Clinical Fellow in Emergency and General Surgery

2 weeks ago

Jersey, United Kingdom Health and Community Services Full time

This post holder will work full time within the Emergency General Surgery (EGS) service. On a day to day basis this involves being part of the daily inpatient ward round, supporting the F1 with any in-patient issues, helping with the EGS admissions and referrals from both the Emergency Department and local GPs, and assisting the EGS consultant in theatre. In time there is expectation that the EGS service will run daily Same Day Emergency Care (SDEC) clinics which the post holder will be expected to help with, gaining autonomy in EGS care. There is a plan to introduce hot gallbladder and expedited surgical lists which the post holder will be first assistant for.

Depending upon the experience and needs of the post holder, it is expected that they will learn to undertake abscess drainage, insertion of suprapubic catheter, laparoscopic appendicectomy and other appropriate surgical procedures during their time in post. It may be possible to attend minor ops and dermatology lists as long as the EGS work takes priority. Wards The general surgical ward team is comprised of 5 F1s and an F2 doctor. Due to on call and leave commitments there are usually 2-3 F1/F2 doctors on the ward each day.

One F1/F2 will be present on the EGS ward round and be primarily responsible for the ward jobs although it is expected that the EGS CF (this post) will support the management of the EGS inpatients as needed, undertaking ward administration and advising on management as required. The post holder is also expected to support the other foundation doctors on the ward as necessary and to cover the general surgical inpatients during protected foundation doctor teaching. Flight transfer Jersey is aligned to the UK health system and relies on certain centres for tertiary care. Flight transfers are provided by a hospital based Jersey Emergency Transfer team (JETs).

Patients being transferred acutely to tertiary centres such as the Cardiothoracic Unit in Oxford and to the Neurosurgical Unit in Southampton for further specialist treatment are accompanied by a doctor and a trained nurse. Appointed Clinical Fellows will be expected to be trained to carry out flight transfers. Participation in transfers that take place out of hours will be on a voluntary basis and will command additional remuneration. Additional Professional Development Medical students from Southampton University are attached for 8 week rotations in their final year.

Clinical Fellow post holders have enjoyed interaction with these enthusiastic trainees and have provided bedside teaching in addition to that provided by Consultants and Middle Grade Doctors. Clinical Fellows have organised mock OSCE in the 7th and 8th weeks of their attachment in preparation for their final examinations. This has been a mutually beneficial exercise. The Education Centre is a shared facility for Health & Community Services Department and is equipped with a newly built Clinical Skills Lab which has assisted Clinical Fellows in self learning, particularly in procedural work and optimising their cardio-respiratory resuscitation skills, and in teaching their more junior colleagues both medical students and nursing staff.

There are designated clinical fellow tutors and teaching programme which is in protected time which the post holder will be expected to attend. The duties of the post holder are expected to be flexibly worked, as inevitably a number of activities run concurrently.

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