Rural Surgical Fellowship, North of Scotland Aberdeen-based version, 2021
RURAL GENERAL SURGERY IN SCOTLAND Opportunities for Pre- or Post-CCT Fellowship Training
Would you like to live and work in a beautiful and unspoilt location? Are you prepared for a varied, challenging and exciting surgical practice? If so, this opportunity may be for you!
A significant number of Consultant General Surgeons will be required for several of the Rural General Hospitals in the North of Scotland during the next 2 years and beyond. The skills required of the Rural General Surgeon include competencies not normally acquired in General Surgery Training. This Fellowship offers the chance to acquire these skills and change your life!
NHS Education Scotland is offering educationally-approved peri/post CCT Fellowship Training for periods of 4-24 months to enable aspiring Rural Surgeons to achieve the necessary skills as defined in the Rural General Surgery Curriculum (www.iscp.ac.uk). During these Fellowships, appointees will be given the opportunity to acquire the necessary skills in specialties other than General Surgery particularly A&E, Trauma & Orthopaedics, Urology, ENT, Ophthalmology, Neurosurgery and (where relevant) Obstetrics. An outline job description will be available for applicants but will be modified at appointment to reflect the unique characteristics of the post. Administration of the programme and trainee assessment will take place under the auspices of the North of Scotland Specialty Training Programme in General Surgery and it is anticipated the Appointee(s) will rotate between Acute Hospitals in the Grampian and the Islands.
Fellowships will normally include a period of 3 months in a Rural General Hospital, as well as modular training in other specialties in the North of Scotland as required. On-call experience in General Surgery and other specialties will also be expected during the period of Fellowship.
Application for the Fellowship is open to any of the following: NTN holders in General Surgery in the UK within 2 years of CCT date and hold the FRCS(Gen) by the time of taking up post CCT holders in General Surgery who have been in regular practice in General Surgery within the last 18 months and are on the Specialist Register (UK) for General Surgery Trained Specialists in General Surgery who have had their application processed and are completing final requirements for entry to the GMC Specialist Register by virtue of European certification or Article 14. Trained specialists in General Surgery from outside the UK who have evidence of eligibility for sitting the FRCS examination and consequent entry to the GMC Specialist Register within 18 months of appointment.
Fellowship opportunities are now available for periods of 4-24 months as required. Posts will be available from August 2021.
For further information please contact Prof Kenneth Walker ([email protected])
Rural Surgical Fellowship, North of Scotland Aberdeen-based version, 2021
THE RURAL SURGICAL FELLOWSHIP This is a peri or post CCT Fellowship in Rural General Surgery for 4 months to maximum two years, funded by NHS Education for Scotland. It is designed to allow surgeons who have completed or are near completion of their Specialty Registration in General Surgery, to gain appropriate knowledge and skills to practice in a Rural General Hospital in the North of Scotland (Orkney, Shetland, Caithness, Elgin, Western Isles, Fort William or Oban). It would also be suitable for general surgeons considering practising in a rural hospital or in humanitarian relief work in other parts of the world. During the fellowship there would be opportunity to acquire the necessary skills to deal with common emergencies and more minor procedures in Urology, Trauma and Orthopaedics, Gynaecology and Obstetrics, ENT, Ophthalmology and Neurosurgery. The fellowship would be based this time in Aberdeen (there is an Inverness-based fellowship also). It would normally include 6 to 12 weeks in one or more rural general hospital, the rest of the time being spent in modular training in other specialties, as determined by a mutually agreed schedule tailored to the individual fellow’s training needs. Being supernumerary in host departments means the content of the fellowship can be bespoke. Where a trainee has already been appointed on a proleptic basis to a consultant post in a Rural Unit, with the fellowship beforehand, training will be tailored to the expected activity within that unit. Where longer modules (more than 2 months) are undertaken, in Urology or Orthopaedics for example, there will be opportunities to participate in emergency services in-hours and there may be opportunities to join middle grade on call rotas. General Surgery on call, if desired or appropriate for the trainee, could be considered on a locum basis where it did not interfere with training opportunities within the module(s) undertaken at the time, (eg by limiting to weekends) and could be on middle grade or consultant rota by mutual agreement. It may be efficient to undertake various subspecialty components in parallel, for example attending T&O trauma meetings or obstetric theatre lists while remaining based in a General Surgery unit.
