Job Description

One clinical fellow post is available from February 2024 for an initial period of six months, renewable by mutual agreement. Applicants should be ST 6-7 or post-CCT Anaesthetists with the FRCA (or equivalent) and have an interest in perioperative medicine and pre-operative risk assessment. The aim of this fellowship is to provide the applicant with experience in all aspects of perioperative medicine in preparation for pursuing this interest as consultant and the post has been designed to meet the criteria for advanced training.

Main duties of the job

Alongside the clinical experience available in theatres, this post would provide training and experience in all other aspects of perioperative medicine including:

Preoperative optimization, risk stratification and shared decision making through participation in our High-Risk Anaesthetic Clinics, IV iron service, CPET clinics and surgical specialty MDT meetings.

Quality improvement in intraoperative care we have established enhanced recovery pathways for most of our surgical specialties and you would be involved in both delivering and developing these.

Analgesic modalities for major surgery training available in wide variety of techniques for both awake and asleep surgery including thoracotomy, major abdominal surgery, breast and orthopaedics.

About us

Royal Surrey is a compassionate and collaborative acute and community Trust. Recognising that our 5000 colleagues are our greatest strength, we offer a comprehensive health and wellbeing program along with a commitment to developing and advancing your career. Our diverse and welcoming Royal Surrey family will ensure you that you feel valued from your initial interview through your entire tenure.

We are clinically led and provide joined up care by bridging the gap between hospital and community services alongside regional specialist cancer care. Our main acute hospital site is in Guildford with community hospital sites at Milford, Haslemere and Cranleigh. We provide adult community health services in homes across Guildford and Waverley.

We have received an overall Good rating from the CQC with Medical care (including older peoples care), End of Life Care and Maternity services being deemed Outstanding by the CQC.

Royal Surrey has a strong reputation and history to build on. We are proud of our achievements and we are investing in our colleagues through our commitment to supporting professional development as well as investing more than 45 million in our physical environment and new equipment in the next few years. There has never been a better time to join us.

Although it isn\'t the Trusts normal practice, adverts may close early, so you are encouraged to submit an application as soon as possible.

A video about the Royal Surrey - https://www.youtube.com/watch?v=5HsiGn9joTQ

Job description
Job responsibilities

There are multiple opportunities to gain experience teaching junior doctors and other healthcare professionals with tutorials/OSCE/high fidelity simulation via our active education department

The post has a senior level of on-call clinical commitment which is primarily out of hours (night time and weekend) work. The on-call role is to oversee and assist 2 trainees in the Intensive Care Unit, participating in handover rounds and pro-actively managing patients in the ICU, and to oversee and assist 2 anaesthetic trainees in theatres, labour ward and anywhere else in the hospital where senior level anaesthetic or critical care input is required. Outside of the on-call commitment the rest of your job plan is entirely dedicated to achieving your personal goals within perioperative medicine. With the multiple opportunities on offer and a flexible approach from the department, you will be able to tailor your experience and training to optimise your CV.

Surrey University Campus is adjacent to the hospital and provides excellent opportunities for collaboration in research. The New Postgraduate Medical School building opened in 2005, and houses the MATTU (minimal access therapy training unit). The European Institute of Health Studies which is situated in Guildford provides training for nurses, midwives and other health care professionals both from the Trust and throughout Health Authority. The University of Surrey provides BSc (Hons) Nursing Degree programme.

The department has an active research interest and all post holders will be expected to complete audit and / or original research during their period of training. The CPX service is involved in a multi-centre study investigating vagal dysfunction and post-

operative outcomes (POM-HR), the successful applicant would be expected to become an active participant in this project and other potential collaborative studies.

