INFECTIOUS DISEASES AND NATIONAL ASPERGILLOSIS CENTRE

CLINICAL EDUCATIONAL FELLOW

JOB DESCRIPTION

Job Title: Clinical Educational Fellow, Infectious Diseases, ST2+

Responsible to: Dr Riina Richardson and colleagues

1. Summary of Post
This post is aimed at supporting the University of Manchester medical student undergraduate
education programme for Infectious Diseases. The successful applicant’s job plan will have both
an educational and a clinical component to their role. The educational role will involve supporting
Infectious Diseases undergraduate teaching. The clinical role will involve supporting the provision
of clinical service by the Infectious Diseases team at Wythenshawe Hospital. Clinical level is
expected to be at ST2+ level or equivalent.

2. Introduction
The Trust’s Infectious Diseases team is based at Wythenshawe Hospital and saw some 4000
patients last year. It provides services to the population of South Manchester and its neighbouring
districts with a catchment area of approximately 320,000. The service provides direct care for
several groups of patients, notably tuberculosis (40 new patients/year) and atypical mycobacterial
infections, aspergillosis (150 new patients per year), hepatitis C treatment (75 patients per year),
Outpatient Parenteral Antimicrobial Therapy (OPAT) and general infectious diseases. The service
also provides multiple support functions including inpatient consultation, support for lung
transplantation, respiratory MDT, antibiotic committee input, HIV outpatient care, TB reporting and
community liaison, undergraduate and postgraduate teaching and examining and an extensive
portfolio of internationally recognised research and patient engagement.

There are a total of 800 beds and 3 ICUs (general medical, cardiothoracic and burns) in the Trust
covering all main Regional specialities with the exception of neurosurgery, which is based at the
nearby Salford Hospital. The Community Mental Health Trust has a ward block containing 70
Mental Health beds adjacent to the site.

3. Job Description
The Clinical Educational Fellow will assume two roles;

 The principle purpose of the job is to facilitate infectious diseases undergraduate teaching.
The Clinical Educational Fellow (CEF) takes a coordinating role for the medical students who
are attached to the Infectious Diseases team. The CEF takes part in all aspects of provision of
undergraduate infectious diseases education at Wythenshawe Hospital, including coordination
of weekly placement inductions and scheduled teaching as well as group tutoring and one-to-
one mentoring. Regular contact and monitoring during the firms ensures maximum student
benefit. The Fellow will support the students clinically and be directed towards their
educational benefit rather than purely service delivery during educational time whilst with the
students. The educational aspect of the role will be supervised by Dr. Riina Richardson. The
candidate will be encouraged and supported in pursuing educational qualifications of an
appropriate level.

 There will be a direct clinical care component to the job that will be directed at service delivery.
The anticipated direct clinical care schedule is detailed in the weekly plan. The clinical duties
will include all those normally expected from an Infectious Diseases team. Supported by the
Consultants and nursing staff, the post holder will be expected to work with the Infectious
Diseases team and the NCG commissioned National Aspergillosis Centre at Wythenshawe
Hospital. Duties may include inpatient ward rounds, Infectious Diseases inpatient referrals,
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 and outpatient clinics, such as chronic aspergillosis, allergic aspergillosis, general Infectious
Diseases, and tuberculosis clinics. There is a weekly ID/Micro MDT and a weekly Aspergillosis
MDT. The CEF will be expected to take part in clinical audit activities, and there is a possibility
to contribute to research potentially leading to publications. The clinical aspect of the role will
be supervised by Dr Rohit Bazaz.

The average working week is a maximum of 44 hours with no on-call commitments. The hours
spent on educational and clinical components vary throughout the year. Overall, approximately
50% of the workload will be educational. During intense teaching periods most of the post
holder’s commitments will be educational whereas outside these periods they will be mostly
clinical. Annual and study leave must be arranged in consultation with the Lead of the ID team
Dr Riina Richardson and the educational and clinical supervisors to ensure adequate staffing
levels to maintain service commitment, but especially the educational role. Study leave is
funded from within the department to the same level as that available for the Specialist
Registrars.

4. Infectious Diseases Team of The National Aspergillosis Centre

The Infectious Diseases service consists of General ID, OPAT and the NCG commissioned
National Aspergillosis Centre, and it is managed by the Heart and Lung Directorate. The ID team
consists of seven Consultants, one of whom is the Head of the ID team, five clinical fellows, ten
nurses, two Pharmacists and two Physiotherapists and are supported by the Service manager and
other administrative and secretarial staff. The ID team works closely together with the Mycology
Reference Centre Manchester located at Wythenshawe Hospital site. This is a regional reference
laboratory with 14 staff.

