Job summary
This is a full time Senior Clinical Fellow in Aortic Surgery post in response to Service need. The post is for a period of 12 months, to commence in October 2022.
A candidate who is unable for personal reasons to undertake the duties of a whole-time post will receive equal consideration. If such a candidate is appointed the job content will be modified as appropriate in consultation with consultant colleagues and local management.
We welcome all applications irrespective of age, disability, gender, sexual orientation, race or religion. Additionally, people with disabilities will be offered an interview providing they meet the minimum criteria for the post. The Trust operates job share and flexible working.
Main duties of the job
The successful candidate would be trained in the full breadth of aortic surgery and gain valuable experience, exposure to and training in the following:-
- Open Aortic surgery - at least 1 - 2 open cases per week.
- Ruptured AAA - around 30 cases per year.
- EVAR - experience in planning cases on a 3D workstation and in the surgical procedure and exposure to Cook, Terumo Aortic, Gore and Medtronic grafts.
- FEVAR - experience in planning and implantation of fenestrated grafts. Currently we perform 1-2 procedures a month.
- Percutaneous access - our practice is expanding for fully percutaneous access and 24 hour discharge. Training in USS guided puncture and the use of percutaneous closure devices.
- TEVAR - we perform between 5-10 cases a year.
About us
The NNUH is the fifth largest volume aortic aneurysm centre in the UK (according to the latest Vascular Society figures). We perform over 150 AAA repairs per year. We have expanded our endovascular practice significantly in the last few years and currently are performing 1-3 FEVARS/BEVARS per month and at least 2 EVARS a week. We are heading to a standard of care of percutaneous EVAR's and 24 hour discharge. We currently use a wide range of endovascular grafts (Cook, Terumo Aortic, Gore and Medtronic) and also perform 5-10 TEVARS a year. In addition we perform a large number of open AAA repairs - an area where experience is becoming increasingly difficult to gain.
Job description
Job responsibilities
The timetable will depend on the applicants abilities, but would be for 10 sessions. A typical week can include the following duties:
Monday am MDT pm Clinic
Tuesday am Ward Round pm Clinic
Wednesday am Study pm DPU
Thursday Operating list
Friday Clinic / operating list
Vascular fellows are expected to competently assess vascular patients in outpatient clinics and discuss management plans with consultant where applicable
On call commitment: 1 in 7 non-resident on-call
- Ensure routine and emergency patients are seen and admitted expeditiously. Such ward rounds and visits to individual patients as may be necessary.
- Keeping such records as may be required. These must be dated and initialled together with any other related administrative duties including discharge and clinic letters.
- Duties in occasional emergencies and unforeseen circumstances at the request of the appropriate consultant(s), in consultation where possible with other colleagues. Additional commitments arising under this paragraph are exceptional. In particular the doctor will not be required to undertake work of this kind for prolonged periods or on a regular basis.
- Agree to read and follow any protocols laid down either in writing or verbally by the Department of Vascular Surgery/Trust.
- In case of any difficulties ensure that advice is sought from a senior colleague.
- Be involved in teach more junior doctors/medical students and attending and presenting at clinical meetings/journal clubs, MDTs.
- Ensuring that patients management/care is handed over to the covering team.
Job description
Job responsibilities
The timetable will depend on the applicants abilities, but would be for 10 sessions. A typical week can include the following duties:
Monday am MDT pm Clinic
Tuesday am Ward Round pm Clinic
Wednesday am Study pm DPU
Thursday Operating list
Friday Clinic / operating list
Vascular fellows are expected to competently assess vascular patients in outpatient clinics and discuss management plans with consultant where applicable
On call commitment: 1 in 7 non-resident on-call
- Ensure routine and emergency patients are seen and admitted expeditiously. Such ward rounds and visits to individual patients as may be necessary.
- Keeping such records as may be required. These must be dated and initialled together with any other related administrative duties including discharge and clinic letters.
- Duties in occasional emergencies and unforeseen circumstances at the request of the appropriate consultant(s), in consultation where possible with other colleagues. Additional commitments arising under this paragraph are exceptional. In particular the doctor will not be required to undertake work of this kind for prolonged periods or on a regular basis.
- Agree to read and follow any protocols laid down either in writing or verbally by the Department of Vascular Surgery/Trust.
- In case of any difficulties ensure that advice is sought from a senior colleague.
- Be involved in teach more junior doctors/medical students and attending and presenting at clinical meetings/journal clubs, MDTs.
- Ensuring that patients management/care is handed over to the covering team.
