Job summary
Applications are invited for a Clinical Fellow post in Regional Anaesthesia to join the Department of Anaesthesia at University Hospital Lewisham. The appointee will join a friendly and active department with an excellent reputation for teaching and training. The appointment is for a fixed 6 month contract, although previous Fellows have extended this to a year subject to satisfactory performance and reviews during this time.
The regional anaesthesia fellow post offers regular dedicated orthopaedic and trauma lists, where regional anaesthesia is routinely performed. The department has a consultant body that includes 6 EDRA diplomates, and regional techniques are embedded into our ERAS lower limb joint protocols, upper limb lists and foot surgery lists.
The anaesthetic department supports regular orthopaedics and trauma, obstetric, general surgery, gynaecology, paediatric day surgery, urology and ENT lists, working across 11 theatres. There are close links with the Critical Care team although this is staffed on a separate rota.
Applicants must be fully registered with the General Medical Council and will be required to meet the essential criteria as described in the person specification. The applicant should have gained their initial assessment of competence in obstetric anaesthesia.
Main duties of the job
To help ensure the smooth running of the service provided by the department of anaesthesia, providing high quality care to patients.
To work with a group of SAS doctors, clinical fellows and anaesthetic doctors in training grades to ensure provision of a safe and effective out of hours anaesthetic service covering a dedicated obstetric tier and a theatres/emergency tier. To provide cover for colleagues during periods of annual/sick leave.
To participate in educational and audit meetings and meet CPD requirements.
To run sonoanatomy teaching sessions to trainee and consultant colleagues (as part of ongoing "sonoclub")
To support the hospital's clinical governance strategy and to participate in clinical audit / quality improvement.
To continue training and achieve educational objectives
About us
Our people are our greatest asset. When we feel supported and happy at work, this positivity reaches those very people we are here for, the patients. Engaged employees perform at their best and our Equality, Diversity & Inclusion (EDI) initiatives contribute to cultivate a culture of engagement. We have four staff networks, a corporate EDI Team and a suite of programmes and events which aim to insert the 5 aspirations:
- Improving representation at senior levels of staff with disabilities, from black, Asian, and ethnic minorities background, identify as LGBTQ+ and women, through improved recruitment and leadership development
- Widening access (anchor institution) and employability
- Improving the experience of staff with disability
- Improving the EDI literacy and confidence of trust staff through training and development
- Making equalities mainstream
Job description
Job responsibilities
The UHL anaesthetic department has a strong interest in regional anaesthesia: six members of the consultant body have the European Diploma in Regional Anaesthesia, whilst others have taught regionally and nationally on areas such as neuraxial ultrasound and paediatric regional anaesthesia. Regional anaesthesia is incorporated into ERAS elective arthroplasty pathways (for both hips and knees) and day case upper limb lists rely on regional blocks to enhance patient experience and facilitate day-case turnaround. Trauma cases, major colorectal cases and paediatric day case surgery (e.g. inguinal hernia repair) provide further opportunities for regional anaesthesia experience.
We liaise closely with our Acute Pain Service colleagues who are keen to use regional anaesthetic techniques where appropriate for in-patient pain issues. A nerve catheter service has been introduced, with much of this work led by previous regional fellows. Patients with rib fractures and laparotomy patients now benefit from access to continuous nerve block techniques. The department has also reinstated a regular sonoanatomy teaching session (Sonoclub), to provide updates and hands-on ultrasound teaching to both trainees and the consultant body.
The appointee to this post can expect to have a minimum of 2 lists / week (averaged across the rota) where they will be assigned supervised lists appropriate for gaining regional anaesthesia experience. In addition they will be expected to participate in the organisation and running of the Sonoclub, and become involved in at least one quality improvement initiative relating to regional anaesthesia.
Job description
Job responsibilities
The UHL anaesthetic department has a strong interest in regional anaesthesia: six members of the consultant body have the European Diploma in Regional Anaesthesia, whilst others have taught regionally and nationally on areas such as neuraxial ultrasound and paediatric regional anaesthesia. Regional anaesthesia is incorporated into ERAS elective arthroplasty pathways (for both hips and knees) and day case upper limb lists rely on regional blocks to enhance patient experience and facilitate day-case turnaround. Trauma cases, major colorectal cases and paediatric day case surgery (e.g. inguinal hernia repair) provide further opportunities for regional anaesthesia experience.