Rural Surgical Fellowship, North of Scotland Aberdeen-based version, 2021
Administration of the programme and trainee assessment would be under the auspices of the North of Scotland Specialty Training Programme in General Surgery, and there will be requirements for workplace-based assessments. An educational Supervisor will be assigned, and there will be multiple Clinical Supervisors. Amongst the essential criteria on the person specification (see separate document) are that applicants must be
Existing NTN holders in General Surgery from anywhere in the UK who are within 2 years of their CCT date and hold the Intercollegiate Examination in General Surgery by the time of taking up post Existing CCT holders in General Surgery who have been in regular practice in General Surgery within the last 18 months and are on the Specialist Register (UK) for General Surgery Trained Specialists in General Surgery who have had their application processed and are completing final requirements for entry to the GMC Specialist Register by virtue of European certification or Article 14. Trained specialists in General Surgery from outside the UK who have evidence of eligibility for sitting the FRCS examination and consequent entry to the GMC Specialist Register within 18 months of appointment. It is estimated that the next adverts for posts will be in March 2021 (to be confirmed). At least one of these posts may be linked to proleptic appointments to specific consultant posts, either in Orkney or in Shetland, and advertised jointly. In that case there would usually be a meeting with any shortlisted candidate prior to interview, to discuss the specific training needs and how a fellowship could meet them, and to produce a brief report on that for a subsequent combined (Health Board and Deanery) interview panel. Informal enquiries may be directed to:-
Prof Kenneth Walker, Consultant Colorectal Surgeon and Associate Postgraduate Dean, Inverness. [email protected] Mr Gordon McFarlane, Consultant General Surgeon, Gilbert Bain Hospital Shetland. [email protected]
Rural Surgical Fellowship, North of Scotland Aberdeen-based version, 2021
POSSIBLE PARTICIPATING HOSPITALS
1. NHS GRAMPIAN a. ABERDEEN ROYAL INFIRMARY b. DR GRAY’S HOSPITAL, ELGIN c. STRACATHRO HOSPITAL 2. NHS SHETLAND a. GILBERT BAIN HOSPITAL, LERWICK 3. NHS ORKNEY a. BALFOUR HOSPITAL, KIRKWALL 4. NHS HIGHLAND* a. RAIGMORE HOSPITAL b. CAITHNESS GENERAL HOSPITAL, WICK c. BELFORD HOSPITAL, FORT WILLIAM d. LORNE & ISLES HOSPITAL, OBAN 5. NHS WESTERN ISLES* a. WESTERN ISLES HOSPITAL, STORNOWAY 6. OTHER CENTRES IN SCOTLAND MAY PARTICIPATE IF NECESSARY FOR CERTAIN SPECIALTIES, eg EDINBURGH, GLASGOW. *NHS Highland and NHS Western Isles will more commonly host the Inverness-based fellows, but could be approached for a placement if necessary.
1.NHS GRAMPIAN
NHS Grampian provides medical services for the half-million people who live in the region. It consists of acute services, corporate services and three Community Health Partnerships and works closely with the local authorities. NHS Grampian is also very closely linked with both the University of Aberdeen and The Robert Gordon University, especially in the fields of research, workforce planning and training.
Aberdeen Royal Infirmary (ARI), is the principal adult acute teaching hospital in Grampian. Situated on a large open site to the North-West of the city centre, it provides a complete range of specialties. The Royal Aberdeen Children's Hospital and the Aberdeen Maternity Hospital are also located on this site.
The University of Aberdeen
The University of Aberdeen is a fusion of two ancient universities: Kings College founded in 1495 and Marischal College which dates from 1592. The University maintains an outstanding record in scholarship and supports a high level of teaching and learning underpinned by a first class portfolio of research programmes and currently has 10,000 matriculated students. The Suttie Centre is a state of the art purpose built clinical skills and postgraduate centre on the Foresterhill site and opened in September 2009.
Rural Surgical Fellowship, North of Scotland Aberdeen-based version, 2021
The Institute of Medical Sciences is adjacent to the University Medical School on the Foresterhill site and this brings together medical scientists and clinicians in a fully integrated research facility.
The Institute has the mission to become an acknowledged centre of excellence in Medical Science Research. The University believes this can only be achieved by the optimal integration of both medical and scientific research.
