Lower Limb Fellowship

Job summary

This is a fixed term post based at University Hospitals Birmingham. The duration of the post is 12 months in the first instance, with a view to extending to 24 months subject to satisfactory performance. This post requires the post holder to work at Junior Specialist Doctor (Higher) level (equivalent to StR 3+) within Vascular Surgery.

We offer tailored training in open and endovascular lower limb surgery and research.

We provide excellent opportunities for learning and professional development as detailed below, with a named Educational Supervisor who will agree your learning objectives at the commencement of the post.

The lower limbs fellow will be one of a team of 11 middle grade doctors. Although this job does not have Deanery educational approval it will provide specific training opportunities in vascular and endovascular surgery to suit the needs of the successful candidate. It will suit a person with a dedicated interest in vascular surgery especially those with an interest in lower limb salvage, diabetic foot and research. The duties and responsibilities of the appointee can be balanced between service and research commitments to suit the successful applicant. The fellowship can provide:

period of dedicated training in open and endovascular lower limb revascularisation.

protected time in research.

Main duties of the job

General responsibilities (guideline only)

acquaint him/herself with details of patient management in discussion with the consultants and ensure their efficient execution. To take history, examine and record all findings of all patients admitted under the Vascular Department's care. Carry out and arrange all relevant investigations. To see and examine all patients under the care of the Consultant concerned, including those in the Intensive Therapy Unit. To assist when required in the operating theatre. To attend and assist at out-patient sessions when required. To arrange for the transfer of patients to other hospitals or discharge home and including a discharge summary on patients transfer.

ensure that good communication is maintained with all medical colleagues, anaesthetists, nursing staff and paramedical departments such as physiotherapists, radiographers and ancillary staff, to the benefit of the patient. To ensure other Specialty Registrars and Consultants are kept informed regarding alteration in the condition of any of their patients.

duty weekends and evenings, to be responsible for the care of all vascular patients on the wards including HDU and ITU.

participate in research projects that may already be in progress.

About us

We are recognised as one of the leading NHS Foundation Trusts in the UK. Our vision is to Build Healthier Lives, and we recognise that we need incredible staff to do this.

Our commitment to our staff is to create the best place for them to work, and we are dedicated to:

Investing in the health and wellbeing of our staff, including a commitment of offering flexible working where we can;Offer our staff a wide variety of training and development opportunities, to support their personal and career development objectives.

UHB is committed to ensuring that our staff are treated fairly and feel that they belong, by creating a kind and inclusive environment. This is about equity of opportunity; removing all barriers, including discrimination and ensuring each individual member of staff reach their true potential, achieve their ambitions and thrive in their work. This is more than words. We are taking action. Our commitment to an inclusive culture is embedded at all levels of the organisation where every voice is heard, driven by our diverse and active staff networks, and at Board level by the Fairness Taskforce led by our CEO. We nurture a culture which empowers staff to challenge discriminatory behaviours and to enable people to bring their 'whole self' to a kinder, more connected and bold place to work.

University Hospitals Birmingham is a Smoke-Free premises hospital.

Job description

Job responsibilities

The Birmingham Vascular Centre (BVC) was formed in April 2018 with the merger of vascular services in Birmingham. One of the largest units in the UK, we deliver a comprehensive vascular service across the whole of Birmingham and surrounding areas, covering a combined population of approximately 2.4million.

The BVC network covers sites across Birmingham. The arterial site at Heartlands Hospital (HGS) has a consultant of the week on call rota delivering emergency vascular care. Spoke sites exist at City, Good Hope, Sandwell, Queen Elizabeth and Solihull Hospitals delivering outpatient, day case and ambulatory care. The appointee will be expected to work across all sites. Further support for patients with emergency vascular problems is provided at Birmingham Children's, Birmingham Women's and the Royal Orthopaedic Hospitals. A program of further development has been supported at Executive level to utilise existing resources and plan for a world class vascular service.

The BVC provides access to a full range of vascular therapies for patients with vascular disease. There is a well-established service for both open and endovascular interventions for patients with aneurysmal and occlusive arterial disease. This includes an internationally recognised programme of endovascular surgery encompassing fenestrated and branched EVAR for complex aortic disease, supported by a hybrid operating theatre at the HGS site together with access to interventional radiology rooms, an open surgical theatre, a dedicated ward and a Vascular Enhanced Care Unit.

Vascular laboratories are available across sites with plans to extend this service comprehensively. Clinics are set up to run as one stop facilities with ultrasound scanning available. Specialist nurse-led clinics for leg ulcers, small AAA and EVAR surveillance are held across all sites.

The Heart of England Aortic Screening Programme delivers the national screening programme for Birmingham, Sandwell, Burton and South Staffordshire.

There is a Diabetic foot service with weekly MDT clinics held in most hospitals. The vascular team work closely in these clinics and on the wards across all sites with Diabetologists, DNS, Specialist podiatrists and orthotists. There are strong links between community podiatry and MDT clinics.

Person Specification

Qualifications

Essential

*Medical Degree from a recognised University *Full GMC registration with licence to practice *Evidence of achievement of Foundation competencies in line with GMC standards/Good Medical Practice *Eligibility to live and work in the UK

Experience

Essential

*A minimum of 3 years full time post graduate training (its equivalent gained on a part time basis) or equivalent experience and competencies. *At least 2 years' experience in Vascular Surgery with interest in Vascular Surgery - including care of acutely ill patient. *Proficient in basic procedures such as arterial embolectomy, arterial anastomoses, amputations of lower limbs and routine varicose vein adequately

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