The Royal London / Royal Marsden
- Perioperative Medicine Fellowship
1 year fellowship in advanced clinical training and perioperative medicine
Barts Health NHS Trust and the Royal Marsden NHS Foundation Trust are pleased to offer a 12-month Fellowship in Peri-operative medicine focussing on the care of the high-risk surgical patient, Pre-operative assessment including Cardiopulmonary Exercise Testing and high-risk general anaesthesia. The fellowship is accompanied by a fully funded postgraduate qualification in perioperative medicine.
The role will include the opportunity to complete advanced modules of training, to undertake Quality Improvement (QI) projects around this area of interest, contribute to on-going research pertinent to the perioperative period and to develop educational resources within the hospital and School of Anaesthesia.
The Royal Marsden is a world-leading cancer centre specialising in cancer diagnosis, treatment, research and education. The Trust is composed of two hospitals: one in Chelsea, London, and another in Sutton, Surrey. They are partners with the Institute of Cancer Research. Through this partnership, they have undertaken ground breaking research into new cancer drug therapies and treatments. The partnership makes them the biggest and most comprehensive cancer centre in Europe, with a combined staff of over 3500.
The Trust is a world renowned tertiary referral centre for upper and lower GI surgery, hepatobiliary, sarcoma, urology, gynaecology, plastics, head and neck, and breast surgery. They are one of the largest volume surgical soft tissue sarcoma centres in Europe. Patients are referred internationally for sarcoma surgery, retroperitoneal lymph node dissection and Isolated Limb Perfusion (ILP). The Marsden has an extensive robotic surgery practice in urology and gynae-oncology cancers and are also the only centre in the UK to perform robotic oesophago-gastrectomies.
The post holder must be an ST6 or 7 at the time of appointment and be able to demonstrate, a keen interest in assessment and anaesthesia for high-risk surgical patients and their peri-operative care.
Trainees must be able to travel to both the Royal London and the Royal Marsden sites. During the 6 month attachment at the Royal Marsden Hospital, trainees are expected to attend the Sutton site for a total of 10 days during the 6 month period, with the remaining time spent at the Fulham Road site.
It is strongly recommended that any prospective candidate should discuss their application with their Training Programme Director prior to application.
The post has been created to:
Enable the post holder to develop a special interest in peri-operative medicine with particular regard to high-risk surgical patients, anaesthesia for major surgery, pre-op assessment and CPET.
To develop skills in research, teaching and training.
To support Consultant directed Peri-operative medicine research.
To contribute to quality improvement programmes and patient pathways in this area of peri-operative medicine and anaesthesia.
To work collaboratively with other specialties to develop peri-operative medical care with regard to high risk surgical patients.
Facilitate the undertaking of a fully funded postgraduate qualification in perioperative medicine.
To complete training in Advanced Domains 1 – 6, higher and advanced training modules and modules in perioperative medicine (in accordance with RCOA guidance).
Responsibilities of Post
The Fellow would be expected to provide specialist anaesthetic services at The Royal London Hospital in collaboration with colleagues, to share general medical duties and participate in training of junior medical staff.
The Royal London Hospital (6 months)
In addition to time allocated for research and development, the timetable for the post is:
Participation in the 1 in 9 senior registrar (1220) on call rota. This post is banded at 1b level.
There will be sessions in Pre-op assessment with opportunity for cardiopulmonary exercise testing, and high risk surgical anaesthesia.
The post holder will be expected to comply with Trust policies and procedures at all times.
The working week will be a mix of clinical major colorectal / upper GI / HPB surgery / vascular / trauma / orthopaedic / gynae oncology or urology lists and there will be at least one day a week to allow QI / research / educational activities. Lists will be allocated (where possible) with view to facilitating completion of advanced training. (see appendix A)
The Royal Marsden Hospital (6 months)
The post is banded 1a. On call commitments will be at the Fulham site. These include (over 3 months):
1 weekend of Long Days on CCU (Fri/Sat/Sun/Mon)
1 weekend of nights on CCU (Fri/Sat/Sun)
3 midweek long days on CCU
3 midweek nights on CCU
Approximately 5 long days in theatres.
There will be sessions in Pre-op assessment with opportunity for cardiopulmonary exercise testing, and high-risk surgical anaesthesia.
The post holder will be expected to comply with Trust policies and procedures at all times. The working week will be a mix of cancer surgery. These include; airway / sarcoma / plastics / major colorectal / upper GI / HPB surgery / gynae oncology or urology lists and there will be at least one day a week to allow QI / research / educational activities. Lists will be allocated (where possible) with view to facilitating completion of advanced training. All trainees are expected to attend the The Royal Marsden site in Sutton for 10 days of paediatric anaesthesia during the 6 month attachment.
For more details please click on the links below:
For further details please contact Dr Mevan Gooneratne.