Senior Clinical Fellow
4 days ago
The post is not recognised for training and therefore does not have educational and training approval from the Postgraduate Dean or Royal College. In all other respects the postholders have identical terms and conditions of service to the departments other SHO's. Clinical experience and research opportunities will be available for individuals wishing to progress in their career.
You will have the same role and responsibilities as the hospital’s other ST’s and you will receive training according to your needs and study leave will be available.
The post follows a EWTD compliant full shift pattern.
Duties
The successful applicant will be placed in any of the following Surgical specialities and may have the opportunity to switch at 6 months into another Surgical speciality;
- General surgery (Upper Gi)
- Vascular
- Colorectal
**Duties will include**:
Daily assessment / ward round of in patients
Supervision of junior members of the team, with regards to in patient management
Attendance at outpatients clinics and operating lists
Attendance on other departmental activities e.g. MDT surgical teaching
Audit M& M meetings
The applicant will participate in the on call rota (see further details below)
Our Trust provides hospital services to a growing population of around 700,000 people living across Bedfordshire and the surrounding areas across two busy hospital sites in Bedford and Luton. Travel between hospital sites may be required.
We have state-of-the art facilities placing us at the heart of cutting edge health care. The Trust continues to be committed to delivering the best patient care using the best clinical knowledge and technology available.
The Clinical Fellow will be expected to cover the Vascular and General surgical unit at middle grade (registrar) level. On call he/she will be supported by an FY1 and either an FY2 or a CT trainee and will answer to the on-call consultant. On call they will be required to cover the specialities of General Surgery, Vascular and Urology and in turn will be covered by the respective consultants in those specialities. The post-holder must respond promptly to calls from A&E and the wards (medical and surgical) to give advice and/or see and manage patients.
They would be expected to see urgent and emergency referrals from other disciplines/wards within the hospital. He/she must confer with the consultant on call and keep a record of such patients in the admission diary so that the patients could be appropriately followed up.
The Senior Clinical Fellow will keep an accurate and meticulous record in patient’s case notes and will supervise junior medical staff to do so. All entries in the case notes should be signed (with time, date and contact number). In addition he/she will provide clinical supervision and support to the junior medical staff.
They must keep accurate record of emergency admissions and referrals and formally handover to the on call team at the end of their shift. Handover must be formal, should follow the SBAR pattern (Situation, Background, Assessment and Recommendation) Similarly they must make sure that they have understood the patient’s problems and needs when receiving handover from somebody else.
They will supervise juniors in writing comprehensive but succinct discharge letters and summaries. They must ensure that VTE prophylaxis assessment is undertaken and that prophylaxis is given.
They must supervise, guide and teach junior members of the team in such skills as time management and team working.
The Senior Clinical fellow will be expected to participate in departmental academic activities and audit of mortality and morbidity.
They must demonstrate a willingness to learn and avail all opportunities to advance their clinical and operative skills. They will be expected to attend, assist and perform operations and procedures within their ability.
The Senior Clinical Fellow will undertake duties in occasional emergencies and unforeseen circumstances at the request of the appropriate Consultant(s), in consultation where possible with colleagues both senior and junior. Additional commitments arising under this paragraph are exceptional. In particular, the doctor will not be required to undertake work of this kind for prolonged periods or on a regular basis.
They must read and follow any protocols of medical cover laid down (either in writing or verbally) for the firm in which they are working.
In case of any difficulty ensure that advice is sought from a senior colleague.
**NOTE**: Specific duties may vary from time to time with the circumstances existing and the developing competence and interests of the members of the firm.
The post-holder will be expected to cover for absent colleagues in an emergency situation (e.g. sickness, injury, instances where an arranged locum does not arrive at short notice and similar situations).
**1. a) General Duties**:
2. i) Patients to be seen and assessed on the ward prior to surgery or adm
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