Medical knowledge | Diseases » Registrar in Medical Microbiology, Medical Virology or Medical Microbiology, Infectious Diseases

Source: http://www.doksinet Locum appointed for service - Job Description for Specialist Registrar in Medical Microbiology/ Medical Virology or Medical Microbiology / Infectious Diseases Organisation The job is based in the PHW (Public Health Wales) main laboratory in Cardiff (housed within the University Hospital of Wales (UHW)) and in the Infectious disease unit, University Hospital of Wales Cardiff. Llandough Hospital situated in nearby Penarth, approximately 7 miles from Cardiff, also forms part of the Health Board. Specialist units within the microbiology department include: Welsh National Virology Unit (Specialist Virology Centre)(UHW) Molecular Diagnostics Unit (UHW) Food, Water and Environmental Unit (Llandough) Specialist Antimicrobial Chemotherapy for Wales (UHW) Wales and South West of England Centre for Mycobacteriology (Llandough) England and Wales Anaerobe Reference Unit (UHW) Reference laboratory for Toxoplasma sp. (PHW Microbiology Swansea) Reference laboratory for

Cryptosporidium sp. (PHW Microbiology Swansea) PHW Microbiology Cardiff enjoys close working links with the Infectious Disease Unit, based at University Hospital of Wales. Educational Supervisors The successful applicant will be assigned an allocated Educational Supervisor to enable them to get the most out of the post. Induction Induction will take place at the beginning of the appointment. Appraisal Individual appraisal will be performed by the nominated Educational Supervisor. Research and Development Skills The appointed individual will be encouraged to participate in research activities occurring within the various departments as appropriated to the individual’s skills. Presentation of research at local and national meetings is encouraged. Data Management Skills The appointed individual will be encouraged to gain familiarity with data management skills, such as the use of spreadsheets, data sheets and statistical packages. During the appointment within medical microbiology the

LAS post Page 1 of 19 Source: http://www.doksinet appointed individual will become familiar with laboratory computer system for data handling for specimen enquiries, data collection and report authorisation on a daily basis. They will also gain experience with electronic data broadcasting for surveillance and notification purposes. PHW has a vibrant information technology (IT) strategy and a full-time IT manager at Cardiff PHW who is available to advise on how to optimise use of the department’s IT systems for research and surveillance projects. The laboratory in UHW now uses the LIMS (Laboratory Information Management System) which will eventually be used by all laboratories within Wales. Health and Safety Training in this field is mandatory at each site. Training in Health and safety will begin at the induction period, but will continue throughout the appointment in the form of specific tutorials and training sessions. Management Where appropriate the appointed individual will

be expected to become actively involved (with supervision) in the management of the department and to play an active role in developing and implementing departmental policies. Development of personal leadership skills will be encouraged Postgraduate Educational Facilities and Library Services The Postgraduate department organises a wide range of educational events and courses. Educational activities currently undertaken within the Medical Microbiology and Virology Daily clinical meeting with Consultant Microbiologist to discuss interesting cases. • Intensive Care Unit Medical Microbiology round - thrice weekly • Academic Medical Microbiology Journal Club - Tuesday lunchtime: mixture of visiting speakers and internal presentations • Journal review club Wednesday morning • Joint Clinical Microbiology and Infectious Disease meeting -Thursday lunchtime • Trainee seminar programme - Series of bi monthly afternoon seminars discussing a detailed range of topics to prepare trainees

for the FRCPath. examination • Senior Staff departmental (monthly) and Clinical Bacteriology section meetings (weekly) • Combined Staff Rounds - every Wednesday at UHW • Quarterly clinical audit meetings Within the constraints of a busy department there is provision for the appointed individual to attend many of these sessions as protected teaching time • LAS post Page 2 of 19 Source: http://www.doksinet Accommodation and equipment. The appointed individual will be provided with a desk in a room shared with other SpR’s in Medical Microbiology or infectious diseases. Computer facilities and internet access are available. They will also be provided with appropriate bench space and facilities to undertake approved research projects. Teaching The appointed individual will be expected to contribute to the teaching of juniors and undergraduate medical students, nurses, biomedical scientists etc. Information relating to host organisations relevant to the post Public Health

