Clinical Fellow in Perioperative Medicine

Job overview

We are looking for enthusiastic trainees from Geriatric Medicine, Acute Internal Medicine, Anaesthesia or other medical specialties to apply for this one-year peri-operative fellowship.

Oxford University Hospitals NHS Foundation Trust (OUH) has an established perioperative medicine service in the acute surgical emergency unit (SEU) and hip fractures. Over the last five years our services have expanded to provide consultant-led medical perioperative care to the major trauma, elective orthopaedic and the vascular services. We also form a part of the TAVI MDT. We particularly focus on older patients having emergency surgery, and patients with complex co-morbidities.  The perioperative consultants (who are from an acute medicine, HDU, renal and geriatric medicine background) are supported by medical residents (CMT, FY 1& 2 or GPVTS).

Main duties of the job

Surgical services

OUH has developed perioperative medicine services into emergency surgery, which is distinct from a number of other perioperative medicine services, which focus on elective work. Having run successful pilot programs we plan to expand our perioperative services into elective surgery over the next five years starting with our expansion to the elective orthopaedic group of patients later this year.

SEU

As well as accepting referrals locally, the SEU provides a tertiary referral service for acute and complex hepatobiliary cases, which may be transferred in from neighbouring counties.

Trauma

The John Radcliffe is a one of five Major Trauma Centres in the South of England, accepting patients with severe injuries from Oxfordshire and all neighbouring counties, serving a population of over 3-million. The trauma unit also provides care to over 500 hip fractures a year.

Vascular

The John Radcliffe Hospital is the hub for the regional vascular service, accepting referrals locally as well as from neighbouring counties. Procedures undertaken include all forms of vascular surgery including endovascular aneurysm repair.

Detailed job description and main responsibilities

This is an exciting opportunity for the three successful applicants to learn from our dynamic perioperative team, and help develop our service to deliver the highest quality care to other surgical specialities. We will give you experience working in major trauma, general surgery and vascular liaison, and the opportunity to undertake service development projects in other surgical specialties. You will also be able to participate in a new joint medical-anaesthetic pre-assessment clinic which will start later this year, and attend the monthly pre-assessment MDT alongside anaesthesia and cardiology. You will contribute to local and national audit and lead on a quality improvement project of your choice, which will be mentored by one of our consultants who has experience in quality improvement coaching. If you wish to complete the Certificate, Diploma or Masters in Perioperative Medicine (UCL), then we would support this and arrange appropriate time within your job plan to dedicate to private study for this.