Royal Surrey NHS Foundation Trust

Clinical Fellow in Advanced Perioperative Medicine

Information:

This job is now closed

Job summary

One clinical fellow post is available from February 2024 for an initial period of 6 months. Applicants should be ST 6-7 or post-CCT Anaesthetists with the FRCA (or equivalent) and have an interest in perioperative medicine and pre-operative risk assessment. The aim of this fellowship is to provide the applicant with experience in all aspects of perioperative medicine in preparation for pursuing this interest as consultant and the post has been designed to meet the criteria for advanced training.

Main duties of the job

The Royal Surrey is a busy district general hospital with orthopaedics, trauma, ENT, max fax, gynae and general surgery but in addition it is the regional oncological surgical hospital for much of Surrey and Sussex. Many of the highly specialized oncological surgical specialties are now established here and include oesophagogastric, hepatobiliary, laparoscopic gastrointestinal, major urological, gynaecological, head and neck and maxillo facial oncology. We are also now one of the busiest robotic centres in the country. The development of these surgical specialties has been associated with exciting opportunities for anaesthetists to gain extra exposure in all of these areas.

Alongside the clinical experience available in theatres, this post would provide training and experience in all other aspects of perioperative medicine.

About us

Royal Surrey NHS Foundation Trust is a friendly, supportive, busy but welcoming acute and community Trust that is ambitious about developing our services and your career.

Our compassionate, caring and friendly colleagues make up our Royal Surrey family and are at the heart of what we do. We all have a passion for learning, continuous improvement and excelling together through innovation, research and development. There are over 4,500 members of our Royal Surrey family.

We are clinically led and provide joined up care by bridging the gap between hospital and community services alongside regional specialist cancer care. Our main acute hospital site is in Guildford with community hospital sites at Milford, Haslemere and Cranleigh. We provide adult community health services in the community and homes across Guildford and Waverley.

We have received an overall Good rating from the CQC with Medical care (including older peoples care), End of Life Care and Maternity services being deemed Outstanding by the CQC. We are investing in our colleagues through our health and wellbeing programme and a commitment to supporting professional development as well as investing more than £45 million in our physical environment and new equipment in the next few years.

There has never been a better time to join us.

Details

Date posted

07 June 2023

Pay scheme

Hospital medical and dental staff

Grade

Doctor - other

Salary

£58,398 a year Plus London Weighting and Enhancements

Contract

Fixed term

Duration

6 months

Working pattern

Full-time, Part-time, Job share, Flexible working

Reference number

C9384-FS-EMF11499-3

Job locations

Egerton Road

Guildford

Surrey

GU2 7XX


Job description

Job responsibilities

There are multiple opportunities to gain experience teaching junior doctors and other healthcare professionals with tutorials/OSCE/high fidelity simulation via our active education department

The post has a senior level of on-call clinical commitment which is primarily out of hours (night time and weekend) work. The on-call role is to oversee and assist 2 trainees in the Intensive Care Unit, participating in handover rounds and pro-actively managing patients in the ICU, and to oversee and assist 2 anaesthetic trainees in theatres, labour ward and anywhere else in the hospital where senior level anaesthetic or critical care input is required. Outside of the on-call commitment the rest of your job plan is entirely dedicated to achieving your personal goals within perioperative medicine. With the multiple opportunities on offer and a flexible approach from the department, you will be able to tailor your experience and training to optimise your CV.

Surrey University Campus is adjacent to the hospital and provides excellent opportunities for collaboration in research. The New Postgraduate Medical School building opened in 2005, and houses the MATTU (minimal access therapy training unit). The European Institute of Health Studies which is situated in Guildford provides training for nurses, midwives and other health care professionals both from the Trust and throughout Health Authority. The University of Surrey provides BSc (Hons) Nursing Degree programme.