Wales Trust Public Health Wales was established as an NHS Trust on 1 October 2009. Public Health Wales has four statutory functions: • To provide and manage a range of public health, health protection, healthcare improvement, health advisory, child protection and microbiological laboratory services and services relating to the surveillance, prevention and control of communicable diseases; • To develop and maintain arrangements for making information about matters related to the protection and improvement of health in Wales available to the public; to undertake and commission research into such matters and to contribute to the provision and development of training in such matters; • To undertake the systematic collection, analysis and dissemination of information about the health of the people of Wales in particular including cancer incidence, mortality and survival; and prevalence of congenital anomalies • To provide, manage, monitor, evaluate and conduct research into

screening of health conditions and screening of health related matters. In delivering these functions PHW brings together the following organisations and services: • Congenital Anomaly Register and Information Service (CARIS) • Health Protection Services for Wales • Screening Services Wales o Antenatal Screening Wales o Breast Test Wales (BTW) o Bowel Screening Wales (BSW) o Cervical Screening Wales (CSW) o Newborn Hearing Screening Wales • Wales Centre for Health LAS post Page 3 of 19 Source: http://www.doksinet • Welsh Cancer Intelligence and Surveillance Unit (WCISU) Public Health Wales Trust has recently developed a new organisational structure. The Executive Director of Public Health Wales Services is responsible for four Divisions: Health Protection Microbiology Screening Safeguarding The Microbiology Division is led by a Director and incorporates a Microbiology laboratory network with laboratories in Aberystwyth, Bangor, Cardiff, Carmarthenshire,

Swansea-Bridgend and Rhyl. The Public Health Wales Microbiology Network provides routine diagnostic and clinical microbiology services to four of the Health Boards in Wales and specialist and reference microbiology services across Wales. The Network holds full accreditation with CPA. Public health Wales Microbiology Division Management arrangements conform with WHC(IS)27 Velindre NHS Trust The Velindre NHS Trust was originally established in 1994 to run cancer services in South East Wales. Since that time it has expanded its portfolio to include a large range of all-Wales services, including the former PHW. The Trust headquarters are based at Nant Garw which is on the outskirts of Cardiff. Cardiff and Vale University Health Board Cardiff and Vale Health Board is the primary centre of excellence for clinical practice, medical and dental education and research in Wales. The Health Board provides health care to approximately 1.4 million people in the South East Wales area and beyond. The

Health Board manages a number of regional and sub-regional services including cardio-thoracic surgery, neurosurgery, bone marrow and renal transplantation. University Hospital W ales In 1971, the University Hospital of Wales was officially opened and rapidly established itself as one of the foremost teaching hospitals in the UK and the flagship of Wales. In addition the hospital manages a number of services of a regional and sub-regional nature, namely Cardiology, Cardiac Surgery, Neurology, Neurosurgery, Medical Genetics, Bone Marrow Transplantation, Renal Transplant and Forensic Pathology. The University of Wales, College of Medicine is based on the site and consequently the hospital is regarded as the major teaching hospital within Wales. With one or two exceptions, the NHS service side is interlinked with professional departments and both the NHS and College elements are heavily involved in research and development LAS post Page 4 of 19 Source: http://www.doksinet and have

gained eminent reputations both nationally and internationally. The hospital provides for the fullest integration of a 968 bed hospital and medical school in one complex. Three blocks running north south with six subsidiary “link” blocks comprise the main complex. Each week the hospital sees around 5,000 out-patients, 500 in-patients and 200 day cases. The main operating theatre suite is one of the largest in Great Britain with ten theatres and 12,000 cases per year. In March 1999 Cardiff Royal Infirmary closed, and the emergency services transferred to a new emergency unit on the University Hospital of Wales campus. It is an extremely busy department, with approximately 100,000 attendances per year. The first phase of the National Children’s Hospital of Wales was opened in 2005. The hospital admits 23,000 in patients a year and holds clinics for 50,000 outpatients. On 1st July 2010, the Welsh Assembly Government earmarked £7m for the second phase of the hospital and

