Job summary
The London Trauma System went fully live across all four trauma networks in January 2011 at four Major Trauma Centres, located at The Royal London Hospital (Whitechapel), King's College Hospital (Denmark Hill), St George's Hospital (Tooting) and St Mary's Hospital (Paddington). The networks are formally linked into areas adjacent to London, giving a total resident population served by the London Trauma System of 12 million people. In addition to this number there is a significant transient daily working commuter population (approximately 1.1 million people) and tourists (of which were 21 million visits in 2019).
Data from LAS demonstrates that the St Mary's MTC consistently receives around 35% of all patients in London who trigger the Major Trauma Tool. The department is seeing now over 3000 trauma calls per annum, and around 700-800 patients in the most injured category (Injury Severity Score ISS>15). The unit was fundamental in managing trauma patients affected by the 2017 major incidents across London.
St Mary's Major Trauma Service consists of Consultants drawn from General Surgery, Vascular, Neurosurgery, Orthopaedics and Plastics services across Imperial, contributing to a Surgeon of the Week model. The service is supported by Consultants and Registrars from neurosurgery, cardiothoracic, anaesthetics, radiology, intensive care, plastics, vascular, general surgery, and visiting consultants from other specialist centres to support burns and maxillofacial requirements.
Main duties of the job
Following a review of trauma services across London led by Healthcare for London, the Joint Primary Care Trusts Committee agreed that four Major Trauma Centres and associated Trauma Networks should be established in London. The Major Trauma Centre based at St Mary's Hospital is the hub for the North West London Trauma Network.
The post holder will be expected to gain experience in the acute and ongoing management of severely injured patients, including the ability to provide damage control surgery to the chest, abdomen and vascular systems. Although bone injuries are part of the trauma system. The aim is to allow the Fellow to become proficient in the evaluation of critically-ill and severely injured polytrauma patients; providing leadership which facilitates the interaction within the entire team of caregivers and with the patients and their families.
There is a growing emergency surgery service at St Mary's Hospital. With other Senior Fellows, the post holder will rotate to join the consultant of the week for General Surgery to provide acute surgical care to non-selective surgical emergency take. This will include the initial assessment of non-trauma surgical emergencies in the Emergency Department, Surgical Assessment Unit, as well as day-to-day management of admitted patients. It is anticipated that the post holder will assist the consultant in supporting the coordination of NCEPOD operating sessions along with the on call Specialty Registrar for Surgery.
About us
At Imperial College Healthcare you can achieve extraordinary things with extraordinary people, working with leading clinicians pushing boundaries in patient care.
Become part of a vibrant team living our values - expert, kind, collaborative and aspirational. You'll get an experience like no other and will fast forward your career.
Benefits include career development, flexible working and wellbeing, staff recognition scheme. Make use of optional benefits including Cycle to Work, car lease schemes, season ticket loan or membership options for onsite leisure facilities.
We are committed to equal opportunities and improving the working lives of our staff and will consider applications to work flexibly, part time or job share. Please talk to us at interview.
Job description
Job responsibilities
1. General responsibilities
To gain experience and become competent in the management of the trauma patient, particularly the management of penetrating and blunt trauma, whilst continuing emergency work in their base speciality.
To gain operative/clinical competencies at the management of the poly-trauma patients.
To undertake a research project during the fellowship period.
To participate in formal and informal teaching of junior doctors, medical and nursing students and paramedics.
2. Operative/Clinical Exposure
On average a fellow is expected to assist in the management approx. 500-600 major cases with a mix of blunt and penetrating trauma as described above.
The fellowship is a one-year program involving patient care, research, and education. The program may include the following rotations:
Trauma surgery
Chest and abdominal trauma
Vascular Surgery
Cardiothoracic Surgery
Neurosurgery
Plastic Surgery
Orthopaedic Surgery
Critical Care Unit
Electives (Trauma Radiology, Trauma Anaesthesiology, Emergency Medical Services).
