Clinical Fellow in Geriatric Trauma (ST3-7 level)

Learning Objectives Demographics and political landscape relevant to the older trauma and surgical patient National reports and policy drivers relevant to the older trauma and surgical patient Models and pathways of care for older trauma and surgical patients Risk assessment of perioperative morbidity and mortality (including use of tools) and investigations e.g. Cardiopulmonary exercise testing)) Modification of risk including the use of organ specific national and international guidelines (e.g. European Society Cardiology) Use of inter-disciplinary and cross-specialty interventions to improve postoperative outcome (e.g. therapy delivered prehabilitation) Clinical assessment with appropriate use of investigations and tools to preoperatively risk assess for perioperative morbidity and mortality Communication of risk with health professionals and patients/relatives Timely medical optimisation of comorbidity and geriatric syndromes Appropriate allocation of postoperative resources (e.g. use
of level 2 and 3 care) Decision making regards rehabilitation, and timely and effective discharge pertinent to the surgical patient Liaison with patients, anaesthetists and surgeons to ensure shared decision making Application of ethical and biomedical approaches to ensure appropriate ceilings for escalation of care. Teaching The post holder will take responsibility for the training and direction of junior staff allocated to him/her under aegis of the training plan that that post holder has agreed with their supervising consultant. The post holder may be expected to contribute as appropriate in the teaching of undergraduate and postgraduate students. Where specific training needs are identified (and subject to agreement with clinical lead), opportunities will exist for rotational experience in critical care or participation in unselected medical take. Courses/Training/Journal/Clubs/Lunchtime meetings Study Leave will be granted at the discretion of the Clinical Lead. The post holder will
be expected to attend and contribute to educational activities e.g. departmental meetings, x-ray meetings, pathology meetings, multidisciplinary meetings, journal clubs etc. as agreed at induction and detailed in the job plan.