a locum period may count towards specialist training, but only in the event of subsequent appointment to a definitive SpR post.
Not all SpR posts lead to a CCST. Fixed term training appointments (FTTA) are available to overseas doctors for a finite period up to 2 years, or occasionally longer. This allows specific training in the specialty, but cannot lead to a CCST. A series of LAT posts cannot lead to CCST. There are also Locum appointments for service (LAS), which do not count as training posts at all, even though some training may be available. These are only short-term posts.
Detailed guidance on higher training is available in “A Guide to Specialist Registrar Training”, the “Orange book” – February 1998.
The training for general practice (family medicine or primary care medicine) is a three-year vocational training scheme (GPVTS), made up of one year as a GP registrar in a training practice and two years in a variety of approved hospital posts (at SHO level); the final placement of the three years is normally in General Practice. In the past the regulations on funding, immigration and GMC registration prevented overseas doctors from training for General Practice, but since November 2003 overseas doctors have been able to train for General Practice with limited registration and permit-free training.
Changes to training. The whole of medical training is under review, a process called Modernising Medical Careers (MMC). From August 2005 new graduates will enter a 2-year Foundation programme consisting of 4 to 6 placements, intended to give greater breadth to experience and to develop generic skills, including an emphasis on recognising and managing acute illness. There will be an exit assessment of competence. Thereafter doctors will enter training for a specialty or general practice, leading to a certificate of completion of training (CCT) after 3 to 6 years. See http://www.mmc.nhs.uk/index.asp
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Appointment to all training posts is selective, following advertisement, application and competitive interview. Possession of the entry requirements and the desire to train in the specialty, however strong, are not sufficient to secure a training post. Doctors should realise that they may be unable to obtain a post in their chosen specialty even after numerous applications, especially in the more popular specialties.
In order to do any sort of clinical training a doctor must register with the General Medical Council (GMC), must satisfy the employing authority’s regulations on health and other matters, and must have valid exemption from work permit regulations (see Permit-free training).
Teaching will usually be a mixture of informal instruction in the workplace, clinical meetings and grand rounds, and sessions organised by specialty tutors to meet the needs of doctors in training. In some cases there may be regional or sub-regional training days. It is important that you make every effort to attend these educational sessions provided for you, some of which will be in protected time, free of clinical commitments. All training posts have an entitlement to Study Leave with pay and expenses for attending relevant courses away from the workplace, subject to the approval of consultants and tutors. The purpose of study leave is to provide learning opportunities that are not normally available in the course of your work. Discuss your needs with your educational supervisor (a nominated consultant in your department) and find out about the local policy on study leave.
Medical research is carried out in parallel with training and service provision. Some doctors in training undertake pure research posts for one to three years, usually working for a higher degree in a University appointment or on a research grant. If there is no clinical work at all involved then an overseas doctor doing research can have student status and need not have GMC registration. If there is any clinical component to the work then all GMC and work permit regulations apply.
PLANNING YOUT TRAINING
Before you arrived in the UK you should have had an overall plan. Your plan should include what you are aiming for in the long term, say 10 years from now, and the steps you will need to take to achieve it. What exactly is it that you are hoping to get from training in the UK.• What is your ultimate goal? Include a range of options, if you wish, but identify the area
of medical practice, the type of institution, and the geographical location where you would hope to work eventually.
• Is this realistic? How do you know? What have more senior doctors told you about your ability and performance?
• What experience will you need? Be specific. Is it available in the UK?• What qualifications will you need?• What obstacles might there be?• Outline a plan for your training in the UK, with approximate timetable.• Which examinations - When?• Training posts you will need to apply for.• What achievement will mark the satisfactory conclusion of your training in the UK?• It is important that you consider what will happen if things don’t work out, and that you
may need to change or abandon your plan.• What will indicate that there is no point in continuing? - e.g. 3 unsuccessful attempts at
an examination? Repeated failure to obtain an SpR post?• At intervals through your training you need to review progress with a trusted adviser. In
particular consider:• Are you still moving in the right direction?• Are you progressing quickly enough?
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• Is your plan still realistic?
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GENERAL MEDICAL COUNCIL (GMC)
REGISTRATION
The General Medical Council (GMC) is the statutory body responsible for the regulation and standards of the medical profession in the United Kingdom. In order to carry out any sort of medical work or training a doctor must first obtain registration with the GMC.
There are three types of registration, Full, Provisional and Limited.
Full Registration
Allows any form of medical employment in the UK, subject to work permit regulations.
Granted to:• graduates of UK medical schools who have completed 12 months of pre-registration
house officer training.• EEA nationals with EEA medical qualifications, and• doctors who are eligible for the Specialist Register.
Application to Registration Division, General Medical Council (see page 20).
Provisional Registration
• Allows only supervised employment in approved pre-registration house officer posts.• Granted to doctors with primary medical qualifications eligible for full registration.• Convert to full registration on satisfactory completion of pre-registration requirement.
Limited Registration
• Allows employment supervised by a fully registered medical practitioner in an institution approved for training.
• Restriction of specialty and grade may be applied.• Granted to overseas doctors with qualifications and experience acceptable to the GMC.• Eligibility is decided on individual enquiry to the GMC (which should be submitted 9
months before proposed arrival in the UK).• Requirement to demonstrate competence in English language.• Requirement to pass or be exempt from the PLAB test.• Maximum period 5 years.• Conversion to full registration is possible after satisfactory progress in training (usually
after one year in the SHO grade) or re-qualification in the UK.• Application to Registration Division, GMC, with letter of appointment to training post.
(NB enquiry about eligibility is not an application).
The whole of registration is currently under review. There will be a single category of registration for all doctors, linked to a licence to practice, which will require revalidation at intervals.
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PROFESSIONAL & LINGUISTIC ASSESSMENTSBOARD (PLAB) TEST
Before granting limited registration the GMC must be satisfied that an overseas doctor is appropriately proficient in both the English language and medical practice. One way to demonstrate this is to pass the PLAB test.
The level of the test is “sufficient to undertake safely employment at first year senior house officer level in a British hospital”.
Before entering the PLAB test a doctor must achieve an overall score of 7.0 and a minimum score of 6.0 in each of the four sections of the International English Language Testing System (IELTS). This test is administered by the British Council at test centres throughout the world
The PLAB test is in two parts: written and clinical. The written section, Part 1, has a multiple choice question paper, clinical problem solving and photographic material. The clinical section, Part 2 is in the form of an Objective Structured Clinical Examination (OSCE), a circuit of 14 observed clinical activities such as history taking, examination, explaining matters to patients, and procedures, each station lasting 5 minutes.
Application is to the PLAB test section, GMC. There is high demand for places, and you should apply well in advance. Part 1 of the test is now being offered in centres in India, and this is being extended to other countries.
Exemption from PLABEEA doctors are not required to take the PLAB test, but employers may require evidence of satisfactory command of the English language.
Overseas doctors may be granted Limited Registration without taking the PLAB test in the following circumstances:completion of basic specialist training to the satisfaction of the relevant UK postgraduate training body (for example, success in MRCP or MRCS)appointment to a Type I specialist registrar post, i.e. one which leads to CCSTagreed quality assurance arrangements with a sponsoring body approved by the GMC
The previously available “senior doctor route” was terminated in 2001
A doctor seeking exemption from PLAB by any route must have achieved level 7.0 in all 4 sections of the IELTS, not just a mean score of 7.0.
A doctor who fails the PLAB test is not eligible for exemption by any route. If you are pursuing exemption then do not attempt the PLAB test.
