Foot and Ankle Clinical Fellow

Job description

Job responsibilities

The Post

This Fellowship post is designed to accommodate an orthopaedic clinician, who has attained CCT (or equivalent) in Trauma and Orthopaedics, or who is on the GMCs specialist register, who would like to gain a further period of development in the sub-speciality of Foot and Ankle Surgery in preparation for a consultant role.

The post offers, subject to satisfactory assessment, the opportunity to develop independent surgical practice. The role also gives exposure to specialist Foot and Ankle clinics and theatre lists and the opportunity to engage in research and audit programmes. BOFAS has approved the fellowship having review the previous fellows logbooks and other fellowship outputs.

The Department

The post-holder will join the following surgeons with an interest in Foot and Ankle surgery:-Mr Simon Hill, Mr Nilesh Makwana,Mr Andrew Bing,Mr Christopher Marquis,Mrs Catriona Heaver

The Trust

The hospital has nine inpatient wards, including a private patient ward. There are twelve operating theatres, including a short stay surgery unit and full out-patient and diagnostic facilities.

The Trust provides a comprehensive range of Musculoskeletal services including orthopaedic surgery, spinal injuries, bone disorders and medicine, and as one of the UKs leading specialist hospitals, provides services on a local, regional and national basis.

The Trust is a single site based in Oswestry, close to the border with Wales. The surrounding geographical area includes Shropshire, Wales, Cheshire and the Midlands, As such, we serve the people of both England and Wales, as well as a wider national catchment. Our services are provided predominantly to the people of Shropshire, Cheshire and North Wales and our specialist services serve a much broader population across the Midlands, North West and Wales.

The Surgeons are divided into the following units:

• Arthroplasty
• Spinal Surgery
• Musculoskeletal Oncology
• Sports Injuries
• Lower Limb
• Hand and Upper Limb
• Arthroplasty
• Paediatric Orthopaedic Surgery
• Professorial

There is an outstanding Musculoskeletal Radiology Department with MRI, ultrasound and CT scanning.

There is an excellent Department of Pathology with research facilities.

There is also a specialist department dealing with Metabolic Bone Disease and provides both clinical and investigative services.

In the Arthritis Research Centre there are full-time scientists, extensive research laboratories, as well as a Department of Anatomy.

The junior staffing at Oswestry consists of 18 Specialty Registrars who will usually be in the more senior years of training (ST5 ST8). Orthopaedic Service Registrars also support the complement of Specialty Registrars in Orthopaedics.

Library Facilities

The Francis Costello Library provides a high-quality multidisciplinary service to improve patient care and support clinical effectiveness research, education and lifelong learning for all, encouraging use of the evidence base in all aspects of RJAH activity to support the Trust to be the leading orthopaedic centre in the UK. The library offers over 4000 books and journals covering all health-related disciplines but with a specialist emphasis on orthopaedic and musculoskeletal medicine. Specialist journals are also available, many electronically via ATHENS password, and the library also provides an article request service for papers which are not available within our own stock. Mediated literature searches, help and advice and a comprehensive information skills training programme are also available. The library works in close alliance with other health libraries within the area and in a recent survey of educational resources for doctors in training the Trust scored highly

Main Duties and Responsibilities

The post-holder will undertake out-patient clinics, theatre lists and any related pre-and post operative work.

Weekly Programme

The postholder will be required to participate in the duty rota for the Orthopaedic Specialist Registrars, which includes the following full shifts on rotation with their colleagues (illustrated below)

Duty

Name

Type

Start

Finish

Days

Duration

A

NWD

Shift

08:00

17:00

1

09:00

B

Late Twilight

Shift

08:00

20:30

1

12:30

C

Night

Shift

20:15

08:15

2

12:00

D

Normal Working Day Friday Teaching

Shift

09:00

18:00

1

09:00

E

Half Day

Shift

08:00

13:00

1

05:00

F

Afternoon Half Day

Shift

12:00

17:00

1

05:00

G

Short Day

Shift

10.00

17.00

1

07.00

Between the hours of 5pm to 8.30pm on the Late Twilight Shift, and the Night Shifts and weekends, the doctor will be responsible for the care of the orthopaedic in-patients, undertaking regular ward rounds to ensure appropriate clinical input and acting as the sole bleep holder for orthopaedics. The doctor will also be part of the emergency response team during these times.

On normal working days, the actual allocation of the following regular commitments will be aligned to the rotation to the foot and ankle consultants. Where possible, parallel operating lists with the supervising consultant will be scheduled. The following gives an indication of the normal weekly commitments for Out-Patients and Theatres, during weeks where out of hours duties are not scheduled.

Out-Patient Clinics with supervising consultants

3 x 4 hour sessions per week

Operating Theatre with supervising consultants

3 x 5 hour sessions per week

Person Specification

Qualifications

Essential

• GMC registration with license to practice and no restrictions to practice
• FRCS (T&O) or equivalent

Teaching

Essential

• Evidence of a commitment to teaching

Audit

Essential

• Evidence of engagement with the audit process on a continuing basis
• Evidence of audit activity relevant to the Foot and Ankle sub-speciality

Experience

Essential

• Currently working in an acute orthopaedic setting
• Satisfactory evidence of independent operating in the main Foot and Ankle surgical procedures
• Completion of a structured trauma and orthpaedic training programme
• Minimum of 12 month's Foot and Ankle experience

Research

Essential

• Proven research interest record including evidence of publications and presentations
• Evidence of research activity within Foot and Ankle sub-speciality

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.

Certificate of Sponsorship

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).

Employer details

Employer name

Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust

Address

Robert Jones and Agnes Hunt Orthopaedic Hospital

Gobowen

Oswestry

SY10 7AG

Employer's website

https://www.rjah.nhs.uk/ (Opens in a new tab)