Job summary
One clinical fellow post is available from August 2024 for 12 months, but may be shortened to 6 months by mutual arrangement. The Royal Surrey County Hospital is the regional oncological surgical hospital for much of Surrey and Sussex. Many of the highly specialized oncological surgical specialties are now established here and include oesophagogastric, hepatobiliary, laparoscopic gastrointestinal, urological, gynaecological, head and neck and maxillo facial oncology. The development of these surgical specialties has been associated with exciting opportunities for anaesthetists to gain extra exposure to the above areas.
Main duties of the job
- To work as part of the Anaesthetic Team as a registrar providing support in theatres/obsterrics
- Attend theatre lists as allocated on the rota to administer anaestheic for elective/emergency operating lists.
- To participate in the Registrar on-call rota 1:8 pattern.
- Department academic and audit meetings are held regularly and the registrars will be expected to take an active part. This provides opportunities for development of academic and presentation skills. Many other educational opportunities are available.
About us
Royal Surrey is a compassionate and collaborative acute and community Trust. Recognising that our 5000 colleagues are our greatest strength, we offer a comprehensive health and wellbeing program along with a commitment to developing and advancing your career. Our diverse and welcoming Royal Surrey family will ensure you that you feel valued from your initial interview through your entire tenure.
We are clinically led and provide joined up care by bridging the gap between hospital and community services alongside regional specialist cancer care. Our main acute hospital site is in Guildford with community hospital sites at Milford, Haslemere and Cranleigh. We provide adult community health services in homes across Guildford and Waverley.
We have received an overall Good rating from the CQC with Medical care (including older peoples care), End of Life Care and Maternity services being deemed Outstanding by the CQC.
Royal Surrey has a strong reputation and history to build on. We are proud of our achievements and we are investing in our colleagues through our commitment to supporting professional development as well as investing more than £45 million in our physical environment and new equipment in the next few years. There has never been a better time to join us.
Although it isn't the Trusts normal practice, adverts may close early, so you are encouraged to submit an application as soon as possible.
A video about the Royal Surrey - https://www.youtube.com/watch?v=5HsiGn9joTQ
Job description
Job responsibilities
This post will focus on three major areas of interest:
- Oesophagogastric surgery: The Royal Surrey County Hospital is the regional centre for the SWSH cancer network, and is also the tertiary referral centre for complex benign and emergency oesophagogastric surgery. Approximately 75 oesophago-gastrectomies and 35 gastrectomies are performed per annum, with mortality and morbidity figures amongst the lowest in the country. A significant number of patients are also referred to the hospital for the management with oesophageal rupture. Thoracic epidural, invasive cardio vascular monitoring and goal directed therapy using either an oesophageal Doppler or Lidco Rapid system are routinely used.
- Hepatobiliary surgery: The Royal Surrey County Hospital is the regional centre and performing approximately 110 major liver resections and 60 Whipples. A significant number of patients are referred to the hospital for the management of complex pancreatitis, including both minimally invasive and open pancreatic necrosectomies. Again extensive use of neuro axial blockade and invasive cardiovascular monitoring with goal directed therapy is used.
- Research: The department hosts the Surrey Perioperative, Anaesthetic & Critical Care Collaborative Research Group (SPACeR Group), which has good links with various departments at the University of Surrey. The department is a site for multi-centre portfolio trials such as PRISM, PREVENTT, OPTIMISE, ENIGMA-2, LAS VEGAS, ETPOS & DREAMS & took part in the EUSOS study. There will also be opportunities to gain experience in CPET. Audit and original research are strongly encouraged by the members of the team. Previous post-holders have undertaken a RCT looking at the effect of introducing an enhanced recovery programme, combined with goal directed fluid therapy, for liver resections & a multi-centre trial looking at implementing a quality improvement bundle for emergency laparotomies, the ELPQuIC Trial. Our fellows have had their work recognized for MDs under the supervision of the Postgraduate Medical School, University of Surrey. Also, surgical fellows looking at the effectiveness of goal directed therapy, the optimum use of regional blockade and the implementation of a rapid recovery pathway have carried out several large studies. Members of the team have hosted several seminars (including AAGBI) on advanced recovery in laparoscopic surgery and are involved in formulating national guidelines under the auspices of the Department of Health.
