Specialty Trainee

Applications are invited for the post of Endocrine Surgery Senior Clinical Fellow. The successful candidate will work in the Breast & Endocrine Surgery Unit with the Endocrine Surgery team. The Endocrine surgery team offer the full range of thyroid, parathyroid and adrenal surgery, including benign and malignant pathologies, open, minimally invasive and Robotic Surgeries. The Unt also provides a city-wide endocrine surgery Consultant on call service. Additionally the unit sees subspecialist tertiary referrals such a post-renal transplant hyperparathyroidism, phaeochromocytoma, Adrenocortical Carcinoma and paediatric thyroid surgery. The endocrine surgery team work closely with the breast surgery team and provide cross-cover on occasions, for ward care and theatre assistance. The units have strong links to the psychology, medical endocrinology, nuclear medicine and clinical chemistry departments, and the Clatterbridge Centre for Oncology.Main duties of the job LUHFT are a busy tertiary referral centre for Breast & Endocrine surgery. Patients are referred from across Merseyside, Cheshire, North Wales and the Isle of Man for specialist input. There is collaborative MDT working with Endocrine Surgery MDT, Adrenal MDT and regional Thyroid Cancer MDT. There is close collaboration with the Clatterbridge Centre for Oncology. The unit undertakes around 300 Thyroid/Parathyroid operations and 80 Adrenalectomies each year. The successful applicant will contribute to the delivery of the Endocrine Surgery service at both Royal Liverpool & Aintree University Hospital sites: along with Broadgreen Hospital the 3 sites are within Liverpool city area with hospital transport available in hours if needed. They will contribute to the diagnosis and treatment of patients suffering from Endocrine Surgical conditions. The work will be supported and supervised by consultant surgeons and physicians attached to the unit. The applicant will receive training in surgery on the Thyroid, Parathyroids and Adrenal glands. They will carry out pre- and post-operative care as necessary. The incumbent will also be responsible, with other junior staff, for the day-today care of the unit's patients. Prospective audits are practised by the directorate. All trainees and clinical fellows will be responsible for the collation and presentation of departmental audit data at regular audit meetings held in house and at regional meetings., Liverpool University Hospitals is a busy tertiary referral centre for Breast & Endocrine surgery. Patients are referred to the Unit from across Merseyside, Cheshire, North Wales and the Isle of Man for specialist input. There is collaborative MDT working with Endocrine Surgery MDT (weekly Wednesday lunchtime), Adrenal MDT (Weekly Friday morning) and regional Thyroid Cancer MDT (2 Wednesdays per month). There is close collaboration with the Clatterbridge Centre for Oncology. The unit undertakes around 300 Thyroid/Parathyroid operations and 80 Adrenalectomies each year. The successful applicant will contribute to the delivery of the Endocrine Surgery service at both The Royal Liverpool & Aintree University Hospital sites: along with Broadgreen Hospital the 3 sites are within Liverpool city area with hospital transport available in hours if needed. They will contribute to the diagnosis and treatment of patients suffering from Endocrine Surgical conditions. The work will be supported and supervised by consultant surgeons and physicians attached to the unit. The applicant will receive training in surgery on the Thyroid, Parathyroids and Adrenal glands. They will carry out pre- and post-operative care as necessary. The incumbent will also be responsible, with other junior staff, for the day-today care of the unit's patients. Prospective audits are practised by the directorate. All trainees and clinical fellows will be responsible for the collation and presentation of departmental audit data at regular audit meetings held in house and at regional meetings. Research The Unit has a track record of clinical investigation; with staff contributing regularly to national and international meetings. As a teaching hospital the post holder will have the opportunity to participate in audit and clinical research. Teaching Medical students are attached to the breast & endocrine surgery unit. The post-holder will be expected to give clinical teaching to undergraduates. There is also nurse training and mentorship to which the Specialist Registrars and fellows are expected to contribute. Duties Attend regular operating lists, outpatient clinics, audit and academic meetings and case conferences. Some operating lists maybe on a Saturday and some clinic in the evening hours 1700-2030. Take part in daily ward rounds to be held with all the other Resident surgical staff on duty. Support the pre-operative nursing team remotely with clinical decision making and specialist referrals to aid peri-op assessment. There is no Out of Hour On call as part of this post; but if this is important to the post-holder we can facilitate participation on an ad hoc basis. Leave Arrangements All leave should be applied for in accordance with the Trust's Leave Policy, normally giving six weeks' notice of any leave, other than in exceptional circumstances., Mrs Anu Shotri (Director of Breast Screening & Trust Breast Surgeon AUH) Mr Mohmed Lafi (Trust Breast Surgeon AUH) Other staff include Specialist Registrars (ST3-8), Core Training doctors and FY1 doctors. We have a team of Theatre First Assistants, a full time Endocrine Surgery Specialist Nurse, Breast Advanced Nurse Practitioners, Breast Care Nurses, Breast Reconstruction Nurse, and pre-operative assessment nurses; split across the 2 sites. We have a dedicated team of administrative and