Clinical Fellow in Transplant and Vascular Access Surgery inLondon inLondon PUBLISHED WED 23 OCT 2024

Band Doctor - other: Depending on experience £41,750 - £64,288 pa +1A (50%) banding +London Weighting FIXEDTERM
EVALUATION AND MANAGEMENT NHS ON-CALL PERITONEAL DIALYSIS TRANSPLANT

Imperial College Healthcare NHS Trust rU4smCFX

Comprehensive Clinical Exposure, Gain hands-on experience in all aspects of transplant and dialysis access surgery, allowing for a well-rounded skill development.

Operative Experience, Direct involvement in a diverse range of surgical procedures, including living and deceased donor transplantations, enhancing surgical proficiency.

Multidisciplinary Engagement, Participation in audit, governance activities, and M&M and MDT meetings fosters collaboration and improves comprehensive care approaches.

Patient Management, Opportunity to manage both in-patients and out-patients across various specialties, improving clinical judgment and patient care skills.

Flexible Fellowship Duration, Possibility of extending the fellowship from 6 months to 1 year based on appraisal and progress allows for tailored career development.

Educational Role, Involvement in teaching undergraduate and elective students aids in developing leadership and mentorship capabilities.

Satellite Surgical Clinics, Experience with satellite clinics within North West London provides additional exposure to community-based practice.

The Clinical Fellow in Transplant and Vascular Access Surgery at Imperial College Healthcare NHS Trust offers a clinical-focused position for a 6-month term, extendable to a year based on progress. The role involves comprehensive exposure to transplant and dialysis access surgery, including participation in operating lists for live donor work, vascular access, and general surgery. Fellows will manage in-patients, conduct ward rounds, and attend outpatient clinics, covering recipient evaluations, living donor assessments, and post-transplant care.

In addition to clinical responsibilities, the fellow will engage in audit and governance activities, joining a rota with existing SpRs and Fellows for surgical middle-grade on-call duties. Operative experience will encompass living and deceased donor transplantation, laparoscopic procedures, and dialysis access techniques, alongside involvement in satellite surgical clinics in North West London. Teaching responsibilities for undergraduate and elective students are also expected.

The Trust Fellowship is 100% clinical, with exposure to all aspects of transplant and dialysis access surgery. The post will be for 6 months (extendable to 1 year dependent on progress/appraisal). Elective responsibilities include attendance at operating lists including live donor work, PD lists, vascular access including local and GA lists. Fellows will be involved in ward rounds and the management of in-patients as well as transplant and access outpatient clinics. On-call activity includes renal and pancreas transplantation, plus emergency vascular access.

We reserve ourselves the right to close this vacancy early if we receive sufficient amount of applications for the role.

Clinical duties include ward rounds and the management of in-patients. Outpatient duties include recipient evaluation, living donor evaluation and post-transplant clinics as well as access clinics (vascular access and peritoneal dialysis). Elective responsibilities include attendance at operating lists including live donor work, PD and vascular access lists and general surgery/urology. Engagement with audit and governance activities will be required, including participation in M&M and MDT. The fellow will join a rota with the existing SpRs and Fellows covering the surgical Middle-grade on-call.

About us

The fellow will gain experience in deceased donor offer evaluation and management of inpatient care. Operative experience will include living and deceased donor transplantation, laparoscopic living donor nephrectomy, general surgery (hernias/ polycystic nephrectomy), transplant nephrectomy and dialysis access procedures. Outpatient experience includes recipient evaluation, living donor evaluation, post-transplant clinics and access clinics (vascular access and peritoneal dialysis). In addition, fellows are allocated to join satellite surgical clinics within North West London. The fellow will be expected to engage with clinic audit and teach undergraduate and elective students.

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More about the NHS

The National Health Service (NHS) is a cornerstone of healthcare in the United Kingdom, established in 1948 with the simple yet profound principle of providing healthcare to all citizens, free at the point of use. This revolutionary system aimed to ensure that access to medical services would not depend on an individual’s financial situation, a concept that has since become fundamental to British societal values. Learn more...

More about PERITONEAL DIALYSIS

Peritoneal dialysis (PD) is a crucial renal replacement therapy option for patients with end-stage kidney disease (ESKD) in the United Kingdom. This therapy utilizes the patient’s peritoneum as a natural filter to remove waste products and excess fluid from the body, thus bypassing the need for conventional hemodialysis. Learn more...

Useful skills for a Clinical Fellow in Transplant and Vascular Access Surgery: Click to view

Working as a Clinical Fellow in Transplant and Vascular Access Surgery in the UK requires a combination of clinical skills, technical proficiency, and non-technical skills. Here are some key skills and qualifications you may need:

Clinical Skills

1. Advanced Surgical Skills: Proficiency in common surgical techniques and procedures related to vascular access and transplantation.

2. Anatomical Knowledge: Thorough understanding of human anatomy, particularly the vascular system and organ transplant procedures.

3. Assessment and Diagnosis: Ability to evaluate patients for transplantation eligibility and vascular access needs.

4. Postoperative Care: Knowledge of postoperative care protocols for transplant patients and those requiring vascular access.

5. Management of Complications: Skills in recognizing and managing potential complications associated with transplant surgery and vascular access.

Technical Skills

1. Surgical Technique: Experience with specific procedures such as arteriovenous fistula creation, central venous access placement, and organ procurement.

2. Minimally Invasive Techniques: Familiarity with laparoscopic techniques and their application in transplant surgery may be beneficial.

3. Use of Surgical Instruments: Competence in handling surgical instruments and operating room protocols.

Non-Technical Skills

1. Communication Skills: Strong verbal and written communication skills to effectively interact with patients, families, and healthcare teams.

2. Teamwork and Collaboration: Ability to work well in multidisciplinary teams and collaborate with other specialists involved in transplant care.

3. Time Management: Effective prioritization and organization to manage multiple patients and surgical cases efficiently.

4. Decision-Making: Strong critical thinking and problem-solving skills to make sound decisions in high-pressure situations.

Qualifications and Experience

1. Medical Degree: Completion of a medical degree (MBBS or equivalent).

2. Postgraduate Training: Completion of foundational and specialty training in a relevant field, such as general surgery or vascular surgery.

3. Registration: Full registration with the General Medical Council (GMC) in the UK.

4. Experience in Related Fields: Previous experience in transplant surgery, vascular surgery, or a similar specialty can be advantageous.

Personal Qualities

1. Resilience and Adaptability: Ability to cope with the demands of a challenging surgical environment and adapt to unforeseen circumstances.

2. Empathy and Compassion: Understanding patient needs and providing support throughout their treatment journey.

Continuous Professional Development

1. Stay Updated: A commitment to lifelong learning and staying current with the latest advancements in transplant and vascular access surgery through continuing medical education (CME) and research.

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