Job description
Job responsibilities
This post will focus on three major areas of interest:
- Oesophagogastric surgery: The Royal Surrey County Hospital is the regional centre for the SWSH cancer network, and is also the tertiary referral centre for complex benign and emergency oesophagogastric surgery. Approximately 75 oesophago-gastrectomies and 35 gastrectomies are performed per annum, with mortality and morbidity figures amongst the lowest in the country. A significant number of patients are also referred to the hospital for the management with oesophageal rupture. Thoracic epidural, invasive cardio vascular monitoring and goal directed therapy using either an oesophageal Doppler or Lidco Rapid system are routinely used.
- Hepatobiliary surgery: The Royal Surrey County Hospital is the regional centre and performing approximately 110 major liver resections and 60 Whipples. A significant number of patients are referred to the hospital for the management of complex pancreatitis, including both minimally invasive and open pancreatic necrosectomies. Again extensive use of neuro axial blockade and invasive cardiovascular monitoring with goal directed therapy is used.
- Research: The department hosts the Surrey Perioperative, Anaesthetic & Critical Care Collaborative Research Group (SPACeR Group), which has good links with various departments at the University of Surrey. The department is a site for multi-centre portfolio trials such as PRISM, PREVENTT, OPTIMISE, ENIGMA-2, LAS VEGAS, ETPOS & DREAMS & took part in the EUSOS study. There will also be opportunities to gain experience in CPET. Audit and original research are strongly encouraged by the members of the team. Previous post-holders have undertaken a RCT looking at the effect of introducing an enhanced recovery programme, combined with goal directed fluid therapy, for liver resections & a multi-centre trial looking at implementing a quality improvement bundle for emergency laparotomies, the ELPQuIC Trial. Our fellows have had their work recognized for MDs under the supervision of the Postgraduate Medical School, University of Surrey. Also, surgical fellows looking at the effectiveness of goal directed therapy, the optimum use of regional blockade and the implementation of a rapid recovery pathway have carried out several large studies. Members of the team have hosted several seminars (including AAGBI) on advanced recovery in laparoscopic surgery and are involved in formulating national guidelines under the auspices of the Department of Health.
Person Specification
Qualifications
Essential
- Full GMC Registration with a Licence to Practice.
- FRCA Fellowship of Royal College of Anaesthetists (GB) or equivalent higher specialist qualifications in Anaesthetics.
- Evidence of completion of Initial Anaesthetic Competencies.
Desirable
- Demonstrable experience and training in Anaesthesia, appropriate to CT2+ in Anaesthetics (pre or post CCT).
- Evidence of instructor status for ALS/ other life support training.
Knowledge and Experience
Essential
- Evidence of ability to co-operate closely with clinical colleagues in providing a quality Anaesthetic service.
Desirable
- Experience in management of high risk surgical patients Experience in advanced airway Anaesthesia techniques.
- Record of research in the field of Anaesthesia.
Skills and Capabilities
Essential
- Previous experience in advanced airway techniques.
- Appropriate CT2+ or equivalent Anaesthetic skills and experience.
Person Specification
Qualifications
Essential
- Full GMC Registration with a Licence to Practice.
- FRCA Fellowship of Royal College of Anaesthetists (GB) or equivalent higher specialist qualifications in Anaesthetics.
- Evidence of completion of Initial Anaesthetic Competencies.
Desirable
- Demonstrable experience and training in Anaesthesia, appropriate to CT2+ in Anaesthetics (pre or post CCT).
- Evidence of instructor status for ALS/ other life support training.
Knowledge and Experience
Essential
- Evidence of ability to co-operate closely with clinical colleagues in providing a quality Anaesthetic service.
Desirable
- Experience in management of high risk surgical patients Experience in advanced airway Anaesthesia techniques.
- Record of research in the field of Anaesthesia.
Skills and Capabilities
Essential
- Previous experience in advanced airway techniques.
- Appropriate CT2+ or equivalent Anaesthetic skills and experience.
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).