GOOD MEDICAL PRACTICE
The General Medical Council defines and administers professional standards. A good doctor is judged not only on knowledge and skill, but also on the way he/she behaves and conducts himself/herself. You probably already aspire to good practice, but you may notice some differences in the way doctors behave towards patients in the UK compared with your own country. You should be aware of these differences, and should conform to GMC guidelines. These include:
• Make the care of the patient your first concern• Treat every patient politely and considerately• Respect patients’ dignity and privacy• Listen to patients and respect their views
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• Give patients information in a way that they can understand• Respect the right of patients to be fully involved in decisions about their care• Keep your professional knowledge and skills up to date• Recognise the limits of your professional competence• Be honest and trustworthy• Respect and protect confidential information• Make sure that your personal beliefs do not prejudice your patients’ care• Act quickly to protect patients from risk if you have good reason to believe that you or a
colleague may not be fit to practice• Avoid abusing your position as a doctor• Work with colleagues in the ways that best serve patients’ interests.• In all these matters you must never discriminate unfairly against your patients or
colleagues and you must always be prepared to justify your actions to them.
This is largely about treating patients as you would wish to be treated yourself. A kind, considerate doctor will not suffer many complaints, and will have the respect of patients and colleagues.
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PERMIT-FREE TRAINING
Employment in the UK is restricted, and overseas nationals normally require a work permit. Doctors and dentists undertaking Postgraduate training in hospital or community health services or in General (Medical) Practice may be employed without a work permit subject to certain conditions, an arrangement called “Permit-Free Training”(PFT), which is administered by the Immigration and Nationality Directorate (IND) of the Home Office.
To qualify for permit-free training you must:
Hold or be eligible for Full, Provisional or Limited GMC registrationHave evidence of appointment to a training post or programmeBe able to maintain yourself and any dependants without recourse to public fundsIntend to leave the UK on completion of training.
If you are not yet eligible for GMC registration (eg pending PLAB test) or have not yet obtained a training post, you should have visitor status (which does not allow you to take any paid employment), and you can apply to switch to PFT when appropriate.
Overseas nationals who graduate from UK medical schools having had a student visa must switch to PFT in order to do pre-registration house officer posts in the UK.
Initial grant of permit-free training
• Pre-registration house officer (PRHO) 12 months
• Basic Specialist or General Professional Training (SHO) Up to 3 years
Initial grant will usually be limited to six months or one year, or the duration of the first appointment. Extension for up to three years may be granted with a maximum aggregate of four years in the SHO grade. (This does not include any time spent as a PRHO).
There will be no extension beyond aggregate four years in the SHO grade.
Higher Specialist Training (Specialist Registrar) Up to 3 yearsGeneral Practice Vocational Training Scheme (GP registrar) Up to 3 years
Extensions for periods of up to 3 years to allow completion of the approved training programme, subject to evidence of satisfactory progress.(HST and GPVTS grant is regardless of time spent in the SHO grade. Even after exhausting 4 years PFT as an SHO you can apply for SpR or GPVTS posts as long as you have the entry requirements, and once appointed you will be eligible for further PFT.)
Applying for an extension to permit-free trainingApplication is actually for an extension of leave to remain in the UK and is to the Immigration and Nationality Directorate (IND) of the Home Office. From 1 August 2003 there is a fee for consideration of each application - £250 for personal application at the Public Enquiry Offices in Croydon, Birmingham, Liverpool or Glasgow for which you have to make prior appointment; £155 for postal applications which take a few weeks. Application is on form FLR(O), available from IND Application Forms Unit (see Appendix II) or www.ind.homeoffice.gov.uk/content/ind/en/home.html Read the notes on the form carefully.
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For permit-free training you will require:• GMC or GDC registration certificate• A document showing that you intend to undertake postgraduate training in a hospital.
This should be a letter of appointment from your employer giving start and finish dates of your next or continuing post or rotation.
• Documentary evidence showing satisfactory progress in your postgraduate training. Although the notes on form FLR(O) do not actually say so, this evidence should be provided by form PF/PGD 2002 signed by the Postgraduate Dean.
Form PF/PGD2002 is available in either the Postgraduate centre or the medical staffing department or both in all Trusts in Yorkshire. You should complete Part A in full, and should then ask your supervising consultant to complete Part B, which includes agreement on your training goals as described in Q6 of Part A and on your progress to date. The completed form should be sent to the Postgraduate Dean with a letter of appointment as in b) above, at least 6 weeks before expiry of your current passport stamp or as soon as you obtain a further training post. The Dean makes a recommendation to the Home Office on Form PF/PGD2002, but it is the Home Office that makes the decision. The period granted does not usually exceed the duration of confirmed employment.
As an SHO you may need to apply for extension of leave to remain in the UK (sometimes incorrectly referred to as Visa renewal) several times within the four-year period. Each application will need a new form PF/PGD2002 as evidence of satisfactory progress in training as outlined above. At the end of 3 years you must be sure that your goals are achievable within the next year, and show that you are taking all necessary steps to attain them.
There is no need to apply for further PFT on appointment to the SpR grade if you still have time remaining from the SHO grade. You can wait until 6 weeks before the end of your current grant before re-applying.
Spouse statusThe spouse of a doctor with permit-free training can take spouse status, with which there is no restriction on employment, so the spouse can do medical training without need for permit-free training or can do non-training posts if he or she has full GMC registration.The spouse can later apply for Permit-Free Training in his or her own right, and, if this is granted the doctor originally holding Permit-Free Training can seek to switch to spouse status. Judicious use of these arrangements will allow a married couple both of whom are doctors to extend their training time in the UK if necessary. Spouse status allows a partner who has completed training and has full GMC registration to work in a non-training post, eg Staff Grade, with no need for a work permit, while the other partner completes training.
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GETTING ADVICE AND GUIDANCE
Far too many overseas doctors have been disappointed and disillusioned by the difficulties they have encountered and by the absence of the opportunities they had expected. This is usually because of lack of planning and failure to take proper advice. It is essential that you have reliable and up-to-date information, and that you discuss your plans with appropriate advisors both before you start and as events unfold.
You must have a realistic view of training in the various specialties and of your own prospects and progress. The advice of colleagues in your own country may well be out of date. There are many sources of advice available to you, and useful contacts are given in the appendices (pages 19-25).
Department of HealthThe government department responsible for running the National Health Service and for medical education has a useful website with many links to other sites:
www.dh.gov.uk
British Council OfficesHave general and specific information on medical training in Britain and on the IELTS. Doctors from countries with no British Council Office may write to the National Advice Centre for Postgraduate Medical Education (NACPME). Overseas doctors in the UK may visit or telephone the NACPME information centres.
General Medical Council (GMC)Responsible for registration (and disciplinary matters) - see pages 6-8.
Royal CollegesOversee training in the specialties throughout the UK, and run the relevant professional examinations. Most have specific advice arrangements for overseas doctors, and run sponsorship schemes (giving exemption from PLAB test).
Postgraduate DeansThere are 15 Postgraduate Deans in England, 4 in Scotland and one each in Wales and Northern Ireland. The Deans are responsible for medical training in the Deaneries, geographical sectors based around the Medical Schools. The Postgraduate Dean for Yorkshire is Dr Bill Burr, based in the Department for NHS Postgraduate Medical and Dental Education in Leeds.
Regional AdvisersEach specialty has a Regional Adviser, appointed by the College, who knows about training in the Deanery in that specialty and can give help and advice to individual doctors.
Specialty Training CommitteesThe Deanery has a Training Committee for each specialty, largely responsible for Higher Medical Training. The Chairman of the committee is a useful source of help and advice on training in the specialty. The larger specialties may have divided training into separate programmes, each with a programme director who will look after training in a locality.
Directors of Postgraduate Medical Education or Clinical TutorsEach Hospital Trust has a Postgraduate Medical Centre, with a Director or Clinical Tutor who organises training and induction, and who is available to help and advise junior doctors. The director can offer confidential counselling for a wide range of issues, or can direct you to more appropriate help. The Manager of the Postgraduate Centre can also give a lot of help, particularly in relation to study leave, but also on other matters.
