At Cleveland Clinic Health System, we believe in a better future for healthcare. And each of us is responsible for honoring our commitment to excellence, pushing the boundaries and transforming the patient experience, every day.

                        

We all have the power to help, heal and change lives — beginning with our own. That’s the power of the Cleveland Clinic Health System team, and The Power of Every One.

                                    

Job Title

Post CCT Colorectal Surgical Fellow

                        

Location

London

                    

Facility

Central London - Victoria

                     

Institute

Surgical Subspecialties-Cleveland Clinic London

                      

Job Code

UK0618

                     

Job Summary

This is a Peri/Post CCT Advanced Colorectal Surgical Fellow position designed to deliver advanced surgical training in all aspects of colorectal surgery. The majority of the postholders time will be spent in the Operating Room under close supervision of the colorectal consultants, to enable the postholder to take up a position as a consultant colorectal surgeon within a tertiary unit in the UK.
An ideal candidate would be on the GMC Specialist Register in General Surgery or at least be FRCS or equivalent. This is a 12 months fixed term contract role.

                         

Job Details

Facility, Institute and Department Summary:

Cleveland Clinic is one of the leading healthcare providers in the world. It is a patient centred and not-for-profit medical centre that integrates clinical care with research and medical education. For the 25th consecutive year, Cleveland Clinic’s heart program has been ranked as the best in the nation, earning the No. 1 ranking in U.S. News & World Report’s “2018-19 Best Hospitals.” Since 1995, no hospital in the country has ranked higher than Cleveland Clinic in cardiac care. The best of 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 locates at 33 Grosvenor Place, near Buckingham Palace, in the heart of London’s Belgravia district. It is a multispecialty hospital with 185 beds, including 29 ICU beds, 8 operating theatres, a full imaging suite, endoscopy unit, cardiac catheterisation 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 Colorectal Surgery consists of leading Colorectal Surgeons mainly drawn from tertiary centres across London. Currently there are 12 consultants working within the department.

Professor Richard Cohen – Medical Director and Vice Chair of the Digestive Disease and Surgical Institute

Professor Charles Knowles – Chief Academic officer

Professor Jamie Murphy – Deputy Lead for Surgical Oncology and Colorectal Cancer Lead

Mr Chetan Bhan   - Colorectal Departmental lead and IBD Lead

Mr Derek Boyle

Ms Fiona Taylor

Mr George Reese

Mr Colin Hart

Mr Parakeva Paraskevas

Mr Joseph Nunoo Mensa

Mr Muti Abulafi

Ms Tamzin Cummings

The focus of the post will be exposure to operative training. The department offers all aspects of colorectal surgery including

• Complex colorectal cancer (incl HIPEC),
• IBD surgery,
• Multidisciplinary pelvic floor surgery,
• Sacral Neuromodulation
• Robotic surgery
• Complex abdominal wall reconstruction
• AIN
• All aspects of proctology

The majority of the time will be spent on the OR. Colorectal lists are all day Monday through to Wednesday. However, multidisciplinary cases with gynecology are scheduled on Fridays and Saturdays. There is no commitment to the outpatient department but there is an expectation that the postholder will assist the consultants with supervision of the fellows on the Surgical ward for the care of the colorectal patients inpatients.

Attendance will also be expected at all the MDT’s and the monthly governance meeting. The postholder would also be expected to assist the M&M lead, currently Ms. Taylor, 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.

Proposed timetable

Monday                            Tuesday                            Wed                             Thursday           

All Day OR                        All day OR                         All day OR                       ward academic

Murphy/Boyle                 Bhan/Cohen/Knowles    Reese/Taylor/Parakseva            admin

joint operating

Hart/Nunoo Mensa                                                                                                      with HPB

1800 Cancer MDT                                IBD MDT 1st wed of month          1800 Pelvic

Floor MDT Alt weeks

Friday                                                             Saturday

OR Joint operating with gynae                  OR Joint operating with gynae

2 per month

The expected case load is 150 major resections per year. One third of the case load would be termed complex colorectal cancer – beyond TME, synchronous resections, CRS HIPEC, extended lymphadenectomy.

Educational Supervision will be from Professor Jamie Murphy and Mr Chetan Bhan.

Job Responsibilities:

Clinical

Working as a part of the Colorectal Surgical department workforce covering an average fill of 10 inpatients on the General Surgical floor.

• Working collaboratively with specialist consultants and nursing professionals to ensure that patients’ treatment and care needs are met.
• Managing surgical patients who are undergoing colorectal 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:

REQUIREMENTS

ESSENTIAL

• Requirements necessary for safe effective performance in the job

DESIRABLE

• Where available, elements that contribute to improved, immediate performance in the job

Qualifications and Training

• MBBS or equivalent
• Fully registered with the GMC and current license to practice
• Current UK visa or permission to work
• FRCS 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

• ST in Colorectal Surgery post FRCS
• ST8 level or post CCT

Skills, knowledge and competencies

• Ability to organise and prioritise clinical needs
• Evidence of the diagnostic skills, and clinical judgment.  
• Competent in the perioperative management of the 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
• Evidence of competencies in Colorectal Surgery as judged for CCT

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

                       

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.