Junior Clinical Fellow in General Surgery

3 weeks ago

Rotherham, United Kingdom The Rotherham NHS Foundation Trust Full time

There are 12 Consultant Surgeons together with Specialist Registrars, Core Surgical Trainees and Foundation Trainees. The department provides a wide range of in-patient and day case procedures and provides emergency and elective general surgery services as well as subspecialty services in Colorectal, Breast and Upper GI. The department has an excellent reputation for laparoscopic surgery and performs significant numbers of laparoscopic colorectal resections, groin and ventral hernia repairs and fundoplications each year. The laparoscopic approach is routine for appendectomy and cholecystectomy (both elective and emergency).

The breast unit perform over 250 cancer resections per year with both immediate and delayed reconstructions. Complex abdominal wall reconstructions are undertaken regularly for complex/giant incisional hernia. Acute Surgical Unit In 2019 the Trust opened a new Acute Surgical Unit, with bespoke assessment facilities aimed at maximising our ambulatory care pathways for surgical patients. A senior surgical assessor reviews patients on presentation and integral ultrasound assessment speeds diagnosis.

It has reduced non-elective admissions and reduced length of stay. Initially aimed at General Surgery patients, work is underway to broaden the approach to other surgical specialities who could take advantage of the facilities and ambulatory pathways. UROLOGY Clinical Lead: Mr Ali Fani The department has 5 Consultants (including Trust Locum Consultants and one agency Locum) plus Specialty and Foundation Trainees. Activity includes outpatient, day case surgery, inpatient elective procedures and emergency admissions ON-CALL The rota is compliant with the new contract and is a 1 in 9 full shift rota.

Post holders will be expected to co-operate in the introduction of new ways of working and monitoring processes with the support of the junior medical doctors. Patients requiring major vascular procedures are transferred to the Sheffield Vascular Institute, which also provides emergency vascular cover. The ST3+ and equivalents cover urology admissions out of hours and are expected to liaise with the consultant urologist who is on call 24/7 if there are urological problems. There is a daily (including weekends) consultant-led urology ward round.

This may be extended according to individual needs. Initial work in clinical areas would be supernumerary until the Clinical Supervisor agrees the doctor is ready to do on call. The post holders will be expected to develop a portfolio showing on-going professional development and can access support from PGME to do this. The post holders will have a named Educational Supervisor, with whom they will meet on a regular basis for appraisal.

They will agree to a Personal Development Plan and receive assessment in the workplace and regular feedback, including multisource feedback. Each clinical department will provide access to in-house teaching equivalent to training grade doctors. It is intended that a monthly teaching session for doctors on this rotation will be established. Funding for external study leave may be available from the department equivalent in value to career grade staff employed by the Trust.

General 1. In conjunction with Consultant and Senior colleagues, to provide a high quality service for in-patient and out-patient General Surgery. 2. In conjunction with Consultant and Senior colleagues, to take part in medical audit and research as appropriate.

3. In conjunction with Consultant and Senior colleagues, to ensure that the requirements of clinical governance are met. 4. To ensure that there are adequate arrangements for hospital staff involved in the care of your patients to be able to contact you when necessary.

Junior Medical Staff 5. In conjunction with Consultant and Senior colleagues, to play a full part in the professional supervision and management of junior medical staff. 6. In conjunction with Consultant and Senior colleagues, to take responsibility for and devote time to teaching, examination and accreditation duties as required for junior medical staff.

Management & Service Development 7. In conjunction with the Divisional Senior Team, to take an active role in the management of the Division. 8. In conjunction with the Divisional Director, Consultant & Senior colleagues, to play a full part in developing & implementing new ways of working in line with modernisation principles that are fit for the future.

9. In conjunction with Consultant and Senior colleagues, to take responsibility for the best use of departmental staffing and other resources to ensure the maximum efficiency of the department. 10. To observe the Trusts agreed policies and procedures, in particular in relation to managing staff, and to follow the Trusts Standing Orders and Standing Financial Instructions.

These policies and procedures have been drawn up in consultation with the profession on clinical matters. Clinical Governance 11. In conjunction with Consulta

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