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College TutorsThe Royal Colleges appoint Tutors to represent the specialty in each Trust. The College Tutor will organise the education programme and will have a responsibility for the educational welfare of doctors in training in the specialty.You can find out how to contact the relevant College Tutor though the Postgraduate Centre.
Educational SupervisorsEvery doctor in training should have a Consultant identified as his or her Educational Supervisor. This is likely to be a Consultant for whom you are working, but may not be. You should meet your Educational Supervisor early in your appointment to discuss your plans and opportunities, and should then meet at intervals to review progress.
MentorsIt can sometimes be helpful to talk to someone with experience and understanding of your situation who is not directly involved in your training, known as a mentor. Arrangements in Yorkshire are not uniform. Ask in the Postgraduate Centre or Medical Staffing department about the mentor(s) for overseas doctors in your Trust. If necessary you can arrange to see a mentor from a neighbouring Trust.
Associate Postgraduate Dean/Overseas DoctorsThe Yorkshire Postgraduate Dean has an assistant, currently Dr Patrick Neligan, who deals with all matters relating to overseas doctors and their training. He works part-time in the Deanery Office in Leeds, and is available to see individual doctors by appointment. It should be stressed, however, that the large number of overseas doctors in Yorkshire mean that this should be a last resort. Most matters, can be resolved either in the Trust or within the specialty. Initial enquiries to Dr Neligan should be in writing, setting out the problems and your specific questions. A copy of your CV is helpful. Urgent enquiries can be made by telephone on 0113 233 1567 or by e-mail, [email protected]
Medical Staffing/Personnel DepartmentEach employing hospital has managers responsible for junior doctors. They will deal with your application, interview, appointment and contract. They can help with all matters relating to your employment and working conditions, and can advise on domestic matters such as accommodation. They will also know about future vacancies in training posts in the Trust. In Yorkshire all Specialist Registrars are employed through the Medical Personnel Department of the Leeds Teaching Hospitals NHS Trust, but, once appointed, the Specialist Registrar must also make contact with the Medical Staffing Department in the hospital where he/she will be working in order to sort out local arrangements.
British Medical Association (BMA)The BMA is a Trade Union for doctors. Membership gives access to a wide range of advice and services. It also includes delivery of your own copy of the British Medical Journal each week. Subscriptions are reduced for junior doctors, and are a tax allowable expense.
Medical Defence OrganisationsThere are several defence organisations of which the largest are the Medical Defence Union (MDU) and the Medical Protection Society (MPS). They help doctors in difficulty with complaints, disciplinary procedures or legal action. Although the employing Trust accepts liability for a doctor’s actions, the Trust’s interests may not coincide with the doctor’s interests. It is strongly recommended that doctors join one of the defence organisations from whom they can obtain very valuable help, including legal advice and support.
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OBTAINING A TRAINING POST
You will have to apply for posts in open competition. Posts are advertised by specialty in the classified section of the British Medical Journal, the latest copy of which should be available in any medical library.
Request an application form and job description. Check that the post is suitable for your needs. Telephone the doctor who is currently in the post if you are not sure about this.
Send in the application form and your curriculum vitae before the closing date. If you have missed the closing date then telephone to see if a late application can be accepted.
You may be invited for interview. Do not be too disappointed if you do not hear: most jobs receive far more applicants than can be interviewed.
Try to give yourself time to look around and make enquiries before the interview. If you have to travel a long way the hospital may provide overnight accommodation. Remember to apply for travel expenses.
In the interview you need to present yourself as well as possible to the panel, but remember that these are British doctors. They will appreciate clear, direct, honest answers. They may seem rather unimpressed by what you have done overseas and by distinguished people for whom you have worked. They will be more impressed by what you know, how you think and what plans you have made.
You will usually be told at the end of the interview if you have been successful. If you are offered a post then you may well be asked to give a firm commitment then and there. If you accept the post then you must not withdraw at a later date, so be sure that you want the job. If you have doubts then say so and ask for time or more information.
If you are unsuccessful then it is perfectly reasonable to ask to see one of the interviewing Consultants to ask why you were not successful and for advice on what you can do differently to improve your prospects of obtaining a post in the future. Try to make sure that you get specific advice rather than generalisations.
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STARTING A NEW JOB
Before you start a new job, find out about accommodation, what will happen on the first day and when you will first be required to be on-call. The hospital medical staffing department will either provide answers or will direct you to someone who knows.
Make contact with the outgoing doctor and, if possible, arrange to visit a few days before you start to find out at first hand what is involved and for handover of problems where relevant. Ideally you should have a period of work-shadowing before you start your first post.
You will have to complete a health questionnaire, and may be asked for interview or examination. Make sure that you have appropriate certificate of Hepatitis B immunity.
If this is your first job, ensure that you have completed Home Office and GMC procedures. If there is only a short interval between your successful appointment interview and your start date this may require a visit to London with your papers, including your letter of appointment.
Before starting your first post in the UK you should have been given an opportunity to attend a short residential programme of induction for overseas doctors. These courses are run in various parts of the country, not necessarily where you will be working. They are provided free of charge, funded by the Department of Health, and you are strongly recommended to take advantage of attending a course. Enquiries about courses should be directed to NHS Professionals: tel: 0845 120 3164
If you are unable to attend a course before you start then you should apply to attend one as soon as possible after you start your first post.
On your first day the hospital will almost certainly run a local induction programme. Make sure you attend. It is helpful if you contact your Consultant to say that you have arrived and that you will be attending the induction. You can arrange to meet later in the day. During the induction make sure that you find out about anything that you do not understand or that is worrying you. Do not be afraid to ask questions.
If it is not already part of the induction programme, arrange to meet the senior nurses in the areas where you will be working, including wards, clinics or theatres, to introduce yourself and to find out what they expect of you and what you can expect of them. Remember that nurses are professionals whose work is complementary to yours; they are not the doctors’ servants. Nurses can be enormously helpful to you or can make your life difficult, depending on the relationship you develop with them, so make sure that it is the former.
If you require any leave in the early part of the job, for instance to sit an exam, contact the medical staffing department and your Consultant for approval before you start. Do not wait until you start and just assume that you will be able to take the leave, however important it is.
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CLINICAL ATTACHMENTS
You may find it helpful to spend some time on clinical attachment, observing the culture, language and practice of medicine in the UK. This might be:
• While preparing for PLAB
• Before taking up your first appointment, observing practice in the department/hospital where you will be working, sometimes called work-shadowing.
• Some doctors try to use a clinical attachment for “training” in preparation for professional examinations, as neither GMC registration nor permit-free training status is required. This is not a good plan; a clinical attachment will provide only familiarisation, not proper training.
The role of the doctor on clinical attachment is strictly as an observer (see HSG(95)30 in Appendix). (S)he may interview and examine patients under supervision, but the patient must be made aware of the doctor’s observer status and must give prior consent. Observers should not advise on treatment, carry out invasive procedures or prescribe. The period of attachment is normally limited to between one and three months.
The observer is not employed by the hospital but must satisfy the hospital’s employment regulations. The observer should wear an appropriate identification badge. Accommodation is not normally available, and if it is provided a charge will be made.
To arrange a clinical attachment you should contact either an individual Consultant who has been recommended to you, or the Director of Postgraduate Medical Education (sometimes called the Clinical Tutor) at the hospital. You should send your curriculum vitae with a letter explaining why you wish to do the attachment, and when. Be prepared to be flexible.
Having a doctor on clinical attachment requires time and commitment from the Consultant if the arrangement is to be of any value. The increasing burdens of training and service mean that many Consultants are now reluctant to accept clinical attachments.
17
DOMESTIC AND CULTURAL MATTERS
AccommodationMost hospitals in Yorkshire will provide single accommodation on the hospital site once you take up appointment, but you should ask about this as early as possible. Married accommodation is usually limited but may be available on request.
