Job summary

This fellowship post has been approved by the Royal College of Surgeons of England as part of the RCS Senior Clinical Fellowship scheme. It will provide excellent experience in all forms of dialysis access in adults. The main focus will be on the assessment, management and care of the population of patients on haemodialysis, and there will also be the opportunity to gain experience in peritoneal dialysis care.

The post would be suitable for: general surgical trainees, in particular those with an interest in renal transplantation, and vascular trainees seeking to understand the theoretical and practical aspects of managing the renal failure population.

The post will provide experience suitable for either Phase 2 or Phase 3 of the ISCP General Surgery curriculum or Vascular Surgery curriculum. Doctors who have gained Certificate of Completion of Training looking to gain subspecialty training are also encouraged to apply, as appropriate experience at this level could also be provided. Training in both standard and complex haemodialysis access surgery will be provided by working alongside experienced Consultants. There is a significant emphasis on multidisciplinary team working within the Department, and there will be opportunities to gain experience with Ultrasound, Ultrasonic Angiology, Interventional Radiology and Anaesthetic techniques.

Main duties of the job

The post holder will, along with other junior colleagues be responsible for:

Diagnosis and treatment of patients of the Guy's & St Thomas' NHS Foundation Trust in such hospitals, health centres or clinics or other premises as required. Continuing clinical responsibility for the patients in your charge, allowing for all proper delegation to, and training of, your staff.

Clinical:

The post holder will, along with other junior colleagues be responsible for:

Diagnosis and treatment of patients of the Guy's & St Thomas' NHS Foundation Trust in such hospitals, health centres or clinics or other premises as required. Continuing clinical responsibility for the patients in your charge, allowing for all proper delegation to, and training of, your staff.

About us

The Department of Nephrology and Transplantation at Guy's is one of the largest in the UK, providing kidney care to South East London, neighbouring areas of Kent and Channel Islands. In addition, we receive a significant number of complex referrals from a much wider geographical area. We provide a comprehensive range of services for this population, from management of mild kidney disease through to acute kidney injury (AKI) and the full range of modalities of renal replacement therapy. We perform almost 300 transplants each year, have the largest living kidney donor programme in the country and are a supra-regional centre for both combined kidney/pancreas and pancreas alone transplantation. We have the country's largest antibody incompatible transplant programme. We performed the first robotic transplants in the UK and have world-class expertise in vascular access and transplant urology.

We offer a full range of peritoneal and haemodialysis therapies both at home and through a network of satellite units. We are nationally recognised for quality of care, innovation in clinical practice and service delivery, and for our close functional and geographical integration with the research programmes of both the MRC Transplantation Centre and the Comprehensive Biomedical Research Centre.

Job description

Job responsibilities

Please see attached the job description for the full comprehensive full list. You will be responsible for supporting and leading on ward rounds, theatre lists and clinics. These will primarily be to support the dialysis access service, but could involve the general kidney transplantation surgical service.

Person Specification Qualifications Essential Full GMC Registration Desirable Relevant Postgraduate Qualifications (MRCS or equivalent etc) Knowledge and Skills Essential A commitment to and evidence of multidisciplinary practice A team based approach to care and service management Excellent interpersonal skills and an ability to communicate effectively with colleagues; clinical and non-clinical patients and their carers/relatives Research Desirable An ability to initiative pursue and complete clinical or medical research Teaching Essential An ability to teach undergraduate students or other junior doctors Desirable Certificate of medical education Good Medical Practice Essential Evidence of understanding of and adherence to the principles of Good Medical and Surgical Practice set out by the GMC Clinical Experience Essential Significant experience of General Surgery Desirable Experience of Vascular, Access, Transplant and/or Laparoscopic Surgery

RCSEng website:

Person Specification

Qualifications

Essential

Full GMC Registration

Desirable

MRCS or equivalent FRCS or equivalent

Knowledge and Skills

Essential

A commitment to and evidence of multidisciplinary practice A team based approach to care and service management Excellent interpersonal skills and an ability to communicate effectively with colleagues; clinical and non-clinical patients and their carers/relatives

Research

Essential

An ability to initiative pursue and complete clinical or medical research

Desirable

Research BSc or equivalent Research MSc or equivalent MD(Res) or PhD or equivalent

Teaching

Essential

An ability to teach undergraduate students or other junior doctors

Desirable

Formal teaching qualification

Good Medical Practice

Essential

Evidence of understanding of and adherence to the principles of Good Medical and Surgical Practice set out by the GMC

Clinical Experience

Essential

Significant experience of General Surgery and/or Vascular Surgery

Desirable

Experience of Haemodialysis Access or Peritoneal Dialysis Surgery