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Clinical Fellow/LAS in Clinical Oncology

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Clinical Fellows/LAS in Oncology




Applicants for the clinical fellow posts in Oncology must have full GMC registration, are completing general professional training and must hold MBChB or equivalent. They would normally be expected to have passed at least parts 1 and written part 2 of the MRCP. The role will be suitable for training in both clinical oncology and medical oncology and would be suitable for candidates with an interest in oncology as a career and who would be looking to obtain a training number in the future. The posts will participate in the registrar on call rota.



Description of the Area


The area of the NHS Tayside coincides with that of the Tayside Region.  It encompasses the former counties of Angus, Perth & Kinross together with the cities of Dundee and Perth, and the Burghs of Arbroath, Forfar, Brechin and Montrose. The Single Delivery Unit of NHS Tayside currently provides a service to Tayside and North Fife – a population of half a million.


Dundee is Scotland’s fourth largest city and lies 20 miles east of Perth on the north bank of the River Tay.  It houses two large Universities (Abertay and Dundee) and is the focal point for the on-going development of a thriving biomedical technology industry.


Perth is the regional centre for a predominantly rural county of Perthshire and Kinross.  Several international companies have their headquarters in Perth.


Both cities provide a mixture of traditional and modern living and the surrounding area provides an extensive choice of housing and schooling.  Most leisure activities are available close by with particularly good facilities for hill-walking, climbing, ski-ing and golf.



The Hospitals


In Tayside there are three main hospital sites – Ninewells Hospital in Dundee, Perth Royal Infirmary in Perth and Stracathro Hospital, near Brechin. Collectively they form Tayside University Hospitals (TUH)


Ninewells Hospital and Medical School is a major general teaching hospital and provides a comprehensive range of services with specialist units.  Ninewells Hospital and Medical School has been designated one of the Regional Cancer Centres in Scotland and provides, on a single site, all Surgical, Radiotherapy, and Medical Oncology services. In addition, on the Ninewells site are all the major disciplines including general medicine and surgery as well as specialist areas such as gynaecological oncology, ENT, plastics, neurosurgery etc. NHS Tayside and the University of Dundee have a number of joint professorial appointments in Surgical Oncology and medical oncology.  The major clinical development of Oncology Services complements the international standing of laboratory Biomedical Research on the Ninewells campus.



Perth Royal Infirmary general surgical unit provides acute services for Breast, Colorectal and Gastroenterology. A 36 bedded Surgical Unit is located in the new development at Perth Royal Infirmary, which was opened in 1993.  Emergency admissions are received through an innovative integrated medical/surgical admissions unit. NHS Tayside has expanded its diagnostic imaging services with full cross-sectional imaging services now available at Ninewells, PRI and Stracathro Hospitals. Perth Royal Infirmary is recognised as a Cancer Unit for Tayside and a day chemotherapy unit will opened at PRI in 2009. Stracathro Hospital is a currently provides an ambulatory, diagnostic and treatment centre for patients throughout Tayside as well as a cancer support unit.



Tayside Cancer Centre


The Oncology unit is managed within the Surgical Directorate and functions as an integrated part of Tayside Cancer Network


The heart of the service is provided in the Tayside Cancer Centre, which serves the population of Tayside and North East Fife. Tayside Cancer Centre consists of a 26-bedded ward; a 12 bedded 5-day chemotherapy unit; a chemotherapy day area and an out-patient department. This modern department consists of three Varian Linacs with IMRT, VMAT and OBI facility. Other equipment includes a prosoma voluming platform and Raystation planning system. Gynaecological brachytherapy services are also provided by a Varian PDR system. We participate actively in national and international Clinical Trials


The current clinical establishment is 12 WTE NHS consultant staff (10 WTE) and 1 university appointment working in 3 teams.


Clinical Group – Surgical Directorate


Associate Medical Director Dr Phil McLouchlin
Clinical Group Manager Audrey Warden
Clinical Team Manager Wendy Croll
ClinicalDirector(Oncology& Haematology) Colin Fleming
Clinical Leader (Haematology) Dr R Kerr
Clinical Leader (Oncology) Dr Richard Casasola



Senior Medical Staff


Consultant Clinical interest(s)
Dr D J A Adamson Upper GI, Breast,
Dr E Brown Genitor-urinary
Dr RJ Casasola Head & Neck, Gynaecology, Lymphoma, skin
Dr M Ferguson Ovary, Sarcoma
Dr H Lord CNS, lung, undergraduate teaching
Dr P Niblock GU, Head & Neck
Dr S Armstrong Breast, colorectal
Dr A Scott Lung, renal
Dr Asa Dahle-Smith GU, UGI
Dr I Sanders GI, Breast, gyn
Prof R Petty UGI
Dr S Poonsawmy Lung, breast



Junior Staffing


2 Specialist Registrars

6 FY2/ST 1-2 (CMT) shared between Oncology & Haematology.

1 FY1 post for Cancer Medicine


There are two staff grade doctors working in the chemotherapy day area.


Clinical Practice


Outpatient Cancer Care within the Oncology department is consultant-delivered. This provides abundant opportunities for SpR training in all aspects of clinical and medical oncology. Each team has at least one regular teaching ward round each week. There are trust-wide MDT meetings in all of the major tumour sites each week.


SpRs are attached to specific clinical teams and are expected to provide advice and support for the ward staff, participate in ward rounds, MDTs and outpatient clinics. They also take responsibility for chemotherapy prescribing using a computerised system (Chemo care). They also provide middle-grade out-of-hours emergency cover: the oncology team on call comprises a ward-based doctor, an SpR and a consultant.



The on-call commitment is at present a 1 in 6.





All records created in the course of the business of NHS Tayside are corporate records and are public records under the terms of the Public Records (Scotland) Act 1937. This includes email messages and other electronic records. It is your responsibility to ensure that you keep appropriate records of your work in NHS Tayside and manage those records in keeping with the NHS Tayside Records Management Policy and with any guidance produced by NHS Tayside specific to your employment.


































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