You will have to pay rent, but usually less than in the private sector, and if your on-call duties oblige you to be resident you should get an appropriate rebate. Find out what is included in the rent and what extras you will have to pay.
Private rented accommodation may better suit your needs, but is more expensive, takes time to arrange, and has potential pitfalls. Take advice from the medical staffing department or hospital accommodation officer. Again make sure you know what is included in the rent and what will be extra.
BankingYou must have a bank account into which your salary is paid. You may be able to choose a UK bank that has an arrangement with your bank at home. Banking hours are restricted and inconvenient when you are working so you should obtain a card that gives you access to automatic cash machines. (There may be one in the hospital).
Taxation, National Insurance ContributionsThe medical staffing department or payroll department will give you advice about this. You have to pay various contributions, usually deducted from your salary.
TransportIf using public transport you will usually use trains between towns and buses within a town. Train fares are complex, with saver tickets often cheaper if you book in advance. Taxis are convenient but can be expensive. Ask about fares.
You will find it invaluable to have your own car. You should be able to buy a second-hand car in good condition at a reasonable price from a reputable dealer. If you do not know a lot about cars then take someone with you who does, or contact one of the motoring organisations (The AA or RAC) who will inspect a car before you buy it (at a cost). You can use your own (international) driving licence for a year, but then need to obtain a UK licence, either by exchange or by passing the UK driving test. The Driver and Vehicle Licensing Agency (DVLA) in Swansea (01792 772151) will advise. You also need to find out about Road Tax (a disc which must be displayed in your car) and insurance.
ShoppingTake advice on types of shop, location and opening hours. Most shops are open Monday to Saturday from about 9 am to 5.30 pm, some corner shops and supermarkets stay open until 8, 9 or 10 pm, and there may be a 24 hour supermarket in your vicinity. Some shops are open for a few hours on Sundays. Most shops close on Bank Holidays or Public Holidays.
FamiliesIf you wish to bring your family then you should come alone and arrange for your family to follow once you have established yourself. In particular, you will need to organise appropriate accommodation, either in the hospital or privately.
If you and your spouse are both working and you have small children then, unless you have help from family, you should use either a registered child minder or a recommended nursery. Ask if the hospital runs a crèche to look after the children of staff.
18
Schooling is provided free of charge. Children aged 5 to 11 years attend primary schools, and then transfer to secondary schools from age 11 to 16 or 18 years. Allocation to schools is made by the Education Department of the relevant Local Authority, which you can find in the telephone directory, but it may be easiest to contact the Head Teacher of the local school in the first instance.
HealthcareIt is very important that you register with a local General Practitioner on arrival; do not wait until you are ill. You, your spouse and your children are entitled to free medical treatment, but other visiting relatives are not. You can attend hospital casualty departments free of charge in the event of accidents or emergencies. The hospital where you work will make a pre-employment health check, and will advise on any aspects of health relating to your work.
TelephoneIf your hospital accommodation has a phone connected to the hospital switchboard then you will be charged for personal calls. The call charges may be higher than the telephone company rates but you do not pay line rental. With the agreement of the hospital management you can have your own phone installed by the telephone company. You will have to pay an installation charge and line rental as well as call charges. You should explore discount services for overseas calls.
As an alternative to a fixed telephone you may prefer to buy a mobile phone. The cost of the phone is usually low, but monthly charges for the service and call charges are relatively high. Make sure that the mobile phone is suitable for overseas calls.
Yorkshire and its peopleYorkshire was the largest of the old English counties, covering 6,000 square miles in the North East of England, with a population of 6 million people, but administrative boundaries have changed. Yorkshire Deanery covers only part of this area. The main population centre is the Leeds-Bradford conurbation at the northern end of the M1 motorway from London. The towns of Halifax, Huddersfield, Dewsbury, Wakefield and Pontefract lie immediately to the South of Leeds. The city of Hull is on the East coast, 60 miles from Leeds along the M62 motorway. The ancient city of York and the old county town of Harrogate are further north, with Northallerton a bit further, and Scarborough, a seaside resort on the coast to the North-east. There are training hospitals in all the towns mentioned, and at Airedale in the Northwest and Cottingham near to Hull.
Large parts of the county are occupied by areas of natural beauty, the Yorkshire Dales National Park in the West and the North Yorkshire Moors National Park in the East. There are many historic buildings of great interest in the towns and country. Further information is available from local Tourist Boards.
The people of Yorkshire are generally friendly and welcoming. They may be a bit blunt, asking direct questions and saying exactly what they mean, which can be a bit disconcerting if you are not used to it. You may find the dialect hard to understand, but people will help you if you ask.
Women do not lead sheltered lives. They take an active part in all aspects of life and work. Men and women are treated as equals, and it is important that you recognise this, both in your work, and in social settings.
You will notice that nurses address patients of all ages by their first names, John or Mary. Patients would normally expect doctors to be more formal, addressing them as Mrs Smith (married), Miss Jones (unmarried), or Mr Johnson. If you are in any doubt, ask politely what you should do.
19
CONTACTS AND ADDRESSES:THE ROYAL COLLEGES