The department has an active research interest and all post holders will be expected to complete audit and / or original research during their period of training. The CPX service is involved in a multi-centre study investigating vagal dysfunction and post-operative outcomes (POM-HR), the successful applicant would be expected to become an active participant in this project and other potential collaborative studies.

Research activity in the department is well established with patients enrolled into large multi-centre trials (including PROWESS-SHOCK, TRACMAN, OPTIMISE, EuSOS, and Promise) as well as local investigator-led trials predominantly regarding enhanced recovery, cardiac output monitoring and optimisation of fluid resuscitation and analgesia. Patients have recently been enrolled into Calories, OBTAIN, DREAMS, ETPOS, ENIGMA-2 and LAS VEGAS. We have recently formed a research group Surrey Perioperative Anaesthesia Critical care collaborative Research Group (SPACeR) and this is now a Clinical Academic Group (CAG) with the University of Surrey and Ashford and St. Peters NHS Foundation Trust: http://www.spacer.org.uk/. Several clinicians hold honorary lecturer positions at the University. There are currently research fellows based in anaesthesia and in ICU and all post holders will be expected to complete a quality improvement program, audit and / or original research during their period of training. All post holders will be allocated a mentor at the beginning of their post to assist with this.

Research activity in the department is well established with patients enrolled into large multi-centre trials (including PREVENTT, PROWESS-SHOCK, TRACMAN, OPTIMISE, EuSOS, and Promise) as well as local investigator-led trials predominantly regarding enhanced recovery, cardiac output monitoring and optimisation of fluid resuscitation and analgesia. Patients have recently been enrolled into Calories, OBTAIN, DREAMS, ETPOS, ENIGMA-2 and LAS VEGAS. Projects in development include collaborations with the pharmaceutical industry, the University of Surrey and further afield. We have recently formed a research group Surrey Perioperative Anaesthesia Critical care collaborative Research Group (SPACeR) and this is now a Clinical Academic Group (CAG) with the University of Surrey and Ashford and St. Peters NHS Foundation Trust: http://www.spacer.org.uk/. Several clinicians hold honorary lecturer positions at the University of Surrey and UCL. Two consultants are also National Clinical Leads for Enhanced Recovery.

There are currently research fellows based in anaesthesia and in ICU and all post holders will be expected to complete a quality improvement program, audit and / or original research during their period of training. All post holders will be allocated a mentor at the beginning of their post to assist with this.

Job description

Job responsibilities

There are multiple opportunities to gain experience teaching junior doctors and other healthcare professionals with tutorials/OSCE/high fidelity simulation via our active education department

The post has a senior level of on-call clinical commitment which is primarily out of hours (night time and weekend) work. The on-call role is to oversee and assist 2 trainees in the Intensive Care Unit, participating in handover rounds and pro-actively managing patients in the ICU, and to oversee and assist 2 anaesthetic trainees in theatres, labour ward and anywhere else in the hospital where senior level anaesthetic or critical care input is required. Outside of the on-call commitment the rest of your job plan is entirely dedicated to achieving your personal goals within perioperative medicine. With the multiple opportunities on offer and a flexible approach from the department, you will be able to tailor your experience and training to optimise your CV.

Surrey University Campus is adjacent to the hospital and provides excellent opportunities for collaboration in research. The New Postgraduate Medical School building opened in 2005, and houses the MATTU (minimal access therapy training unit). The European Institute of Health Studies which is situated in Guildford provides training for nurses, midwives and other health care professionals both from the Trust and throughout Health Authority. The University of Surrey provides BSc (Hons) Nursing Degree programme.

The department has an active research interest and all post holders will be expected to complete audit and / or original research during their period of training. The CPX service is involved in a multi-centre study investigating vagal dysfunction and post-operative outcomes (POM-HR), the successful applicant would be expected to become an active participant in this project and other potential collaborative studies.