4.1. Workload
The Infectious Diseases team at Wythenshawe Hospital receives 300 new aspergillosis and an
equal number of general ID referrals and over 4000 outpatient attendances per year. There are
150 admissions under the ID team each year, many patients staying for 2 and 3 weeks and are
highly complex.

4.2. Clinics
At present, the clinics are held five days a week and are the responsibility of the Consultants
assisted by the Staff Grade, Specialist Registrars, other middle grade staff and Specialist Nurses.
Each Consultant has responsibility for a fixed clinic each week.

4.4. Medical Staffing

Seven consultants:
Dr. Riina Richardson
Dr Manuela Barrera
Dr Rohit Bazaz
Dr. Chris Kosmidis
Dr. Giorgio Calisti
Dr Gianluca Grana
Dr Nico Janssen
4 Clinical Fellows
1 Clinical Educational fellow (this post)

5. Facilities
Doctor's Mess
The Doctor's Mess is situated in Tower Block 2. This includes a vending machine, microwave
oven, fridge, colour TV, video and satellite.

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Car Parking
Onsite parking is restricted to permit holders only. Permits can be obtained through parking
services, and incur a monthly fee.
Banking Facilities
A Natwest cash dispenser suitable for account holders of various other banks is located on site.

Catering Facilities
In addition to the Main Dining Room, a smaller cafe is situated in the new acute block as well as a
small cafe in the main hospital. There are various vending machines around the hospital and On
Call staff also have access to well stocked kitchens within Tower Blocks I and 2.

Shopping Facilities
There are shops on site, located in the main hospital near the Tower Block. Manchester City
Centre is approximately 5 miles away.

6. Teaching
The hospital is designated as a Teaching Hospital by the University of Manchester, which
comprises one of the three main teaching hospital units for medical students from the University.
The hospital opened its Education and Research Centre in November 2001, incorporating 2
lecture theatres, seminar rooms and a library with computer facilities.

Wythenshawe Hospital is one of 5 teaching hospitals in Greater Manchester and one of the two
teaching hospitals with Infectious Diseases presence. Therefore, the ID team is very involved in
both UG and PG infectious diseases education. Medical students do placements and electives
with the team during the three clinical years.

7. Research and Audit

Various research projects are ongoing, and the service is also committed to an active audit
programme. The main areas of interest currently rest in Emergency Planning and Pre-hospital
Care. The appointee would be expected to take an active role in audit and any departmental
research projects. The capacity to develop a formal academic interest may be accommodated by
discussion with the Research Lead for the Directorate.

8. TERMS AND CONDITIONS OF SERVICE

The terms and conditions of the employment offered are set out in the Terms and Conditions of
Service of Hospital Medical and Dental Staff.

9. CONDITIONS OF EMPLOYMENT
Registration
The post holder is required to hold current Registration with the General Medical Council.

Medical Screening
Appointment is subject to a satisfactory medical examination.

Cardiopulmonary Resuscitation
The post holder will be required to demonstrate their ability to perform cardiopulmonary
resuscitation and undergo further training in this area if deemed necessary.

9. VISITING ARRANGEMENTS
We would encourage interested candidates to contact Dr. Riina Richardson - 0161 291 5941
All of the Consultants can also be air-called via the hospital's switchboard on telephone number
0161 998 7070.

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Rehabilitation of Offenders Act 1974
This appointment is exempt from Section 4(2) of the Rehabilitation of Offenders Act 1974, by
virtue of the Rehabilitation of Offenders Act (Exemption) Order 1975. You are required to reveal
any information you may have concerning convictions which would otherwise be considered as
"spent", in relation to this application and which may be considered relevant to your suitability for
employment. Any such information will be kept in strict confidence and used only in consideration
of your suitability for appointments where such an exception is appropriate.

10. Personal Specification

Essential Criteria Desirable Criteria

Experience At least 2 years of clinical At least six months experience in
experience. NHS in the UK.

GMC registration with license to Experience in different medical

practice. specialties. i.e. Cardiology,
Respiratory Medicine,
Gastroenterology, ICU etc.
Skills Lumbar puncture, IV line Able to perform specific emergency
insertion, phlebotomy from sites procedures i.e. lumbar puncture,
other than arms. chest drain etc.
Knowledge Good knowledge of General Experience in a developing country.
Medicine Experience of Infectious Diseases,
HIV and/or Tropical Medicine
Qualification MBBS MRCP or other postgraduate
qualification.
Audits & Has carried out audits and Publication in peer reviewed
Research understands the principles of journal related to infectious
research and evidence-based diseases.
practice.
Team working Understand the value of MDT Able to show good leadership skills.
work and is able to work in and
lead a team.
Teaching Proactive in teaching medical Has got a Certificate or MSc degree
students and trainees. in Medical Education.
Experience of mentoring medical or
other students, or junior doctors