Clinical Fellow in Emergency and General Surgery

Job description

Job responsibilities

This post holder will work full time within the Emergency General Surgery (EGS) service. On a day to day basis this involves being part of the daily inpatient ward round, supporting the F1 with any in-patient issues, helping with the EGS admissions and referrals from both the Emergency Department and local GPs, and assisting the EGS consultant in theatre.

In time there is expectation that the EGS service will run daily Same Day Emergency Care (SDEC) clinics which the post holder will be expected to help with, gaining autonomy in EGS care. There is a plan to introduce hot gallbladder and expedited surgical lists which the post holder will be first assistant for. Depending upon the experience and needs of the post holder, it is expected that they will learn to undertake abscess drainage, insertion of suprapubic catheter, laparoscopic appendicectomy and other appropriate surgical procedures during their time in post. It may be possible to attend minor ops and dermatology lists as long as the EGS work takes priority.

Wards

The general surgical ward team is comprised of 5 F1s and an F2 doctor. Due to on call and leave commitments there are usually 2-3 F1/F2 doctors on the ward each day. One F1/F2 will be present on the EGS ward round and be primarily responsible for the ward jobs although it is expected that the EGS CF (this post) will support the management of the EGS inpatients as needed, undertaking ward administration and advising on management as required. The post holder is also expected to support the other foundation doctors on the ward as necessary and to cover the general surgical inpatients during protected foundation doctor teaching.

Flight transfer

Jersey is aligned to the UK health system and relies on certain centres for tertiary care. Flight transfers are provided by a hospital based Jersey Emergency Transfer team (JETs).

Patients being transferred acutely to tertiary centres such as the Cardiothoracic Unit in Oxford and to the Neurosurgical Unit in Southampton for further specialist treatment are accompanied by a doctor and a trained nurse.

Appointed Clinical Fellows will be expected to be trained to carry out flight transfers. Participation in transfers that take place out of hours will be on a voluntary basis and will command additional remuneration.

Additional Professional Development

Medical students from Southampton University are attached for 8 week rotations in their final year. Clinical Fellow post holders have enjoyed interaction with these enthusiastic trainees and have provided bedside teaching in addition to that provided by Consultants and Middle Grade Doctors. Clinical Fellows have organised mock OSCE in the 7th and 8th weeks of their attachment in preparation for their final examinations. This has been a mutually beneficial exercise.

The Education Centre is a shared facility for Health & Community Services Department and is equipped with a newly built Clinical Skills Lab which has assisted Clinical Fellows in self learning, particularly in procedural work and optimising their cardio-respiratory resuscitation skills, and in teaching their more junior colleagues both medical students and nursing staff.

There are designated clinical fellow tutors and teaching programme which is in protected time which the post holder will be expected to attend.

The duties of the post holder are expected to be flexibly worked, as inevitably a number of activities run concurrently.

Person Specification

Qualifications

Essential

• Primary Medical Degree
• Full GMC Registration & License to Practice

Desirable

• Computer skills
• MRCS Part 1
• ALS / ATLS

Experience

Essential

• General experience: Completion of foundation training or equivalent
• Minimum 4 months general surgical experience in
• foundation years

Desirable

• Enthusiastic Teacher
• Previous Management Responsibility / Leadership Experience
• Clinical Experience in an NHS environment

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

Health and Community Services

Address

Government Of Jersey

19-21 Broad Street

St. Helier

Jersey

Channel Islands

JE2 3RR

Employer's website

https://www.gov.je (Opens in a new tab)