Job Overview
This Royal College of Surgeons of England and ACPGBI approved Senior Clinical Fellowship at the Colorectal Surgical Unit (CSU) at Royal Shrewsbury Hospital is for 12 months with the opportunity for a 6-month extension by mutual agreement. This is a non-training grade post but has been specifically designed for surgeons who have completed their training but would like the opportunity to extend their sub-specialist colorectal experience in their chosen area of interest.
Within the CSU, you will be able to obtain mentoring and training in professional behaviours commensurate with a “Day One Consultant General and Consultant Colorectal Surgeon”, including leadership and management principles, communication skills, computer skills, and research activity. There is a strong ethos of support for the Fellow in their career progression and intention to apply for and be appointed to substantive Consultant Colorectal Surgeon posts in the United Kingdom – all Fellows to date have achieved this primary objective.
Main Duties of the Job
1. To independently assess patients for colorectal cancer surgery - select appropriate investigations and discuss at MDT coming up with a treatment plan.
2. To independently perform laparoscopic right hemicolectomy.
3. To independently perform laparoscopic sigmoid colectomy.
4. To independently perform laparoscopic anterior resection with laparoscopic TME for rectal cancer.
5. Assess and select appropriate cases for local excision in early rectal cancer (TEMS/advanced endoscopy).
Working for Your Organisation
The Shrewsbury and Telford Hospital NHS Trust (SaTH) is the main provider of acute hospital services for around half a million people in Shropshire, Telford & Wrekin, and mid Wales.
Encompassing some of the most picturesque parts of England and Wales, the Trust’s catchment stretches from the Cambrian Mountains in the west to Newport and the fringes of the Black Country in the east. The main towns include: Bridgnorth, Ludlow, Market Drayton, Oswestry, Shrewsbury, and Whitchurch (in Shropshire); Newport, Telford, and Wellington (in Telford & Wrekin); and Newtown and Welshpool (in Powys) – all beautiful and unique.
Our main service locations are the Princess Royal Hospital (PRH) in Telford and the Royal Shrewsbury Hospital (RSH) in Shrewsbury, which are located 20 minutes’ drive apart. Together they provide 99% of our activity. Both hospitals provide a wide range of acute hospital services including accident & emergency, outpatients, diagnostics, inpatient medical care, and critical care.
Detailed Job Description and Main Responsibilities
This appointment is a post CCT Fellowship in Advanced Colorectal Surgery and is fully accredited by the Royal College of Surgeons of England as a Senior Clinical Fellow post. This is a non-training grade post but has been specifically designed for surgeons who have completed their training but would like the opportunity to extend their laparoscopic colorectal and sub-specialist experience. The post will also enable the appointed candidate to gain extended experience in different areas of colorectal sub-specialty interest before taking up a consultant post.
A particular strength of the unit is the broad range of clinical opportunities in a variety of colorectal sub-specialties, and a bespoke learning agreement will be created at the start of the post guided by the Fellow’s training needs and requirements. These include robotic-assisted surgery, laparoscopic surgery, IBD surgery, pelvic floor surgery, TEMS procedures, advanced endoscopy (management of early rectal cancer), and complex abdominal wall reconstruction (CAWR).
Applicants must have the JCIE FRCS (or third part equivalent) and hold or be about to complete their CCT. The post is for 12 months with the option of a 6-month extension by mutual consent.
The principal role of the post holder will be to develop their clinical and operative skills. It is envisaged that there will be at least 2 full days of theatre experience per week, and in addition, there will be exposure to colonoscopy, Cancer, IBD and Pelvic Floor MDT meetings, and general colorectal and sub-specialist colorectal outpatient clinics. Participation in the general work of the CSU, including ward rounds, will be expected. In addition, there will be an on-call commitment, which is currently a 1:16 full shift. Efforts will be made to ensure regular theatre lists with the LAPCO accredited trainers to ensure continuity of operative technique and therefore optimising progress and standards of training.
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