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Geriatric Clinical Fellow (ST3+) Vascular Surgery

St George's University Hospitals NHS Foundation Trust
£37,068 to £57,570 a year Pro rata
Closing date
2 May 2024

Job Details

The postholder will work for the vascular geriatrics consultant delivering comprehensive geriatric assessment to older patients undergoing vascular surgery. The postholder will undertake pre-operative assessments on the ward and in clinic, be involved in shared decision making and optimising patients for surgery and post-operative management on the ward. The fellow will participate in board rounds, ward rounds - jointly with vascular and independently - and multi-disciplinary team meetings. There is an option of contributing to the on call rota covering acute medicine and ward cover on calls. The postholder will also be part of the senior health referral rota, reviewing patients under other specialties. These are often surgical patients and will provide exposure to other surgical specialties.

Main duties of the job

  • To demonstrate excellent communication skills, working collaboratively and constructively with the vascular team
  • Working closely with the vascular team to provide medical input, frailty assessments and comprehensive geriatric assessments primarily for patients over 65 years but also will need to be comfortable providing care to younger patients
  • To provide senior medical support, teaching and mentoring to the vascular team
  • To attend board rounds to ensure consistent geriatric presence and adequate handover
  • To attend vascular POPS clinic and contribute to vascular MDT meetings
  • To deliver teaching both informally in board rounds and on ward rounds and formally in vascular meetings
  • To work closely with our multi-disciplinary team to facilitate discharge planning and support them in providing care to complex older patients
  • To work closely with the geriatric consultant to embed the peri-operative service and to help with data collection/ QIP/ service development
  • To take responsibility for the reviews and advice given and communicating this effectively while overall responsibility for patient care remains under the vascular surgical team
  • Be part of the senior health referrals rota, providing senior health input into patients under other medical and surgical specialties

About us

St George's University Hospitals NHS Foundation Trust is the regional specialist care provider for South-West London, Surrey and beyond. The trust is a major acute hospital that provides a high quality, comprehensive range of health services from leading edge tertiary care including trauma, neurology, cardiac care, renal transplantation, cancer care and stroke to community services. The hospital also provides all the usual care expected from a local NHS district general hospital. Acute and tertiary health services are delivered from over 1,000 beds across two sites, by around 8,000 staff. With national and regional referrals added to our local catchment of 3.5 million, we serve a population of around 5 million. Co-located with the trust is St George's, University of London, a medical school with 270 students per year. Both the trust and the medical school have a formal strategic alliance with King's Health Partners. Together, the trust and medical school delivers high quality research and education both of which contribute to the healthcare provision of tomorrow.

Job description
Job responsibilities

This is an exciting opportunity to be involved in embedding and developing a relatively new peri-operative service and would be excellent experience for those trainees who are interested in pursuing a career in surgical liaison. There will be an expectation to be involved in quality improvement activity where they will be supported in presenting and publishing their work. As a university teaching hospital and medical school, there are opportunities to deliver teaching to undergraduates and post-graduate trainees. Teaching and supporting our surgical colleagues, nursing staff and allied healthcare professionals in the medical care of older people will be a core part of the role. The postholder will be able to attend our amputee rehabilitation ward, theatre and vascular clinics and will gain experience in peri-operative diabetic management as part of the diabetic foot team.

The applicant may have a background in geriatric medicine, acute/general medicine or anaesthetics/ intensive care, provided they have MRCP. The applicant does not need to have an NTN.

Person Specification

  • MBBS or equivalent
  • MRCP


  • BSc
  • MSc/ MA


  • Comprehensive clinical experience in geriatrics and acute general internal medicine +/- in peri-operative medicine


  • Surgical liaison geriatrics

Knowledge and skills

  • Good medical knowledge and clinical skills
  • Clear, legible documentation
  • Computer literate
  • ALS Certificate


  • Good written and oral communication skills
  • Ability to manage own workload and take initiative
  • Ability to work as part of a multi-disciplinary team
  • Ability to be flexible and to manage reasonable workload that can quickly change


  • Demonstrates experience in leadership

Audit and quality improvement

  • Understands the principles of audit and quality improvement
  • Experience in designing and leading quality improvement


  • Evidence of quality improvement work resulting in sustained change


  • Experience in teaching undergraduates, post graduates and allied healthcare professionals


  • Development of a formal teaching programme


  • Understanding of the principles and clinical applications of clinical research


  • Evidence of involvement in original research


  • Excellent organisational skills
  • Experience of supervision of more junior trainees


  • Experience in clinical risk management and governance processes

Other Requirements

  • Full GMC registration and hold a license to practise


  • Evidence of understanding of and adherence to the principles of Good Medical Practice set out by the General Medical Council





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