Person Specification
Qualifications
Essential
- Full registration with the GMC and with Licence to Practise;
- Basic medical qualification (MB BS or equivalent)
Desirable
- Successful completion of MRCS or equivalent.
- Attendance at relevant courses, e.g. ATLS, Basic Surgical Skills or equivalent, CCrlSP
Personal Skills
Essential
- Shows aptitude for practical skills, e.g. hand-eye co-ordination, dexterity, visuo-spatial awareness
- Capacity to apply sound clinical knowledge & judgement & prioritise clinical need
- Demonstrates appropriate technical and clinical competence and evidence of development of diagnostic skills and clinical judgement
Experience
Essential
- Minimum of 6 months at StR level or equivalent
Desirable
- Level 4 competence at endovenous ablation techniques
Clinical Governance Skills
Essential
- Takes responsibility for own actions
- Demonstrates respect for the rights of all
- Demonstrates awareness of ethical principles, safety, confidentiality & consent
- Awareness of importance of being the patients' advocate, clinical governance & responsibilities of an NHS employee
Management Skills
Essential
- Capacity to manage time and prioritise workload, balance urgent & important demands, follow instructions.
- Understands importance & impact of information systems
Audit, Research and Publications
Essential
- Demonstrates understanding of the basic principles of audit, clinical risk management & evidence-based practice
- Understanding of basic research principles, methodology & ethics, with potential to contribute to research
Desirable
- Evidence of relevant academic & research achievements, e.g. degrees, prizes, awards, distinctions, publications, presentations, other achievements
- Evidence of participation in risk management and/or clinical/laboratory research
Teaching Skills
Essential
- Evidence of contributing to teaching & learning of others
Communication and Language Skills
Essential
- All applicants to have demonstrable skills in written and spoken English that are adequate to enable effective communication about medical topics with patients and colleagues demonstrated by one of the following: othat applicants have undertaken undergraduate medical training in English; or o have the following scores in the academic international English Language Testing System (IELTS) in a single sitting within 24 months at time of application - Overall 7, Speaking 7, Listening 7, Reading 7, Writing 7. If applicants believe that they have adequate communication skills but do not fit into one of these examples they must provide evidence
- Capacity to communicate effectively & sensitively with others
- Able to discuss treatment options with patients in a way they can understand
Person Specification
Qualifications
Essential
- Full registration with the GMC and with Licence to Practise;
- Basic medical qualification (MB BS or equivalent)
Desirable
- Successful completion of MRCS or equivalent.
- Attendance at relevant courses, e.g. ATLS, Basic Surgical Skills or equivalent, CCrlSP
Personal Skills
Essential
- Shows aptitude for practical skills, e.g. hand-eye co-ordination, dexterity, visuo-spatial awareness
- Capacity to apply sound clinical knowledge & judgement & prioritise clinical need
- Demonstrates appropriate technical and clinical competence and evidence of development of diagnostic skills and clinical judgement
Experience
Essential
- Minimum of 6 months at StR level or equivalent
Desirable
- Level 4 competence at endovenous ablation techniques
Clinical Governance Skills
Essential
- Takes responsibility for own actions
- Demonstrates respect for the rights of all
- Demonstrates awareness of ethical principles, safety, confidentiality & consent
- Awareness of importance of being the patients' advocate, clinical governance & responsibilities of an NHS employee
Management Skills
Essential
- Capacity to manage time and prioritise workload, balance urgent & important demands, follow instructions.
- Understands importance & impact of information systems
Audit, Research and Publications
Essential
- Demonstrates understanding of the basic principles of audit, clinical risk management & evidence-based practice
- Understanding of basic research principles, methodology & ethics, with potential to contribute to research
Desirable
- Evidence of relevant academic & research achievements, e.g. degrees, prizes, awards, distinctions, publications, presentations, other achievements
- Evidence of participation in risk management and/or clinical/laboratory research
Teaching Skills
Essential
- Evidence of contributing to teaching & learning of others
Communication and Language Skills
Essential
- All applicants to have demonstrable skills in written and spoken English that are adequate to enable effective communication about medical topics with patients and colleagues demonstrated by one of the following: othat applicants have undertaken undergraduate medical training in English; or o have the following scores in the academic international English Language Testing System (IELTS) in a single sitting within 24 months at time of application - Overall 7, Speaking 7, Listening 7, Reading 7, Writing 7. If applicants believe that they have adequate communication skills but do not fit into one of these examples they must provide evidence
- Capacity to communicate effectively & sensitively with others
- Able to discuss treatment options with patients in a way they can understand
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).