Royal College of Anaesthetists (RCA)48-49 Russell Square, London WC1B 4JYTel: 020 7813 1900 Fax: 020 7813 1876E-mail: [email protected]: Tel: 020 7908 7344 Fax: 020 7636 8280E-mail: [email protected]
Royal College of Obstetricians and Gynaecologists (RCOG)27 Sussex Place, Regents Park, London, NW1 4RGTel: 020 7772 6200 Fax: 020 7723 0575OFS administrator: Binta PatelTel: 020 7772 6223 E-mail: [email protected]
Royal College of Ophthalmologists (RCOphth)17 Cornwall Terrace, London, NW1 4QWTel: 020 7935 0702 Fax: 020 7935 9838ODTS administrator: Beth BarnesTel: 020 7935 0702 ext 207E-mail: [email protected]
Royal College of Pathologists (RCPath)2 Carlton House Terrace, London, SW1Y 5AFTel: 020 7451 6700 Fax: 020 7451 6701E-mail: [email protected]
Royal College of Paediatrics & Child Health (RCPCH)50 Hallam Street, London W1W 6DETel: 020 7307 5600E-mail: [email protected] administrator: Kim PickersgillTel: 020 7307 5638 Fax: 020 7307 5693E-mail: [email protected]
Royal College of Physicians of England (RCP)11 St Andrews Place, Regents Park, London NW1 4LETel: 020 7935 1174 Fax: 020 7487 5218ISS administrator: Matthew FosterTel: 020 7935 1174 ext 319E-mail: [email protected]
Royal College of Physicians, Edinburgh(RCPE)9 Queen St, Edinburgh EH2 1JQTel: 0131 225 7324 Fax: 0131 220 3939ODTS: closed to new applicantsE-mail: [email protected]
Royal College of Physicians & Surgeons of Glasgow (RCPSG)232-242 St Vincent St, Glasgow, G2 5RJTel: 0141 221 6072 Fax: 0141 221 1804ODTS: Mrs Norma RutherfordE-mail: [email protected]
Royal College of Psychiatrists (RCPsych)17 Belgrave Square, London SW1X 8PGTel: 020 7235 2351 Fax: 020 7245 1231E-mail: [email protected]: Mrs Marion Palmer-Jones/Mrs Joanna CarrollTel: 020 7235 2351 ext 108/123www.rcpsych.ac.uk
Royal College of Radiologists (RCR)38 Portland Place, London W1B 1JQTel: 020 7636 4432 Fax: 020 7323 3100E- mail: [email protected]
Royal College of Surgeons (RCS)35-43 Lincolns Inn Fields, London WC2A 3PETel: 020 7405 3474ODTS:Tel: 020 7869 6231E-mail: [email protected]
Royal College of Surgeons of Edinburgh (RCSE)Nicolson Street, Edinburgh EH8 9DWTel: 0131 527 1600 Fax 0131 557 6406ODTS Administrator: Celia Mackie
Information SectionRoyal College of Surgeons of EdinburghAdamson Centre, 3 Hill Place, Edinburgh, EH8 9DSTel: 0131 668 9222 Fax: 0131 668 9218E-mail: [email protected]
ODTS =Overseas Doctors Training SchemeOFS = Overseas Fellowship SchemeIPTS = International Paediatric Training SchemeISS = International Sponsorship SchemeCASS = Consultant Assisted Sponsorship Scheme
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OTHER NATIONAL BODIESGeneral Medical Council178 Great Portland Street, London W1W 5JETel: 020 7580 7642 Fax: 020 7915 3641E-mail: [email protected]
GMC Registration (incl fees) and PLAB testTel: 08453 573456 Fax: 020 7915 3532E-mail: [email protected]
The British CouncilBridgewater House, 58 Whitworth St,Manchester M1 6BBTel: 0161 957 7000 Fax: 0161 957 7111E-mail: [email protected]/governance
National Advice Centre for PostgraduateMedical EducationBridgewater House, 58 Whitworth Street, Manchester, M1 6BBTel: 0161 957 7218 Fax: 0161 957 7029E-mail: [email protected]
IELTS: British Council Information CentreTel: 0161 957 7755 Fax: 0161957 7762e-mail: [email protected]
www.ielts.org
Examination Services (IELTS)The British Council, 10 Spring Gardens,London SW1A 2BNTel: 020 7930 8466 Fax: 020 7389 6347
Department of Health website www.dh.gov.uk
Immigration & Nationality DirectorateLunar House, 40 Wellesley Road, Croydon,CR9 2BYGeneral enquiries: 0870 606 7766E-mail: [email protected] Forms Unit: 0870 241 0645(Calls charged at national rate)Forms can be downloaded from:www.ind.homeoffice.gov.uk
Work Permits (UK)Immigration and Nationality DirectorateHome Office, Level 5, Moorfoot, Sheffield, S1 4PQTel: 0114 259 4074 Fax: 0114 259 3776E-mail: [email protected]
For personal callers only:Birmingham Public Enquiry Office (PEO)Dominion Court41 Station RoadSolihullBirminghamB91 3RTMonday – Friday, 9am – 4pmTel: 0121 704 5450
For personal callers only:Liverpool Public Enquiry Office (PEO)Reliance House20 Water StreetLiverpoolL2 8XUMonday – Friday, 9am – 4pmTel: 0151 237 0405
British Medical AssociationBMA HouseTavistock SquareLondon WC1H 9JRwww.bma.org.uk
BMA Northern & Yorkshire RegionGladstone House, Lawnswood Business Park, Redvers Close, Leeds, LS16 6SSTel: 0113 230 4417 Fax: 0113 230 6144
Medical Defence Organisations:
Medical Protection SocietyGranary Wharf House, 2 Canal Wharf, Leeds, LS11 5PYTel: 0845 605 4000 Fax: 0113 241 0500E-mail: [email protected]
The Medical Defence UnionMDU Services Limited,230 Blackfriars Road,London, SE1 8PJTel: 020 7202 1500E-mail: [email protected]
21
YORKSHIRE REGIONAL ADVISERSSPECIALTY REGIONAL ADVISER STC CHAIRMAN TRAINING
PROGRAMME DIRECTOR(S)
ACCIDENT & EMERGENCY
Mr A F ShentonRegional Adviser in Accident & Emergency Bradford Royal InfirmaryBRADFORD BD9 6RJ
Mr A WassA&E STC ChairPinderfields General HospitalWAKEFIELD WF1 4DG
Mr A WassProgramme Director inA & E MedicinePinderfields General HospitalWAKEFIELD WF1 4DG
ANAESTHESIA Dr C S EvansRegional Adviser in AnaestheticsBradford Royal InfirmaryBRADFORD BD9 6RJ
Dr R CruickshankAnaesthesia STC ChairSt James’s University HospitalLEEDS LS9 7TF
Dr R CruickshankTraining Programme Director in AnaesthesiaSt James’s University Hospital LEEDS LS9 7TF
Dr B GrayTraining Programme Director in Anaesthesia: East CoastHull Royal InfirmaryHULL HU3 2JZ
CLINICAL ONCOLOGY Dr D GilsonRegional Adviser in Clinical OncologyCookridge HospitalLEEDS LS16 6QB
Dr D GilsonOncology STC ChairCookridge HospitalLEEDS LS16 6QB
Dr M LeahyTraining Programme Director in OncologySt James’s University HospitalLEEDS LS9 7TF
MEDICINE Dr J TuckerRegional Adviser in MedicineSt Luke’s HospitalLittle Horton RoadBRADFORD BD5 0NA
Professor W A BurrPostgraduate DeanYorkshire DeaneryWillow Terrace RoadThe University of Leeds LEEDS LS2 9JT
See page 23
OBSTETRICS &GYNAECOLOGY
Mr M GlassRegional Adviser in ObstetricsD Floor, Clarendon WingLeeds General InfirmaryLEEDS LS1 3EX
Mr D PringObs & Gynae STC ChairYork District HospitalYORK YO31 8HE
East:Mr D Pring
West:Mr R RandTraining Programme DirectorBradford Royal InfirmaryBRADFORD BD9 6RJ
Leeds:Miss S KaufmannTraining Programme DirectorHuddersfield Royal InfirmaryHUDDERSFIELDHD3 3EA
OCCUPATIONAL MEDICINE
Dr J ShepherdRegional Specialty Adviser in Occupational MedicineSt James’s University HospitalLEEDS LS9 7TF
Dr J ShepherdOccupational Medicine STC ChairSt James’s University HospitalLEEDS LS9 7TF
