Job summary
This role is located in a British Overseas Territory, therefore UK legislation such as the Data Protection Act (2018) and the Equality Act (2010), or similar, may not apply.
The Surgical Clinical Fellow will work closely with the Surgical Consultants. This will provide exposure to a wide variety of general surgery conditions and their treatment, allowing active participation in the operating theatre, endoscopy sessions and clinics.
Clinical Fellows form part of a 1 in 7 residents on call Rota, in cross cover with Orthopaedics and Trauma. Occasional cross cover ENT, Obstetrics and Gynecology, Pediatrics with direct consultant support might be needed and experience in any of the specialties would be advantageous.
The Gibraltar Health Service is organised and modelled on UK NHS and follows traditions of British medical practice. Applicants must be registered with the Gibraltar Medical Board Registry or UK General Medical Council with a license to practice.
Main duties of the job
This is a Clinical Fellow (NCHD) for a General Surgery role. This post will provide you with the opportunity to gain clinical experience in Surgery at the level of CT2 or ST3 (Junior Level).
This is not a recognized training post but provides excellent opportunity for research and training. Our Consultants are registered on ISCP and they are used to supervise trainees and help them to get a training post. Most of the recent fellows have obtained training post after their placement in Gibraltar.
This post will be a GHA appointment for 12 months with a focus on Surgery during normal working hours at St Bernards Hospital.
The successful candidate will be a qualified doctor who has completed at least 2 years of postgraduate medical training (at Foundation Level).
About us
Gibraltar is a British Overseas Territory at the southernmost tip of the Iberian Peninsula, easily reached in just over 2 hours (flying time) from London, Bristol or Manchester airports.
Gibraltar has a rich history, shaped by its position as a gateway between the Atlantic Ocean and the Mediterranean. It is a thriving modern city with a mix of British and Mediterranean influences. English is the official language, but Spanish is also widely spoken.
The Gibraltar Health Authority (GHA) is the public healthcare provider for the people of Gibraltar offering physical and mental health services. The GHA aims to provide high quality, accessible healthcare for all residents, and it operates a range of services from primary care to more specialised treatments.
The GHAs responsibilities include: services through clinics, outpatient services, and hospital care. Managing emergency medical services and accident and emergency (A&E) services. Conducting health campaigns and initiatives aimed at disease prevention and health promotion. Offering mental health care and community-based health services.
Services are mainly provided from St. Bernards Hospital. The hospital also collaborates with international medical institutions for specialised treatment and support.
Job description
Job responsibilities
The Clinical Fellow will be expected to provide resident cover primarily to the Surgical Team during working hours.
- You will be accountable to the Surgical Consultants and their patients.
- After hours and when on call, you will be expected to deal with all surgical inpatients and surgical admissions.
- You will be required to cover all other hospital inpatients and will be the first port of call for routine enquiries.
- You will be expected to deal with issues within your clinical competence and escalate to senior staff if you are unsure (including Obstetrics & Gynaecology, Maxfax, ENT and Urology).
- To undertake such duties as may be required from time to time that are consistent with the responsibilities of the grade and the needs of the service.
The successful candidate will pay an important role in the day to day work associated with the care of St Bernards inpatients.
- Responsibility for the daily ward management of all General Surgery patients Admitting acute surgical patients from A&E and Urgent /Fast Access clinics Admitting of elective surgical patients. There are daily ward rounds starting at 08:30. These are led by the surgical consultants and attended by the surgical juniors (as directed by the weekly rota).
From time to time the CF is required to perform the ward rounds themselves and refer to the consultants for advice and direction.
- The CF is required to perform an evening ward round in order to collate results and ensure that management changes are not required.
- Ward rounds should include all outlying patients and may include appropriate transfer of these patients to the surgical ward if necessary.
- Ensures appropriate and prompt patient management of surgical inpatients both in the Surgery ward and other wards.
- Ensures referral to the medical doctors for the management of surgical patients with complex medical histories.
- Documentation of all ward rounds and clinical decisions must be made in the clinical notes.
- Appropriate investigation and treatment should be initiated as per the unit protocols and standard clinical practice.
- All clinical investigative results should be reviewed, checked and recorded in the clinical notes.
- Abnormal results should be highlighted and acted upon. Such results should be brought to the attention of the appropriate consultant Patient discharges should be coordinated by the CF and the appropriate documentation completed.
