Senior Clinical Fellow in Transplantation and Renal MedicineinLondoninLondonPUBLISHED TUE 1 APR 2025

We have two vacancies at ST3+ grade working on the current registrar ward and on call rota. The posts would be suitable for anyone with previous renal experience at any grade, including prior to acquisition of a training number or later on in training prior to obtaining a consultant post. The post provides excellent training in all aspects of renal medicine. It offers unparalleled experience in acute renal transplantation in an internationally renowned centre.

Clinical work in this post is centred around the care of inpatients on the two main renal wards (Richard Bright for Transplants and Patience ward for dialysis and Updated November 2nephrology). The post holder will rotate through the clinical work in these areas. There are also a number of clinics including specialist clinics in lupus, vasculitis, pre-pregnancy and glomerular disease, which the post holder will be expected to participate in. Being a large nephrology and transplant centre, there is also plenty of opportunity to increase experience in practical procedures, including renal transplant and native biopsies and tunnelled lines.

Given the diverse scope of clinical work at Guys in transplantation, nephrology and dialysis, this is an excellent post to gain training and increase clinical experience in all of these areas.

The post holder will also be actively encouraged to participate in clinical audit and M&M reviews, and will have the opportunity to participate in management meetings.

There are two main renal wards in the unit staffed by 9 ST3+ weekdays and 1 ST3+ over the weekend. The post offers an unparalleled experience and training in the care of renal and transplant patients. Guy's renal unit performs over 175 transplants per year and provides care for over 600 dialysis patients. There are around 50 renal inpatient beds.

The post holder will work on the ST3+ rota, which will mean rotation through the various different subspecialties through the post. Generally these with be on Richard Bright (renal transplant ward), Patience (acute nephrology and dialysis ward), procedures (renal biopsy and tunnelled line insertion), haemodialysis and Renal Rapid Access Clinic cover, St Thomas' Hospital referral cover and clinic cover.

The post holder will be responsible to the on call consultant on the ward, and will be expected to work well as part of the multidisciplinary team with close liaison with the transplant surgical team.

About us

On call work

The successful candidate will be expected to participate in the current on call rota for ST3+ grades. The current rota is a full shift system with a 1 in 9 cycle pattern.

Education and Professional Development

The post holder will have an appointed educational supervisor throughout the post and will be actively encouraged to attend appropriate training events. There will also be an opportunity to participate in a range of clinical audit projects and investigate potential research opportunities within the unit. The post holder will be involved in supervision and teaching those at ST2 grade and below, and clinical teaching for medical students.

1. Other responsibilities

Duties and responsibilities: Clinical: The post holder will, together with colleagues, be responsible for the provision of services to the Guys & St Thomas NHS Foundation Trust to include:

a) Diagnosis and treatment of patients of the trust in such hospitals, health centres or clinics or other premises as required.

b) Continuing clinical responsibility for the patients in your charge, allowing for all proper delegation to, and training of, your staff.

Training of junior staff: The post holder will take responsibility for the training and direction of junior staff allocated to him/her under aegis of the training plan that that post holder has agreed with their supervising consultant.

Teaching: The post holder will be expected to contribute as appropriate in the teaching of undergraduate and postgraduate students.

Clinical Governance: All medical and dental staff are expected to take part in clinical governance activity, including clinical audit, clinical guideline and protocol development and clinical risk management. They will be expected to produce evidence of their contribution in these areas and their audit of their own clinical work as part of their appraisal.

Mutual Obligation to Monitor Hours: There is a contractual obligation on employers to monitor working hours through robust local monitoring arrangements supported by national guidance, and on individual doctors to co-operate with those monitoring arrangements.

Educational Programme:. The post holder will be expected to attend and contribute to educational activities e.g. departmental meetings, x-ray meetings, pathology meetings, multidisciplinary meetings, journal clubs etc.

Other: The list of duties and responsibilities given above is not an exhaustive list and you may be asked to undertake other duties in line with the overall purpose and nature of the post as may be required from time to time.

This job description reflects core activities of a post at a particular time. The trust expects that all staff will recognise this and adopt a flexible approach to work.

All staff are expected to contribute to the smooth running of their clinical service as required; in particular, to comply with the policies and procedures, Standing Orders and Financial Regulations of the trust.