construction work on is expected to begin in August 2011 and the first patients will be admitted to the completed hospital in 2014. Phase two will include: 1. A new critical care unit combining high dependency and intensive care 2. Five paediatric theatres - three of which for general surgery, one for emergency and one for dental surgery 3. A radiology suite 4. A clinical assessment unit and a clinical investigations unit 5. A 2000m square outpatients department incorporating the dental surgery suite, a hydrotherapy pool, treatment rooms and colposcopy suite 6. Ninety-nine inpatient beds and a fourteen bedded day unit 7. An enclosed garden Llandough Hospital Llandough Hospital is a District General Hospital with 480 beds currently in use. The hospital is situated five miles from the centre of Cardiff and all major specialities are represented providing a range of medical services to the people residing in the former Bro Taff Health Authority particularly but not exclusively to those

in the west of Cardiff and the Vale of Glamorgan. In addition to standard services offered, the hospital also provides a modest range of specialist services including the Therapeutics and Toxicology Centre, the adult Cystic Fibrosis Unit, Diabetic Retinopathy Service and the Sleep Studies Centre. There is a major academic presence at Llandough Hospital. The Academic Centre houses research laboratories and offices of Professors in Medicine for the Elderly, Clinical Pharmacology, Respiratory Medicine, Community Child Health and Diabetes. The Wound Health Research Unit, Bone Research Unit and Research Department of Diabetic Medicine incorporating a Clinical Investigation Unit and Bro Taff Diabetic Retinopathy Screening Service are LAS post Page 5 of 19 Source: http://www.doksinet based at Llandough. Considerable undergraduate and postgraduate teaching takes place and a new Postgraduate Centre was opened in 1998. Cardiff University School of Medicine (CUSM) Cardiff University (CU) is a

member of the Russell Group of 20 major research-intensive universities in the United Kingdom. In 2006/07, Russell Group Universities accounted for 66% (over £2.2 billion) of UK Universities research grant and contract income, 68% of total Research Council income, 56% of all doctorates awarded in the United Kingdom, and over 30% of all students studying in the United Kingdom from outside the EU. The outcome of the latest Research Assessment Exercise (2008), showing world-leading research being undertaken throughout CU, is another outstanding success for the University. CU is established as one of the UK’s leading research universities and as the powerhouse of research in Wales - where the University provided 40% of the 2,500 researchers submitted for assessment. Almost 60 per cent of all research at CU was assessed as world-leading or internationally excellent – 4* and 3 the top two categories of assessment. The School of Medicine is the largest School in Cardiff University and is

responsible for half of the total research income of the University. Research awards in 2007-2008 exceeded £34 million. The School is co-located with the University Hospital on the Heath Park site. Research in the School is focused on interdisciplinary themes, each of which spans the spectrum from basic science to clinical practice in either hospital or community settings. The underlying aim is to ensure the optimum “translation” of fundamental knowledge to patient benefit. The five IRGs (Interdisciplinary Research Groups) are Cancer Studies; Cardiovascular Sciences; Infection, Immunity, Inflammation and Injury; Neurosciences and Mental Health and Clinical Epidemiology. There is also a Development Group in Diabetes and Metabolism. The Department of Infection, Immunology and Biochemistry (llB) was recently created from the merger of the Academic Department of Medical Biochemistry and Immunology with the Department of Medical Microbiology. Merger was undertaken in recognition of the

shared academic strengths in the two Departments and to further encourage collaborative work in this broad area. The academic staff are supported by over 50 postdoctoral fellows, research assistants, technicians and graduate students, and by numerous NHS consultants holding Honorary Academic contracts. Public Health Wales Microbiology, Cardiff Microbiology Cardiff is one of the largest laboratories in England and Wales and incorporates laboratories within UHW and Llandough Hospital. It undertakes acute microbiology services for all hospitals in and across the Cardiff and Vale Health LAS post Page 6 of 19 Source: http://www.doksinet Board, Velindre NHS Trust, and community and family practitioner services. Reference microbiology, particularly virology, mycobacteriology, mycology and molecular diagnostics services are provided for the whole of Wales and for some specialist services the service is UK wide. The laboratory has both CPA (as part of Network accreditation) and UKAS