6. Daytime commitments
- ICU & Major Trauma Ward multidisciplinary ward round
- Attendance at trauma calls
- Prioritise and organise trauma operating
- Experience in emergency neuro-surgical theatres
- Attendance at multi-disciplinary trauma follow-up clinic
7. On-call commitments
- Attendance at out of hours trauma calls penetrating, code red and at the discretion of the Trauma Team Leader.
Job description
Job responsibilities
1. General responsibilities
To gain experience and become competent in the management of the trauma patient, particularly the management of penetrating and blunt trauma, whilst continuing emergency work in their base speciality.
To gain operative/clinical competencies at the management of the poly-trauma patients.
To undertake a research project during the fellowship period.
To participate in formal and informal teaching of junior doctors, medical and nursing students and paramedics.
2. Operative/Clinical Exposure
On average a fellow is expected to assist in the management approx. 500-600 major cases with a mix of blunt and penetrating trauma as described above.
The fellowship is a one-year program involving patient care, research, and education. The program may include the following rotations:
Trauma surgery
Chest and abdominal trauma
Vascular Surgery
Cardiothoracic Surgery
Neurosurgery
Plastic Surgery
Orthopaedic Surgery
Critical Care Unit
Electives (Trauma Radiology, Trauma Anaesthesiology, Emergency Medical Services).
6. Daytime commitments
- ICU & Major Trauma Ward multidisciplinary ward round
- Attendance at trauma calls
- Prioritise and organise trauma operating
- Experience in emergency neuro-surgical theatres
- Attendance at multi-disciplinary trauma follow-up clinic
7. On-call commitments
- Attendance at out of hours trauma calls penetrating, code red and at the discretion of the Trauma Team Leader.
Person Specification
Qualifications
Essential
- On GMC's register/Licensed Medical Practitioner
- MRCS
- Within 2-3 years of CCT
Desirable
Language
Essential
- Spoken and written English to the appropriate standard necessary to fulfil the job requirements
Academic achievements including research/track record of publications
Desirable
- Ongoing research interests
- Postgraduate research degree
Audit
Essential
- Understanding of audit principles
Desirable
- Evidence of completed projects with relevant action plans in place.
Teaching & Training
Essential
- Experience of teaching and training
Desirable
- Experience of development of relevant guidelines and protocols
- Posgraduate level education qualification
- Training the Trainers course or equivalent
Management skills
Essential
- Appropriate to job description
Desirable
- Evidence of leadership skills
Clinical skills
Essential
- Clinical and/or surgical skills appropriate for a peri-CCT trainee
Desirable
- Evidence of management of polytrauma patients
Relevant experience
Essential
- Appropriate to job description
- Previous experience of major trauma in a UK/non-UK Level 1 trauma centre
Desirable
- Previous experience of chest, abdominal and vascular trauma in a UK/non-UK Level 1 trauma centre
Person Specification
Qualifications
Essential
- On GMC's register/Licensed Medical Practitioner
- MRCS
- Within 2-3 years of CCT
Desirable
Language
Essential
- Spoken and written English to the appropriate standard necessary to fulfil the job requirements
Academic achievements including research/track record of publications
Desirable
- Ongoing research interests
- Postgraduate research degree
Audit
Essential
- Understanding of audit principles
Desirable
- Evidence of completed projects with relevant action plans in place.
Teaching & Training
Essential
- Experience of teaching and training
Desirable
- Experience of development of relevant guidelines and protocols
- Posgraduate level education qualification
- Training the Trainers course or equivalent
Management skills
Essential
- Appropriate to job description
Desirable
- Evidence of leadership skills
Clinical skills
Essential
- Clinical and/or surgical skills appropriate for a peri-CCT trainee
Desirable
- Evidence of management of polytrauma patients
Relevant experience
Essential
- Appropriate to job description
- Previous experience of major trauma in a UK/non-UK Level 1 trauma centre
Desirable
- Previous experience of chest, abdominal and vascular trauma in a UK/non-UK Level 1 trauma centre
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).
