Senior Clinical Fellow- Transplant

Job overview

The Senior Clinical Fellows support the clinical activities of the Oxford Transplant Centre & HPB Surgery as directed by the Clinical Leads. Clinical responsibilities will include emergency and elective operating, support of the organ retrieval service, outpatient clinics, ward rounds and care of inpatients. Senior Clinical Fellows are expected to have or acquire the skills necessary to lead the multi-organ retrieval team. Any necessary training will be provided.

Main duties of the job

Clinical Responsibilities/Training Opportunities

The applicant will be required to lead the organ retrieval team incl 1:4 weekends (Necessary training will be provided to suitable candidates), support the Transplant & Dialysis access clinical service including in and out of hours flexibly with cross cover including clinics, wards and operating theatres. The post holder will be expected to contribute to HPB Surgery.

Development opportunities exist in pancreas transplantation, kidney transplantation, laparoscopic donor nephrectomy, Liver & Pancreatic resections, vascular access & multi organ retrievals

The Senior Clinical Fellows support the clinical activities of the Oxford Transplant Centre & HPB Surgery as directed by the Clinical Leads. Clinical responsibilities will include emergency and elective operating, support of the organ retrieval service, outpatient clinics, ward rounds and care of inpatients. Senior Clinical Fellows are expected to have or acquire the skills necessary to lead the multi-organ retrieval team. Any necessary training will be provided.

Detailed job description and main responsibilities

Clinical

Clinical Responsibilities/Training Opportunities

The applicant will be required to lead the organ retrieval team incl 1:4 weekends (Necessary training will be provided to suitable candidates), support the Transplant & Dialysis access clinical service including in and out of hours flexibly with cross cover including clinics, wards and operating theatres. The post holder will be expected to contribute to HPB Surgery.

Development opportunities exist in pancreas transplantation, kidney transplantation, laparoscopic donor nephrectomy, Liver & Pancreatic resections, vascular access & multi organ retrievals.

Transplantation

The Senior Clinical Fellows support the clinical activities of the Oxford Transplant Centre & HPB Surgery as directed by the Clinical Leads. Clinical responsibilities will include emergency and elective operating, support of the organ retrieval service, outpatient clinics, ward rounds and care of inpatients. Senior Clinical Fellows are expected to have or acquire the skills necessary to lead the multi-organ retrieval team. Any necessary training will be provided.

The Oxford Transplant Centre comprises a separate building including day-case beds, outpatient clinics, Tissue Typing laboratory and office accommodation. The unit provides a regional renal transplant service for the six counties surrounding Oxford (population about 3 million), supra-regional pancreas and intestinal transplant services and organ retrieval (as part of the nationally commissioned national organ retrieval service). More than 250 deceased and living donor transplants and 200 organ retrievals are performed per year, together with vascular access and other procedures numbering over 400 operations. Approximately 70 laparoscopic donor nephrectomies & liver donor transplants; 50-60 pancreas transplants & 4-6 intestinal  transplants are undertaken annually.  The clinical activities of the Oxford Transplant Centre also include the pancreatic islet transplant programme. In collaboration with the HPB service, the Transplant Unit provides a pancreatic auto-transplant service (Total Pancreatectomy and Islet Auto Transplantation). The Oxford University Hospitals has recently formed a transplant network (COxTNet) in partnership with University Hospitals of Coventry and Warwick, which enables free flow of both patients and staff between the two kidney transplant units, as dictated by capacity restraints.

Hepatobiliary/pancreatic (HPB)

The HPB clinical service carries out approximately 220 major resectional surgical procedures per year and has a substantial work-load in benign HPB surgery, inpatient management, outpatient clinics and ward-rounds. Together with middle-grade staff and consultants, the Senior Clinical Fellows contribute to specialist out-of-hours cover for HPB patients.

Research

The successful candidates will be expected to engage in the research activities of the department. The Oxford Transplant Centre is closely associated with major research programmes within the Oxford Transplant Centre as well as the Nuffield Department of Surgery and other departments in the University. Currently active projects include: novel approaches to liver and kidney preservation; pancreatic islets; long term metabolic function of transplanted pancreases; pancreas preservation and viability assessment; multi-centre trial of novel immunosuppression. There are opportunities in clinical HPB research, including trials of novel treatments of pancreatic and liver cancer and also opportunities to engage in lab-based projects.

Teaching

Senior clinical fellows are expected to take part in the teaching of medical students within the Clinical School, under the direction of the transplant educational lead. Further teaching within the College system may be available should this be the wish of a successful candidate

Clinical Governance

The post-holder will participate in clinical governance activities, including clinical audit, clinical effectiveness, risk management, quality improvement activities as required by the Trust, and external accrediting bodies.

Personal and Professional Development

The post-holder will be required to keep himself/herself fully up to date with their relevant area of practice and to be able to demonstrate this to the satisfaction of the Trust. Professional or study leave will be granted at the discretion of the Trust, in line with the prevailing Terms and Conditions of Service, to support appropriate study, postgraduate training activities, relevant CME courses and other appropriate personal development needs.

Management

The post-holder will be required to work within the Trust's management policies and procedures, both statutory and internal, accepting that the resources available to the Trust are finite and that all changes in clinical practice or workload, or developments requiring additional resources must have prior agreement with the Trust. He/she will undertake the administrative duties associated with the care of his/her patients, and the running of his/her clinical department under the direction of the lead clinician and/or directorate chair.