Senior Clinical Fellow in Obstetrics and Gynaecology

Integrated Care System; Leeds; On-site; GBP 30,000 - 60,000; Full time

Job summary

An Integrated Care System in Leeds is looking for a Senior Clinical Fellow in Obstetrics and Gynaecology. The role entails providing clinical experience, managing patients, and contributing to departmental teaching within a supportive environment. Applicants need to be GMC-registered with relevant clinical experience, including essential life support training, and are expected to engage with diverse clinical challenges across various gynaecological and obstetric settings.

Qualifications

• Completion of Foundation competencies or equivalent.
• Basic Adult Life Support training within past 12 months.
• Experience at ST3+ level in Obstetrics and Gynaecology preferred.

Responsibilities

• Conduct antenatal assessments and provide consultations under supervision.
• Participate in departmental teaching and quality improvement.
• Work on the second on-call rota and manage clinical duties effectively.

Skills

Communication Skills

Teamwork

Clinical Judgement

Education

MBBS or equivalent medical qualification

MRCOG Part 1

MRCOG Part 2 exam

Eligibility for GMC registration

Job description

Senior Clinical Fellow in Obstetrics and Gynaecology

Senior Clinical Fellow (ST3+ equivalent) in Obstetrics and Gynaecology with interest in Acute Gynaecology / Recurrent miscarriage

Applicantsare invited to apply for a post as Senior Clinical Fellow (ST3+ equivalent) inObstetrics and Gynaecology with interest in Acute Gynaecology / Recurrentmiscarriage in Leeds Teaching Hospitals NHS Trust. This is an exciting opportunity to work in afriendly, dynamic, large, teaching acute hospital trust.

Thepost holder will work at a level equivalent to that of a ST3+ trainee.Applicants must have completed Foundation competencies either as part of the UKFoundation programme or demonstrate equivalent training. Applicants shouldideally have experience at working at a ST3+ level for a minimum of 6 monthsideally within the UK. Basic LifeSupport training is essential.

Candidates will require current and valid GMCregistration

Main duties of the job

Theabove post is suitable for doctors wishing to gain clinical experience at aST3+ level in Obstetrics and Gynaecology.The post offers the successful candidate a wide range of experience inall areas of the specialty. Whilst this post is not recognised for training,the appointee will be supported by a Clinical Supervisor to meet their careerand educational goals.

The post holder will also be encouraged to take partin departmental teaching and quality improvement work.

About us

Thegynaecology service is predominantly based at St James University Hospital(Chancellor Wing) and includes general, urogynaecological, recurrentmiscarriage, endometrial ablation, fertility control, complex contraception,menopause (based at a nearby GP practice), perineal and ambulatory gynaecologyclinics such as hysteroscopy (including outpatient resection), vulval andcolposcopy. Gynaecology theatres and thegynaecology acute treatment unit which includes an ultrasound scan service andoutpatient acute gynaecological procedures, are also located here. Someelective gynaecology work including clinics, day case and overnight theatre andhysteroscopy also takes place at Wharfdale hospital.

Thefertility service is based at Seacroft Hospital.

Thematernity service is based at St James University Hospital (approximately 4,500deliveries per year) and Leeds General Infirmary (approximately 5,200deliveries per year).

Leeds Teaching Hospitals is committed to our processof redeploying 'at risk' members of our existing workforce to new roles. Assuch, all our job adverts are subject to this policy and we reserve the rightto close, delay or remove adverts while this process is completed. If you doexperience a delay in the shortlisting stage of the recruitment cycle, pleasebear with us while this process is completed, and contact the named contact ifyou have any questions.

Job responsibilities

Thepost holder will work on the second on call (ST3+) rota, and as such will takeon the responsibilities associated with this role. The post holder will besupervised by a Consultant during clinical duties whether elective or on calland will be expected to work as part of a multidisciplinary team, demonstratinggood communication skills with all members of the team.

Theweekly timetable will vary from week to week. It will include sessions inantenatal clinic, delivery suite, gynaecology outpatients, gynaecology theatreand the emergency gynaecology assessment unit. These sessions are aimed todiversify the post holders clinical experience, to provide a service and toaccommodate the rolling on call rota of long days and night shifts on labourward and the gynaecology acute treatment unit. On call frequency is 1 in 9.

