Job Description

St. George's University Hospitals NHS Foundation Trust provides acute and long term neurological services to 3.4 million inhabitants in the region. The neuroscience centre is located in the Atkinson Morley Wing at St. George's University Hospitals NHS Foundation Trust and provides state of the art facilities for diagnosis and treatment in all branches of neurology.
These posts are not formally recognised for core or higher training nor do they attract an NTN. However, they do offer excellent experience and access to the same educational opportunities as our core trainees. We work very hard to deliver high quality training. Previous trainees have gone on to secure NTNs in neurology, neurosurgery, ACCS, radiology or allied disciplines.
The rotations are very much geared to clinical neurosciences as a career.
These posts have been popular with candidates trying to secure an IMT number, candidates who would like to experience neurology, stroke and neurorehabilitation as F3 as well as candidates who have completed ST2 training and are looking to invest a year gaining experience and skills in clinical neurosciences prior to applying for an ST3 position. ST3 level acting up experience may be available to suitable candidates. We also have an excellent track record of helping more junior candidates go on to secure CMT and ST rotations.
The posts are for 12 months starting August 7th 2025.
Main duties of the job
These posts are not formally recognised for core or higher training nor do they attract an NTN. However, they do offer excellent experience and access to the same educational opportunities as our core medical trainees. The department prides itself on its focus on education and training and work very hard to deliver high quality training. In recognition of this, we were the highest rated neurosciences unit in the UK in the 2018 GMC Trainees Survey. We have an excellent track record in supporting our junior doctors to their career goals and in particular in supporting candidates to national training numbers in clinical neurosciences specialties including neurology, neurophysiology, neurorehabilitation and radiology, as well as IMT.
These posts have been especially popular with candidates who have completed ST2 training and are looking to invest a year gaining experience and skills in clinical neurosciences prior to applying for an ST3 position. ST3 level acting up experience would be available to suitable candidates.
We also have an excellent track record of helping more junior candidates in the equivalent of their F3 year go on to secure IMT and ST rotations.
The rotations are very much geared to clinical neurosciences as a career. The following posts are available
About us
St George's University Hospitals NHS Foundation Trust is the main teaching hospital in the south west sector of London and as such has developed links with most district general hospitals throughout Surrey and Sussex and supports a significant training programme for junior doctors who rotate through the Trust. The Trust is on three sites: St George's Hospital, the base for acute general medicine, surgical services and level one neuro-rehabilitation, Queen Mary's Hospital Roehampton for rehabilitation and community services and St. John's Therapy Centre in Battersea. The Trust serves three local Primary Care Trusts and a population of about 1.3 million across South West London.
Neurosciences used to be based at Atkinson Morley's Hospital in Wimbledon, where the world's first CT scanner was developed by Sir Godfrey Hounsfield and James Ambrose. It was the regional neuroscience centre for south-west London and a large part of Surrey and Sussex. In 2003, the hospital closed and moved to a new, purpose-built wing at St George's, sharing accommodation with the regional cardiothoracic unit. The new Atkinson Morley Wing is arranged over five floors, around inner courtyards. There are 233 in-patient and day-case beds, eight operating theatres and a range of state-of-the-art diagnostic and treatment facilities
Job description
Job responsibilities
DUTIES OF THE POST
SHO Stroke * The SHO duties are to

• cover the stroke wards as well as contributing to the neurology wards and head injury beds including assessment of all admission on the ward and where necessary in A & E.
• attend a weekly Neurology/TIA/stroke clinic
• neurology on-call (see below)
• teach medical students and other staff on the unit.
• attend the daily morning multidisciplinary meeting on either neurology or stroke.
• collect data for the stroke register, audit and assist in acute stroke trials.
• The SHOs are expected to present cases on the ward rounds. The SHOs will be expected to review new patients with the consultant and review the continuing care of other patients on the ward. The SHO will work closely with stroke and neurology SpRs.
• SHO must also contribute to academic meetings and departmental audit.
• SHOs are expected to attend thrombolysis calls and learn about the acute management of stroke and allied neurological mimic conditions.
• There are regular weekly teaching sessions which the successful candidates are encouraged to attend.
• In addition, there are opportunities for the successful applicants to become involved in active research projects that are ongoing on the unit.