Robert Gordon University (RGU)
The Robert Gordon University has earned wide recognition for its pragmatic approach to higher education both in Scotland and internationally. For generations it has produced qualified professionals across a broad spectrum of careers in the arts, management, engineering, sciences, pharmacy, health and the professions allied to medicine.
Around 5,800 students study almost 100 full-time and part-time courses at undergraduate, post-experience and postgraduate levels. The University is actively involved in applied research in a variety of fields and many short course programmes are being formulated to meet the growing needs of the community.
Aberdeen
With a population of approximately 250,000, the city of Aberdeen stands between the Rivers Dee and Don. This historic city has many architectural splendours and the use of the sparkling local granite has earned Aberdeen the name of the ‘Silver City’. Aberdeen is recognised as the oil capital of Europe but nevertheless retains its old-fashioned charm and character, making it an attractive place to live.
Aberdeen enjoys excellent communication services with other British cities - flying time to London is just over one hour with regular daily flights, and road and rail links to all points North and South are excellent. There is a wide choice of high quality housing available within easy commuting distance. Well known for its superb quality of life, Aberdeen enjoys first class amenities including His Majesty's Theatre, Music Hall, Art Gallery, Museums and Beach Leisure centre. Education facilities are excellent and in addition to Regional Education Authority schools, there are two fee-paying schools for girls and one co-educational college. All three cater for primary and secondary pupils.
General Surgery Department
The General Surgery department is a large and expanding department. ARI has two state of the art integrated operating theatres and General Surgery has received approximately 50% of this additional capacity. There are two surgical robots in the theatre suite and we are currently developing the colorectal robotic programme. The department has an active interest in clinical research. Both clinical and basic science research is conducted in the department in collaboration with the University of Aberdeen and Robert Gordon University.
The Fellowship is primarily based in Aberdeen Royal Infirmary with the opportunity to undertake sessions based at Dr. Gray’s Hospital (DGH) or Stracathro Hospital (day case lists only). DGH is a busy District General Hospital in Elgin. Additional operating lists and endoscopy lists may be available at this site.
Rural Surgical Fellowship, North of Scotland Aberdeen-based version, 2021
The General Surgery department deals with 100-120 emergency admissions per week. The elective activity demand is such that 300-400 patients are added to the inpatient waiting list every month. There are 18 WTE General Surgical Consultants. ARI is a designated Major Trauma Centre and the General Surgeons are a part of the Major Trauma Team.
Yellow Team – HPB/ Endocrine
Prof I Ahmed, Mr B Alkari, Mr M Habib, Mr J Milburn, Mr S Aspinall, Mr Ghazanfar and Mr P King (4 sessions)
Purple Team - Colorectal
Mr E Aly, Ms A McKinley, Mr C Parnaby, Miss L Stevenson, Miss S Shaikh, Mr G Ramsay, Mr C MacKay, Mr J On (June 2021), Mr T O’Kelly (6 sessions), Mr Y Kholeif (locum)
Red Team - UGI/ Bariatric
Mr A Qadir, Prof D Bruce (2 sessions), Mr S Nanthakumaran, Mr M Kumar, Ms N Ross, Mr P Mekhail
The junior medical staff includes 2-3 STRs, 2 Core Surgical Trainees, an FY2 doctor and 5 FY1 doctors per unit. The department has permanent Physicians Associate (PA) staff and PA students rotate through the Department. There is funding for 4 senior Clinical Fellows.
There are also fully staffed Vascular and Breast Units in ARI, and the Royal Aberdeen Children’s Hospital Is on site at Foresterhill.
General Surgery has 82 beds in the Core Unit of which 67 are open at present (Ward 206 and 207), 42 of which are on the emergency admissions ward (Ward 208). This is situated beside the Surgical Ambulatory Care emergency clinic. In addition there are 18 integrated Surgical HDU beds, which are close to the Core Unit (Ward 217). General Surgery shares access to the Short Stay Unit beds with the other surgical specialties, and on average uses 8 beds per day.
Quality Improvement / Morbidity & Mortality meetings are held weekly, with the day rotating each term. There are monthly ½ day CPD sessions, when elective activity is cancelled to allow attendance. The dates of these vary within the 4-week cycle so that the same clinical session is not always disrupted. The relevant MDT day will vary depending on the relevant specialty.