We liaise closely with our Acute Pain Service colleagues who are keen to use regional anaesthetic techniques where appropriate for in-patient pain issues. A nerve catheter service has been introduced, with much of this work led by previous regional fellows. Patients with rib fractures and laparotomy patients now benefit from access to continuous nerve block techniques. The department has also reinstated a regular sonoanatomy teaching session (Sonoclub), to provide updates and hands-on ultrasound teaching to both trainees and the consultant body.
The appointee to this post can expect to have a minimum of 2 lists / week (averaged across the rota) where they will be assigned supervised lists appropriate for gaining regional anaesthesia experience. In addition they will be expected to participate in the organisation and running of the Sonoclub, and become involved in at least one quality improvement initiative relating to regional anaesthesia.
Person Specification
Qualifications
Essential
- MBBS or equivalent Full Registration with GMC
Desirable
Clinical Experience
Essential
- Ability to take independent responsibility for clinical care of patients
- Satisfactory completion of Basic Obstetric Competencies
Desirable
- Experience of a range of ultrasound-guided regional anaesthetic techniques
- Previous experience of working on an obstetric anaesthetic rota
Clinical Audit
Essential
- Must have undertaken and completed audit projects
Desirable
- Evidence of audit or quality improvement work in regional anaesthesia
Teaching Experience
Essential
- Experience of teaching basic skills to undergraduates
Desirable
- Further teaching experience beyond undergraduate level
Management and Administrative Experience
Essential
- Ability and willingness to work within the Trust Clinical Governance framework
Desirable
- Involvement in development of local regional anaesthesia guidelines or protocols
Other Attributes
Essential
- Ability to work in a multidisciplinary team
- Enquiring, critical approach to work and a commitment to the practice of evidence based medicine
- Caring attitude to patients and relatives of patients
- Conscientious and diligent
- Ability to communicate effectively with colleagues, patients, relatives, nurses, allied health professionals, administrative staff and other agencies
- Commitment to Continuing Professional Development and the requirements of Clinical Governance and Audit
- Willingness to fully engage in appraisal. Self awareness and ability to learn from feedback.
- Evidence of entitlement to live and work in the UK
- Must be able to meet on call requirements
Desirable
- Evidence of leadership and team building
- Evidence of adaptability and flexibility
- Creative and innovative
- Familiar with information technology and general computer skills
Person Specification
Qualifications
Essential
- MBBS or equivalent Full Registration with GMC
Desirable
Clinical Experience
Essential
- Ability to take independent responsibility for clinical care of patients
- Satisfactory completion of Basic Obstetric Competencies
Desirable
- Experience of a range of ultrasound-guided regional anaesthetic techniques
- Previous experience of working on an obstetric anaesthetic rota
Clinical Audit
Essential
- Must have undertaken and completed audit projects
Desirable
- Evidence of audit or quality improvement work in regional anaesthesia
Teaching Experience
Essential
- Experience of teaching basic skills to undergraduates
Desirable
- Further teaching experience beyond undergraduate level
Management and Administrative Experience
Essential
- Ability and willingness to work within the Trust Clinical Governance framework
Desirable
- Involvement in development of local regional anaesthesia guidelines or protocols
Other Attributes
Essential
- Ability to work in a multidisciplinary team
- Enquiring, critical approach to work and a commitment to the practice of evidence based medicine
- Caring attitude to patients and relatives of patients
- Conscientious and diligent
- Ability to communicate effectively with colleagues, patients, relatives, nurses, allied health professionals, administrative staff and other agencies
- Commitment to Continuing Professional Development and the requirements of Clinical Governance and Audit
- Willingness to fully engage in appraisal. Self awareness and ability to learn from feedback.
- Evidence of entitlement to live and work in the UK
- Must be able to meet on call requirements
Desirable
- Evidence of leadership and team building
- Evidence of adaptability and flexibility
- Creative and innovative
- Familiar with information technology and general computer skills
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
Additional information
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