clerical staff including in-patient booking. Facilities in the Unit The Breast/Endocrine Surgery Unit has in-patient beds in the Royal Liverpool Hospital (RLH), Aintree University Hospital(AUH) and Broadgreen Hospital (Breast patients only); with the majority of breast surgery managed as a day-case. The RLH & AUH are exceptionally well equipped for all diagnostic and therapeutic procedures necessary for the efficient care of endocrine surgery patients. There is 24-hour access to the emergency theatres and all routine pathology services. The radiology department is equipped for emergency and elective diagnostic procedures, including US, MR and CT scanning. Nuclear Medicine offer diagnostic and therapeutic services including latest developments such as Choline PET scanning. The library facilities in the hospitals are supplemented by excellent medical libraries at the Liverpool Medical Institute. Postgraduate teaching is provided by inhouse seminars, during MDTs and at audit meetings. Conditions of Service This post is covered by the Hospital Medical and Dental Staff (England and Wales) Terms and Conditions of Service. The post holder is required to be fully registered with the General Medical Council (GMC) and hold a licence to practice. Standards of Conduct and Behaviour All doctors working in the UK are required to work to the standards set out by the General Medical Council in Good Medical Practice. This includes protecting patients when you believe that a doctor's or other colleague's conduct, performance or health is a threat to them. If, after establishing the facts, it is necessary, you must follow the Trust's procedures in this matter and inform your Clinical Director or Medical Director in the first instance. The Trust has a set of expected behaviours for all employees and additional behaviours and skills that are expected of managers and supervisors. Continuous Professional Development remains a priority. The jobholder will undertake all mandatory training required for the role. All staff are responsible for working with their colleagues to maintain and improve the quality of services provided to our patients and other service users. This includes complying at all times with Trust Policies, including Health and Safety policies, in particular by following agreed safe working procedures, and reporting incidents using the Trust Incident Reporting system. The jobholder must comply with all policies and procedures designed to ensure equality of employment and that services are delivered in ways that meet the individual needs of patients and their families. No person whether they are staff, patient or visitor should receive less favourable treatment because of their gender, ethnic origin, age, disability, sexual orientation, religion etc. The Trust's Equality and Diversity Policy ensures that barriers to employment for disadvantaged groups are identified and removed, and that no person is treated less favourably on the grounds of their race, ethnic group, religion, impairment, age, gender, sexual orientation or mental health status. Reasonable adjustments will be made for disabled applicants and post holders where required, The Trust is committed to promoting a healthy work-life balance and achieve fair, equitable and consistent practice. We welcome flexible working requests and will consider a variety of flexible working arrangements from day one of your employment. Not all roles are suitable for every flexible working opportunity all of the time. Flexible working options may include reduced hours, compressed hours, fixed shifts, time back in lieu and home working. The Trust is committed to promoting equality and diversity; we value the contribution of individual talent, skills, knowledge and experience and aim for a workforce demography representative of the local community. We encourage applicants from the following groups that are currently under-represented in our workforce black, Asian and minority ethnic, lesbian, gay, bisexual and Transgender (LGBTQ+), disabled, male and age 16-24. Trust policy requires that the cost of submitting & processing the successful applicant/s DBS application be recovered via salary deduction following start in post. The amount of £25.70 (standard disclosure) or £46.70 (enhanced disclosure) will be deducted from salary, in manageable monthly instalments for up to 3 months following commencement of employment. Bank posts require upfront payment. From April 2017, Skilled visa applicants and their adult dependant(s) will be required to provide a criminal record certificate from each country they have lived in consecutively for 12 months or more in the past ten years. Applicants requiring sponsorship may wish to determine the likelihood of obtaining sponsorship for this position by assessing themselves against the criteria on the gov.uk website - https://www.gov.uk/check-uk-visa. This organisation has a zero-tolerance approach to the abuse of children, young people and vulnerable adults. All staff must ensure they adhere to the organisations safeguarding children and adults' policy and comply with the Local Safeguarding Children and Adult Board procedures. Staff should be mindful of their responsibility to safeguard children and adults in any activity performed on behalf of the organisation in line with the requirements of statutory guidance and legislation. All employees (and volunteers)are expected maintain their safeguarding knowledge and skills by completing mandatory safeguarding training which includes understanding and recognising the signs of abuse and neglect and taking appropriate action. As an organisation, we have adopted the Merseyside Domestic abuse workplace scheme which supports our staff who are experiencing Domestic Abuse /any forms of sexual violence.