NHS Grampian aims to maintain the tradition of clinical excellence. It encourages clinical staff to work in an environment where people are looking to innovate and are aware of, and contribute to, developments within their specialties and are excited by the prospect of involvement in the exchange of ideas within the national and international research community. NHS Grampian’s Research and Development Strategy has been developed to prioritise and stimulate research and development within the organisation’s fields of interest, complementing the research strategies of the Universities and Research Institutes in the area. The Research and Development Directorate exists to support and facilitate research within NHS Grampian.
Rural Surgical Fellowship, North of Scotland Aberdeen-based version, 2021
General Surgery has an active research programme that draws on the excellent clinical and basic science facilities within the hospital and the University of Aberdeen. There are active collaborations with several clinical and basic science departments within the University.
All surgical specialties are present on site in ARI, apart from transplantations surgery. Fellowship opportunities are available to the Fellow as required in all relevant specialties.
2. NHS ORKNEY
The Balfour Healthcare Facility
The Balfour, the new hospital and healthcare facility, opened in June 2019 serves the Orkney community of 22,000. It consists of an Emergency Department, 49 single-occupancy rooms and includes an acute admissions ward with 2 high dependency beds, rehabilitation, maternity, dialysis, cancer and palliative care units.
There are two operating theatres and a minor procedure room which is used for endoscopies, cystoscopies and other surgical procedures. The Day Unit has 10 trolleys and 2 consulting/treatment rooms. One room has ensuite facilities so that the room can provide additional privacy for procedures such as termination of pregnancy. The Unit undertakes a wide variety of surgical procedures, as well as transfusions and infusions. Over the last year the Day Unit has been reduced to 4 trolleys, allowing a ventilation unit to be created in response to the COVID-19 pandemic.
The spacious outpatient department hosts visiting specialist clinics and other off-island services delivered through videoconferencing. Each consulting room has dual screens, allowing videoconference consultations with patients in their own homes and supports our staff to attend multidisciplinary team (MDT) meetings with specialists across many disciplines, mainly from Aberdeen. Weekly MDT meetings include urology, colorectal and breast cancer which are attended by the surgical team, as appropriate. The Oncology Specialist Nurses coordinate care between Aberdeen Oncologists, Surgeons and Radiologists with the services provided locally by primary care, the surgeons, radiological investigations and chemotherapy delivered by the Specialist Nurses. Close liaison helps to ensure a smooth patient journey, delivered as close to home as possible.
The radiology department is equipped with the newest imaging technology, including high resolution CT scanning and, with the laboratory, provide a wide range of diagnostic tests. The Kirkwall GP practices, a Dental Unit, the Out of Hours Service and Scottish Ambulance Service also share the same facility. Having the majority of our services delivered from the same building facilitates close multidisciplinary working to the benefit of our patients. Our ambition is to develop a fully integrated service across Primary, Secondary and Social Care, in conjunction with the Third Sector and to empower our communities to actively contribute to the care and wellbeing of the population, in its widest sense.
Rural Surgical Fellowship, North of Scotland Aberdeen-based version, 2021
The five Consultant-led departments of Surgery, Medicine, Anaesthetics, Obstetrics & Gynaecology and Public Health are supported by a team of non-consultant doctors, including hospital-based GPs, GP Specialty Trainees and Career Development Fellows. There is an experienced nursing body, with a range of Specialist Nurses, Advanced and Emergency Nurse Practitioners, alongside Physiotherapy, Occupational Therapy and Pharmacy Departments.
Although patient numbers are relatively low, our patients have the same illness profiles and suffer the same spectrum of trauma as patients in other localities. This means our staff need to be broad generalist across all age groups and deliver services that in urban centres are delivered by specialists. Strong professional networks with specialist colleagues, mainly in Aberdeen, are essential to ensure high quality, up to date care and we are fortunate to have excellent support to facilitate this.
Although we have high dependency beds, we do not have an ITU on the island. Patients requiring ventilation, or specialised care that we cannot provide locally, are transported off- island by air ambulance. NHS Scotland has excellent consultant-led adult, paediatric and neonatal retrieval teams. These teams also provide ongoing advice and support prior to arrival. There is also a national trauma network. Occasionally, usually due to adverse weather conditions, we have to care for ventilated patients for a few hours (or even a day or two on rare occasions), until the retrieval team can reach us.
Training and education across the professions, including undergraduate attachments, along with close collaborative working with other Health Boards is essential to develop and maintain contemporary, high quality care in an island environment.
