Clinical Fellow in Anaesthesia

·
Internship
Careers at #LNWH

London North West University Healthcare NHS Trust (LNWH) cares for the people of Brent, Ealing, Harrow and beyond.

Our team of more than 8,200 clinical and support staff serve a diverse population of almost one million people.

We run major acute services at: Northwick Park Hospital: home to one of the busiest emergency departments (A&E) in the country. The hospital provides a full range of services including the country's top-rated hyper-acute stroke unit and one of only three hyper-acute rehabilitation units in the UK. St Mark's Hospital: an internationally renowned specialist centre for bowel disease. Ealing Hospital: a busy district general hospital providing a range of clinical services, as well as 24/7 emergency department and urgent care centre, and specialist care at Meadow House Hospice. Central Middlesex Hospital: our planned care site, hosting a range of surgical and outpatient services and collocated with an urgent care centre. We are a university teaching NHS trust, in recognition of the important role we play in training clinicians of the future and bringing the benefits of research to the public.

Job overview

This is an exciting opportunity for the appointee to work in a major NW London NHS trust, with a reputation for educational excellence within a friendly and supportive culture! This post is based at Ealing Hospital theatres, which is one of three sites within our trust (Northwick Park, Ealing and Central Middlesex Hospitals). Successful candidates will further their experience in a range of surgical subspecialties, to include elective and emergency upper & lower general surgery, orthopaedics/trauma, gynaecology, endoscopy, and dental surgery. The upper GI service has recently expanded, providing increased capacity for surgery such as laparoscopic cholecystectomy and an upper GI hub is planned for the near future.

There is a dedicated emergency/trauma theatre list 24/7, with weekday consultant cover. In addition, the department provides an outreach service for ECT and for DC cardioversions in the Coronary Care Unit. Also included are potential opportunities to work at the Northwick Park Hospital site to broaden this case mix, to include major head & neck, vascular, obstetrics, urology and major colorectal surgery.

Main duties of the job

The post holder must: Know when to ask for help, whom to ask for help, and not act beyond the level of his/her own competence. There is always an anaesthetic middle grade onsite and also a supervising consultant/duty consultant for guidance and assistance. Effect detailed hand-over at the end of a duty shift. In the event of a list cancellation or early finish, be available on site for possible reassignment to other lists. OBJECTIVES Ensure familiarity and compliance with: Corporate policies and procedures (available for viewing on the Trust intranet). Workplace policies and procedures. Quality improvement measures. Patient safety initiatives. Theater efficiency initiatives. Participate in: Continuous professional development (CPD). Clinical governance. Critical incident reporting. Mandatory in-house training. Teaching. Assessments appropriate to training/CPD. LOCATION OF DUTIES Duties will be primarily based on Ealing and Northwick Park sites. The post holder should be prepared to perform duties in occasional emergencies and unforeseen circumstances. Commitments arising in such circumstances are however exceptional and the post holder will not be required to undertake work of this kind for prolonged periods or on a regular basis. All efforts will be made to ensure that work of this kind does not result in continuous hours of duty which exceed the New Deal continuous hours of duty limits.

Detailed job description and main responsibilities

The anaesthetic department is highly regarded in the region as a centre of excellence for anaesthetic educational initiatives, with our friendly reputation for supporting and training anaesthetic trainees and locally employed doctors. We desire all our team to achieve their maximal potential! Our success speaks for itself- many of our recent trainees have chosen to return as substantive consultants, most of our locally employed doctors and trainees have successfully achieved their FRCA exam with us, gained national training numbers and even specialist registration via the GMCs portfolio pathway.

This post is ideal for a junior anaesthetist and it is essential that candidates have a minimum of 6 months experience in anaesthesia and have evidence of achieving their Initial Assessment of Competence (IAC) or equivalent. There will be opportunities for the successful applicant to gain further clinical experience, with potential to develop educational, management and quality improvement initiatives to support their own professional development. It could also provide a route to either applying for a Specialist Training number or following an alternative path, such as the CESR/portfolio pathway route.

Person specification

Essential criteria Possession of basic medical qualification (e.g., MBBS or equivalent registerable medical qualification) and completion of at least one year in an internship post. Provision of evidence of having worked for a minimum of 6 months in the last year in anaesthesia. Provision of evidence of good standing from the applicant's local medical regulatory council. Demonstrate knowledge of English by obtaining an overall score of 7.5, with minimum scores of 7.0 in speaking, listening, reading and writing in the IELTS. Eligibility for PLAB exemption. Provision of two structured, supportive references from supervising consultants, both of whom must have worked with the applicant within the last 2 years. Minimum of 6 months of anaesthetic training. Initial Assessment of Competence (IAC) or equivalent. Advanced Life Support certification (UK or equivalent). Appropriate knowledge, practical skills and attitude to independently preoperatively assess and anaesthetise ASA 1 or 2 patient having minor/moderate uncomplicated surgical procedure. Ability to identify high risk patient preoperatively. Ability and attitude to recognise a deteriorating patient and when to call for help. Working knowledge and familiarity with commonly used anaesthetic equipment and drugs. Familiarity with core anaesthetic national guidance, e.g., DAS guidelines for failed intubation. Coherent, diplomatic and effectively communicates with theatre team, patients and their families. Enthusiasm and commitment to the specialty. Ability to work in harmony with medical, nursing and allied health professionals. Flexibility, punctuality and reliability. Ability to cope with stressful situations. GMC registration is a mandatory requirement. Desirable criteria Further experience in anaesthetics or intensive care or acute medical specialties. Awareness of specialty developments. IT skills including use of databases, spreadsheets, Word, PowerPoint etc. Demonstrable presentation skills in educational or scientific settings. Personable. Project management skills. Essential criteria Understanding of audit principles and commitment to its use as a tool for raising and maintaining standards. The Trust is committed to safeguarding and promoting the welfare of children, young people and adults at risk and expects all staff and volunteers to share this commitment.

We promote the wellbeing and safety of all our patients and carers by acting promptly on concerns, communicating effectively and sharing information appropriately, according to the standards determined by our policy and procedures. All posts working with vulnerable groups will be subject to an enhanced criminal records check upon appointment and staff will need to give their consent for the Trust to receive regular updates on their criminal records status throughout their employment. #J-18808-Ljbffr

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