Senior Clinical Fellow - General Surgery
Full-time
Senior Executive
Bedford, MK42 9DJ, England
6 months ago
The Clinical Fellow will be expected to cover the Vascular and General surgical unit at middle grade (registrar) level. On call h.....
The Clinical Fellow will be expected to cover the Vascular and General surgical unit at middle grade (registrar) level. On call he/she will be supported by an FY1 and either an FY2 or a CT trainee and will answer to the on-call consultant. On call they will be required to cover the specialities of General Surgery, Vascular and Urology and in turn will be covered by the respective consultants in those specialities. The post-holder must respond promptly to calls from A&E and the wards (medical and surgical) to give advice and/or see and manage patients. They would be expected to see urgent and emergency referrals from other disciplines/wards within the hospital. He/she must confer with the consultant on call and keep a record of such patients in the admission diary so that the patients could be appropriately followed up. The Senior Clinical Fellow will keep an accurate and meticulous record in patients case notes and will supervise junior medical staff to do so. All entries in the case notes should be signed (with time, date and contact number). In addition he/she will provide clinical supervision and support to the junior medical staff. They must keep accurate record of emergency admissions and referrals and formally handover to the on call team at the end of their shift. Handover must be formal, should follow the SBAR pattern (Situation, Background, Assessment and Recommendation) Similarly they must make sure that they have understood the patients problems and needs when receiving handover from somebody else. They will supervise juniors in writing comprehensive but succinct discharge letters and summaries. They must ensure that VTE prophylaxis assessment is undertaken and that prophylaxis is given. They must supervise, guide and teach junior members of the team in such skills as time management and team working. The Senior Clinical fellow will be expected to participate in departmental academic activities and audit of mortality and morbidity. They must demonstrate a willingness to learn and avail all opportunities to advance their clinical and operative skills. They will be expected to attend, assist and perform operations and procedures within their ability. The Senior Clinical Fellow will undertake duties in occasional emergencies and unforeseen circumstances at the request of the appropriate Consultant(s), in consultation where possible with colleagues both senior and junior. Additional commitments arising under this paragraph are exceptional. In particular, the doctor will not be required to undertake work of this kind for prolonged periods or on a regular basis. They must read and follow any protocols of medical cover laid down (either in writing or verbally) for the firm in which they are working. In case of any difficulty ensure that advice is sought from a senior colleague.
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