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Specialty Registrar (StR) - South West Peninsula Deanery

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<strong>StR</strong> (ST3 level) IN ORTHOPAEDIC AND TRAUMA SURGERY<br />

JOB DESCRIPTION<br />

The <strong>South</strong> <strong>West</strong> <strong>Peninsula</strong> <strong>Deanery</strong> has vacancies for <strong>Specialty</strong> <strong>Registrar</strong>s on the Trauma and<br />

Orthopaedic training rotation, entering by competitive selection at ST3 level. The training programme<br />

leads to the award of a Certificate of Completion of Training, subject to satisfactory progress,<br />

monitored by the Annual Review (ARCP) process.<br />

Applicants should satisfy the essential criteria for entry and selection to enter <strong>Specialty</strong> Training at<br />

ST3 in Trauma and Orthopaedic Surgery on the 2011 Person Specification published by PMETB.<br />

The initial placement will be at Truro, Plymouth, Exeter or Torbay. The number and location of posts<br />

on the rotation may be changed before the interview. <strong>Registrar</strong>s usually work for a single consultant<br />

or on a firm with a sub-specialty interest. Most attachments are for 6 months and trainees typically<br />

rotate at 1-2 year intervals through three of the four Trusts during the Training Programme. Each<br />

hospital has a consultant-led trauma service and teams of surgeons in elective subspecialties which<br />

include revision surgery, hip and knee, foot and ankle, upper limb, paediatrics and spine. Not all<br />

specialties are represented in each Trust.<br />

There are numerous teaching sessions within the Trusts and formal teaching at one of the Trusts<br />

alternate Fridays, which trainees are required to attend. Trainees are expected to take full<br />

advantage of practical and professional training opportunities and to assemble evidence of<br />

competencies mastered and other achievements such as audit projects and research. Trainees take<br />

the UKITE in-training exam and a mock FRCS(T&O) exam each year and receive feedback on their<br />

performance and progress.<br />

THE HOSPITALS<br />

Royal Cornwall Hospital, Truro<br />

There are 56 trauma beds and seven paediatric orthopaedic beds. There are two dedicated trauma<br />

theatres equipped with modern facilities for the management of major trauma. The Intensive<br />

Therapy Unit is linked directly to the trauma theatres. The Accident Unit has a fully equipped Shock<br />

Room, and a trauma team comprising experienced orthopaedic, anaesthetic and general surgical<br />

staff, led by ATLS-trained personnel. There are on site thoracic surgery facilities.<br />

There are two elective orthopaedic wards in the Trelawny Wing with 34 adult beds, 3 day case beds<br />

and two dedicated orthopaedic operating theatres. All patients for major surgery are seen in the<br />

nurse practitioner pre-admission clinic. Elective orthopaedic out patient clinics are held in a purpose<br />

built suite. Special clinics in hand surgery, paediatric orthopaedics, gait disorders, spinal<br />

deformities, knee, shoulder, rheumatoid arthritis and foot disorders are held at Treliske. Outpatient<br />

clinics are held in Penzance, Redruth, Falmouth, Newquay, Bodmin and St. Austell. The service is<br />

supported by after-care physiotherapists and a neonatal hip ultrasonographer.<br />

Princess Elizabeth Orthopaedic Centre, Exeter<br />

The Princess Elizabeth Orthopaedic Centre serves a population of 325,000 and receives tertiary<br />

referrals. Orthopaedics, trauma and rheumatology comprise a single clinical directorate with 30,000<br />

out-patient attendances and approximately 2,500 trauma and 3,000 elective operations are<br />

performed each year.

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