Senior Clinical Fellow in Obstetrics and Gynaecology

Job responsibilities

The post holder will work on the second on call (ST3+) rota, and as such will take on the responsibilities associated with this role. The post holder will be supervised by a Consultant during clinical duties whether elective or on call and will be expected to work as part of a multidisciplinary team, demonstrating good communication skills with all members of the team.

The weekly timetable will vary from week to week. It will include sessions in antenatal clinic, delivery suite, gynaecology outpatients, gynaecology theatre and the emergency gynaecology assessment unit. These sessions are aimed to diversify the post holders clinical experience, to provide a service and to accommodate the rolling on call rota of long days and night shifts on labour ward and the gynaecology acute treatment unit. On call frequency is 1 in 9.

Antenatal clinic The post holder will be expected to:

- Conduct the initial antenatal assessment of women, identify risk factors in the booking history, and consult or refer appropriately under the supervision of a senior registrar or consultant.

- Counsel women adequately about the investigations offered during pregnancy, interpret the results, communicate the significance of abnormal results to the patient and arrange further management if needed.

- Detect and manage commonly occurring disorders in pregnancy, recognising their limitations, and referring to other colleagues in the team when necessary

- Recognise the roles of the multidisciplinary team

- Demonstrate good communication with patients and staffLabour Ward The post holder will work under the supervision of a Consultant Obstetrician on call or on hotweek and:

- Work in conjunction with the senior Midwife

- Be aware of the wishes and concerns of women in labour, and maintain their dignity, autonomy, physical and psychological comfort

- Help in monitoring of fetal condition in labour

- Assess and manage abnormal progress in labour

- Have a chance to perform instrumental and operative deliveries.

- Assist in the management of third stage complications

- Assist in the management of maternal collapse and neonatal resuscitation

Gynaecology Outpatients The post holder will be allocated to attend specific Gynaecology clinics, but are also encouraged to attend a variety of the more specialised clinics which provide valuable learning opportunities when possible. The post holder will:

- be able to take a gynaecological history and perform an appropriate examination with respect for the womans dignity and autonomy

- initiate investigation and management of common gynaecological problems such as disorders of menstruation, infertility, incontinence, menopausal symptoms, psychosexual problems and genital tract infections.

- understand cervical screening, the management of pre invasive and invasive disease and treatment follow up

- Demonstrate good communication with patients and staff

Gynaecology Acute Treatment Unit The post holder will work under the supervision of the Consultant Gynaecologist on call or on hotweek and:

- Take referrals from general practitioners, emergency department and other specialities concerning women with early pregnancy or acute gynaecological conditions

- Assess and initiate management and / or treat common early pregnancy and acute gynaecological conditions

- Participate in acute gynaecology procedures including surgical management of miscarriage, manual vacuum aspiration in office setting, Word catheter insertion for Bartholins and laparoscopic surgery.

- Review women after elective gynaecology surgeryGynaecology Theatre The post-holder will observe, assist or undertake procedures in theatre with an appropriate level of supervision.

On-call-

The post-holder will always be resident in the hospital when on duty. The Consultant Obstetrician will be resident between 08.30-22.00 on weekdays and 08.30 and 17.00 on weekends. The Consultant Gynaecologist will be resident between 08.30 and 17.00 on weekdays and will conduct a resident ward round on weekends. They will remain resident beyond these times if required but will otherwise be on call from home.

The post complies with the New Deal requirements and the European Working Time Directive.

Please see attached document for full job description and personal specification.

Qualifications

Essential

• MBBS or equivalent medical qualification
• Completion of Foundation competencies or equivalent
• Basic Adult Life Support training within past 12/12
• MRCOG Part 1
• 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
• Have completed their post-graduate training at least to a level of an ST2 specialty doctor or equivalent in obstetrics and gynaecology
• ll applicants to have demonstrable skills in written and spoken English adequate to enable effective communication about medical topics with patients and colleagues demonstrated by one of the following:
• Applicants have undertaken undergraduate medical training in English.
• OR
• Achieved the minimum score of 7 across all 4 of the following categories in the academic International English Language Testing System (IELTS) in a single sitting within 24 months at time of application Listening, Speaking, Reading and Writing. (An overall minimum score of 7.5)
• OR
• Achieved the minimum Grade B across all 4 of the following categories in the Occupational English Test (OET) in medicine in a single sitting within 24 months at time of application Listening, Speaking, Reading and Writing. (You must provide your candidate number)
• If applicants believe they have adequate communication skills, but do not have evidence in one of the above forms, they must provide alternative supporting evidence of language skills

