Senior Clinical Fellow in Trauma & Limb Reconstruction

Job description

Job responsibilities

INFORMATION ABOUT THE DEPARTMENT

Leeds General Infirmary has been acting as the Major Trauma Centre for West and North Yorkshire since April 2013. This has led to major expansion in available trauma infrastructure including a new major trauma ward and additional trauma / reconstruction operating capacity. Our department provides Trauma and Elective Orthopaedic services to Leeds residents and beyond.

All local trauma patients are admitted to the Leeds General Infirmary. The trauma referral base is from the whole of the Yorkshire Region, a population of approximately 3.9 million. With the advent of trauma networks in England, all severe and multiple trauma is transferred to the major trauma centre in Leeds with bypass procedures in place. TARN data has shown us to be consistently within the top 3 busiest and most effective major trauma centres in the country. The unit also provides a tertiary referral service for the management of isolated complex and open fractures as well as post traumatic complications including infection, non-union and deformity. A regional service is also provided for pelvic and acetabular reconstruction, spine and scoliosis surgery, complex and revision arthroplasty, hand surgery, paediatric surgery, and foot and ankle surgery. The service is well supported by established plastic, vascular and neurosurgical services.

General elective orthopaedic services are currently provided from two sites in Leeds. Paediatric, hand surgery and spine surgery are provided at Leeds General Infirmary. Complex and revision lower limb arthroplasty, upper limb and foot and ankle surgery are provided at Chapel Allerton Hospital.

Leeds General Infirmary has 3 orthogeriatric / general acute orthopaedic wards, a major trauma ward, separate paediatric facilities including paediatric HDU and ICU beds, one spinal surgery ward and a four bedded HDU shared with plastic surgery. There are 2 orthopaedic trauma theatres, one major trauma reconstruction theatre and one spine theatre, all running all day lists. All trauma outpatients are seen in a dedicated adult and paediatric fracture clinics with supporting radiology facilities. The Adult and Paediatric Emergency Departments are co-located with operating theatres, critical care services and diagnostic and interventional radiology in the same building

MEDICAL STAFF IN THE DEPARTMENT

The department of Trauma and Orthopaedic surgery is a large unit contributing to both service delivery and academic research. There are 24 Consultants including a Professor of Trauma surgery and all main branches of Trauma and Orthopaedic Surgery are represented.

The department currently consists of:

35 Consultants

15 SpR (ST3 8)

1 National Spine Fellow

1 Paediatric Trauma Fellow

1 National Hand Fellow

1 Limb Reconstruction Fellow

7 Clinical/Research Fellows

2 Specialty Doctors

5 Trust Grade ST3 to ST8

10 ST1/2 posts

4 FY2 Doctors

8 FY1 Doctors

The department is supported by Trauma co-ordinators and Clinical Nurse Specialists, including two in paediatric orthopaedics.

KNOWLEDGE, SKILLS AND EXPERIENCE REQUIRED

There will be no fixed on call commitment associated with this post.

The post holder must have:

1. Demonstrated a commitment to trauma orthopaedics and limb reconstruction surgery

2. Demonstrated research and audit experience with publications in peer reviewed journals

3. Previous teaching experience

4. Eligibility for full registration with the GMC at time of appointment and hold a current licence to practice

5. Eligibility to work in the UK.

6. Demonstrable competency in acute adult and paediatric trauma

DUTIES OF THE POST

The limb reconstruction fellow will support the limb reconstruction Consultant Orthopaedic Surgeons in theatre, clinics and wards. There will also be opportunity for independent working in these areas where appropriate.

Teaching and appropriate supervision of junior orthopaedic staff is to be encouraged, as well as participation in audit and research.

Pre-admissions clinics

Delivery Suite

Ward management

Operating theatre and outpatients

Dressings clinics

Post-operative intensive care

Discharge letters

Discussions with relatives

Initiation/change of treatment

This post is designed for an experienced doctor pursuing a career in orthopaedic surgery who has an interest in lower limb reconstruction, including the use of circular frame external fixation. Applicants must have at least 3 years previous experience in trauma and orthopaedic surgery at ST3 level and above, be ATLS and AO certified, and be post MRCS or equivalent. This post would be particularly suitable for applicants already holding their CCT, prior to taking up a consultant post in orthopaedic trauma and / or limb reconstruction.

This post DOES NOT currently have educational approval.

The post involves working on the Leeds General Infirmary site with the lower limb reconstruction surgeons

Mr Simon Britten

Mr Paul Harwood

Mr Patrick Foster

Mr Martin Taylor

The post holder will receive advanced clinical and surgical training in the management of trauma and elective limb reconstruction. Whilst the focus of the post will be the use of the Ilizarov method, there will also be exposure to other trauma and limb reconstruction techniques including intramedullary nailing, locked plating, monolateral fixation and use of the Taylor Spatial Frame. The consultant team are all experienced in these methods and hold faculty positions on relevant training courses. One consultant also undertakes acute and elective paediatric limb reconstruction alongside his adult practice.

The post holder will work with the limb reconstruction surgeons to help provide a comprehensive limb reconstruction service for open fractures, intra-articular fractures, and other complex lower limb injuries; the complications of fractures including non-union, malunion, bone infection and lower limb amputation; and non-traumatic conditions including developmental deformity and adult short stature.

There will be no fixed on call commitment associated with the post. There may be the opportunity to undertake additional duties to support the out of hours service, including operating lists and Locum on call cover. This would be remunerated separately. There may be an opportunity for an on call commitment as part of the senior registrar tier.

Please refer to the Job Description & Personal Specification (attached) to complete your application form.

Person Specification

Qualifications

Essential

• FRCS (Trauma & Orthopaedics)
• ATLS
• AO Basic course

Desirable

• Basic Ilizarov Course /AO Advanced Course/ECDL

Additional Requirements

Essential

• CAREER PROGRESSION - Please refer to PS attached to complete this section

Experience

Essential

• Please provide information of 3 Years s experience after full GMC registration or equiv & evidence of achievement of foundation competences,- please refer to the attached PS to complete this secction
• Evidence of achievement of CT/ST1competencies in medicine or Surgery (as defined by the curricula relating to Core Medical training or Core Surgical Training)

Desirable

• Previous experience of Ilizarov Metho
• Evidence of developing independent clinical practice
• Adult trauma work in Major Trauma Centre (last 2 years)

Eligibility, Fitness to practice, and Language Skills

Essential

• Eligible for full registration with the GMC at time of appointment and hold a current licence to practice (GMC number)
• Eligibility to work in the UK
• 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

Clinical, Academic, and Personal Skills

Essential

• Ability to apply sound clinical knowledge and judgement to problems - Please refer to PS attached to complete this section
• Demonstrates understanding of research, including awareness of ethical issues - Please refer to PS attached to complete this section

Desirable

• Aptitude for practical skills, e.g. manual dexterity
• Research and audit skills & Teaching

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

Leeds Teaching Hospitals

Address

Leeds General Infirmary

Great George Street

Leeds

LS1 3EX

Employer's website

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