accreditation. Staffing of the clinical microbiology laboratory service is outlined below The department processes in excess of 500,000 specimens per year (around 40% derived from general practice). The Public Health Wales and academic components combine to generate a comprehensive research output which capitalises on the close links with the Infection Diseases Section, the Public Health Wales Communicable Disease Surveillance Centre and other Departments of Clinical Microbiology throughout Wales. Services to Cardiff and Vale Health Board are provided through a Service Level Agreement. The Department works closely with the Directorate of Laboratory Medicine, Cardiff and Vale Health Board, in delivering pathology services to the Trust. The Laboratory Director and Manager attend the monthly Directorate Management meetings Specialist units w ithin the departm ent include: Welsh National Virology Unit (UHW) Welsh National Molecular Diagnostics Unit (Microbiology Cardiff and Microbiology

Swansea) Food, Water and Environmental Unit (Llandough) Specialist Antimicrobial Chemotherapy Unit (UHW) Wales and South West of England Centre for Mycobacteriology (Llandough) England and Wales Anaerobe Reference Unit (UHW) Infection Management service The Consultant and SPR team provide a very active, integrated bacteriology and virology clinical service to Cardiff and Vale Health Board and Velindre Trust with daily ward rounds on the ICUs, regular consultant reviews of difficult infections, and involvement in a variety of multi-disciplinary clinical meetings and audit projects. The clinical team are actively involved in the development of care pathways and infection management algorithms and provide leadership to the Trust Antimicrobial Group. The team works closely with the Infectious Diseases Department and there are four joint Microbiology/Infectious Diseases SPRs. Hospital Infection Prevention and Control Dr Eleri Davies is the Cardiff & Vale Health Board Infection Control

Doctor pending appointment to the currently vacant Infection Control Lead, which is currently vacant There are presently five infection control nurses employed by the Cardiff and Vale Health Board and managed by the Lead Nurse Patient Experience in association with the Infection Control Doctor. A clinical scientist also supports the infection control programme. Clinical Bacteriology LAS post Page 7 of 19 Source: http://www.doksinet The laboratory provides an extensive bacteriology diagnostic service for the Cardiff and Vale Health Board and Velindre NHS Trust, General Practitioners and other users. The majority of the routine work is undertaken on the UHW site The laboratory also provides mycological services for the surrounding area including dermatophyte, yeast and mould identification, azole susceptibility testing, and antigen detection for cryptococcus, candida, and aspergillus. Welsh National Virology Unit (Specialist Virology Centre) The Welsh National Virology Unit provides

primary testing for hospitals throughout Wales as well as reference services such as the Welsh reference confirmation service for HIV, hepatitis B and hepatitis C including molecular assays for these infections. Recently Public Health Wales has launched a national programme for the provision of Chlamydia NAAT and GC services at three sites within Wales. The Welsh National Virology Unit has played a key role in implementing this national service. The Unit is committed to providing a high level of service across Wales and developing a national frameworks for the delivery of molecular diagnostic tests at different sites across Wales. The department offers training in virology to SPRs working towards FRCPath in Medical Microbiology and Specialist Virology. The Virology Unit has an excellent track record in research and development. Close links exist between the staff of the diagnostic laboratory and staff of academic departments. The unit is uniquely placed within the UK to deliver a

tailor made service for the population of Wales due to its place within Public Health and the close relationship with the Welsh Assembly Government. Welsh Infectious Diseases Molecular Diagnostics Unit. The Unit is staffed by four clinical scientists and a number of biomedical scientists. It is responsible for the development of molecular diagnostic services for the population of Wales. The unit also provides some diagnostic services such as the investigation of respiratory viruses, including avian influenza, the molecular investigation of CSF samples and a range of complex molecular investigations for the diagnosis and management of fungal infection and TB. It currently supports the confirmation of GC tests identified as positive by the national programme for the molecular diagnosis of Chlamydia and GC. The unit contributes to the European Surveillance of Influenza and also support the epidemiology of respiratory viral infections across Wales which informs the diagnosis and management

