Clinical fellow in Kidney Transplant and vascular access surgery
Posted 1 day 3 hours ago by NHS
The posts will suit applicants who wish to gain extensive experience in renal transplantation and vascular access surgery. Previous experience in General and Vascular Surgery is advantageous.
You will be providing the highest quality care to one of the largest dialysis and transplant cohorts in the UK under the direct supervision of a team of highly motivated consultant surgeons.
The appointee will be exposed to all aspects of advanced dialysis access and transplant surgery and the relevant medical management of these complex patients on a 1:5 on-call rota. This post is EWTD compliant.
The unit performs an average of 200 renal transplants and more than 500 dialysis access procedures per year (including HeRO graft, extra-anatomical PTFE graft, EndoAVF, and IVUS plasty) with a large live donor transplant programme that includes HLA and ABO incompatible transplantation.
These posts will be especially suited to international fellows or as secondments, who want to gain experience in routine and highly complex transplant and vascular access surgery.
There is an active research programme in transplant immunology, basic science, negative pressure wound therapy, and qualitative research in improving patient experience and outcomes. The appointees will be encouraged and expected to participate in it and publish their work.
Main Duties of the JobGeneral duties will provide wide exposure to all parts of the renal transplant and dialysis access training including:
- At least once daily ward round with the consultant surgeon and nephrologist
- Clinic reviews
- Pre-transplant assessments
- Post-transplant acute clinics
- Dialysis (PD and vascular) access clinics
- Pre-assessments clinic
- Regular theatre sessions (5-day operating sessions)
- Elective living donor transplants
- Laparoscopic donor nephrectomy
- Hand-assisted transperitoneal, retroperitoneal donor nephrectomy
- Laparoscopic/Percutaneous/Robotic Peritoneal dialysis catheter insertions
- Robotic living donor transplants
- Complex vascular access
- Complex abdominal wall hernia service (joint procedures with plastic surgery team for pedicle flaps)
- Renovascular reconstruction with auto-transplantation
- Elective general surgery for dialysis and transplant population (including laparoscopic hernias, cholecystectomy)
- Emergency deceased donor transplants
- Emergency surgical vascular access salvage surgery
The Barts Health group of NHS hospitals is entering an exciting new era on our improvement journey to becoming an outstanding organisation with a world-class clinical reputation. Having lifted ourselves out of special measures, we now have the impetus and breathing space to chart a fresh course in which we are continually striving to improve all our services for patients.
Our vision is to be a high-performing group of NHS hospitals, renowned for excellence and innovation, and providing safe and compassionate care to our patients in east London and beyond. That means being a provider of excellent patient safety, known for delivering consistently high standards of harm-free care and always caring for patients in the right place at the right time. It also means being an outstanding place to work, in which our WeCare values and behaviours are visible to all and guide us in how we work together.
We strive to live by our WeCare values and are committed to promoting inclusion, where every staff member has a sense of belonging. We value our differences and fully advocate, cultivate and support an inclusive working environment where staff treat one another with dignity and respect. We aim to create an equitable working environment where every individual can fulfil their potential.
Barts Health supports the Pregnancy Loss Pledge and commits to supporting their staff through the distress of miscarriage.
Job ResponsibilitiesPlease refer to the job description and person specification for the main responsibilities of this role.
Please be advised that the vacancy advertisement may close early if a sufficient number of applications are received; therefore, we recommend that you submit your application as soon as possible to avoid disappointment.
Person Specification Qualifications- MB BS, or equivalent
- MRCS/FRCS or equivalent
- MD/PhD
- Knowledge of basic vascular access surgery
- Knowledge of all aspects of renal transplantation
- Publication in this area
- Training in general surgery/vascular surgery
- Experience in training undergraduates and postgraduates
- Previous exposure in renal transplant and vascular access surgery
- Able to provide evidence of clinical audit and demonstrate understanding of impact and challenges this brings.
- Experience of audit management
- Ability to demonstrate personal experience of clinical research and describe and discuss findings and impact.
- Experience of research, presentations to learned societies on topics related to surgery
- Demonstrate number of publications in indexed journals, over a variety of subjects relevant to this post.
- PhD/MD Thesis
- Excellent presentational and verbal skills, ability to motivate and develop medical trainees, awareness of best practice through evidence-based medicine, and personal drive to enact change with the team
- IT skills and computer literacy
- Self-motivated with an enquiring, critical approach to work, ability to work under pressure, caring attitude to patients, commitment to continuing medical education, willingness to undertake additional professional responsibilities at local, regional or national level, collegiate approach to work and colleagues, ability to drive change through collaboration and consultation with key stakeholders.
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.