SHO Neurology * The SHO duties are to

• cover the Neurology ward and head injury beds or neurology outliers, according to allocation.
• assessment of all admissions on the ward and where necessary in A& E.
• attend a weekly Neurology/TIA/stroke clinic
• neurology on-call (see below)
• teach medical students and other staff on the unit.
• attend the daily multidisciplinary meeting.
• collect data for the stroke register, audit and assist in acute stroke trials.
• The SHOs are expected to present cases on the ward rounds. The SHOs will be expected to review new patients with the consultant and review the continuing care of other patients on the ward. The SHO will work closely with stroke SpRs and neurology SpRs.
• In addition, there is a day case unit. All SHOs have some responsibility for day to day running of the day unit. However, one SHO will be appointed to be responsible for the running of the day unit.
• SHOs must also contribute to academic meetings and departmental audit.
• Neurology out-patient clinics are held in the Atkinson Morley Wing OPD which has 12 examination rooms. Each SHO will do one neurology clinic per week. In addition to the daily TIA service clinics, there are multiple specialist clinics (list of training opportunities below). SHOs have the opportunity to observe and assist in these clinics, as well as to observe the recording and interpretation of neurophysiology assessments including electromyography, electroencephalography and evoked potentials.
• There are multiple regular weekly teaching sessions which the successful candidates are encouraged to attend.
• In addition, there are opportunities for successful applicants to become involved in active research projects that are ongoing on the unit.
• The organisation of the neurology service will evolve over the year. Where SHOs were once attached to Kent ward, now SHOs may be asked to act as one small attending team looking after the whole ward, to be in charge of the day unit or be part of the outlier or A& E teams.

SHO Thomas Young ward/Wolfson Neurorehabilitation Centre. * The SHO duties are to

• cover the Thomas Young ward and rehabilitation beds including assessment of all admissions on the ward and where necessary in A & E.
• attend a weekly Neurology/TIA/stroke clinic
• neurology on-call rota (see below)
• teach medical students and other staff on the unit.
• attend the weekly multidisciplinary meeting.
• The SHOs are expected to present cases on the ward rounds. The SHOs will be expected to review new patients with the Consultant and review the continuing care of other patients on the ward. The SHO will work closely with the rehabilitation SpRs.
• Neurology out-patient clinics are held in the Atkinson Morley Wing OPD which has 12 examination rooms. Each SHO will do one neurology clinic per week. In addition to the daily TIA service clinics, there are specialised clinics (list of Training opportunities listed below)
• There are regular weekly teaching sessions which the successful candidates are encouraged to attend.
• In addition, there are opportunities for the successful applicants to become involved in active research projects that are ongoing on the unit.
• The Thomas Young SHO may also be asked to support the neurology outlier team as well as see acute cases in A& E.

SHO rota
All SHOs who are on the on-call rota are resident on call. The main rota is a 1 in 12 shift system with 1 in 12 nights. Prospective cover applies within Neurology. Additional on-call shifts may be available covering other SHOs absence and extra shifts as needed in the evenings and weekends.
Person Specification
Qualifications
Essential

• Medical degree
• GMC registration

Desirable

• MRCP part 1
• MRCP part 2
• MRCP PACES
• MRCS part 1
• BA/BSc

Clinical Skills
Essential

• Completed FY posts
• Ability to take good medical notes.

Audit Skills
Essential

• Committed to principles and practice of clinical audit.

Teaching Skills
Desirable

• Interested in teaching both undergraduates and postgraduates.

Academic Achievement
Desirable

• Understands principles and able to understand research results.
• Prizes
• Academic publications

Personal Skills
Essential

• Ability to work as a member of a team
• Evidence of good communication skills
• Evidence of organisation and motivation
• Commitment to personal development
• Adaptive skills to changing working procedures
• Enthusiastic
• Motivated to ensure the achievement of defined targets
• Potential to cope with stressful situations and undertake responsibility

Desirable

• Interest in a career in Neurology or Neurosurgery or related discipline

200-SNCT-712823-7069201JT2
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