Clinical Radiology - Sub Specialty Fellowship in Neuroradiology (Diagnostic/Interventional)

Sub-Specialty Training Posts ST3/ST4 up to 1

Recruitment Timetable

Apply from 29 January 2020
Closing date 11 February 2020
Invitations to interview expected 25 February 2020
Interview dates 10 March 2020.
Offers from 13 March 2020

Applications are invited for one post in Clinical Radiology Sub-Specialty Training in Neuroradiology (Diagnostic/Interventional) based at North Bristol NHS Trust. This post is suitable for current rainees wishing to practice in Diagnostic Neuroradiology and/or interventional neuroradiology. Post to commence 5 August 2020.

This is an RCR accredited 4th/5th/6th year post, for two or three years, and provides the opportunity for comprehensive training in all aspects of Diagnostic and Interventional Neuroradiology.  Diagnostic training will be over 2 years. Interventional training will be over 3 years in line with the GMC approved Neuroradiology curriculum.  The post has Royal College of Radiologists’ approval and conforms to the curriculum outlined in the college document ‘Sub-specialist training in Clinical Radiology’. Training may be varied depending on the interests of the appointee

This post is open to holders of a UK NTN or equivalent in Clinical Radiology, with successful completion of clinical radiology training to ST3 level,  confirmed by ARCP outcome 1, and having passed FRCR 2A prior to starting post in August 2020. 

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

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

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

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

Interviews will be in Bristol on 10th March 2020 at Southmead Hospital (precise location within the hospital to be confirmed)

To contact us please email SEVRadiology.SW@hee.nhs.uk  or telephone the support line on 01454 252630 (between 8:30am and 4:00pm).

 

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

 

Anticipated Outcomes

  • Certificate of Completion of Training (CCT)

HEALTH EDUCATION ENGLAND working across the South West

SEVERN SCHOOL OF RADIOLOGY 

 

JOB DESCRIPTION 

 

 

CLINICAL RADIOLOGY SUB-SPECIALTY FELLOWSHIP TRAINING POST  IN NEURORADIOLOGY (DIAGNOSTIC/INTERVENTIONAL)  

 

4th/5th/6th Year Specialty Trainee in Clinical Radiology 

 

This post is suitable for trainees wishing to practice in Neuroradiology (Diagnostic and/or Interventional)  

 

JOB DESCRIPTION: 

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

 

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

 

MRI/CT 

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

 

ANGIOGRAPHY 

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

 

INTERVENTION 

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

 

PAEDIATRICS

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

 

Specimen timetable: 

 

Mon 

Tue 

Wed 

Thur 

Fri 

Neurovascular meeting 

Angiography 

Angiography/ Reporting 

Multidisciplinary and academic Meetings 

Reporting/ 

Myelography 

Intervention/ 

Reporting 

Intervention/ 

Reporting 

Reporting 

 

Intervention/ 

Reporting 

Facet joint injections/nerve root blocks 

Intervention/ 

Reporting 

 

 

TEACHING 

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

 

SUPERVISION OF MR/CT 

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

 

RESEARCH/AUDIT 

Participation in these activities is an essential component of training. 

 

ON CALL 

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

 

ANNUAL LEAVE 

Six weeks per annum. 

 

STUDY LEAVE 

Thirty days per annum. 

 

 

MEETINGS 

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

 

Daily 08:00 Neurosurgical Business Meeting 

08:00 Intensive Care Unit Meeting 

 

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

Tues 13.00 Type II Neurofibromatosis (quarterly), 16:00 Gamma Knife 

Wed 08:30 Paediatric Neurology (BCH), 09:00 Neuro-oncology MDT, 09:30Paediatric Epilepsy (1st week of month - BCH), 09:30  Adult Epilepsy (2nd week of month), 11:00 Joint Neurosciences, 12:00 Stroke 

 Thurs 12:00 Neurovascular Meeting,  12:30 Skull Base MDT (bimonthly),  14:00 Neuroinflammation,  14:00 Spine MDT 

 

 

NEURORADIOLOGY DEPARTMENT 

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

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

 

 

      Consultant areas of specialist interest 

 

Dr Shelley Renowden 

 

 

Dr Marcus Bradley  

 

 

 

Dr Neil Stoodley 

 

 

Dr Verka Beric 

 

Dr Marcus Likeman 

 

 

 

Dr Paul Smith  

 

Dr Fionn Williams 

 

 

Dr Rob Crossley 

 

Dr Alex Mortimer 

      

 

Neurovascular Intervention 

 Neuro-oncology and Skull Base 

 

 Neurovascular Intervention 

 Neuro-oncology 

 Gamma Knife 

  

 Paediatric Neuroradiology 

 General Neuroradiology 

 

 Spine and Spinal Intervention 

 

 Paediatric Neuroradiology 

 Epilepsy 

 Dementia 

 

 General Neuroradiology 

 

 Paediatric Neuroradiology 

 Diagnostic Neuroradiology 

 

 Neurovascular Intervention 

 

 Neurovascular Intervention 

 Stroke 

 

 

 

List of major equipment : 

 

MRI  

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

 

Angiography 

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

 

CT 

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

 

Radionuclide 

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

 

 

Diagnostic Examination Workload 

 

Type of Examination 

Approximate number of examinations 

CTBrain 

Spine 

                            15000 

                             2000 

MRIBrain 

Spine        

                            7000 

                            10000 

Cerebral Angiograms 

                            250 

Myelography 

                            100 

 

 

 

Interventional Procedure Workload  

 

Procedure 

Approximate number of procedures performed per annum 

 

Endovascular Aneurysm Repair 

Intracranial stent insertion (aneurysms) 

Temporary /permanent balloon occlusion 

Embolisation of arteriovenous malformations 

Stroke Thrombectomy 

Vertebroplasty 

Nerve Root Blocks 

 

                               200 

                                 20 

                                  

                                 10 

                                  

                                 15   

                                    

                                 50 

                                 50   

                               2500                             

 

 

Library and educational facilities: 

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

 

Neuroscience unit: 

The neurosurgical unit consists of 12 consultant neurosurgeons including 4 paediatric neurosurgeons and provides a comprehensive neurosurgical service to a core population of 2.2 million. It receives further specialist referrals for complex spinal neurosurgery, and paediatric neurosurgery over a wider catchment area and receives further specialist referrals from elsewhere in the UK and abroad. Paediatric, Spinal, Vascular, Functional, Cerebrovascular, Epilepsy, Skull Base sub specialist neurosurgical services are provided. 

 

There are 18 Consultant Neurologists including a Chair in clinical neurosciences in the University of Bristol.  There are six consultant paediatric neurologists at Bristol Royal Hospital for Children. 

 

There are Consultant Neuropathologists, including a Chair in Neuropathology, 4 Consultants in Neurophysiology, Consultants Neuropsychiatrists and 2 Consultants in Neuro-rehabilitation.2