of these infections in a clinical setting. There is an expectation that the unit will be able to offer HIV resistance assays and develop a number of more specialised services in the near future, as molecular assays become more routine and are delivered as part of a routine service. There is an active research and development programme including investigations on the application of molecular tests for the diagnosis of fungal infection in at risk patients. Food, Water and Environmental Unit LAS post Page 8 of 19 Source: http://www.doksinet The Food, Water and Environmental laboratory is situated in Llandough Hospital. It performs food, water and environmental sample testing for Local Authorities and Health Authorities in relation to surveillance and outbreak investigation and control. There is very close liaison between laboratory staff and Environmental Health Officers/Consultants in Communicable Disease Control in South East Wales and Wales. Wales and South West of England Centre

for Mycobacteriology The unit is situated in the Llandough laboratory. It receives around 12,000 primary diagnostic specimens for mycobacterial microscopy and culture annually. These are received from NHS Trusts within Wales, including all primary specimens sent to PHW laboratories and a significant number of primary specimens from Welsh NHS laboratories. One hundred veterinary specimens (usually tissue samples) are received annually from private practices, as well as from university veterinary schools. Approximately seven hundred and fifty mycobacterial cultures are referred annually from laboratories in Wales and the South West of England for confirmation of identity and antimicrobial susceptibility tests. There is an active research and development programme that has led to the introduction of molecular techniques for the detection of Mycobacterium tuberculosis in clinical specimens and molecular typing of Mycobacterium tuberculosis. The Centre for mycobacteriology works in close

liaison with the Department of Respiratory Medicine, which is also located on the Llandough site. Specialist Antimicrobial Chemotherapy Unit (SACU) This is being established to provide support to the PHW Wales Antibiotic Resistance Programme and in particular to contribute to: • The development of an all-Wales strategy to limit the impact of antimicrobial resistance • Appropriate antimicrobial prescribing in Wales • Further implementation of standardised techniques for antimicrobial susceptibility testing across the PHW network • The establishment of a Quality Assurance programme across the PHW network to underpin antibiotic resistance surveillance • The development and assessment of antibiotic susceptibility techniques for the routine detection of specific resistance mechanisms (e.g ESBL’s) • The collection of antibiotic resistance data for surveillance in Wales • The further development of antibiotic resistance R & D programmes conducted by the ICDS • The

provision of clinical advice on the appropriate use of antibiotics and the management of antimicrobial resistance • Liaison with other laboratories in the network, other laboratories in Wales and the Antibiotic Reference Centre at Colindale National Anaerobe Reference Unit The ARU receives over 1000 isolates of anaerobic bacteria per annum for identification. It also provides the national typing service for the surveillance LAS post Page 9 of 19 Source: http://www.doksinet of C difficile infection. Traditional methods are being replaced increasingly by molecular methods for identification and typing. Surveillance of antibiotic resistance is based upon phenotypic testing and molecular detection of resistance genes in referred isolates and in special sentinel set of anaerobes collected for this purpose specifically. LAS post Page 10 of 19 Source: http://www.doksinet Workload Specimen numbers Workload of National Virology Unit (Specialist Virology Centre) Sample Number 150,000

[Test number 465,000] Break dow n of Test Num bers: Hepatitis/HIV Serology (Non BBV) VL – HIV, HCV, HCV Genotype Chlamydia & GC Others 200,000 190,000 20,000 50,000 5,000 Welsh Infectious Diseases Molecular Diagnostics Unit (Incl. Virus, bacterial and fungal targets) 20,000 Workload of Bacteriology Diagnostic Bacteriology 284,000 Workload of Food Water and Environmental Laboratory Public Health and Environmental 58,000 Workload for Centre for Mycobacteriology Sample number Workload for Anaerobe Reference Unit LAS post Page 11 of 19 16,000 1,200 Source: http://www.doksinet Personnel and Resources Howe R Laboratory Director Consultant Microbiologist Head Specialist Antimicrobial Chemotherapy Unit Full time Jones R Consultant Virologist Part time Price N Consultant Virologist Part time Dexter L Consultant Virologist Part time Davies E M Consultant Microbiologist Infection Control Doctor Cardiff & Vale Health Board Part time Barnes R A Professor, Head