- Each patient should have a dictated, type written discharge summary produced and sent to the GP with a copy placed in the clinical notes.Discharge summaries will be dictated within a week of the patient leaving the ward.
- Liaise with Bed manager on the transfer and discharge of general surgery patients.
- Attend the operating room theatre sessions
- Attend theatre sessions as per the weekly rota.
Outpatient activity:Attend surgical outpatient clinics.
- To attend surgical out-patient clinics as per the published weekly rota.
- To be available to attend visiting consultant clinic.
- To see patients as selected and directed by the consultant in charge.
- To report to the consultant at the end of each clinic and go through the management plans as required by the consultant.
- To report to the consultant in charge of the clinic if he/she is called away to perform an emergency duty whilst attending the clinic.
Attend minor operations session
- Will attend the weekly minor surgery sessions as per weekly rota.
- Will organize any further investigations that may be necessary.
- Will perform procedures as directed by the Consultant
PLEASE NOTE THAT THIS IS NOT THE FULL JOB DESCRIPTION WHICH CAN BE PROVIDED UPON REQUEST
Job description
Job responsibilities
The Clinical Fellow will be expected to provide resident cover primarily to the Surgical Team during working hours.
- You will be accountable to the Surgical Consultants and their patients.
- After hours and when on call, you will be expected to deal with all surgical inpatients and surgical admissions.
- You will be required to cover all other hospital inpatients and will be the first port of call for routine enquiries.
- You will be expected to deal with issues within your clinical competence and escalate to senior staff if you are unsure (including Obstetrics & Gynaecology, Maxfax, ENT and Urology).
- To undertake such duties as may be required from time to time that are consistent with the responsibilities of the grade and the needs of the service.
The successful candidate will pay an important role in the day to day work associated with the care of St Bernards inpatients.
- Responsibility for the daily ward management of all General Surgery patients Admitting acute surgical patients from A&E and Urgent /Fast Access clinics Admitting of elective surgical patients. There are daily ward rounds starting at 08:30. These are led by the surgical consultants and attended by the surgical juniors (as directed by the weekly rota).
From time to time the CF is required to perform the ward rounds themselves and refer to the consultants for advice and direction.
- The CF is required to perform an evening ward round in order to collate results and ensure that management changes are not required.
- Ward rounds should include all outlying patients and may include appropriate transfer of these patients to the surgical ward if necessary.
- Ensures appropriate and prompt patient management of surgical inpatients both in the Surgery ward and other wards.
- Ensures referral to the medical doctors for the management of surgical patients with complex medical histories.
- Documentation of all ward rounds and clinical decisions must be made in the clinical notes.
- Appropriate investigation and treatment should be initiated as per the unit protocols and standard clinical practice.
- All clinical investigative results should be reviewed, checked and recorded in the clinical notes.
- Abnormal results should be highlighted and acted upon. Such results should be brought to the attention of the appropriate consultant Patient discharges should be coordinated by the CF and the appropriate documentation completed.
- Each patient should have a dictated, type written discharge summary produced and sent to the GP with a copy placed in the clinical notes.Discharge summaries will be dictated within a week of the patient leaving the ward.
- Liaise with Bed manager on the transfer and discharge of general surgery patients.
- Attend the operating room theatre sessions
- Attend theatre sessions as per the weekly rota.
Outpatient activity:Attend surgical outpatient clinics.
- To attend surgical out-patient clinics as per the published weekly rota.
- To be available to attend visiting consultant clinic.
- To see patients as selected and directed by the consultant in charge.
- To report to the consultant at the end of each clinic and go through the management plans as required by the consultant.
- To report to the consultant in charge of the clinic if he/she is called away to perform an emergency duty whilst attending the clinic.
Attend minor operations session
- Will attend the weekly minor surgery sessions as per weekly rota.
- Will organize any further investigations that may be necessary.
- Will perform procedures as directed by the Consultant
PLEASE NOTE THAT THIS IS NOT THE FULL JOB DESCRIPTION WHICH CAN BE PROVIDED UPON REQUEST
Person Specification
Experience
Essential
- 2 years of post-graduate medical training (ideally CT2-ST3)
Qualifications
Essential
- Medical degree Registration with GMC Minimum of FY2 experience
Desirable
Person Specification
Experience
Essential
- 2 years of post-graduate medical training (ideally CT2-ST3)
Qualifications
Essential
- Medical degree Registration with GMC Minimum of FY2 experience
Desirable
