Clinical Radiology Sub Specialty Fellowship - Interventional Radiology

Sub-Specialty Training Posts ST3 up to 2

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 up to two posts in Clinical Radiology Sub-Specialty Training in Interventional Radiology.  The posts will rotate through North Bristol NHS Trust, Gloucestershire Hospitals NHS Foundation Trust, (Cheltenham/Gloucester) and Taunton and Somerset NHS Foundation Trust.   The posts are suitable for current trainees wishing to practice in Interventional Radiology.  Posts to commence 5th August 2020.

This is an RCR accredited 4th/5th/6th year post, for three years and provides the opportunity for comprehensive training in all aspects of Interventional Radiology, in line with the GMC approved Interventional Radiology 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 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 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  INTERVENTIONAL RADIOLOGY (3 YEARS) 

 

This post is suitable for current trainees wishing to practice in vascular and non-vascular interventional radiology.  

 

JOB DESCRIPTION: 

 

This is an RCR accredited 4th/5th/6th year post, for three years, and provides the opportunity for comprehensive training in all aspects of Interventional Radiology.   The posts will be based at North Bristol NHS Trust, and also rotate through Gloucestershire Hospitals NHS Foundation Trust (Cheltenham/Gloucester) and Taunton & Somerset NHS Foundation Trust, with rotations to vascular units at surrounding trusts.  

The posts are suitable for trainees wishing to practice Interventional Radiology.  

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

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

 

Plain film and Cross Sectional Imaging 

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

 

On call 

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

 

Vascular intervention 

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

 

Non-vascular intervention 

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

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

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

 

Specimen timetable: 

 

Mon 

Tue 

Wed 

Thur 

Fri 

Intervention 

EZ cover 

Vascular meeting  

Intervention 

Intervention 

Intervention 

Reporting 

 

Intervention 

Audit 

Intervention 

 

 

TEACHING 

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

 

SUPERVISION OF MR/CT 

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

 

 

RESEARCH/AUDIT 

Participation in these activities is an essential component of training. 

 

 

MEETINGS 

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

Monday: 12.30pm Renal Meeting, 1.30pm local vascular meeting , 5.00pm PCNL planning meeting 

Wednesday08:00 vascular meeting, 12.30 Transplant assessment meeting 

Friday14:00 renal access meeting 

 

 

ON CALL 

There is a 1:8 on call rota for interventional radiology. The registrar would be supervised by one of the Consultant Radiologists in rotation in year 6.  There will be a requirement to cover diagnostic radiology on-call in year 4 and 5 as part of the general on-call on a 1:10 basis.  This includes a week of nights on a full-shift rota. 

 

ANNUAL LEAVE 

Six weeks per annum. 

 

STUDY LEAVE 

Thirty days per annum. 

 

INTERVENTIONAL RADIOLOGY DEPARTMENT 

Interventional Radiology is part of the North Bristol NHS Trust Imaging Department and has five full time consultant interventional radiologists, and two general radiologists with part time interventional interests.  

There are two visiting interventional radiologists from RUH Bath who contribute some sessions to NBT as part of the recent vascular merger.  

The interventional radiology department provides a full range of intervention services to North Bristol NHS Trust and tertiary interventional services to the surrounding region (Cheltenham/Gloucester and Taunton).  

 

Consultant Areas of Special Interest 

 

Dr Neil Collin

    

 

Vascular Intervention

EVAR 

Urological intervention and PCNL 

Renal access 

Renal cryoablation 

 

 

 Dr Graham Collin   

Vascular intervention 

EVAR and EVAS 

Urology intervention and PCNL 

Renal access 

Hepatobiliary intervention 

Vascular malformatio

 Dr Alexander Horsch   

Vascular intervention 

EVAR 

Urology intervention 

Renal access  

Research lead 

 Dr Peter Mezes   

Vascular intervention 

EVAR and fEVAR 

Urology intervention and prostate embolization 

Renal access

 Dr Pavel Kavcic   

Vascular intervention 

Urology intervention 

Renal access 

Tumour ablation 

 Dr Eric Loveday   

Vascular intervention 

Urology intervention 

Renal access 

Hepatobiliary intervention 

Diagnostic GI radiolog

 Dr Dominic Fay   

Vascular intervention 

(+ other interests at RUH Bath)

 Dr John Hardman  

Vascular intervention 

EVAR, FEVAR, EVAS 

(+ other interests at RUH Bath)

 

 

 

List of major equipment : 

 

MRI  

Two Phillips 3T scanners, One Philips 1.5T scanner with intra-operative MRI capability, One GE 1.5T scanner, One Philips 1.5T fixed mobile unit at Cossham Hospital, One Siemens 3T scanner at BCH with additional 1.5T MRI expected 2016. 

 

Angiography 

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

 

CT 

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

 

Radionuclide 

Two GE dual-headed Gamma Cameras, with PET scanner installation expected in 2016. 

 

 

Library and educational facilities: 

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