Mike Edmonds Diabetic Foot Clinical Fellowship

Job overview

Applications are invited for the Mike Edmonds Diabetic Foot Clinical Fellowship (ST3+) in Diabetes and Diabetic Foot Medicine for 12 months based at the Mike Edmonds Foot Unit at King’s College Hospital, Denmark hill. You will join a world-class team of multidisciplinary specialists in diabetic foot.

This is a part of the King’s Diabetes Fellowships scheme that includes the Mike Edmond's Diabetic Foot Clinical Fellowship and the Stephanie Amiel Diabetes Care Transformation Fellowship.

Main duties of the job

King’s Diabetic Foot Clinic was opened in May 1981. It has since expanded and gone from looking after 300 patients per year to the current 3000 patients per year. The unit also have dedicated diabetic foot beds on Oliver ward for elective and emergency inpatient diabetic foot work. The new fellow is expected to join and lead on outpatient and inpatient activities including clinics, multidisciplinary meetings and ward rounds. There is a programme of continuous professional development and updates within the unit. There will be opportunities to participate and engage in quality improvement/audit and clinical research projects on the unit and with other collaborators.

Detailed job description and main responsibilities

In common with all Hospital Diabetes Service, the majority of its work is outpatient activity, although the team also has access to beds for management of diabetic complications, particularly acute diabetic foot management, provides a referral service for inpatient care of patients with diabetes admitted under other specialties. In addition to new patient, follow-up, nurse screening and annual review clinics, the Department also provides joint diabetes antenatal service, joint diabetes complication clinics for nephropathy, neuropathy and retinopathy, paediatric and adolescent diabetic clinics, patient education programmes including DAFNE and a walk-in service.

The department has a particular interest in intensive management of type 1 diabetes, and holds specialist intensive management clinics weekly with a particular emphasis on problematic hypoglycaemia. Intensive management is based around the DAFNE programme (Dose Adjustment for Normal Eating) which provides structured education for patients in the form of a one week intensive course which is run at King’s once or twice a month. The department also provides a tertiary referral service for insulin pump therapy and currently manages over 200 insulin pump users.

The King’s Diabetic Foot Clinic provides a comprehensive service for the management of the diabetic foot and has a very large caseload of complex patients with neuropathic and ischaemic ulceration and Charcot arthropathy.

The department has an active research programme based around the special interests of the consultants, including hypoglycaemia, brain metabolism in diabetes, diabetic foot management cardiovascular disease in diabetes. There is also a rolling audit programme including management of diabetic emergencies and diabetic pregnancy in which SpRs are encouraged to participate.