Antenatalclinic The post holder will be expected to:

- Conduct the initial antenatalassessment of women, identify risk factors in the booking history, and consultor refer appropriately under the supervision of a senior registrar orconsultant.

- Counsel women adequately about theinvestigations offered during pregnancy, interpret the results, communicate thesignificance of abnormal results to the patient and arrange further managementif needed.

- Detect and manage commonly occurringdisorders in pregnancy, recognising their limitations, and referring to othercolleagues in the team when necessary

- Recognise the roles of themultidisciplinary team

- Demonstrate good communication withpatients and staffLabourWard The post holder will work under the supervision of a ConsultantObstetrician on call or on hotweek and:

- Work in conjunction with the seniorMidwife

- Be aware of the wishes and concernsof women in labour, and maintain their dignity, autonomy, physical andpsychological comfort

- Help in monitoring of fetal conditionin labour

- Assess and manage abnormal progressin labour

- Have a chance to perform instrumentaland operative deliveries.

- Assist in the management of thirdstage complications

- Assist in the management of maternalcollapse and neonatal resuscitation

GynaecologyOutpatients The post holder will be allocated to attend specific Gynaecologyclinics, but are also encouraged to attend a variety of the more specialisedclinics which provide valuable learning opportunities when possible. The postholder will:

- be able to take a gynaecologicalhistory and perform an appropriate examination with respect for the womansdignity and autonomy

- initiate investigation and managementof common gynaecological problems such as disorders of menstruation,infertility, incontinence, menopausal symptoms, psychosexual problems andgenital tract infections.

- understand cervical screening, themanagement of pre invasive and invasive disease and treatment follow up

- Demonstrate good communication withpatients and staff

GynaecologyAcute Treatment Unit The post holder will work under the supervision of theConsultant Gynaecologist on call or on hotweek and:

- Take referrals from generalpractitioners, emergency department and other specialities concerning womenwith early pregnancy or acute gynaecological conditions

- Assess and initiate management and /or treat common early pregnancy and acute gynaecological conditions

- Participate in acute gynaecologyprocedures including surgical management of miscarriage, manual vacuumaspiration in office setting, Word catheter insertion for Bartholins andlaparoscopic surgery.

- Reviewwomen after elective gynaecology surgeryGynaecologyTheatre The post-holder will observe, assist or undertake procedures intheatre with an appropriate level of supervision.

Thepost-holder will always be resident in the hospital when on duty. TheConsultant Obstetrician will be resident between 08.30-22.00 on weekdays and08.30 and 17.00 on weekends. The Consultant Gynaecologist will be residentbetween 08.30 and 17.00 on weekdays and will conduct a resident ward round onweekends. They will remain resident beyond these times if required but willotherwise be on call from home.

Thepost complies with the New Deal requirements and the European Working TimeDirective.

Pleasesee attached document for full job description and personal specification.

Person Specification

Qualifications

• MBBS or equivalent medical qualification
• Completion of Foundation competencies or equivalent
• Basic Adult Life Support training within past 12/12
• MRCOG Part 1
• Be eligible for full registration with, and hold a current licence to practise from, the GMC at intended start date
• Eligibility to work in the UK.
• Advanced Life Support Certificate from the Resuscitation Council UK or equivalent (as required to complete Foundation competences) by intended start date
• Have completed their post-graduate training at least to a level of an ST2 specialty doctor or equivalent in obstetrics and gynaecology
• ll applicants to have demonstrable skills in written and spoken English adequate to enable effective communication about medical topics with patients and colleagues demonstrated by one of the following:
• Applicants have undertaken undergraduate medical training in English.
• OR
• Achieved the minimum score of 7 across all 4 of the following categories in the academic International English Language Testing System (IELTS) in a single sitting within 24 months at time of application Listening, Speaking, Reading and Writing. (An overall minimum score of 7.5)
• OR
• Achieved the minimum Grade B across all 4 of the following categories in the Occupational English Test (OET) in medicine in a single sitting within 24 months at time of application Listening, Speaking, Reading and Writing. (You must provide your candidate number)
• If applicants believe they have adequate communication skills, but do not have evidence in one of the above forms, they must provide alternative supporting evidence of language skills
• MRCOG part 2 exam
• MRCOG part 3 exam
• Prizes / Distinctions
• Research / Additional academic publications