Research activity in the department is well established with patients enrolled into large multi-centre trials (including PROWESS-SHOCK, TRACMAN, OPTIMISE, EuSOS, and Promise) as well as local investigator-led trials predominantly regarding enhanced recovery, cardiac output monitoring and optimisation of fluid resuscitation and analgesia. Patients have recently been enrolled into Calories, OBTAIN, DREAMS, ETPOS, ENIGMA-2 and LAS VEGAS. We have recently formed a research group Surrey Perioperative Anaesthesia Critical care collaborative Research Group (SPACeR) and this is now a Clinical Academic Group (CAG) with the University of Surrey and Ashford and St. Peters NHS Foundation Trust: http://www.spacer.org.uk/. Several clinicians hold honorary lecturer positions at the University. There are currently research fellows based in anaesthesia and in ICU and all post holders will be expected to complete a quality improvement program, audit and / or original research during their period of training. All post holders will be allocated a mentor at the beginning of their post to assist with this.

Research activity in the department is well established with patients enrolled into large multi-centre trials (including PREVENTT, PROWESS-SHOCK, TRACMAN, OPTIMISE, EuSOS, and Promise) as well as local investigator-led trials predominantly regarding enhanced recovery, cardiac output monitoring and optimisation of fluid resuscitation and analgesia. Patients have recently been enrolled into Calories, OBTAIN, DREAMS, ETPOS, ENIGMA-2 and LAS VEGAS. Projects in development include collaborations with the pharmaceutical industry, the University of Surrey and further afield. We have recently formed a research group Surrey Perioperative Anaesthesia Critical care collaborative Research Group (SPACeR) and this is now a Clinical Academic Group (CAG) with the University of Surrey and Ashford and St. Peters NHS Foundation Trust: http://www.spacer.org.uk/. Several clinicians hold honorary lecturer positions at the University of Surrey and UCL. Two consultants are also National Clinical Leads for Enhanced Recovery.

There are currently research fellows based in anaesthesia and in ICU and all post holders will be expected to complete a quality improvement program, audit and / or original research during their period of training. All post holders will be allocated a mentor at the beginning of their post to assist with this.

Person Specification

Experience

Essential

  • Understanding of principles of QI.
  • Audit experience.
  • Demonstrable enthusiasm for teaching.

Desirable

  • Previous experience in Patient Safety projects.
  • Previous experience in QI / research projects.
  • Previous experience in delivering simulation training.
  • Record of QI / research in the field of anaesthesia or patient safety
  • Experience in management of high risk surgical patients.
  • Experience in advanced airway anaesthesia techniques.

Values & Behaviours

Essential

  • Demonstrable commitment to and focus on quality, promotes high standards to consistently improve patient outcomes.
  • Demonstrable skill to work together to serve our community through delivering safe and excellent clinical care.
  • Value diversity and difference, operates with integrity and openness
  • Treating others with compassion, empathy and respect.
  • Share information openly and effectively with patients, staff and relatives.
  • Works across boundaries, looks for collective success, listens, involves, respects and learns from the contribution of others.
  • Uses evidence to make improvements, increase efficiencies and seeks out innovation.
  • Actively develops themselves and others.

Skills & Capabilities

Essential

  • To possess a high standard of skills in written and verbal communication.
  • To be articulate, clear and influential; participate in teaching.
  • To be willing to maintain skills and keep up to date with new developments.
  • Evidence of ability to co-operate closely with clinical and multidisciplinary colleagues in providing a high quality anaesthetic service.
  • Used to working in a busy environment.
  • Adaptability, flexibility and ability to cope with uncertainty.
  • Willing to engage with and learn from peers, other professionals and colleagues in the desire to provide or support the most appropriate interventions.
  • Professional calm and efficient manner.
  • Effective organizer/prioritisation skills.

Desirable

  • Influencer and networker.
  • Demonstrates a strong desire to improve performance and make a difference by focusing on goals.
  • Attention to detail.
  • Highly motivated with ability to influence and inspire others.
  • Ability to work independently.

