King's College Hospital NHS Foundation Trust
One post-CCT Glaucoma Fellow is required, based at the King's College Hospital Denmark Hill site. The post would suit an experienced trainee wishing to consolidate their glaucoma experience and to gain further experience in managing complex glaucoma and undertaking advanced surgical techniques, including aqueous shunts, glaucoma revision surgery, trabeculectomy, Preserflo Microshunt and less invasive glaucoma surgery, including IStent implants and glaucoma Laser procedures.
Consultant surgical training and supervision will be provided with dedicated glaucoma theatre sessions. The appointees should be able to competently undertake cataract surgery, as it is expected that the appointees will undertake cataract surgery in challenging cases and supervise junior trainees.
Main duties of the job
Regular clinical duties include the management of out-patients and in-patients, including ward referrals. The post-holder will be expected to take part in the on-call rota at King's College Hospital (Denmark Hill site), which includes provision of ophthalmic care to patients of Lewisham Hospital, Queen Elizabeth Hospital and Princess Royal University Hospital. Urgent referrals from General Practitioners, Optometrists, and the Accident & Emergency Departments of King's College and Lewisham Hospitals, are generally managed within the booked appointment system of the King's Rapid Eye Service (KRES) or Rapid Access Unit, but patients may be referred to the on-call team for emergency management. The post holder will participate in virtual and face to face outpatient clinics, have regular theatre list exposure, and also have one weekly KRES or RAU session. Additionally, the timetable will include regular CPD and teaching sessions.
The post-holder will be expected to contribute and participate in the Department's ongoing clinical audit programme, and will carry out all necessary administrative duties associated with the care of their patients. The post-holder will also have a general duty of care for the health, safety and well-being of work colleagues, visitors and patients within the hospital, in addition to any specific risk management or clinical governance accountabilities associated with these posts.
About us
King's College Hospital NHS Foundation Trust is one of the UK's largest and busiest teaching Trusts with a turnover of c£1 billion, 1.5 million patient contacts a year and more than 15,000 staff based across South East London. The Trust provides a full range of local and specialist services across its five sites. The Trust-wide strategy of Strong Roots, Global Reach is our Vision to be BOLD; Brilliant people, Outstanding care, Leaders in Research, Innovation and Education, Diversity, Equality and Inclusion at the heart of everything we do. By being person-centred, digitally-enabled, and focused on sustainability, we aim to take Team King's to another level.
King's College Hospital NHS Foundation Trust are proud of our diverse workforce and the strength that gives us to provide compassionate care to all of our patients. We are fortunate to employ a workforce that represents the population we care for, and we celebrate the value of differences in age, disability, gender reassignment, marital status, pregnancy and maternity, race, sex, sexual orientation and religion or belief. We have demonstrated our commitment to diversity, equality and inclusion by making it one of our four headline ambitions in our BOLD vision (brilliant people, outstanding care, leaders in research, innovation and education and diversity, equality and inclusion at the heart of everything we do) and there is significant work undertaken at the Trust to ensure that this is a reality for all of our staff.
Job responsibilities
This is a full-time clinical post, potentially based at Kings College Hospital, Denmark Hill (DH). Working within a multidisciplinary team to provide elective and emergency care for ophthalmology patients within the glaucoma service. The tenure of the post is for 12 months from 1 August 2024.
This is an ideal post for senior trainees who already have basic subspecialty training in glaucoma and are seeking to broaden their experience in managing complex primary and secondary glaucoma. With 1 and a half, or 2 dedicated weekly theatre lists, the post-holders will receive advanced one-to-one training in the full range of glaucoma surgery, including trabeculectomy and drainage implant surgery, as well as Istent, Omni canaloplasty/ trabeculotomy, Preserflo, goniosynechialysis and bleb revisions. In addition, advanced cataract surgical techniques will be taught under the supervision of the glaucoma consultants.
Applicants must have MRCOphth or equivalent, be registered with a licence to practise with the GMC at the time of appointment, and be eligible to work in England. Applicants must be proficient in undertaking cataract surgery independently and should have prior surgical experience of glaucoma surgery.
The post-holder will be expected to participate in undergraduate and postgraduate teaching. Departmental meetings are held monthly on Friday afternoons. The postgraduate teaching programme is held weekly on Friday afternoons and includes consultation clinic, audit sessions and journal clubs. In addition, there are 4 regional meetings throughout the South East Region.
KEY DUTIES AND RESPONSIBILITIES
1. Together with other colleagues to provide a service for patients. This includes all aspects of treatment and relevant management duties for the proper functioning of the Care Group.
2. Shared responsibility with other colleagues for providing 24 hours, 7 days a week cover for the Unit on a rota basis. Responsible also for covering colleagues' periods of annual leave and short-term sickness.
3. Participation in Multi-disciplinary Meetings.
4. Contribution to audit and clinical governance programmes.
5. Responsible for outpatient clinic commitments in peripheral hospitals as agreed with the Care Group management team.
6. Contribute to the Care Group research interests in accordance with the Trust's R&D framework.
7. Contribute to the audit programmes, Morbidity and Mortality, clinical governance programs and learning from Deaths.
8. Conduct all activities within the contracted level of service and operating plan for service(s).
9. Work in conjunction with clinical and other professional colleagues to ensure that the productivity of staff within the specialty is maintained and their job satisfaction is enhanced. This may include involvement in the appraisal process for peers and/or junior colleagues.
10. Be aware of, and comply with, all Trust infection prevention and control policies, to include hand hygiene, personal hygiene, environmental and food hygiene.
11. Prepare for and undertake the protective interventions that you are responsible for in a manner that is consistent with evidence-based practice and maintaining patient safety.
PROPOSED TIMETABLE
Mon
Tue
Wed
Thur
Fri
AM
Rapid Eye Service Clinic
(QMH)
(QMH)
M Abu Bakra Theatre List / MP Glaucoma Clinic
(Alt.) (QMH)
M Abu Bakra Glaucoma Clinic / Laser Clinic (QMH)
Virtual Review Clinic / Clinical Admin (Alt.)
(DH/QMH)
PM
Virtual Review Clinic
(QMH)
(QMH)
M Abu Bakra Theatre List
(QMH)
(QMH)
CPD
Person Specification
Qualifications
* MRCOphth or equivalent
* Other higher degree or diploma (e.g., MD)
* Management course and/or qualification
Experience
* Wide experience in all aspects of Ophthalmology, culminating in award of CCT or equivalent
* Specialist training in Glaucoma
* Experience of conducting or supporting clinical research
* Experience of undergraduate and post-graduate teaching and exam preparation
* Relevant research experience in one or more aspects of Ophthalmology
* Familiar with current structure of Health Service and conversant with recent initiatives and changes
Skills
* Able to demonstrate leadership capability within multi-disciplinary teams
* Thorough understanding of principles of medical audit and quality improvement
* Effective communicator, able to work in a close-knit team and co-operate with all medical and paramedical staff
* Familiarity with information technology and general computer skills.
* Publication of relevant review articles or case reports
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.
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