Post CCT Urology Fellow

Our vision is to be the best place for healthcare anywhere and the best place to work in healthcare.

We believe that every life deserves world class healthcare.

Job Summary

This is a one-year ST3 (update to ST7) level Urological Fellow position designed to deliver advanced surgical training in all aspects of urological surgery. The postholders time will be spent equally in the perioperative care of patients urological procedure lists and operating theatres including robotic surgery under close supervision of the consultants. There will be ample time to undertake or complete a research project carry out audits and engage in teaching. Interested candidates can apply for higher degrees to enhance their research activities. If the candidate has USMLE the job can be entwined with our sister institutions in The Middle East and USA.

Facility Institute and Department Summary:
Cleveland Clinic is one of the leading healthcare providers in the world and ranked as number two. Our parent unit Glickman urological institute is ranked as number two in the world. It is a patient centered and not-for-profit healthcare establishment that integrates clinical care with research and medical education. For the 25th consecutive year Cleveland Clinics heart program has been ranked as the best in the world earning the No. 1 ranking in U.S. News & World Reports 2018-19 Best Hospitals. Since 1995 no hospital in the country has ranked higher than Cleveland Clinic in cardiac care. The best healthcare models of the US and UK will be combined to deliver world-class medical care in London to meet the global demand.

Cleveland Clinic London Hospital is located at 33 Grosvenor Place near Buckingham Palace in the heart of Londons Belgravia district. It is a multispecialty hospital with 185 beds including 29 ICU beds 8 operating theatres a full imaging suite endoscopy unit cardiac catheterization and electrophysiology labs.

Cleveland Clinic London hosts the latest technologies in surgery imaging telemedicine and electronic medical records state-of-the-art imaging equipment including CTs MRIs and procedural suites along with technologically advanced and modern patient rooms serving local and international patients in an environment that combines exceptional amenities with clinical excellence.

The Department of Urology consists of leading Surgeons drawn from tertiary centres across London. Currently there are 7 consultants working within the department:

• Senthil Nathan Clinical Lead for Urology Director of Robotic Surgery & Surgical Innovations.

• John Hines Governance and Education Lead

• Prasanna Sooriakumaran Research Lead

• Rami Issa Integrated Pelvic Pathway Lead

• Ramesh Thurairaja Pelvic Dysfunction Lead

• Sachin Malde

• Pippa Sangster

The post holder will gain exposure to urological management of patients and operative training. The department offers all aspects of urological surgery including:
Complex pelvic surgery including exenteration
Robot Assisted Radical Prostatectomy Cystectomy partial nephrectomy etc
Multidisciplinary pelvic floor surgery
Sacral Neuromodulation
Upper & Lower tract stone management
Endoscopic management of lower tract obstruction & superficial TCC
Non reconstructive Andrology
Open & Robotic reconstructive urology
Inguinoscrotal urological surgery

A significant part of the time will be spent in the operating theatres where the postholder will be involved in all urological surgeries. They will also be expected to join Colorectal and gynaecological lists when the urology team is not operating this will broaden the post holders surgical exposure and prepare them for future career in multidisciplinary surgery. There is no commitment to the outpatient department but there is an expectation that the postholder will be involved with the consultants and the fellows on the Surgical ward in the care of surgical inpatients.

Attendance will also be expected at all the MDTs and the monthly governance meetings. The postholder would also be expected to assist the M&M lead currently Mr Hines with organization and presentation
of the cases. The postholder would also be expected to undertake one research project and one quality improvement project during the post.

Educational Supervision will be from Professor PS.

Job Responsibilities:

Clinical

Working as a part of the Urological Surgical department workforce covering an average fill of 5 inpatients on the 5th floor and outliers.

• Working collaboratively with specialist consultants and nursing professionals to ensure that patients treatment and care needs are met

• Managing surgical patients who are undergoing urological surgical operations under consultant supervision.

• Leading and assisting with new admissions and inpatient consultations including morning and evening multidisciplinary ward rounds

Professional

Taking part in clinical governance education training and research to continuously improve and strive for excellence:

• Participating in the regular in-house learning sessions and other educational activities as well as taking up educational responsibilities

• Adhering to the best practice guidelines clinical audits and governance.

• Active involvement in clinical governance meetings including but not limited to mortality review safety event reporting peer review and other relevant activities.

• Continual commitment and participation in mandatory trainings including Epic electronic medical record system.

• If interested participating in professional development opportunities such as medical management & leadership education & simulation or academic research programmes within CCL or the main campus in Cleveland US. A tailored visit to main campus in Ohio will be available to all Fellows appointed to these roles.

Personal Specification:

Qualifications and Training

• MBBS or equivalent

• Fully registered with the GMC and current license to practice

• Current UK visa or permission to work

• MRCS or equivalent

• Intercalated BSc BA BMedSci or equivalent

• Higher degrees including MSc PhD or MD (where research thesis not part of first medical degree)

Experience

• Candidate has completed at least four years full-time postgraduate training (or its equivalent gained on a part time or flexible basis) at least 18months of which must have been within Urology.

• Demonstrates ability to perform surgical procedures.

• Competent to work without direct supervision where appropriate.

• Appropriate clinical and technical skills and abilities.

• Knowledge of Clinical Governance

• Previous involvement in Audit/research project(s)

• Presentations/ publications

Skills knowledge and competencies

• Ability to organize and prioritize clinical needs

• Evidence of diagnostic skills and clinical judgment.

• Competent in the perioperative management of surgical patients including the basic assessment investigation and management.

• Competent in routine clinical skills including venipuncture blood cultures arterial sampling nasogastric tube and urethral catheters.

• Information technology skills using electronic patient care systems

• Evidence of working in a multi-disciplinary team

Personal Skills

• Commitment to good team working and relationships

• Demonstrates probity (displays honesty integrity aware of ethical dilemmas respects confidentiality)

• Effective communication skills

• Good leadership skills

• Enthusiasm and ability to work under pressure

• Demonstrates empathy and understanding

• Supportive and caring attitude to patients and colleagues

• Evidence of achievement outside medicine

• Evidence of altruistic behaviour e.g. voluntary work

• Evidence of involvement in management commensurate with experience

Who we are

Cleveland Clinic is one of the leading providers of specialised medical care in the world providing clinical excellence and superior patient outcomes for almost 6 million patient visits per year across more than 200 locations. We employ over 80000 caregivers worldwide and continue to drive innovation in healthcare.

With over 100 years of history our Patients First philosophy is at the heart of everything that we do.

Disclosure and Barring Service (DBS) Check

This role may be subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order (as amended) and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (DBS) to check for any previous criminal convictions.

Lets deliver World Class care together!

As an equal opportunities employer we aspire to work together to promote a more inclusive work environment which represents our commitment to celebrate diversity.

CCL is committed to applying its Equal Employment Opportunity/Workforce Diversity and Inclusion Policy at all stages of recruitment and privileging. Shortlisting interviewing and selection will always be carried out without regard to any Protected Characteristics. When aware of the need to do so and when required CCL will make reasonable adjustments to its arrangements for interviews and to conditions of employment/engagement for disabled applicants to ensure so far as practicable that they do not place such applicants at a substantial disadvantage in comparison to non-disabled applicants.