Junior Clinical Fellow in General Surgery

Job summary

The Rotherham Foundation trust are seekingmotivated applicants to work at coretraining level (Junior Clinical Fellows)as part of the general surgical team.

These posts would be ideal for a candidate thathas completed foundation training and wishes to begin a career in surgery orhas completed core training and wishes to consolidate their clinical andoperative experience. The breadth of experience available would meanpost-holders would be well placed to complete the MRCS.

Main duties of the job

The on call frequency iscurrently 1 in 10 covering both General Surgery (and Urology out of hours).There is a Surgical Admissions Unit available for acute admissions and threededicated surgical wards. There is resident middle grade cover 24hrs /day andconsultant services are provided by 11 Consultant Surgeons in General Surgeryand five in Urology.

It is a busy department providing a full rangeof elective and non-elective care across breast, upper and lower GI and generalsurgery with an emphasis on laparoscopic surgery. The successful candidateswould gain exposure to surgical conditions in clinics, operating theatre and onthe wards.

The surgical division in Rotherham is afriendly and welcoming environment in which to learn and has a successful trackrecord in supporting its non-training grade doctors who subsequently apply forNational Training posts.

About us

The RotherhamNHS Foundation Trust is a combined acute and community provider delivering arange of health care services to people in Rotherham and across SouthYorkshire.

We areambitious about our future and the part we will play in meeting the health andsocial care needs of the local community and the wider region. Our innovativeand forward thinking approach means we are at the forefront of care deliveryfor people at home, in the community and in hospital.

At the heartof the Trust are more than 4,500 members of staff who are working out of themain Rotherham Hospital site and a number of community locations. A range ofspecialist services are delivered across the South Yorkshire region andnationally.

The Rotherham NHS Foundation Trust iscommitted to diversity and inclusion and welcomes applications from everyone.The Trust seeks to establish a workforce as diverse as the population itserves. We will consider applications to work flexibly. If you are disabled andrequire reasonable adjustments to the application process, please contact the MedicalRecruitment Team to discuss.

Job description

Job responsibilities

There are12 Consultant Surgeons together with Specialist Registrars, Core SurgicalTrainees and Foundation Trainees. The department provides a wide range ofin-patient and day case procedures and provides emergency and elective generalsurgery services as well as subspecialty services in Colorectal, Breast andUpper GI. The department has an excellent reputation for laparoscopic surgeryand performs significant numbers of laparoscopic colorectal resections, groinand ventral hernia repairs and fundoplications each year. The laparoscopicapproach is routine for appendectomy and cholecystectomy (both elective andemergency). The breast unit perform over 250 cancer resections per year withboth immediate and delayed reconstructions. Complex abdominal wall reconstructionsare undertaken regularly for complex/giant incisional hernia.

Acute Surgical Unit

In 2019the Trust opened a new Acute Surgical Unit, with bespoke assessment facilitiesaimed at maximising our ambulatory care pathways for surgical patients. Asenior surgical assessor reviews patients on presentation and integralultrasound assessment speeds diagnosis. It has reduced non-elective admissionsand reduced length of stay. Initially aimed at General Surgery patients, workis underway to broaden the approach to other surgical specialities who couldtake advantage of the facilities and ambulatory pathways.

UROLOGY

Clinical Lead: Mr Ali Fani

Thedepartment has 5 Consultants (including Trust Locum Consultants and one agencyLocum) plus Specialty and Foundation Trainees. Activity includes outpatient,day case surgery, inpatient elective procedures and emergency admissions

ON-CALL

The rotais compliant with the new contract and is a 1 in 9 full shift rota. Postholders will be expected to co-operate in the introduction of new ways ofworking and monitoring processes with the support of the junior medicaldoctors. Patients requiring major vascular procedures are transferred to theSheffield Vascular Institute, which also provides emergency vascular cover.

The ST3+and equivalents cover urology admissions out of hours and are expected toliaise with the consultant urologist who is on call 24/7 if there areurological problems. There is a daily (including weekends) consultant-ledurology ward round.