of Department of Medical Full time Microbiology, School of Medicine, Cardiff University Honorary Consultant Microbiologist (Part time) Healy B Consultant Microbiologist, Disease Consultant, Infectious Full time Hughes H Consultant Microbiologist, Disease Consultant Infectious Full time Dhillon R Consultant Microbiologist, Infection Control Full time Doctor, Velindre NHS Trust Faggian F Consultant Microbiologist Part time Wootton M Clinical Scientist Specialist Antimicrobial Chemotherapy Unit Full time Corden S Clinical Scientist Full time White L Clinical Scientist Full time LAS post Page 12 of 19 Source: http://www.doksinet Vacant Clinical Scientist (FW&E) Full time Moore C Clinical Scientist Full time Perry M Clinical Scientist Full time Daniels V Infection Control Scientist Full time LAS post Page 13 of 19 Source: http://www.doksinet Specialist Registrars Dr J Hargreaves (P/T) Dr S Froude (joint ID – P/T) Dr L Jones (WCAT) Dr A

Tsitsopoulou Dr R Bamber Dr S. Bhagavatula Dr C Durojaiye (joint ID) Dr Harriet Hughes (Joint ID) Dr Matt Backx (joint ID) Dr Owen Seddon (joint ID) Laboratory Manager Dr P James Laboratory Administrator Mrs Stephanie Britton-Jones M edical Laboratory Scientific Officer (BM S) staffing Technical Heads 2 WTE Chief BMS 7 WTE Senior BMS 16 WTE Specialist BMS 33 WTE Trainee BMS 6 WTE MLA 20 WTE Admin & Clerical 12 WTE Other IT Systems Laboratory Information Management System –all-Wales Pathology LIMS CoSurv DataStore LAS post Page 14 of 19 Source: http://www.doksinet Quality Assurance The laboratory has an excellent record of participation in the following External Quality Assurance Schemes: Bacteriology Antibiotic Assays Faecal Parasitology General Bacteriology Mycology Virology HIV Serology Hepatitis B Serology Hepatitis C Serology Rubella Serology (IgG/IgM) Chlamydia detection – EIA Toxoplasma Serology (incl IgM) Virus identification HIV-1 RNA quantification

HCV RNA detection Quality Control Concerted Action EQA programme (Virology) ESCV Food, W ater and Environm ental Food & water EQA schemes UKAS Accreditation for Food, Water and Environmental Services Other Resource Information There is a departmental library with a wide range of English, European and American microbiology journals and a full range of microbiology textbooks. The Consultant will have access to the Cochrane Library, Llandough Hospital and Sir Herbert Duthie Library of the School of Medicine. There is an active Postgraduate Centre on both sites. Time, facilities and funding will be available for CPD and audit. Summary of Departmental Timetable for Medical Microbiology Day Monday Morning • Clinical Handover 9.30 • 11.15 Bench round Lab & clinical duties Lab & clinical duties • Tuesday • Lunchtime Academic Medical Microbiology Journal LAS post Page 15 of 19 Afternoon • 2pm Combined Paediatric & General ITU WR • Lab & Clinical

• 2pm WR Cardiac ITU/ General Source: http://www.doksinet Wednesday 11.15 Bench round • 9.30 Journal Review Club 11.15 Bench round 12pm WR SCBU – consultant led Grand Round 12.30 Lunch included Lab Management Team Meeting (Monthly) 11.15 Bench round Lab & Clinical Bench Joint Clinical Microbiology and Infectious Disease meeting • • Thursday • • • • • Friday Club • • • Lab & Clinical 11.15 Bench round Wards • 2pm Combined Paediatric & General ITU WR • (Haematology WR- optional ) • 2pm Cardiac ITU / General WR • 3pm Tutorials (Twice monthly) • 2pm Combined Paediatric & General ITU WR • Clinical Handover 4.30pm Summary Timetable for Medical Virology Day Morning Lunchtime LAS post Page 16 of 19 Afternoon Source: http://www.doksinet Monday • Clinical Handover 9.30 (optional) • 2pm Combined Paediatric & General ITU WR • Lab & clinical duties including authorisation of reports Lab