Dr J ShepherdTraining Programme Director in Occupational MedicineSt James’s University HospitalLEEDS LS9 7TF
22
YORKSHIRE REGIONAL ADVISERS (Cont.)SPECIALTY REGIONAL ADVISER STC CHAIRMAN TRAINING
PROGRAMME DIRECTOR(S)
OPHTHALMOLOGY Mr J BradburyRegional Adviser in OphthalmologyBradford Royal InfirmaryBRADFORD BD9 6RJ
Mr J BradburyOphthalmology STC ChairBradford Royal InfirmaryBRADFORD BD9 6RJ
Mr I SimmonsTraining Programme Director in OphthalmologySt James’s University HospitalLEEDS LS2 9JT
PAEDIATRICS Dr P HollandRegional Adviser in PaediatricsLeeds General InfirmaryLEEDS LS1 3EX
Dr P R F DearPaediatrics STC ChairSt James’s University HospitalLEEDS LS9 7TF
Dr S JonesTraining Programme Director in PaediatricsPinderfields General HospitalWAKEFIELD WF1 4DG
PSYCHIATRY Dr C SimpsonRegional Adviser in PsychiatryFriarage HospitalNORTHALLERTONDL6 1JG
Dr W BurnConsultant PsychiatristTowngate House1 Towngate CloseGUISLEY LS20 9LM
See page 25
PUBLIC HEALTH Dr J Fear Faculty Adviser for Public Health MedicineLeeds West PCTBremner HouseGelderd Business ParkLEEDS LS12 6QD
Dr D ShicklePublic Health Medicine STC ChairSCARRUniversity of SheffieldSHEFFIELD S10 2TN
Dr M RobinsonTraining Programme Director for Public Health MedicineNuffield Institute for Health71-75 Clarendon RoadLEEDS LS2 9PL
RADIOLOGY Dr R J H RobertsonRegional Adviser in RadiologyLeeds General InfirmaryLEEDS LS1 3EX
Dr R J H RobertsonRadiology STC ChairLeeds General InfirmaryLEEDS LS1 3EX
Leeds/Bradford:Dr P O’ConnorTraining Programme Director in RadiologyLeeds General InfirmaryLEEDS LS1 3EX
Hull/York:Dr D EttlesTraining Programme Director in RadiologyHull Royal InfirmaryHULL HU3 2JZ
SURGERY (including paediatric surgery)
Mr J MacFieRegional Adviser in SurgeryScarborough HospitalSCARBOROUGHYO12 6QL
Prof. P GuillouGeneral Surgery STC ChairAcademic Unit of SurgerySt James’ University HospitalLEEDS LS9 7TF
Mr J MacFieTraining Programme Director in General SurgeryScarborough HospitalSCARBOROUGHYO12 6QL
23
YORKSHIRE REGIONAL SPECIALTY ADVISERS (Medicine)SPECIALTY REGIONAL SPECIALTY
ADVISERSTC CHAIRMAN TRAINING
PROGRAMME DIRECTOR(S)
Cardiology Dr G ReynoldsRegional Speciality Adviser in CardiologyYorkshire Heart CentreLeeds General InfirmaryLEEDS LS1 3EX
Dr G ReynoldsCardiology STC ChairYorkshire Heart CentreLeeds General InfirmaryLEEDS LS1 3EX
Dr G ReynoldsTraining Programme Director in CardiologyYorkshire Heart CentreLeeds General InfirmaryLEEDS LS1 3EX
Diabetes & Endo Dr C WaltonRegional Speciality Adviser in Diabetes & EndocrinologyHull Royal InfirmaryHULL HU3 2JZ
Dr C WaltonDiabetes & Endocrinology STC ChairHull Royal InfirmaryAnlaby RoadHULL HU3 2JZ
Dr C WaltonTraining Programme Director in Diabetes & EndocriilogyHull Royal InfirmaryAnlaby RoadHULL HU3 2JZ
Dermatology Dr V GouldenRegional Speciality Adviser in DermatologyLeeds General InfirmaryLEEDS LS1 3EX
Dr R A Sheehan-DareDermatology STC ChairLeeds General InfirmaryLEEDS LS1 3EX
Dr V GouldenTraining Programme Director in DermatologyLeeds General InfirmaryLEEDS LS1 3EX
Gastroenterology Dr M DakkakRegional Specialty Adviser in GastroenterologyHull Royal InfirmaryHULL HU3 2JZ
Dr M DakkakGastroenterology STC ChairHull Royal InfirmaryHULL HU3 2JZ
Dr M DakkakTraining Programme Director in GastroenterologyHull Royal InfirmaryHULL HU3 2JZ
General (Internal) Medicine
Dr A ArnoldRegional Speciality Adviser in General (Internal) MedicineCastle Hill HospitalCOTTINGHAMHU16 5JQ
Dr A ArnoldGeneral (Internal) Medicine STC ChairCastle Hill HospitalCOTTINGHAMHU16 5JQ
Dr A ArnoldTraining Programme Director in General (Internal) MedicineCastle Hill HospitalCOTTINGHAMHU16 5JQ
Genetics Dr C BennettRegional Speciality Adviser in Clinical GeneticsSt James’ University HospitalLEEDS LS9 7TF
No formal STC Dr C G WoodsTraining Programme Director in GeneticsSt James’ University HospitalLEEDS LS9 7TF
Genito-urinary Medicine Dr J D WilsonRegional Speciality Adviser in GU MedicineLeeds General InfirmaryLEEDS LS1 3EX
Dr J D WilsonGU Medicine STC ChairLeeds General InfirmaryLEEDS LS1 3EX
Dr J D WilsonTraining Programme Director in GU MedicineLeeds General InfirmaryLEEDS LS1 3EX
Geriatrics Dr N PennRegional Specialty Adviser in GeriatricsSt James’ University HospitalLEEDS LS9 7TF
Dr N PennGeriatrics STC ChairSt James’ University HospitalLEEDS LS9 7TF
Dr N PennTraining Programme Director in GeriatricsSt James’ University HospitalLEEDS LS9 7TF
Infectious Diseases Dr P StanleyRegional Specialty Adviser in Infectious DiseasesBradford Royal InfirmaryBRADFORD BD9 6RJ
No formal STC Dr P StanleyTraining Programme Director in Infectious DiseasesBradford Royal InfirmaryBRADFORD BD9 6RJ
24
YORKSHIRE REGIONAL SPECIALTY ADVISERS (Medicine)(Cont.)SPECIALTY REGIONAL SPECIALTY
ADVISERSTC CHAIRMAN TRAINING
PROGRAMME DIRECTOR(S)
Medical Oncology Dr P PatelRegional Speciality Adviser in Medical OncologyDept of Cancer MedicineSt James’ University HospitalLEEDS LS9 7TF
Dr D GilsonOncology STC ChairCookridge HospitalLEEDS LS16 6QB
Dr M LeahyTraining Programme Director in OncologyDept of Cancer MedicineSt James’ University HospitalLEEDS LS9 7TF
Nephrology Dr D EadingtonRegional Speciality Adviser in NephrologyHull Royal InfirmaryHULL HU3 2JZ
Dr D EadingtonNephrology STC ChairHull Royal InfirmaryHULL HU3 2JZ
Dr D EadingtonTraining Programme Director in NephrologyHull Royal InfirmaryHULL HU3 2JZ
Neurology Dr S JamiesonRegional Speciality Adviser in NeurologyLeeds General InfirmaryLEEDS LS1 3EX
Dr S JamiesonNeurology STC ChairLeeds General InfirmaryLEEDS LS1 3EX
Dr S JamiesonTraining Programme Director in NeurologyLeeds General InfirmaryLEEDS LS1 3EX
Palliative Medicine Dr M StocktonRegional Specialty Adviser in Palliative MedicineSt Gemma’s Hospice329 Harrogate RoadMoortownLEEDS LS17 6QD
Dr M StocktonPalliative Medicine STC ChairSt Gemma’s Hospice329 Harrogate RoadMoortownLEEDS LS17 6QD
Dr M StocktonTraining Programme Director in Palliative MedicineSt Gemma’s Hospice329 Harrogate RoadMoortownLEEDS LS17 6QD
Rehabilitation Medicine Dr R KentRegional Specialty Adviser in Rehabilitation MedicinePinderfields General HospitalWAKEFIELD WF1 4DG
No formal STC Dr R KentTraining Programme Director in Rehabilitation MedicinePinderfields General HospitalWAKEFIELD WF1 4DG
Respiratory Medicine Dr D CurrieRegional Speciality Advisor in Respiratory MedicineDewsbury District HospitalDEWSBURY WF13 4HS
Dr D CurrieRespiratory Medicine STC ChairDewsbury District HospitalDEWSBURY WF13 4HS