Desirable

• MRCOG part 2 exam
• MRCOG part 3 exam
• Prizes / Distinctions
• Research / Additional academic publications

Experience

Essential

• 12 months experience after full GMC registration or equivalent, and evidence of achievement of foundation competences, in line with GMC standards / Good Medical Practice; including:
• make the care or your patient your first concern
• provide a good standard of practice and care
• take prompt action if you think that patient safety, dignity or comfort is being compromised
• protect and promote the health of patients and of the public
• treat patients as individuals and respect their dignity
• work in partnership with patients
• work with colleagues in the ways that best serve patients interests
• be honest and open and act with integrity
• never discriminate unfairly against patients or colleagues
• never abuse your patients trust in you or the publics trust in the profession.
• Evidence of achievement of ST3 competencies in medicine or Surgery (as defined by the curricula relating to Core Medical training or Core Surgical Training)
• 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 understanding of the basic principles of audit, clinical risk management, evidence-based practice, patient safety, and clinical quality improvement initiatives
• Demonstrates knowledge of evidence-informed practice
• Communication Skills:
• Demonstrates clarity in written/spoken communication & capacity to adapt language as appropriate to the situation
• Able to build rapport, listen, persuade & negotiate
• Problem Solving & Decision Making:
• Capacity to use logical/lateral thinking to solve problems/make decisions, indicating an analytical/scientific approach
• Empathy & Sensitivity:
• Capacity to take in others perspectives and treat others with understanding; sees patients as people
• Demonstrates respect for all
• Managing Others & Team Involvement:
• Able to work in multi-professional teams & supervise junior medical staff
• Ability to show leadership, make decisions, organise and motivate other team members for the benefit of patients through, for example, audit and quality improvement Projects
• Capacity to work effectively with others
• Organisation & Planning:
• Capacity to manage/prioritise time and information effectively
• Capacity to prioritise own workload & organise ward rounds
• Evidence of thoroughness (is well prepared, shows self discipline/ commitment, is punctual and meets deadlines)
• Vigilance & Situational Awareness:
• Capacity to monitor developing situations and anticipate issues
• Coping with Pressure and managing uncertainty:
• Capacity to operate under pressure
• Demonstrates initiative & resilience to cope with changing circumstances
• Is able to deliver good clinical care in the face of uncertainty
• Values:
• Understands, respects and demonstrates the values of the NHS Constitution (e.g. everyone counts; improving lives; commitment to quality of care; respect and dignity; working together for patients; compassion)

Desirable

• Relevant experience in other specialties which would complement a post in Obstetrics and Gynaecology
• At least 2 years experience working in the UK
• At least 1 year experience working at middle grade (ST3+) in UK
• Shows aptitude for practical skills, e.g. manual dexterity
• Evidence of relevant academic and research achievements, e.g. degrees, prizes, awards, distinctions, publications, presentations, other achievements
• Teaching:
• Evidence of interest in, and experience of, teaching
• Evidence of feedback for teaching
• Instructor status (or a recommendation for instructor status) in an advanced life support course (ALS, ATLS, EPLS, APLS) or equivalent course
• Management and leadership skills:
• Evidence of involvement in management commensurate with experience
• Demonstrates an understanding of NHS management and resources
• Evidence of effective multi-disciplinary team working and leadership, supported by multi- source feedback or other workplace-based assessments
• Evidence of effective leadership in and outside medicine.
• IT skills:
• Demonstrates information technology skills.
• Other:
• Evidence of achievement outside medicine
• Evidence of altruistic behaviour, e.g. voluntary work
• Evidence of organisational skills not necessarily in medicine, e.g. grant or bursary applications, organisation of a university club, sports section, etc.

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).