& clinical duties including authorisation of reports • Lab & clinical duties including authorisation of reports Academic Medical Microbiology Journal Club • Lab & clinical duties including authorisation of reports 9.30 Journal Review Club 12pm WR SCBU (optional) Grand Round 12.30 Lunch included • 2pm Combined Paediatric & General ITU WR • (Haematology WRoptional ) Lab Management Team Meeting (Monthly) Lab & clinical duties including authorisation of reports Joint Clinical Microbiology and Infectious Disease meeting • 3pm Tutorials (Twice monthly) • 2pm Combined Paediatric & General ITU WR • Clinical Handover 4.30pm Tuesday • Wednesday • • Thursday • • • Friday • • Virology Clinical Meetings (fortnightly) Lab & clinical duties including authorisation of reports Summary Timetable for Infectious Diseases ID rota Am Monday Tuesday Wednesday Specialty retrieval, Consultant Specialty Specialty

retrieval retrieval, , ID clinic Consultant Thursday Friday Weekend Specialty retrieval, Hepatitis Specialty retrieval, Consultant General medical or microbiology LAS post Page 17 of 19 Source: http://www.doksinet Pm ward round, UHW ward round, TB clinic (fortnightly) Review of outliers, drop in clinic Review of outliers, drop in clinic, HIV MDT Review of outliers, drop in clinic, HIV resistance MDT clinic or ISH HIV clinic, Review of outliers, drop in clinic Student teaching ward round, on call Review of outliers, drop in clinic Teaching responsibilities The appointed individual will be expected to contribute to the teaching of juniors and undergraduate medical students, nurses, biomedical scientists etc. When attached to ID Unit SpR are expected to contribute to a weekly bedside teaching session for undergraduate medical students, as well as giving occasional undergraduate and postgraduate lectures on infectious disease topics. Undergraduate medical students are

attached to the ID Unit for most of the year. Research Activities The appointed individual will be encouraged to participate in research activities occurring within the various departments as and when appropriate. Clinical Audit There is an active clinical audit programme within the department. The appointed individual will be expected to lead audit projects through the ‘audit cycle’ and under the direction of the director of the audit programme. Results of completed audits are presented at quarterly meetings. Management responsibilities The appointed individual will be expected to observe and attend department management meetings on a rotational basis. The appointed individual will be will be expected to participate in department organisation such as production of on-call rotas, organising journal clubs etc. The appointed individual will be expected to become more actively involved (with supervision) in the management of the department and to play an active role in developing and

implementing departmental policies as and when appropriate. Facilities available at UHW site i) Clubs All staff within the Trust are eligible for membership of the University Hospital of Wales Sports and Social Club which includes facilities for squash, badminton, swimming etc, a sauna and jacuzzi, together with a large social club. LAS post Page 18 of 19 Source: http://www.doksinet ii) Car Parking Car parking is available at the Hospital. iii) Shopping Adequate shopping facilities within a convenient distance of the University Hospital of Wales, Llandough Hospital NHS Trust and Royal Gwent Hospital. iv) Transport University Hospital of Wales, Llandough Hospital and Royal Gwent Hospital are all on regular bus service, with rail stations nearby. For an informal discussion please contact: Dr Brendan Healy Joint Programme Director Department of Microbiology PHW Microbiology Cardiff Dr Nicola Price Joint Programme Director for Medical Microbiology Department of Virology PHW

Microbiology Cardiff Dr Brendan Mason Head of School for Public Health & Medical Microbiology Temple of Peace and Health Cathays Park Cardiff 02920 744515 029 20 74 2178 02920 202531 LAS post Page 19 of 19