Dr D CurrieTraining Programme Director in Respiratory MedicineDewsbury District HospitalDEWSBURY WF13 4HS
Rheumatology Dr C PeaseRegional Speciality Adviser in RheumatologyLeeds General InfirmaryLEEDS LS1 3EX
Dr C PeaseRheumatology STC ChairLeeds General InfirmaryLEEDS LS1 3EX
Dr C PeaseTraining Programme Director in RheumatologyLeeds General InfirmaryLEEDS LS1 3EX
YORKSHIRE REGIONAL SPECIALTY ADVISERS (Pathology)Chemical Pathology Dr J Horner
Regional Specialty Adviser in Chemical PathologySt James’s University HospitalLEEDS LS9 7TF
Dr J HornerChemical Pathology STC ChairSt James’s University HospitalLEEDS LS9 7TF
Dr J HornerTraining Programme Director in Chemical PathologySt James’s University HospitalLEEDS LS9 7TF
25
YORKSHIRE REGIONAL SPECIALTY ADVISERS (Pathology)(Cont.)SPECIALTY REGIONAL SPECIALTY
ADVISERSTC CHAIRMAN TRAINING
PROGRAMME DIRECTOR(S)
Haematology Dr C CarterRegional Specialty Adviser in HaematologyHull Royal InfirmaryHULL HU3 2JZ
Dr C CarterHaematology STC ChairHull Royal InfirmaryHULL HU3 2JZ
Dr C CarterTraining Programme Director in HaematologyHull Royal InfirmaryHULL HU3 2JZ
Histopathology Dr W MerchantRegional Speciality Adviser in HistopathologyAlgernon Firth BuildingLeeds General InfirmaryLEEDS LS1 3EX
Dr W MerchantHistopathology STC ChairAlgernon Firth BuildingLeeds General InfirmaryLEEDS LS1 3EX
Dr W MerchantTraining Programme Director in HistopathologyAlgernon Firth BuildingLeeds General InfirmaryLEEDS LS1 3EX
Immunology Dr H C GooiRegional Speciality Adviser in ImmunologySt James’ University HospitalLEEDS LS9 7TF
No formal STC Dr H C GooiTraining Programme Director in ImmunologySt James’ University HospitalLEEDS LS9 7TF
Microbiology Dr M DentonRegional Speciality Adviser in MicrobiologyLeeds General InfirmaryLEEDS LS2 9JT
Dr M DentonMicrobiology STC ChairLeeds General InfirmaryLEEDS LS2 9JT
Dr M DentonTraining Programme Director in MicrobiologyLeeds General InfirmaryLEEDS LS2 9JT
YORKSHIRE REGIONAL SPECIALTY ADVISERS (Psychiatry)Child & Adolescent Psychiatry
Dr S AldridgeRegional Speciality Adviser in Child & Adolescent PsychiatryLittlewood House Hall18 Clarendon RoadLEEDS LS2 9NT
Dr S AldridgeChild & Adolescent Psychiatry STC ChairLittlewood House Hall18 Clarendon RoadLEEDS LS2 9NT
Dr S AldridgeRegional Speciality Adviser in Child & Adolescent PsychiatryLittlewood House Hall18 Clarendon RoadLEEDS LS2 9NT
Forensic Psychiatry Dr J KentRegional Speciality Adviser in Forensic PsychiatryNewton LodgeOuchthorpe LaneWAKEFIELD WF1 3SP
No formal STC Dr J KentTraining Programme Director in Forensic PsychiatryNewton LodgeOuchthorpe LaneWAKEFIELD WF1 3SP
General Adult Psychiatry
Dr F McKenzieRegional Adviser in General Adult PsychiatryMillfield HouseKirk LaneYeadonLEEDS LS19 7LX
Dr F McKenzieGeneral Adult Psychiatry STC ChairMillfield HouseKirk LaneYeadonLEEDS LS19 7LX
Dr F McKenzieTraining Programme Director in General Adult PsychiatryMillfield HouseKirk LaneYeadonLEEDS LS19 7LX
Learning Disability Dr B EasbyRegional Specialty Adviser in Learning DisabilitiesAcomb Health Centre1 Beech GroveYORK YO26 5LD
No formal STC Dr B Easby Training Programme Director in Learning DisabilitiesAcomb Health Centre1 Beech GroveYORK YO26 5LD
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YORKSHIRE REGIONAL SPECIALTY ADVISERS (Psychiatry)(Cont.)SPECIALTY REGIONAL SPECIALTY
ADVISERSTC CHAIRMAN TRAINING
PROGRAMME DIRECTOR(S)
Old Age Psychiatry Dr W BurnRegional Specialty Adviser in Old Age PsychiatryTowngate House1 Towngate CloseGUISLEY LS20 9LM
No formal STC Dr W BurnTraining Programme Director in Old Age PsychiatryTowngate House1 Towngate CloseGUISLEY LS20 8LL
Psychotherapy Dr J JohnstonRegional Speciality Adviser in PsychotherapySouthfield House40 Clarendon RdLEEDS LS2 9PJ
No formal STC Dr J JohnstonTraining Programme Director in PsychotherapySouthfield House40 Clarendon RdLEEDS LS2 9PJ
YORKSHIRE REGIONAL SPECIALTY ADVISERS (Surgery)Cardiothoracic Surgery
Mr S KendallRegional Speciality Adviser in Cardiothoracic SurgeryThe James Cook University Hospital, MIDDLESBROUGHTS4 3BW
Mr A J MearnsCardiothoracic STC ChairBradford Royal InfirmaryDuckworth LaneBRADFORD BD9 6RJ
Mr L GuvendikTraining Programme Director in Cardiothoracic SurgeryCastle Hill HospitalCOTTINGHAMHU16 5JQ
ENT Surgery Mr C R NewbeginRegional Specialty Adviser in ENTHuddersfield Royal InfirmaryHUDDERSFIELDHD3 3EA
Mrs H CruikshankENT STC ChairPinderfields General HospitalWAKEFIELD WF1 4DG
Mrs H CruikshankTraining Programme Director in ENTPinderfields General HospitalWAKEFIELD WF1 4DG
Neurosurgery Mr P van HilleRegional Speciality Adviser in NeurosurgeryLeeds General InfirmaryLEEDS LS1 3EX
No formal STC Mr P van HilleTraining Programme Director in NeurosurgeryLeeds General InfirmaryLEEDS LS1 3EX
Orthopaedics & Trauma
Mr K ShermanRegional Speciality Adviser in OrthopaedicsHull Royal InfirmaryHULL HU3 2JZ
Mr K ShermanOrthopaedics STC ChairHull Royal InfirmaryHULL HU3 2JZ
Mr D LimbTraining Programme Director in OrthopaedicsSt James’ University HospitalLEEDS LS9 7TF
Plastic Surgery Mr O FentonRegional Speciality Adviser in Plastic Surgery Pinderfields General HospitalWAKEFIELD WF1 4DG
Mr O FentonPlastic Surgery STC Chair Pinderfields General HospitalWAKEFIELD WF1 4DG
Mr O FentonTraining Programme Director in Plastic Surgery Pinderfields General HospitalWAKEFIELD WF1 4DG
Urology Mr M FerroRegional Speciality Adviser in UrologyHuddersfield Royal InfirmaryHUDDERSFIELDHD3 3EA
Mr AppleyardUrology STC ChairAiredale General HospitalSkipton RoadKEIGHLEY BD20 6TD
Mr J CartledgeTraining Programme Director in UrologySt James’ University HospitalLEEDS LS9 7TF
27
HOSPITAL TELEPHONE NUMBERS
Airedale General Hospital, Keighley 01535 652511Bradford Royal Infirmary 01274 542200Bridlington & District Hospital 01262 606666Calderdale Royal Hospital, Halifax 01422 357171Castle Hill Hospital, Cottingham 01482 875875Chapel Allerton Hospital 0113 262 3404Cookridge Hospital, Leeds 0113 267 3411Dewsbury & District Hospital 01924 512000Diana Princess of Wales Hospital, Grimsby 01472 874111Friarage Hospital, Northallerton 01609 779911Harrogate District Hospital 01423 885959Huddersfield Royal Infirmary 01484 342000Hull Royal Infirmary 01482 328541Leeds General Infirmary 0113 243 2799Pinderfields General Hospital, Wakefield 01924 201688Pontefract General Infirmary 01977 600600Princess Royal Hospital, Hull 01482 701151Scarborough General Hospital 01723 368111Scunthorpe General Hospital 01724 282282 Seacroft Hospital, Leeds 0113 264 8164St James University Hospital, Leeds 0113 243 3144St Luke’s Hospital, Bradford 01274 734744St Luke’s Hospital, Huddersfield 01484 654711Wharfedale General Hospital 01943 465522York District Hospital 01904 631313Goole & District Hospital 01405 720720