EDUCATIONAND TRAINING

The successfulcandidates will have access to all resources currently available in the Trust.This will involve Library and Knowledge Services, e-learning resources,Clinical Skills Training programmes, simulation training and otheropportunities.

Induction will beprovided covering both generic and specialty specific requirements. For newstarters in the UK there will be a one-week programme in PGME prior to startingclinical duties to prepare the post holder for practice in the UK. This may beextended according to individual needs. Initial work in clinical areas would besupernumerary until the Clinical Supervisor agrees the doctor is ready to do oncall.

The post holders willbe expected to develop a portfolio showing on-going professional developmentand can access support from PGME to do this. The post holders will have a namedEducational Supervisor, with whom they will meet on a regular basis forappraisal. They will agree to a Personal Development Plan and receiveassessment in the workplace and regular feedback, including multisourcefeedback.

Each clinicaldepartment will provide access to in-house teaching equivalent to traininggrade doctors. It is intended that a monthly teaching session for doctors onthis rotation will be established.

Funding for externalstudy leave may be available from the department equivalent in value to careergrade staff employed by the Trust.

General

1. In conjunction with Consultant and Seniorcolleagues, to provide a high qualityservice for in-patient and out-patient General Surgery.

2. In conjunction with Consultant and Seniorcolleagues, to take part in medical auditand research as appropriate.

3. In conjunction with Consultant and Seniorcolleagues, to ensure that therequirements of clinical governance are met.

4. To ensure that there are adequatearrangements for hospital staff involvedin the care of your patients to be able to contact you when necessary.

JuniorMedical Staff

5. In conjunction with Consultant and Seniorcolleagues, to play a full part inthe professional supervision and management of junior medical staff.

6. In conjunction with Consultant and Seniorcolleagues, to take responsibility forand devote time to teaching, examination and accreditationduties as required for junior medical staff.

Management & Service Development

7. In conjunction with the Divisional SeniorTeam, to take an active role in themanagement of the Division.

8. In conjunction with the DivisionalDirector, Consultant & Senior colleagues,to play a full part in developing & implementing new ways of working in line with modernisationprinciples that are fit for the future.

9. In conjunction with Consultant and Seniorcolleagues, to take responsibility forthe best use of departmental staffing and other resources to ensure the maximum efficiency of the department.

10. To observe the Trusts agreed policies andprocedures, in particular in relation tomanaging staff, and to follow the Trusts Standing Orders and Standing Financial Instructions. Thesepolicies and procedures have been drawnup in consultation with the profession on clinical matters.

ClinicalGovernance

11. In conjunction with Consultant colleagues,to ensure that the requirements ofclinical governance are met.

AnyOther Duties

12. Any other duties as deemed appropriate.

General

Clinical Governance

13. In conjunction with Consultant colleagues,to ensure that the requirements of clinical governance are met.

Any Other Duties

14. Anyother duties as deemed appropriate.

Person Specification

Research and Audit

Essential

Where appropriate ask for relevant research published in peer review journals. Evidence of audit and the implementation of change following the audit

Desirable

Relevant research published in peer review journal

Leadership*

Essential

An understanding of and ability to demonstrate your ability to: Empower others, Lead through change, Influence strategically, Collaborative working, Drive for improvement and Integrity

Education and Teaching

Essential

Experience of and commitment to teaching, mentoring and developing undergraduates and postgraduates.

Desirable

Willingness to develop new approaches to teaching. Qualification in education

Qualifications

Essential

Full registration and a licence to practice with the GMC Please confirm your GMC number Possession of MRCS (or equivalent).

Desirable

Higher Medical Degree

Management Skills

Essential

Demonstrate effective team working skills Time management and organisational ability. An example may be they have developed and run training programmes. Proven knowledge of systems and process of NHS or equivalent Sense of understanding and commitment to corporate responsibility

Ability/skills

Essential

Specific skills required to undertake the role above those required by the GMC standards.

Experience

Essential

Evidence of achievement of Foundation competencies or Equivalent 1 year of experience of working in the NHS as a Doctor Recent experience working in substantive post in the NHS. Clinical attachments are NOT sufficient

Desirable

Subspecialty training or equivalent

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