Senior Fellow in Vascular and Resuscitative Surgery

Job responsibilities

DUTIES OF THE POST

The Senior Fellow in Vascular & Resuscitative Surgery post is a 6 month to 1 year post with a view to further extension by mutual agreement. The main focus will be within the diabetic limb salvage and chronic limb threatening ischaemia services. The fellow will also join the resuscitative and vascular surgery middle grade on call rota (1:9) and broadly train in elective and urgent vascular surgery. The fellowship will be focused mainly on open vascular surgery and that will also carry a resuscitative surgery element. The successful candidate will therefore be expected to understand advanced trauma life support and damage control surgery principles. The fellow will also have exposure to complex and revision vascular surgery. While the main focus of the fellowship will be on open surgery, there will also be opportunities to participate in endovascular procedures both in the interventional radiology suite as well as in our state of the art hybrid theatre. The successful candidate will be supervised by Mr James Forsyth. There will be regular supervisor meetings to identify learning needs and review progress. Clinical duties are inclusive but not exhaustive of the following:

Ward management

Outpatient clinics (mainly DLS and CLTI)

Operating theatre (acute, elective and day-case)

Emergency assessment and management of vascular and resuscitative major trauma patients

Post-operative intensive care reviews

Discharge letters

Discussions with patients relatives

MAIN OBJECTIVES OF THIS FELLOWSHIP

Develop advanced, evidence-based and multi-disciplinary management strategies for patients with diabetic foot disease

Develop advanced, evidence-based and multi-disciplinary management strategies for patients with chronic limb threatening ischaemia

Be able to perform high quality lower limb bypass surgery (including exposure to ultra-distal bypass surgery)

Be able to perform a trauma laparotomy (+/- adjunctive measures such as packing, splenectomy, stapling off bowel ends, creating a laparostomy etc.)

Be able to perform a clamshell thoracotomy (+/- adjunctive measures such as lung twist, suturing cardiac stab wounds, compressing the descending thoracic aorta etc.)

Be able to effectively manage vascular extremity and vascular torso trauma

Gain improved exposure to open aortic, carotid, renal access and amputation surgery.

LEVELS OF RESPONSIBILITY

This job description sets out the main duties and responsibilities of the posts. The specific duties may vary according to the needs of the service and will, in any event, be subject to review as part of the Trust approach to staff developments.

TEACHING AND RESEARCH/STUDY AND TRAINING

The jobholder must take responsibility in agreement with his/her line manager for his/her own personal development by ensuring that Continuous Professional Development remains a priority. The jobholder will undertake all mandatory training required for the role.

This is a 6-12 Month Fixed Term Contract to provide a period of training.

Qualifications

Essential

• MBBS or equivalent medical qualification
• Be eligible for full registration with, and hold a current licence to practise from, the GMC at intended start date
• Eligibility to work in the UK.
• Advanced Life Support Certificate from the Resuscitation Council UK or equivalent (as required to complete Foundation competences) by intended start date
• Is up to date and fit to practise safely and is aware of own training needs.
• All applicants to have demonstrable skills in written and spoken English adequate to enable effective communication about medical topics with patients and colleagues demonstrated by one of the following:
• Applicants have undertaken undergraduate medical training in English.
• OR
• Achieved the minimum score of 7 across all 4 of the following categories in the academic International English Language Testing System (IELTS) in a single sitting within 24 months at time of application Listening, Speaking, Reading and Writing. (An overall minimum score of 7.5)
• OR
• Achieved the minimum Grade B across all 4 of the following categories in the Occupational English Test (OET) in medicine in a single sitting within 24 months at time of application Listening, Speaking, Reading and Writing. (You must provide your candidate number)
• If applicants believe they have adequate communication skills, but do not have evidence in one of the above forms, they must provide alternative supporting evidence of language skills

COMMITMENT TO SPECIALTY – LEARNING AND PERSONAL DEVELOPMENT

Essential

• Shows initiative/drive/enthusiasm (self-starter, motivated, shows curiosity, initiative)
• Demonstrable interest in, and understanding of, the specialty
• Commitment to personal and professional development
• Evidence of attendance at organised teaching and training programme(s)
• Evidence of self-reflective practice

Desirable

• Extracurricular activities / achievements relevant to the specialty

Experience

Essential

• Communication Skills:
• Demonstrates clarity in written/spoken communication & capacity to adapt language as appropriate to the situation
• Able to build rapport, listen, persuade & negotiate
• Problem Solving & Decision Making:
• Capacity to use logical/lateral thinking to solve problems/make decisions, indicating an analytical/scientific approach
• Empathy & Sensitivity:
• Capacity to take in others perspectives and treat others with understanding; sees patients as people
• Demonstrates respect for all
• Managing Others & Team Involvement:
• Able to work in multi-professional teams & supervise junior medical staff
• Ability to show leadership, make decisions, organise and motivate other team members for the benefit of patients through, for example, audit and quality improvement Projects
• Capacity to work effectively with others
• Organisation & Planning:
• Capacity to manage/prioritise time and information effectively
• Capacity to prioritise own workload & organise ward rounds
• Evidence of thoroughness (is well prepared, shows self discipline/ commitment, is punctual and meets deadlines)
• Vigilance & Situational Awareness:
• Capacity to monitor developing situations and anticipate issues
• Coping with Pressure and managing uncertainty:
• Capacity to operate under pressure
• Demonstrates initiative & resilience to cope with changing circumstances
• Is able to deliver good clinical care in the face of uncertainty
• Values:
• Understands, respects and demonstrates the values of the NHS Constitution (e.g. everyone counts; improving lives; commitment to quality of care; respect and dignity; working together for patients; compassion)
• Ability to apply sound clinical knowledge and judgement to problems
• Ability to prioritise clinical need
• Ability to maximise safety and minimise risk
• Recognition of, and ability to undertake the initial management of, an acutely ill patient
• Demonstrates understanding of research, including awareness of ethical issues
• Demonstrates understanding of the basic principles of audit, clinical risk management, evidence-based practice, patient safety, and clinical quality improvement initiatives
• Demonstrates knowledge of evidence-informed practice
• Please read the full person specification attached

Desirable

• Aptitude for practical skills, e.g. manual dexterity
• Successful completion of relevant skills course(s),
• Teaching:
• Evidence of interest in, and experience of teaching
• Evidence of feedback for teaching
• Instructor status (or a recommendation for instructor status) in an advanced life support course (ALS, ATLS, EPLS, APLS) or equivalent course

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).