Senior Clinical Fellowship in Shoulder and Elbow Surgery

Job responsibilities

Job Title: Senior Clinical Fellowship in Shoulder and Elbow Surgery

Department: Trauma Related Services - Leeds General Infirmary Elective Orthopaedics - Chapel Allerton Hospital

JOB PURPOSE

The Leeds Upper Limb Unit (LULU) Fellow will be expected to develop knowledge both clinically and surgically over a 6 month or 1 year fellowship. The fellow will also develop sufficient knowledge and leadership skills in order for them to take up a Consultant role in any department, dealing with a complex shoulder and elbow workload, including GIRFT Hubs for Total Elbow Arthroplasty.

THE LEEDS UPPER LIMB UNIT (LULU)

The service comprises seven Consultant Orthopaedic Surgeons who undertake all aspects of upper limb reconstruction. The case mix is varied and each Consultant has their own field of interest and expertise.

PARTICULARS OF APPOINTMENT

We encourage fellows to be aiming to take up a consultant post at the end of the appointment; the fellows role will be tailored to each successful candidate. This may mean that you spend more time with selected members of the LULU team than others. The role will evolve such that you will be taught the assessment of complex shoulder and elbow conditions, leading to a supervised trauma and elective operative practice. With development of the Fellows portfolio, more independent practice will be expected, both in clinics and in theatre, within your competency level.

DUTIES

The Fellow will assist in clinics (trauma and elective), reviewing and communicating with inpatients, and operating lists as appropriate (adults and children). There will be flexible sessions to include research and administration. Secretarial support will be provided for the post.

LULU has one or two registrars and the successful candidate will be involved in their support and training throughout the fellowship. The training of our registrars in Trauma & Orthopaedics with regards to upper limb surgery is as important to us as advanced fellowship training. It is vital that the successful candidate understands this and is able to balance their desire to learn alongside supporting more junior colleagues.

There is no on-call commitment; however there will be an expectation as part of the role to offer 12 sessions per annum (pro rata) of either weekday or weekend trauma lists or extra waiting list work whether that is in clinic or theatre. This will be agreed with the Lead Clinical Supervisor within the LULU, who will liaise with LGI or CAH Managers to arrange.

LULU Consultants

Mr Sam Vollans (Elective & Major Trauma) Lead Supervisor

A shoulder and elbow surgeon with a specific interest in the elbow with large volumes of primary and revision elbow arthroplasty including massive bone loss and infection, elbow arthroscopy and deformity correction. He has specific interest in custom jigs and implants utilising CT guided/3D printed jigs regularly in his practice. He is also involved with Hand/Arm Transplant Team and has an elective paediatric shoulder and elbow interest including the bony manifestations of Obstetric Brachial Plexus Injury and congenital deformity.

Mr Paul Cowling (Elective and General Trauma)

A shoulder and elbow surgeon covering the full breadth of practice. He has a specific interest in both primary and revision shoulder arthroplasty and rotator cuff disorders. He also has research interests in these areas, and is on the ODEP committee for shoulder replacements.

Mr Dan Henderson (Elective & General Trauma)

A shoulder and elbow surgeon covering the full breadth of practice. He has a special interest in complex shoulder arthroscopy; massive/irreparable cuff tears (including SCR), but particularly the arthroscopic management of complex and revision instability (Arthro-Latarjet / free bone block). His academic and research interests include the use of functional outcome measures in the virtual surveillance of patient progress. He works in collaboration with the University of Leeds Institute of Medical and Biological Engineering.

Mr Harish Kapoor (Major Trauma (Upper Limb))

A very experienced trauma surgeon with a specific interest in the upper limb within the context of major/polytrauma.

Mr David Limb (Elective)

His practice includes the elbow and general shoulder problems (anatomic arthroplasty, arthrodesis and tendon transfers). He is Past President of EFFORT and member of the Council of Management of the BJJ. He is Editor in Chief of Orthopaedics and Trauma and Associate Editor of Shoulder and Elbow. He is an examiner for the International FRCS (Tr&Orth) and Chairman of the DMC for Profher 2 Trial.

Mr Mark Philipson (Elective & General Trauma)

A shoulder and elbow surgeon with specific interest and skills in primary and revision shoulder arthroplasty, including custom and patient matched implants. This is one facet of his busy S&E practice.

Miss Lt Col Charlotte Tunstall (Major Trauma (Upper Limb))

A general orthopaedic military surgeon in Major Trauma, with a specific interest in the upper limb.

Qualifications

Essential

• MBBS or equivalent medical qualification FRCS (Orth) or equivalent
• CCT or CESR (CP); - proposed CCT/CESR (CP) date must be within 6 months of interview.
• Be eligible for full registration with, and hold a current licence to practise from, the GMC at intended start date
• Eligibility to work in the UK
• Advanced Life Support Certificate from the Resuscitation Council UK or equivalent (as required to complete Foundation competences) by intended start date
• Is up to date and fit to practise safely and is aware of own training needs.
• All applicants to have demonstrable skills in written and spoken English adequate to enable effective communication about medical topics with patients and colleagues

Desirable

• Post CCT ready to apply for consultant posts
• Evidence of previous research and publications in shoulder and elbow surgery

Experience

Essential

• Documented evidence of previous experience of shoulder and elbow surgery post-FRCS exam (ST7/8+)
• Teaching and supporting junior staff
• Full GMC registration or equivalent, and evidence of achievement of foundation competences, in line with GMC standards / Good Medical Practice
• Ability to apply sound clinical knowledge and judgement to problems
• Ability to prioritise clinical need
• Ability to maximise safety and minimise risk
• Recognition of, and ability to undertake the initial management of, an acutely ill patient
• Demonstrates understanding of research, including awareness of ethical issues
• Demonstrates clarity in written/spoken communication & capacity to adapt language as appropriate to the situation
• Capacity to take in others perspectives and treat others with understanding; sees patients as people
• Capacity to operate under pressure

Desirable

• Evidence of previous research and publications in shoulder and elbow surgery
• Member of BESS
• The successful LULU Fellow knows what kind of shoulder and elbow consultant role they want to hold in the future and how the Leeds Fellowship will help them to achieve their aims.
• ATLS qualified
• Higher research based degree

Additional Criteria

Essential

• The successful LULU Fellow wants to take up a shoulder and elbow consultant role in the future.
• Ability to provide complete details of employment history
• Evidence that career progression is consistent with personal circumstances
• Evidence that present achievement andperformance is commensurate with totality of their period of training

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.

Certificate of Sponsorship

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).