Perioperative Medicine Fellow in ITU and Anaesthetics

Perioperative Medicine Fellow in ITU and Anaesthetics

Homerton Healthcare NHS Foundation Trust

This is an exciting and unique opportunity for a trainee with an interest in perioperative care to develop as a clinician. The post is designed to provide a wide range of perioperative experience for a trainee, including running a pre-operative assessment clinic and working with a range of specialities to continue to develop perioperative services within the Trust. There will also be the opportunity to attend appropriate regional and national events. It is anticipated that during this twelve month post the trainee will be able to amass the perioperative skills and competencies necessary for their specialist training.

The post will be split 60:40 between clinical and perioperative/CT3 activities. Clinical duties will be split between Anaesthesia and Critical Care with an anticipated:

• six months in general/obstetric anaesthesia (obstetric anaesthesia on-calls) and six months in critical care.

The post can either be taken as a stand-alone role or as an Out of Programme Experience (OOPE) from a specialist training programme. For the latter, prior agreement must be sought with the relevant Specialty Training Committee (STC) and the deanery. The post is tailored to meet CT3 eligibility criteria.

Main duties of the job

The post is for one year at Homerton Healthcare NHS Foundation Trust. We would welcome applications from doctors who have previous experience in any of a wide range of specialties, though relevant experience in critical care/anaesthesia is required in order to function independently as a registrar out of hours.

The role of the fellow will be to support the current perioperative pathways and develop new services and operating procedures. This will include running a pre-assessment clinic, working with staff in pre-assessment to help them develop their skills as well as providing anaesthesia on relevant theatre lists eg colorectal surgery. The departments also employ fellows in bariatrics, obstetrics and education and it is anticipated that there will be a degree of overlap between some of the work being done in order to further integrate services. Whilst on ITU there will be an opportunity to work with the multi-disciplinary team to deliver enhanced recovery to appropriate groups of patients as well as developing pre-operative optimisation pathways.

About us

The Homerton Healthcare NHS Foundation Trust sits in the middle of one of the most diverse locations in the world. To this end we are committed to and champion equality and diversity in all aspects of our employment practice and service delivery. All employees are expected to understand and respect this commitment and work with us to promote equality and diversity in the course of their work.

All employees are required to have the appropriate level of English language competence to enable them to effectively carry out their role, deliver safe care and enhance the patient experience.

Job responsibilities

Main responsibilities:

• To develop perioperative pathways and services
• To provide educational opportunities for preassessment staff
• To further develop links with perioperative services and other specialities
• To participate in relevant research, management and educational governance

Learning and educational objectives:

In keeping with the Royal College of Anaesthetists, Stage 2 Level Curriculum, the post-holder will complete the following objectives during the fellowship:

• Deliver high quality preoperative assessment, investigation and management of patients presenting for elective and emergency surgery
• Deliver high quality individualised anaesthetic care to all patients, focusing on optimising patients experience and outcome.
• Plan and implement high quality individualised post-operative care for all patients.
• Take a leadership role in the multidisciplinary team in delivering perioperative care.

The 12-month post is CT3-eligible.

Please refer to the job description and person specification for full details of the role.

Person Specification

Qualifications

• MBBS or equivalent
• Full registration with a licence to practice from the General Medical Council, or eligible for same
• APLS, ATLS, ALS
• Member of a learned society pertinent to intensive care e.g. ICS, ESICM
• Primary FRCA or equivalent

Knowledge and Expertise

• Equivalent to Anaesthesia ST2 level at time of application
• Able to independently treat, resuscitate and stabilise the vast majority of critically-ill patients and able to seek advice and help appropriately
• Able to provide anaesthesia to ASA 1-3 patients and seek help appropriately
• Evidence of involvement in Clinical Governance including clinical audit.
• Evidence of leadership ability
• ALS course instructor
• Familiarity with current IT software packages
• Able to demonstrate an interest in perioperative care
• Shows a commitment to continuing professional development.
• Evidence of development of perioperative programmes

Personal skills

• Good organisational skills
• Good communication skills and an ability to work in teams
• Ability to develop good working relationships
• Commitment to continuing personal development
• Good skills working across organisational boundaries

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.

Homerton Healthcare NHS Foundation Trust

£41,750 to £64,288 a year (pro rata)