Job Overview

We are seeking a highly motivated and dedicated Clinical Fellow to join our dynamic General Surgery team. This post offers an exciting opportunity to develop clinical skills across both elective and emergency surgery. The fello will be mainly based in emergency general surgery (EGS) but will be expected to also spend time within elective commitments, gaining a broad experience in managing a variety of surgical conditions.

This post does not have an on-call commitment and the hours of work are Monday to Friday only with daily hours of 8am until 5.30pm.  The successful candidate will have undertaken at least 4 months of general surgery in their foundation programme. The candidate will rotate between elective and emergency services on a fortnightly basis.

The successful candidate will be able to combine service commitment with significant professional development in emergency and elective general surgery. This is an ideal post to gain experience towards applying for core surgical training or to add to core surgical training prior to application for higher surgical training. To support the post holder’s continuous professional development and career aspirations, Clinical Fellows will be supported by Consultant Clinical supervisors.

For an informal discusison, please contact Rebecca Fallaize - r.fallaize@health.gov.je

For a full copy of the Job Description, please contact Aoife O'Hare - a.ohare@gov.je 

Key Responsibilities

Emergency General Surgery (EGS) Service

• Play an integral role in the emergency surgical service, supporting the Foundation doctors in the management of inpatients and acute admissions.
• Assess and manage patients admitted through the emergency department or referred for urgent surgical review.
• Provide support and leadership within the Surgical Same-Day Emergency Care (SDEC) service, managing patients returning for ongoing assessment and treatment.
• Assist in emergency theatre, with opportunities to advance skills in:
  • Abscess drainage
  • Skin suturing
  • Laparoscopy (including appendicectomy)
  • Emergency laparotomy, with advancing assistance skills under supervision
• Participate in the management of acute surgical conditions, including trauma, bowel obstruction, perforated viscera, and other common emergency surgical presentations.
• Attend and contribute to daily emergency surgical team rounds and ward rounds, ensuring optimal patient care and timely management.
• Support and supervise junior medical staff, particularly FY1s, in the care of emergency surgical patients.

Other Surgical Experience

• The post holder will have a session of personal development time (PDT) each week which they can use to gain further experience across the surgical services, planned in advance.
  • This can include other surgical specialties such as urology, ENT or trauma and orthopaedics.
• Although the first priority for the post holder is with regards to EGS responsibilities, it will be expected that the post holder will be proactive in gaining clinical experience on a day to day basis when they are not busy with EGS activities.
  • For example, attending theatres, clinics or endoscopy lists.
• The post holder may be asked to assist in elective lists as needed.

Audit and Quality Improvement

• Actively participate in ongoing audit and service development, particularly within the EGS service. 

• Work with senior clinicians and management to identify areas for improvement in the emergency surgery pathway and implement changes based on up to date evidence and best practice. 
• Lead and participate in audits aimed at improving the quality of care within the emergency general surgery service. 
• Use these audits to contribute to the development and implementation of new pathways, protocols and service models, to enhance the efficiency and safety of the emergency surgical services. 
• Maintain an up to date morbidity and mortality record and present these patients at the morbidity and mortality meetings.

Training and Education

• Participate in regular clinical teaching sessions, audits, and departmental teaching rounds.
• Attend designated clinical fellow teaching sessions.
• Attend speciality MDTs and radiology teaching sessions.
• PDT time will be condensed into elective weeks and can be used to attend clinics or operating lists in other surgical specialities.
• Attend departmental educational events, including operative and non-operative learning opportunities.
• Receive dedicated supervision from senior surgical consultants and registrars to enhance surgical knowledge and skills, with a focus on developing proficiency in emergency and elective general surgery.
• Utilise simulation training to enhance surgical skills including the laparoscopic trainer.