There is a strong Primary Care Service across Orkney with five GP surgeries on the Orkney Mainland; two within The Balfour and the others in Stromness, Dounby and St Margaret’s Hope. There are 10 single-handed practices on the outer isles, four staffed by GPs and the other six staffed by Advanced Nurse Practitioners.
The Islands
Orkney is an archipelago of beautiful islands with a deep cultural heritage, a gentle warm welcome and a resourceful, progressive and cohesive community. The island has excellent schools, leisure facilities and a wide range of activities (currently restricted by the pandemic) including sport (Orkney is planning to host the Islands Games in 2025) music, art, drama; with a range of festivals spread across the year. History, ranging from World Heritage Neolithic sites, a Viking Cathedral and palaces to World War 2, is all around. The natural beauty of the islands and wildlife is stunning.
Orkney’s economy is based on agriculture, generating some £30 million per year. Farmers breed and rear beef cattle, dairy cows and sheep of the highest standard. Orkney has international recognition for its cheese, beef, lamb and fish produce; not to mention whiskey, beer and more recently gin. Tourism, oil and the renewable energy sectors are increasingly important. Orkney is a world leader in renewable wave and tidal energy.
In 2019, Orkney was rated the best place to live in Britain. To find out more about living and working in Orkney go to www.orkney.com or www.orkneycommunities.co.uk and learn more about NHS Orkney at www.ohb.scot.nhs.uk.
Rural Surgical Fellowship, North of Scotland Aberdeen-based version, 2021
3. NHS SHETLAND
The Gilbert Bain Hospital, is the only acute general hospital in Shetland, serving both the Shetland population of approx 23,000 and the 4,000 offshore workers in fishing and oil industries. The hospital is a 3-storey building, opened in 1961, with an extension opened in 1991 and a modern Outpatient department completed in 2008.
The bed complement is: 22 surgical beds (ward 1), 22 medical beds, 2 high dependency, 5 day surgery, 5 maternity beds. Ward 1 is a mixed-sex ward with 4 single sex bays, two side- rooms and a two-bedded High Dependency Unit. The surgical consultants share the 22 beds as needs dictate. Staffing levels are appreciably higher than on equivalent mainland wards and allow a thorough and patient-centred approach to surgical nursing. The Day Surgery Unit provides 5 day-case beds staffed by dedicated Day Surgery nurses. There is a fully established pre-assessment service.
The Accident and Emergency Department serves the islands and also acts as a front-line station for personnel on marine vessels and offshore installations. A full range of medical and surgical conditions is treated, from minor injuries to major trauma requiring resuscitation, stabilisation and aero-medical evacuation to mainland Scotland. It is permanently staffed and has two fully equipped resuscitation bays, a plaster room and three individual cubicles. Medical cover is provided in-hours by a designated surgical junior doctor and junior medical staff, with support from several Advanced Nurse Practitioners and Emergency Nurse Practitioners. At night cover is provided by a junior doctor with medical, surgical obstetric and anaesthetic consultants available from home.
The Theatre Suite is spacious, modern and well equipped. It includes two large operating theatres with adjoining anaesthetic rooms. Recent adaptations have been made to allow a red and green pathway for Covid and non-Covid patients. The day surgery unit has been moved to a separate location to make room for a temporary Respiratory Care Unit with negative pressure ventilation. An endoscopy room has been established in the temporary day surgery unit. There is an extensive up-to-date range of surgical equipment including endoscopic and laparoscopic systems that enable the surgeon to undertake most elective and emergency procedures. Instrument sterilisation is undertaken within the integral HSDU and is compliant with the recent requirements for hospital sterilisation facilities.
The Outpatient Department hosts a number of visiting clinics and specialists, as well as clinics for local consultants. There are a number of procedures undertaken in the OPD, including a regular minor operations list.
The medical unit is based on Ward 3, with 22 beds and adjoining consultant and medical secretarial offices. The ward environment is mixed sex and consists of 4 single sex bays, 4 side rooms and a 2 bedded area that can be adapted to manage higher dependency or bariatric patients.
Support Services. Basic laboratory services are available locally with a full range of services available in Aberdeen. Radiographers undertake plain film imaging and ultrasound by an ultrasonographer is available in hours. A number of invasive radiological investigations are performed locally on a monthly basis under the supervision of a visiting radiologist. A CT
Rural Surgical Fellowship, North of Scotland Aberdeen-based version, 2021
scanner is available with images transferred to a radiologist in Aberdeen or elsewhere for same day reporting.
