Senior Clinical Fellow in Anaesthesia for Complex Orthopaedic Surgery

Oxford University Hospitals NHS Foundation Trust; Oxford; On-site; GBP 50,000 - 90,000; Full time

Job description

Job summary

Two clinical Fellow posts are available for an initial 12 months, which may be extended by mutual arrangement. Applicants are welcomed from a background in anaesthesia at ST7 level, or post-CCT. The Fellowship will be tailored according to experience.

Successful applicants will be on call for the NECA. They will have one day per week dedicated to complex orthopaedic anaesthesia projects and quality improvement in the NECA. It is expected that they will undertake a structured project relevant to complex orthopaedic anaesthesia. The topic will be chosen by mutual agreement with the programme supervisors (Drs Vassilis Athanassoglou and James Day) based on the Fellow's experience and existing ideas/interests.

Main duties of the job

The posts accompany the formation of the Nuffield Orthopaedic Centre Enhanced Care Area (NECA). This year-long post will allow the trainee exposure to looking after patients on the NECA and will familiarise them with complex orthopaedic anaesthesia, regional anaesthesia, and other anaesthetic subspecialties after discussion with the College Tutors.

In addition, the Fellow will have ample opportunity to develop their skills in perioperative medicine, point of care ultrasound, and interested and highly qualified fellows will be given the opportunity to develop skills in echocardiography. When the fellow is not on shift in the enhanced care area, they will be able to rotate through sub-specialties in Anaesthesia including but not limited to Vascular, Regional, Transplant, Major Cancer, Emergency, and Trauma Anaesthesia.

Job description

Job responsibilities

a. Aims and responsibilities:

The main responsibility is the overnight cover of the NECA. Daytime responsibilities will vary depending on the needs of the anaesthetic department but will primarily be focused at the Nuffield Orthopaedic Centre. However, the post holder will work across the Oxford Radcliffe NHS Trust group of hospitals, especially in times of unprecedented demand (e.g. pandemic):

- The John Radcliffe Hospital: Trauma, Neuro, Obstetrics, Vascular, Airway, Plastics, Paediatrics, Gynaecology, Obstetrics and Intensive Care

- The Churchill Hospital: Transplant, Oncology, Airway, and Intensive Care

- The Nuffield Orthopaedic Centre: Theatres and Enhanced Care Unit

The specific aims and objectives will be set by the Fellow in conjunction with their supervisors. The Fellowship will allow development of advanced skills in perioperative medicine and various anaesthesia disciplines including both planning and delivering anaesthesia to the most complex cases occurring in this specialist centre. There will be opportunities to work with distant, local, and direct supervision.

On starting the post, Fellows work under the direct supervision of senior staff until they have successfully completed appropriate induction to their new site of work. The Fellow will average three half-day sessions per week of training activities supervised by a Consultant Trainer. Every three months during the post (or more frequently if required), training will be reviewed by their Supervisor.

Fellows are expected to keep accurate contemporaneous records of clinical activities or events, including pre-operative assessment, pre- and postoperative care, pain relief, critical incidents, etc., using the Trust approved documentation.

Fellows are expected to keep a record of their training including a log book of cases and a record of other activity.

b. Clinical:

The work schedule is resident, full shift 1:8 on call rota, mainly covering the NECA but this may occasionally change to involve cover in Obstetrics and all Critical Care areas, especially in periods of high need, e.g. pandemic.

Person Specification

Skills and Knowledge

Essential

• Evidence of team leadership skills to be able to undertake effectively the role of a Fellow, in a large multi-site teaching hospital
• Organisational skills to be able to undertake effectively, the role of a Fellow within a large multi-site teaching hospital.
• Management training and experience Commitment to Continuing Professional Development (CPD)
• Good personal and interpersonal skills
• Good spoken and written English. Communication skills should be highly developed.
• Experience of teaching medical, nursing, paramedics, undergraduates and postgraduates
• Experience of routine clinical audit

Desirable

• Knowledge of the organisation of the NHS and the Government's agenda for modernisation
• Computing skills: ability to use a word processor, spreadsheet programme and web browser
• Flexible approach to problem solving
• Experience in perioperative medicine based teaching
• Willingness to conduct and/or supervise audit

Experience

Essential

• Specialist training in anaesthesia and experience in multidisciplinary team working.
• Ability to make decisions at ST6/7 level
• Independent at providing anaesthesia for orthopaedic cases, for obstetric emergencies, as well as general surgery, emergency and trauma surgery
• Interest in research

Desirable

• Management of complex rotas
• Publications/presentations
• Experience of providing anaesthesia for complex ASA 3-4 patients

Qualifications/Training

Essential

• FRCA, FICM or equivalent
• In training post in Anaesthesia / ICM or completed ICM / Anaesthesia training or completed Level 2 or Level 3 ICM training
• GMC Registration in Anaesthetics and / or Intensive Care Medicine

Desirable

• CCT, Higher Medical Degree, ATLS, ALS
• High ranking in their training programme
• Highly recommended by Training Programme Director

Other Requirements

Essential

• Full GMC Registration

Desirable

• Full driving license