Senior Fellowship in Major Trauma & Acute Care Surgery

Senior Fellowship in Major Trauma & Acute Care Surgery

The London Trauma System went fully live across all four trauma networks in January 2011 at four Major Trauma Centres (MTCs), located at The Royal London Hospital (Whitechapel), King's College Hospital (Denmark Hill), St George's Hospital (Tooting) and St Mary's Hospital (Paddington). The networks are formally linked into areas adjacent to London, giving a total resident population served by the London Trauma System of 12 million people.

Data from LAS demonstrates that the St Mary's MTC consistently receives around 35% of all patients in London who trigger the Major Trauma Tool. The department is seeing now over 3000 trauma calls per annum, and around 700-800 patients in the most injured category (Injury Severity Score ISS>15).

St Mary's Major Trauma Service consists of Consultants drawn from general surgery, vascular, neurosurgery, orthopaedics and plastics services across Imperial, contributing to a Surgeon of the Week model. The service is supported by Consultants and Registrars from neurosurgery, cardiothoracic, anaesthetics, radiology, intensive care, plastics, vascular, general surgery, and visiting consultants from other specialist centres to support burns and maxillofacial requirements.

Main duties of the job

The role for the Fellow in Major Trauma will be to support the consultants and the Trauma Director in the delivery of the major trauma service and to provide expert clinical skills in leading the assessment and treatment of these patients.

The post holder will be expected to gain experience in the acute and ongoing management of severely injured patients. The aim is to allow the Fellow to become proficient in the evaluation of critically-ill and injured patients; the initiation of appropriate and complete diagnostic and treatment plans; the development and implementation of patient care plans; providing leadership which facilitates the interaction within the entire team of caregivers and with the patients and their families.

St Mary's is one of only five MTCs nationally approved to host Major Trauma TIG fellowships. The Fellow post will follow the TIG syllabus and post-holders will be expected to achieve the same competencies as TIG fellows.

Fellows are expected to participate in research and will have time in their job plan to conduct academic activity. They are expected to deliver academic outputs such as papers and presentations. Fellows will be provided with a research mentor from among the faculty. Research mentors are assigned based on mutual areas of interest. The post holder will have a commitment to teach in the trauma unit and support Network wide education activities.

Job responsibilities

1. To gain experience and become competent in the management of the trauma patient, particularly the management of penetrating and blunt trauma, whilst continuing emergency work in their base speciality.
2. To gain operative/clinical competencies at the management of the poly-trauma patients.
3. To undertake a research project during the fellowship period.
4. To participate in formal and informal teaching of junior doctors, medical and nursing students and paramedics.
5. Daytime commitments include ICU & Major Trauma Ward multidisciplinary ward round, attendance at trauma calls, prioritising and organising trauma operating, experience in emergency neuro-surgical theatres, and attendance at multi-disciplinary trauma follow-up clinic.
6. On-call commitments include attendance at out of hours trauma calls penetrating, code red and at the discretion of the Trauma Team Leader.

Person Specification Qualifications

• On GMC's register/Licensed Medical Practitioner
• MRCS
• Within 2-3 years of CCT
• FRCS
• CCT

Language

• Spoken and written English to the appropriate standard necessary to fulfil the job requirements

Academic achievements including research/track record of publications

• Ongoing research interests

Audit

• Understanding of audit principles
• Evidence of completed projects with relevant action plans in place.

Teaching & Training

• Experience of teaching and training
• Experience of development of relevant guidelines and protocols
• Training the Trainers course or equivalent

Clinical skills

• Appropriate to job description

Relevant experience in specialty/Sub specialty

• Appropriate to job description
• Previous experience of trauma in a UK/non-UK Level 1 trauma centre

Disclosure and Barring Service Check

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.

Depending on experience £41,750 - £64,288 per annum plus London Weighting