Job summary
We are looking for enthusiastic trainees from Geriatric Medicine, Acute Internal Medicine, Anaesthesia or other medical specialties to apply for this one-year peri-operative fellowship.
Oxford University Hospitals NHS Foundation Trust (OUH) has an established perioperative medicine service in the acute surgical emergency unit (SEU) and hip fractures.Over the last five years our services have expanded to provide consultant-led medical perioperative care to the major trauma, elective orthopaedic and the vascular services. We also form a part of the TAVI MDT. We particularly focus on older patients having emergency surgery, and patients with complex co-morbidities. The perioperative consultants (who are from an acute medicine, HDU, renal and geriatric medicine background) are supported by medical residents (CMT, FY 1& 2 or GPVTS).
Main duties of the job
Surgical services
OUH has developed perioperative medicine services into emergency surgery, which is distinct from a number of other perioperative medicine services, which focus on elective work. Having run successful pilot programs we plan to expand our perioperative services into elective surgery over the next five years starting with our expansion to the elective orthopaedic group of patients later this year.
SEU
As well as accepting referrals locally, the SEU provides a tertiary referral service for acute and complex hepatobiliary cases, which may be transferred in from neighbouring counties.
Trauma
The John Radcliffe is a one of five Major Trauma Centres in the South of England, accepting patients with severe injuries from Oxfordshire and all neighbouring counties, serving a population of over 3-million. The trauma unit also provides care to over 500 hip fractures a year.
Vascular
The John Radcliffe Hospital is the hub for the regional vascular service, accepting referrals locally as well as from neighbouring counties. Procedures undertaken include all forms of vascular surgery including endovascular aneurysm repair.
About us
Oxford University Hospitals NHS Foundation Trust is one of the largest NHS teaching and acute trusts, and is a world renowned centre of clinical excellence. Many surgical services are multisite, with the bulk of the emergency work being undertaken at the John Radcliffe Hospital, and with predominantly elective surgical services at the Churchill Hospital and the Nuffield Orthopaedic Centre; a small-moderate volume of work is undertaken at the Horton General Hospital in Banbury.
The perioperative physicians have become an essential part of the surgical department working collaboratively with the surgeons, anaesthetists and the multidisciplinary team. We provide acute medical and post-operative care, optimise patients for surgery and co-ordinate discharge planning for complex patients. We also provide teaching on perioperative medicine for surgical junior doctors, attend all surgical governance meetings including morbidity and mortality meetings and contribute to high-risk decision making. This year our team including our perioperative medicine fellows have run a number of quality improvement and service development projects in surgery around themes including patient blood management, post-operative cognitive dysfunction and delirium, consent and antiocoagulation management. This approach has shown a positive impact with respect to improvement of quality, patient safety and a reduction in length of stay and morbidity.
Job description
Job responsibilities
This is an exciting opportunity for the three successful applicants to learn from our dynamic perioperative team, and help develop our service to deliver the highest quality care to other surgical specialities. We will give you experience working in major trauma, general surgery and vascular liaison, and the opportunity to undertake service development projects in other surgical specialties. You will also be able to participate in a new joint medical-anaesthetic pre-assessment clinic which will start later this year, and attend the monthly pre-assessment MDT alongside anaesthesia and cardiology. You will contribute to local and national audit and lead on a quality improvement project of your choice, which will be mentored by one of our consultants who has experience in quality improvement coaching. If you wish to complete the Certificate, Diploma or Masters in Perioperative Medicine (UCL), then we would support this and arrange appropriate time within your job plan to dedicate to private study for this.
Job description
Job responsibilities
This is an exciting opportunity for the three successful applicants to learn from our dynamic perioperative team, and help develop our service to deliver the highest quality care to other surgical specialities. We will give you experience working in major trauma, general surgery and vascular liaison, and the opportunity to undertake service development projects in other surgical specialties. You will also be able to participate in a new joint medical-anaesthetic pre-assessment clinic which will start later this year, and attend the monthly pre-assessment MDT alongside anaesthesia and cardiology. You will contribute to local and national audit and lead on a quality improvement project of your choice, which will be mentored by one of our consultants who has experience in quality improvement coaching. If you wish to complete the Certificate, Diploma or Masters in Perioperative Medicine (UCL), then we would support this and arrange appropriate time within your job plan to dedicate to private study for this.
Person Specification
Qualifications and Training
Essential
- Full GMC Registration and hold a licence to practice
Desirable
- MSc, PhD, other higher degree
Clinical Experience
Essential
- StR National Training Number in geriatrics, general internal medicine or anaesthesia (or equivalent qualification)
Knowledge and Skills
Essential
- Ability to work as an effective member of a multidisciplinary team
Desirable
- Familiarity with literature relating to perioperative medicine in older people
- Skills in quality improvement or service development
- Writing for publication
Research
Essential
- Understanding of the principles and applications of clinical research
Desirable
- Evidence of original research and publication
Teaching
Essential
- Experience of undergraduate teaching and post graduate training
Desirable
- Development of a teaching programme
Other
Essential
- Evidence of contribution to effective clinical audit
Desirable
- Experience in clinical guideline development
Person Specification
Qualifications and Training
Essential
- Full GMC Registration and hold a licence to practice
Desirable
- MSc, PhD, other higher degree
Clinical Experience
Essential
- StR National Training Number in geriatrics, general internal medicine or anaesthesia (or equivalent qualification)
Knowledge and Skills
Essential
- Ability to work as an effective member of a multidisciplinary team
Desirable
- Familiarity with literature relating to perioperative medicine in older people
- Skills in quality improvement or service development
- Writing for publication
Research
Essential
- Understanding of the principles and applications of clinical research
Desirable
- Evidence of original research and publication
Teaching
Essential
- Experience of undergraduate teaching and post graduate training
Desirable
- Development of a teaching programme
Other
Essential
- Evidence of contribution to effective clinical audit
Desirable
- Experience in clinical guideline development
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).