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YORKSHIRE DIRECTORS OF POSTGRADUATE MEDICAL EDUCATIONAIREDALEDr J R BakerDirector of PGMEPostgraduate CentreDept of Medical EducationAiredale General HospitalSkipton Road, SteeetonKEIGHLEY BD20 6TDTel: 01535 294375
BRADFORDMr D WilkinsonDirector of PGMEFieldhouse Teaching CentreBradford Royal InfirmaryDuckworth LaneBRADFORD BD9 6RJTel: 01274 364419
DEWSBURYDr A Jackson & Dr J BrookClinical TutorsOakwell Centre for Learning & DevelopmentDewsbury & District HospitalDEWSBURY WF13 4HSTel: 01924 816246
GRIMSBYDr J AdiotomriAssociate Director of PGMEDiana Princess of Wales HospitalScartho RoadGRIMSBY DN33 2BATel: 01472 875275
HALIFAXDr S N ChandratreClinical TutorLearning & Development CentreCalderdale Royal HospitalHALIFAX HX3 0PWTel: 01422 224385
HARROGATEDr P G HammondDirector of PGMEStrayside Educational CentreHarrogate District HospitalLancaster Park RoadHARROGATE HG2 7SXTel: 01423 553094
HUDDERSFIELDDr S KaufmanDirector of PGMELearning & Development CentreHuddersfield Royal InfirmaryHUDDERSFIELD HD3 3EATel: 01484 342826
HULL & EAST YORKSHIREDr C MelvilleDirector of PGMEEast Riding Medical Education CentreHull Royal InfirmaryAnlaby RoadHULL HU3 2JXTel: 01482 604313
LEEDS – COMMUNITY & MENTAL HEALTHDr P BowieDirector of Leeds Mental Health TrustLeeds MHT Postgraduate DeptThe Annexe, The Mount44 Hyde TerraceLEEDS LS2 9LNTel: 0113 3056227
LEEDS GENERAL INFIRMARYDr O CorradoClinical TutorLittlewood Hall Postgraduate CentreLeeds General InfirmaryGreat George StreetLEEDS LS1 3EXTel: 0113 392 2138
NORTHALLERTONDr A IsdaleDirector of PGMEStudy CentreDepartment of PGMEFriarage HospitalNORTHALLERTON DL6 1JGTel: 01609 762056
PINDERFIELDSDr D Nagi or Mr A BrowningClinical TutorsPostgraduate CentrePinderfields General HospitalAberford RoadWAKEFIELD WF1 4DGTel: 01924 212391
PONTEFRACTDr A HarveyDirector of PGMEThe Douglas Pickup Postgraduate CentrePontefract General InfirmaryFriarwood LanePONTEFRACT WF8 1PLTel: 01977 606361
SCARBOROUGHMr E P PerryDirector of PGMEScarborough HospitalWoodlands DriveSCARBOROUGH YO12 6QLTel: 01723 342077
SCUNTHORPEMr S OdukoyaDirector of PGMEScunthorpe General HospitalCliffe GardensSCUNTHORPE DN15 7BHTel: 01724 282282
ST JAMES’ UNIVERSITY HOSPITALMr P KentDirector of PGMEPostgraduate Centre2nd Floor, Ashley WingSt James’ University HospitalBeckett StreetLEEDS LS9 7TFTel: 0113 2066152
YORKDr J ThowDirector of PGMEPostgraduate CentreYork District HospitalWigginton RoadYORK YO31 8HETel: 01904 454325
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MENTORS FOR OVERSEAS DOCTORSAIREDALEMr Ali NejimConsultant SurgeonAiredale General HospitalSkipton Road, SteetonKEIGHLEY BD20 6TDTel: 01535 652511
BRADFORDDr D NewtonConsultant PhysicianC FloorFieldhouse Teaching CentreBradford Royal InfirmaryDuckworth LaneBRADFORD BD9 6RJTel: 01274 364294
BRADFORDMr Faruque GhanchiConsultantDepartment of OphthalmologyBradford Royal InfirmaryDuckworth LaneBRADFORD BD9 6RJTel: 01274 364117
BRADFORDDr Sanjeeva GuptaConsultant AnaesthetistDept of AnaesthesiaBradford Royal InfirmaryDuckworth LaneBRADFORD BD9 6RJTel: 01274 364065
DEWSBURYMrs T TariqConsultant ObstetricianDewsbury District HospitalHealds RoadDEWSBURY WF13 4HSTel: 01924 465105
DEWSBURYDr Jennifer EdwardsConsultant in Childhood & Adolescent PsychiatryDewsbury & District HospitalHalifax RoadDEWSBURY WF13 4HSTel: 01924 512014
HALIFAXDr S N ChandratreConsultant GeriatricianHalifax General HospitalSalterhebbleHALIFAX HX3 OPWTel: 01422 357171
HARROGATEDr J KrishnaConsultant Histopathologist, Harrogate District Hospital, Lancaster Park RoadHARROGATE HG2 7SXTel: 01423 553092
HUDDERSFIELDMr M AldooriConsultant SurgeonHuddersfield Royal InfirmaryAcre Street, LindleyHUDDERSFIELD HD3 3EATel: 01484 422191
HULL & EAST RIDING COMMUNITYDr Francis UmerahConsultant PaediatricianHull & East Riding Community TrustThe Children’s Centre70 Walker StreetHULL HU3 2HETel:
HULL & EAST YORKSHIREDr Fayez AhmedConsultant NeurologistDepartment of NeurologyHull Royal InfirmaryAnlaby RoadHULL HU3 2JZTel: 01482 675591/2
HULL & EAST YORKSHIREDr M DonaldsonConsultant AnaesthetistHull Royal InfirmaryAnlaby RoadHULL HU3 2JZTel: 01482 328541
HULL & EAST YORKSHIREDr A PathakAssoc Specialist, OrthopaedicsCastle Hill HospitalCastle RdCOTTINGHAM HU16 9JQ Tel: 01482 623342
LEEDS GENERAL INFIRMARYDr J TurneyConsultant PhysicianLeeds General InfirmaryGreat George StreetLEEDS LS1 3EXTel: 0113 243 2799
LEEDS MENTAL HEALTHDr T M KumarConsultant PsychiatristDept of Liaison PsychiatryBecklin CentreAlma StreetLEEDS LS9 7BETel: 0113 305 6730
PONTEFRACTMr M BasheerConsultant Surgeon Pontefract General InfirmarySouthgatePONTEFRACT WF9 1PLTel: 01977-600600
PONTEFRACTDr Soumitra DuttaAssociate College Tutor in MedicineDepartment of MedicinePontefract General HospitalFriarwood LanePONTEFRACT WF8 1PLTel: 01977 600600
SCARBOROUGHMr Patrick AkarConsultantAccident & Emergency DeptScarborough HospitalWoodlands DriveSCARBOROUGH YO12 6QLTel: 01723 368111
SCARBOROUGHDr S K ChatterjeeConsultant GeriatricianScarborough HospitalWoodlands DriveSCARBOROUGH YO12 6QLTel: 01723-368111
WAKEFIELDDr U RajaConsultant PathologistPinderfields General HospitalAberford RoadWAKEFIELD WF1 4DGTel: 01924 213643Sec: 01924 212566
WAKEFIELDDr Aneel SohalConsultant MicrobiologistPinderfields General HospitalAberford RoadWAKEFIELD WF1 4DGTel: 01924-201688
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MENTORS FOR OVERSEAS DOCTORS IN YORKSHIRE (continued)YORKDr T VergheseStaff Grade in PaediatricsC/o Dr Harran’s SecretaryYork District HospitalWiggington RoadYORK YO31 7HETel: 01904 631313
These are senior doctors, interested in the training and welfare of Overseas Doctors. They are happy to provide support for individual doctors on a confidential basis. This might be to sort out a particular problem, but need not be. It may be for advice, guidance or reassurance on work-related or pastoral matters, with particular concern for the needs of doctors unfamiliar with the culture of the United Kingdom and the NHS. The mentor can, where both parties agree that it is appropriate, involve others with relevant expertise.
The mentor can be contacted directly or through the Postgraduate Centre or the Medical Staffing department.
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