Experience

• 12 months experience after full GMC registration or equivalent, and evidence of achievement of foundation competences, in line with GMC standards / Good Medical Practice; including:
• make the care or your patient your first concern
• provide a good standard of practice and care
• take prompt action if you think that patient safety, dignity or comfort is being compromised
• protect and promote the health of patients and of the public
• treat patients as individuals and respect their dignity
• work in partnership with patients
• work with colleagues in the ways that best serve patients interests
• be honest and open and act with integrity
• never discriminate unfairly against patients or colleagues
• never abuse your patients trust in you or the publics trust in the profession.
• Evidence of achievement of ST3 competencies in medicine or Surgery (as defined by the curricula relating to Core Medical training or Core Surgical Training)
• Ability to apply sound clinical knowledge and judgement to problems
• Ability to prioritise clinical need
• Ability to maximise safety and minimise risk
• Recognition of, and ability to undertake the initial management of, an acutely ill patient
• Demonstrates understanding of research, including awareness of ethical issues
• Demonstrates understanding of the basic principles of audit, clinical risk management, evidence-based practice, patient safety, and clinical quality improvement initiatives
• Demonstrates knowledge of evidence-informed practice
• Communication Skills:
• Demonstrates clarity in written/spoken communication & capacity to adapt language as appropriate to the situation
• Able to build rapport, listen, persuade & negotiate
• Problem Solving & Decision Making:
• Capacity to use logical/lateral thinking to solve problems/make decisions, indicating an analytical/scientific approach
• Empathy & Sensitivity:
• Capacity to take in others perspectives and treat others with understanding; sees patients as people
• Demonstrates respect for all
• Managing Others & Team Involvement:
• Able to work in multi-professional teams & supervise junior medical staff
• Ability to show leadership, make decisions, organise and motivate other team members for the benefit of patients through, for example, audit and quality improvement Projects
• Capacity to work effectively with others
• Organisation & Planning:
• Capacity to manage/prioritise time and information effectively
• Capacity to prioritise own workload & organise ward rounds
• Evidence of thoroughness (is well prepared, shows self discipline/ commitment, is punctual and meets deadlines)
• Vigilance & Situational Awareness:
• Capacity to monitor developing situations and anticipate issues
• Coping with Pressure and managing uncertainty:
• Capacity to operate under pressure
• Demonstrates initiative & resilience to cope with changing circumstances
• Is able to deliver good clinical care in the face of uncertainty
• Values:
• Understands, respects and demonstrates the values of the NHS Constitution (e.g. everyone counts; improving lives; commitment to quality of care; respect and dignity; working together for patients; compassion)
• Relevant experience in other specialties which would complement a post in Obstetrics and Gynaecology
• At least 2 years experience working in the UK
• At least 1 year experience working at middle grade (ST3+) in UK
• Evidence of relevant academic and research achievements, e.g. degrees, prizes, awards, distinctions, publications, presentations, other achievements
• Teaching:
• Evidence of interest in, and experience of, teaching
• Evidence of feedback for teaching
• Instructor status (or a recommendation for instructor status) in an advanced life support course (ALS, ATLS, EPLS, APLS) or equivalent course
• Management and leadership skills:
• Evidence of involvement in management commensurate with experience
• Demonstrates an understanding of NHS management and resources
• Evidence of effective multi-disciplinary team working and leadership, supported by multi- source feedback or other workplace-based assessments
• Evidence of effective leadership in and outside medicine.
• Demonstrates information technology skills.
• Other:
• Evidence of achievement outside medicine
• Evidence of altruistic behaviour, e.g. voluntary work
• Evidence of organisational skills not necessarily in medicine, e.g. grant or bursary applications, organisation of a university club, sports section, etc.

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.