Clinical Fellow in Geriatric Trauma (ST3-7 level)

North Bristol NHS Trust

The closing date is 07 May 2024

Job summary

Development of trauma services is a strategic objective and the post-holder will contribute actively to a revolutionary model of shared medical and surgical care for all older patients admitted with trauma.

This will involve day-to-day medical care for older patients admitted with head, spinal, thoracic, pelvic, femoral and long bone injuries. Clinic opportunities will exist to support the management of fragility fractures, and also in enhanced medical pre-assessment of older patients requiring elective orthopaedic, urological, colorectal and vascular surgery. Opportunities for rotational specialty experience in critical care medicine will be available (subject to agreement) for trainees with specific training requirements.

The post would suit trainees in Geriatric or Acute Medicine seeking to broaden their trauma and perioperative experience. Alternatively, applications would be welcomed from candidates able to perform at registrar-grade who are in possession of full MRCP(UK), and who may be contemplating a career in medicine or anesthesia.

Main duties of the job

Support a shared model of trauma care for older patients admitted with femoral, pelvic, long bone, spinal, thoracic, abdominal or head trauma.
Provide proactive comprehensive geriatric assessment of older people sustaining trauma, and/or undergoing surgery.
Provide urgent clinical assessment and management in sick, high-risk patients.
Communicate closely with trauma, surgical and anaesthetic colleagues
Support multidisciplinary working in trauma and surgical MDMs, clinics and wards
Train health care professionals in trauma and surgery services with emphasis on comorbidity management
Develop patient pathways and develop trauma and surgical liaison services
Evaluate service development work (may include patient consent, data handling)
Take part in research and quality improvement programmes
Participate in clinical and other service activities with the object of ensuring a high standard of patient care
Participate in undergraduate and postgraduate teaching and training across disciplines and specialties

About us

North Bristol NHS Trust is one of the largest NHS organisations in the Southwest of England. It is a progressive and ambitious teaching and research organisation, and a specialist regional centre for major trauma, neurosciences, plastics and burns, orthopaedics, urology and renal services.

Our trust Board is committed to creating a strong, vibrant organisation that is at the forefront of healthcare delivery in the West of England. Our acute services moved into the brand new, £430 million state of the art Brunel Building in May 2014 enabling us to work together to create the environment for exceptional healthcare. This 800+ bed hospital at the Southmead site offers some patients single rooms with ensuite facilities, greatly improving privacy and dignity and helping to control the spread of infections but most importantly of all, enabling each patient to be treated as a person. At the heart of what we do is a caring and compassionate workforce.

Date posted

22 April 2024

Pay scheme

Hospital medical and dental staff

Grade

Doctor - other

Salary

£55,329 to £63,152 a year pa

Contract

Fixed term

Duration

12 months

Working pattern

Full-time

Reference number

339-MPSSK656

Job locations

Southmead Hospital

Bristol

BS10 5NB

Job description

Job responsibilities

Learning Objectives

Demographics and political landscape relevant to the older trauma and surgical patient

National reports and policy drivers relevant to the older trauma and surgical patient

Models and pathways of care for older trauma and surgical patients

Risk assessment of perioperative morbidity and mortality (including use of tools) and investigations e.g. Cardiopulmonary exercise testing))

Modification of risk including the use of organ specific national and international guidelines (e.g. European Society Cardiology)

Use of inter-disciplinary and cross-specialty interventions to improve postoperative outcome (e.g. therapy delivered prehabilitation)

Clinical assessment with appropriate use of investigations and tools to preoperatively risk assess for perioperative morbidity and mortality

Communication of risk with health professionals and patients/relatives

Timely medical optimisation of comorbidity and geriatric syndromes

Appropriate allocation of postoperative resources (e.g. use of level 2 and 3 care)

Decision making regards rehabilitation, and timely and effective discharge pertinent to the surgical patient

Liaison with patients, anaesthetists and surgeons to ensure shared decision making

Application of ethical and biomedical approaches to ensure appropriate ceilings for escalation of care.

Teaching

The post holder will take responsibility for the training and direction of junior staff allocated to him/her under aegis of the training plan that that post holder has agreed with their supervising consultant.

The post holder may be expected to contribute as appropriate in the teaching of undergraduate and postgraduate students.

Where specific training needs are identified (and subject to agreement with clinical lead), opportunities will exist for rotational experience in critical care or participation in unselected medical take.

Courses/Training/Journal/Clubs/Lunchtime meetings

Study Leave will be granted at the discretion of the Clinical Lead.

The post holder will be expected to attend and contribute to educational activities e.g. departmental meetings, x-ray meetings, pathology meetings, multidisciplinary meetings, journal clubs etc. as agreed at induction and detailed in the job plan.