Research activity in the department is well established with patients enrolled into large multi-centre trials (including PROWESS-SHOCK, TRACMAN, OPTIMISE, EuSOS, and Promise) as well as local investigator-led trials predominantly regarding enhanced recovery, cardiac output monitoring and optimisation of fluid resuscitation and analgesia. Patients have recently been enrolled into Calories, OBTAIN, DREAMS, ETPOS, ENIGMA-2 and LAS VEGAS. We have recently formed a research group Surrey Perioperative Anaesthesia Critical care collaborative Research Group (SPACeR) and this is now a Clinical Academic Group (CAG) with the University of Surrey and Ashford and St. Peters NHS Foundation Trust: http://www.spacer.org.uk/. Several clinicians hold honorary lecturer positions at the University. There are currently research fellows based in anaesthesia and in ICU and all post holders will be expected to complete a quality improvement program, audit and / or original research during their period of training. All post holders will be allocated a mentor at the beginning of their post to assist with this.

Research activity in the department is well established with patients enrolled into large multi-centre trials (including PREVENTT, PROWESS-SHOCK, TRACMAN, OPTIMISE, EuSOS, and Promise) as well as local investigator-led trials predominantly regarding enhanced recovery, cardiac output monitoring and optimisation of fluid resuscitation and analgesia. Patients have recently been enrolled into Calories, OBTAIN, DREAMS, ETPOS, ENIGMA-2 and LAS VEGAS. Projects in development include collaborations with the pharmaceutical industry, the University of Surrey and further afield. We have recently formed a research group Surrey Perioperative Anaesthesia Critical care collaborative Research Group (SPACeR) and this is now a Clinical Academic Group (CAG) with the University of Surrey and Ashford and St. Peters NHS Foundation Trust: http://www.spacer.org.uk/. Several clinicians hold honorary lecturer positions at the University of Surrey and UCL. Two consultants are also National Clinical Leads for Enhanced Recovery.

There are currently research fellows based in anaesthesia and in ICU and all post holders will be expected to complete a quality improvement program, audit and / or original research during their period of training. All post holders will be allocated a mentor at the beginning of their post to assist with this.

Person Specification
Qualifications
Essential

• Full GMC Registration with a licence to practice
• FRCA Fellowship of Royal College of Anaesthetists (GB) or equivalent higher specialist qualifications in Anaesthetics
• Demonstrable experience and training in anaesthesia, appropriate to St6+ in Anaesthetics (pre or post CCT)

Desirable

• Evidence of instructor status for ALS/ other life support training.

Knowledge
Essential

• Audit experience

Desirable

• Previous experience in Patient Safety projects
• Experience in management of high risk surgical patients.

384-FS-EMF14487

Company

The Royal Surrey NHS Foundation Trust is a multi-site acute and community Trust, based in Guildford, which serves a population of more than 336,000 across south west Surrey. We are also a specialist tertiary cancer centre, offering state-of-the-art diagnostic and treatment services to a population of up to two million and a tertiary specialist centre for ENT and Maxillofacial surgery. We attract referrals from across the whole country for other specialties (i.e. urology).

We attract referrals from across the country for some specialties including urology. Our Minimal Access Therapy Training Unit (key-hole surgery) is one of only three such training units in the UK. Our patients also benefit from state of the art diagnostic equipment including two MRI scanners, four CT scanners, interventional radiology equipment and a gamma camera. We have one of the lowest mortality rates in the country.

We employ around 4,200 members of staff making us one of Guildford\'s largest employers. In addition, the hospital is supported by a thriving group of 500 volunteers all of whom provide valuable services on an independent, voluntary basis.

We have a great reputation and history of embracing quality improvement (QI) and transformation work - continuously improving is one of our core values.

The Trust has strong links with the nearby University of Surrey and staff are well supported if they wish to undertake further study. As well as this, staff are able to develop and enhance skills and knowledge by undertaking post-qualification support and training at the hospital\'s dedicated Education Centre

Situated on a green field site on the outskirts of Guildford, the Trust has excellent rail and road links (via the A3 and M25) to London (35 minutes) and to the south coast (35 minutes).

Guildford has great shopping, entertainment and leisure facilities. The picturesque Surrey countryside is ideal for good walks and outdoor pursuits and has numerous historic village inns. Guildford has a number of schools, both private and state, which cater for all bands of ability.

Find Us Website Telephone 01483 571 122

British Medical Journal