• MBChB/MBBS or equivalent
• MRCS
• Fully GMC Registered with a licence to practice
Desirable criteria
• Additional Degree eg MSc, MD, PhD
• FRCS
Clinical ExperienceEssential criteria
• Applicant to have at least 4 years post-graduate general surgery experience, including a minimum of 12 months Endocrine Surgery
Desirable criteria
• Hold a CCT (or Equivalent) in General & Endocrine Surgery
• Experience working in the NHS
Clinical SkillsEssential criteria
• Ability to apply sound clinical knowledge and judgement to problems
• Ability to prioritise clinical need
• Ability to maximise safety and minimise risk
• Recognition of and ability to undertake the initial management of an acutely ill surgical patient
Desirable criteria
• Ability to investigate common endocrine surgical presentations and present an proposed management plan to supervising consultant / MDT, Demonstrates a commitment to Evidence based practice, audit, and quality improvement projects
• Shows enthusiastic engagement in teaching resident doctors and other MDT members
Desirable criteria
• Relevant peer reviewed publications
• Relevant presentations
• Formal Educational Role and/or qualification
Career Progression and Personal DevelopmentEssential criteria
• Complete Employment History to be provided
• Demonstrate engagement in teaching / training programmes and attendance at relevant courses
• Committed to reflective practice with awareness of areas for personal development
Desirable criteria
• Achievements related to General and/or Endocrine Surgery, Able to work in multiprofessional teams and supervise junior medical staff
• Ability to show leadership, make decisions, organise and motivate others team members
• Capacity to work effectively with others, Capacity to manage/prioritise time and information effectively
• Capacity to manage own workload and organise ward rounds
• Evidence of thoroughness, shows self-discipline, punctual and shows ability to meet deadlines
• Coping with Pressure Capacity to operate under pressure
• Demonstrates initiative and resilience to cope with changing circumstances, Understands, respects and demonstrates the values of the NHS Constitution (e.g. everyone counts, improving lives, commitment to quality of care, respect and dignity, working together for patients, compassion), You must have appropriate UK professional registration.
  
  Liverpool University Hospitals NHS Foundation Trust comprises Aintree University Hospital, Broadgreen Hospital & Royal Liverpool University Hospital.
We are part of NHS University Hospitals of Liverpool Group, formed on 1 Nov 2024 from the coming together of LUHFT and Liverpool Women's NHS Foundation Trust. The Group was born from a shared aim to improve the care we provide our patients. UHLG is one of the largest employers in the region, with over 16,800 colleagues dedicated to caring for our communities - from birth and beyond. For the 630,000 people across Merseyside, we are their local NHS. We provide general and emergency hospital care, alongside highly specialised regional services for more than two million people in the North West. Aintree University Hospital is the single receiving site for adult major trauma patients in Cheshire and Merseyside and hosts a number of regional services including an award-winning stroke facility. Broadgreen Hospital is home to elective surgical, diagnostic and treatment services, together with specialist patient rehabilitation. Liverpool Women's Hospital specialises in the health of women and babies, delivering over 7,200 babies in the UK's largest single site maternity hospital each year. The Royal Liverpool University Hospital is the largest hospital in the country to provide inpatients with 100% single bedrooms and focuses on complex planned care and specialist services.

Note: Under current Home Office Immigration Rules we are currently unable to offer right to work visa sponsorship for Band 2 and 3 roles with a salary of less than £25,000 pa as they do not meet the UK Visas & Immigration criteria.