Urology Stone Fellow

Please see attached Job Description and Person Specification

The post holder will provide clinical care and be trained in endourology and advanced stone surgery within the Department of Urology, concentrating on the endoscopic management of stones and upper tract TCC. In addition, the post holder will be expected to undertake clinical research with the aim of presenting and publishing their work at BAUS or an International Meeting.

Please see attached Job Description and Person Specification

Newcastle Hospitals NHS Foundation Trust is one of the busiest, largest and most successful teaching NHS foundation trusts in the country, with over 18,000 staff and an annual income of £1 billion. Rated ‘Outstanding’ by the CQC for the second consecutive time in 2019, we have a long history of providing high quality care, clinical excellence, and innovation in medical research regionally, nationally and internationally.

We’re also proud to be the second largest provider of specialised services in the country. This means we support people with a range of rare and complex medical, surgical and neurological conditions, cancers and genetic orders.

Our staff oversee around 1.84 million patients ‘contacts’ each year, delivering high standards of healthcare.
- represented groups.

**Duties and Responsibilities**:
**Aims**:

- To provide a holistic, patient centred, all-encompassing experience in managing patients with urological conditions linked to ‘Endourology’.
- To develop non-surgical clinical, organisational, inter-personal and teaching skills whilst working within a cohesive, busy endourology unit, appropriate to the level of a Consultant Urological Surgeon.
- To enable the involvement in local, regional and national research and audit projects whilst providing opportunities for publishing and presenting departmental work.
- To provide flexibility within the fellowship post so that the trainee can focus the aims above onto specific areas of interest in accordance with their PDP.

**Clinical**:

- Regular sessions within the dedicated endourology/stone theatre with consultant trainers
- Active involvement in Stone MDT meetings. Also opportunity to attend other MDT/meetings depending on trainees PDP.
- Exposure to ESWL and training in delivery if desired
- Involvement in managing stone patients in an outpatient setting. The aim is to develop skills to enable a fellow run independent clinic, depending on the experience of the trainee.
- Small amount of service requirement (likely general urology theatre lists).
- Depending on the aims of the trainees PDP there are also opportunities within the department for training in bladder outflow surgery and mínimal invasive upper tract surgery.

**Administrative**:

- Administrative work will be limited to enable maximal opportunities for clinical training
- There are opportunities for service development projects including; writing patient information leaflets, decision making aids and reviewing ureteric stone pathways.
- The fellowship is accredited by the Royal College of Surgeons and therefore the post-holder will part of the RCS fellowship programme, which requires interaction with the programs outputs e.g. uploading logbook data.

**Research**:
The Urology unit at Freeman hospital has a big, active research and audit portfolio. It has been a key recruiter to a number of national trials (e.g. SUSPEND) and collaborated widely on Endourology projects. Opportunities include:

- Leadership and supervision of local audit projects
- Clinical research projects in collaboration with Nephrology with a focus on stone biochemistry
- Projects on complex endourology and within renal transplantation
- Surgical and ESWL outcomes data review
- Involvement in national collaborative BAUS projects and audits
- Presenting work at regional, national and international meetings (excellent departmental record of abstracts accepted to recent BAUS national congress).
- Publication of suitable work to support fellows portfolio and career progression.

**Teaching**:
There will be opportunities for teaching and training outside of the clinical environment:

- Regional FRCS teaching taught course sessions (if desired by the fellow).
- Courses in the Cadaveric Newcastle Surgical Training Centre (e.g. Ureteroscopy, PCNL access)
- National courses, BAUS congress and International courses/conferences.
- Non-surgical skills simulation training

It is expected that the fellow will undertake teaching, as befits a post within a large teaching hospital:

- Operative teaching of junior registrars in theatre in endourology procedures
- Teaching of Foundation and Core trainees in departmental teaching
- Taking part in undergraduate teaching as appropriate
- Teaching sessions to GP’s and community care workers