Job summary
Applications are invited for a Clinical Fellow post to start in August 2023 or February 2024. All posts are for an initial 6-month contract, however following review can be extended to 12 months.
Our centralised preoperative assessment centre has a team of Nurses and anaesthetist reviewing around 900 patients per month. We are working closely with the general practitioners from our 6 CCGs to enhance the smooth transition of care from primary to tertiary care. We have a "POA steering working group" which is effectively working around various perioperative projects, including Perioperative "Big Rooms", Pre-habilitation project "Get Set 4 Surgery" and Pre-op Diabetes optimisation - IP3Dproject.
Main duties of the job
Learning outcomes:
- To deliver high qualitypreoperativeassessment, investigation and management of ASA 1-4 patients for elective and emergency surgery
- To deliver high quality individualised anaesthetic care to ASA 1-3 [E] patients, focusing on optimising patient experience and outcome
- To plan and implement high quality individualised post-operative care for ASA 1-3 [E] patients
Clinical Opportunities:
- Preoperative assessment
- Candidate would be able to join High risk anaesthetic clinic with experience of face to face assessment, risk stratification ( ACS-NSQIP, OS-MRS to discuss and facilitating perioperative planning).
- Notes review and POA nursing queries enabling to understand common clinical dilemmas.
- Understanding importance of timely identification and optimisation of patients with Anaemia, diabetes, Malnutrition and Frailty.
- Effectively interpreting preoperative investigations like Spirometry/ Lung function tests, Sleep studies, METs-DASI scoring, Normal and Stress ECHOs for risk stratification and optimisation of patients with complex comorbidities.
- Pre-habilitation Services
- Able to get involved in weekly Surgery school sessions ( Every Thursday for 2.5Hrs) educating patients on nutrition, physical activity, life style modulation advice and orientation around perioperative expectation.
- Identifying and optimising "At risk Frail and Elderly patient" to improve perioperative outcome
About us
St George's Hospital is a tertiary referral centre for South West of London and serves a population of 1.3 million. Across our 29 theatres, we undertake adult Maxillofacial, ENT, Bariatric, Renal transplantation, Gynaecology, Vascular, Ophthalmic and Plastic surgeries (in addition to Trauma, Neuro, Cardiac, Paediatric surgical work). St George's provides the majority of south west London's complex cancer surgery.
Job description
Job responsibilities
- Multi-disciplinary team meetings
- Will get an opportunity to attend weekly Bariatric, Renal, Upper and Lower GI MDTs according to your interest.
- Undertaking elective and emergency theatre work
- Planning and delivering anaesthesia for complex Bariatric/ Upper GI, Lower GI, Breast, Gynaecology, Renal, breast and plastic surgeries.
- Proficient in using of video-laryngoscopy, high flow nasal oxygen, total intravenous anaesthesia, cardiac output monitoring and BIS monitoring.
- Part of the On-Call Rota with opportunity to manage ASA 1-4 patient with case mix of difficult airway, post bariatric surgery complications etc.
- Opportunity to practice awake Fibreoptic intubation, regional blocks.
Academic opportunities:
- Attending and presenting in weekly mandatory departmental meetings
- Attending In -house protected teaching
- Will be encouraged to attend and display audit work POA association conference, SOBA meeting, trusts half day Clinical governance meeting.
QI projects:
There is an exciting opportunity to get involved in various QI projects
- Anaemia and IV Iron Project - Dr. Pallavi Dassannacharya
- Get Set 4 Surgery- Dr. Carolyn Johnston
- Perioperative Diabetes Optimisation-IP3D GIRFT project- Dr. Kanchan Patil
- NELA project- Dr. Georgios Giannitopolous
- POA Big Room- Dr. Liana Geary
- Perioperative Nutrition pathway- Dr. Ibrahim Ibrahim
- Elderly and Frailty Pathway- Dr. Kanchan Patil
Teaching Opportunity:
- Arranging and teaching in General, Bariatric In-House teaching course
- Teaching St. Georges university medical students, POA nurses
Job description
Job responsibilities
- Multi-disciplinary team meetings
- Will get an opportunity to attend weekly Bariatric, Renal, Upper and Lower GI MDTs according to your interest.
- Undertaking elective and emergency theatre work
- Planning and delivering anaesthesia for complex Bariatric/ Upper GI, Lower GI, Breast, Gynaecology, Renal, breast and plastic surgeries.
- Proficient in using of video-laryngoscopy, high flow nasal oxygen, total intravenous anaesthesia, cardiac output monitoring and BIS monitoring.
- Part of the On-Call Rota with opportunity to manage ASA 1-4 patient with case mix of difficult airway, post bariatric surgery complications etc.
- Opportunity to practice awake Fibreoptic intubation, regional blocks.
Academic opportunities:
- Attending and presenting in weekly mandatory departmental meetings
- Attending In -house protected teaching
- Will be encouraged to attend and display audit work POA association conference, SOBA meeting, trusts half day Clinical governance meeting.
QI projects:
There is an exciting opportunity to get involved in various QI projects
- Anaemia and IV Iron Project - Dr. Pallavi Dassannacharya
- Get Set 4 Surgery- Dr. Carolyn Johnston
- Perioperative Diabetes Optimisation-IP3D GIRFT project- Dr. Kanchan Patil
- NELA project- Dr. Georgios Giannitopolous
- POA Big Room- Dr. Liana Geary
- Perioperative Nutrition pathway- Dr. Ibrahim Ibrahim
- Elderly and Frailty Pathway- Dr. Kanchan Patil
Teaching Opportunity:
- Arranging and teaching in General, Bariatric In-House teaching course
- Teaching St. Georges university medical students, POA nurses
Person Specification
Qualifications and Training
Essential
- Medical Degree
- Full registration with GMC
- Final FRCA or equivalent
Desirable
- Having attended a simulation 'Train the Trainers' programme
- Evidence of participation in a medical education-related study programme
Experience
Essential
- Clinical training and experience equivalent to that gained while training for UK CCT in anaesthesia
- Ability to take full and independent responsibility for assessment of patients preoperatively and manage most common emergencies.
- Confident in managing cardiac arrest situations.
Desirable
- Participation in clinical audit or research in anaesthesia
Skills
Essential
- Ability to communicate effectively as the team leader in an emergency situation
- Have the practical skills to be able to perform and teach most procedures in anaesthesia.
Desirable
Knowledge
Essential
- Ability to work in a team
- Good interpersonal skills
- Caring attitude to patients
- Commitment to continuing medical education
Desirable
- Evidence of sustained commitment to medical education
Person Specification
Qualifications and Training
Essential
- Medical Degree
- Full registration with GMC
- Final FRCA or equivalent
Desirable
- Having attended a simulation 'Train the Trainers' programme
- Evidence of participation in a medical education-related study programme
Experience
Essential
- Clinical training and experience equivalent to that gained while training for UK CCT in anaesthesia
- Ability to take full and independent responsibility for assessment of patients preoperatively and manage most common emergencies.
- Confident in managing cardiac arrest situations.
Desirable
- Participation in clinical audit or research in anaesthesia
Skills
Essential
- Ability to communicate effectively as the team leader in an emergency situation
- Have the practical skills to be able to perform and teach most procedures in anaesthesia.
Desirable
Knowledge
Essential
- Ability to work in a team
- Good interpersonal skills
- Caring attitude to patients
- Commitment to continuing medical education
Desirable
- Evidence of sustained commitment to medical education
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
Additional information
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