Qualifications

Essential

  • Full registration with the General Medical Council (GMC) with a licence to practice.
  • FRCA Fellowship of Royal College of Anaesthetists (GB) or equivalent higher specialist qualifications in Anaesthetics.
  • Demonstrable experience and training in anaesthesia, appropriate to StR 6+ in Anaesthetics (pre or post CCT).

Desirable

  • Evidence of instructor status for ALS/ other life support training.
Person Specification

Experience

Essential

  • Understanding of principles of QI.
  • Audit experience.
  • Demonstrable enthusiasm for teaching.

Desirable

  • Previous experience in Patient Safety projects.
  • Previous experience in QI / research projects.
  • Previous experience in delivering simulation training.
  • Record of QI / research in the field of anaesthesia or patient safety
  • Experience in management of high risk surgical patients.
  • Experience in advanced airway anaesthesia techniques.

Values & Behaviours

Essential

  • Demonstrable commitment to and focus on quality, promotes high standards to consistently improve patient outcomes.
  • Demonstrable skill to work together to serve our community through delivering safe and excellent clinical care.
  • Value diversity and difference, operates with integrity and openness
  • Treating others with compassion, empathy and respect.
  • Share information openly and effectively with patients, staff and relatives.
  • Works across boundaries, looks for collective success, listens, involves, respects and learns from the contribution of others.
  • Uses evidence to make improvements, increase efficiencies and seeks out innovation.
  • Actively develops themselves and others.

Skills & Capabilities

Essential

  • To possess a high standard of skills in written and verbal communication.
  • To be articulate, clear and influential; participate in teaching.
  • To be willing to maintain skills and keep up to date with new developments.
  • Evidence of ability to co-operate closely with clinical and multidisciplinary colleagues in providing a high quality anaesthetic service.
  • Used to working in a busy environment.
  • Adaptability, flexibility and ability to cope with uncertainty.
  • Willing to engage with and learn from peers, other professionals and colleagues in the desire to provide or support the most appropriate interventions.
  • Professional calm and efficient manner.
  • Effective organizer/prioritisation skills.

Desirable

  • Influencer and networker.
  • Demonstrates a strong desire to improve performance and make a difference by focusing on goals.
  • Attention to detail.
  • Highly motivated with ability to influence and inspire others.
  • Ability to work independently.

Qualifications

Essential

  • Full registration with the General Medical Council (GMC) with a licence to practice.
  • FRCA Fellowship of Royal College of Anaesthetists (GB) or equivalent higher specialist qualifications in Anaesthetics.
  • Demonstrable experience and training in anaesthesia, appropriate to StR 6+ in Anaesthetics (pre or post CCT).

Desirable

  • Evidence of instructor status for ALS/ other life support 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).

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.

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).

Employer details

Employer name

Royal Surrey NHS Foundation Trust

Address

Egerton Road

Guildford

Surrey

GU2 7XX


Employer's website

https://www.royalsurrey.nhs.uk/ (Opens in a new tab)


Employer details

Employer name

Royal Surrey NHS Foundation Trust

Address

Egerton Road

Guildford

Surrey

GU2 7XX


Employer's website

https://www.royalsurrey.nhs.uk/ (Opens in a new tab)


Employer contact details

For questions about the job, contact:

Critical Care Unit Administrative Manager

Deborah Simao

deborah.simao1@nhs.net

Details

Date posted

07 June 2023

Pay scheme

Hospital medical and dental staff

Grade

Doctor - other

Salary

£58,398 a year Plus London Weighting and Enhancements

Contract

Fixed term

Duration

6 months

Working pattern

Full-time, Part-time, Job share, Flexible working

Reference number

C9384-FS-EMF11499-3

Job locations

Egerton Road

Guildford

Surrey

GU2 7XX


Supporting documents

Privacy notice

Royal Surrey NHS Foundation Trust's privacy notice (opens in a new tab)