Six doctors working at FY2, or core training level provide surgical support. Currently this consists of one Core Surgical Trainee, one general practice trainee, one Clinical Development Fellow, one LAS post, one FY2 trainee and a Specialty Doctor. Whole and Part time consultant anaesthetists provide comprehensive anaesthetic and peri-operative care services.
The Gilbert Bain is the most remote of the Rural General Hospitals in Scotland, but enjoys good support from consultants in Grampian. This has allowed the current three general surgeons to maintain a very broad-based general surgical practice, consisting of upper and lower GI surgery (including endoscopic and laparoscopic work), breast surgery, urology (including flexible and rigid cystoscopy, TURP and TUR-BT), orthopaedic trauma (including hip hemiarthroplasty, hip DHS and wiring or plating of commoner fractures), minor cold orthopaedics, very occasional emergency neurosurgery, and all surgical conditions presenting to the Accident and Emergency department including ENT and eye emergencies. There is no Consultant staff in A & E so the post holder would be expected to be attend any major trauma call and lead resuscitation of trauma patients along with the Consultant Anaesthetist. Emergency Obstetrics & Gynaecology is now being covered by O & G consultants but general surgeons are still involved in Caesarean sections in case the Obstetrician has to assist in the resuscitation of the neonate.
Rural Surgical Fellowship, North of Scotland Aberdeen-based version, 2021
NHS EDUCATION FOR SCOTLAND: NORTH OF SCOTLAND DEANERY PERSON SPECIFICATION APPLICATION FOR RURAL GENERAL SURGERY TRAINING FELLOWSHIP
NOTES:
1. Essential criteria are the minimum requirements for appointment. They may also be scored depending on the level at which the applicant satisfies each criterion.
2. Candidates who do not satisfy all essential eligibility requirements will not be shortlisted.
3. Shortlisted applicants will be required to bring a signed hard copy of a structured reference completed by one of the following: a. For NTN applicants - their CURRENT or MOST RECENT Educational Supervisor (ES) b. For existing consultants/specialists – their Clinical or Medical Director
4. Successful applicants will be expected to apply for suitable RGH consultant vacancies as soon as appropriate. Proleptic appointment arrangements may be possible before completion of the Fellowship.
ESSENTIAL DESIRABLE ELIGIBILITY MBBS or equivalent medical qualification Eligible for full registration with the GMC at time of appointment
Holder of an NTN in General Surgery in the UK, within 2 years of CCT date, and holding FRCS(Gen) by time of taking up post. OR Holder of CCT or CESR in General Surgery, in regular practice in General Surgery within the last 18 months and on the Specialist Register (UK) for General Surgery. OR Trained Specialists in General Surgery who have had their application processed and are completing final requirements for entry to the GMC Specialist Register by virtue of European certification or Article 14 OR Trained specialists in General Surgery from outside the UK who have evidence
Rural Surgical Fellowship, North of Scotland Aberdeen-based version, 2021
of eligibility for sitting the FRCS examination and consequent entry to the GMC Specialist Register within 18 months of appointment. LANGUAGE English language proficiency, as SKILLS evidenced by graduation from an English medium university OR IELTS 7.0 or equivalent qualification/evidence QUALIFICATIONS MBBS or equivalent medical Evidence of additional relevant qualification academic degrees, postgraduate examinations or FRCS and Intercollegiate other relevant academic Examination in General Surgery or qualifications equivalent by start date of Fellowship CLINICAL Evidence of capacity to apply sound Successful completion of KNOWLEDGE AND clinical knowledge & judgement & relevant specialty skills TECHNICAL prioritise clinical need. courses eg ALS, ATLS, EXPERTISE Appropriate technical competence for Critical care experience with evidence of strong and complex clinical/diagnostic skills Evidence of satisfactory completion of training in General Surgery OR anticipated satisfactory completion (CCT) within 2 years. ACADEMIC SKILLS Audit: Evidence of personal initiation Evidence of training in and organisation of audit projects teaching/training Evidence of active participation in Evidence of relevant audit and risk management research achievements (prizes, awards, Teaching: Evidence of ability to distinctions, publications, communicate knowledge and presentations, other understanding to others achievements) Research Skills: Understanding of Experience of management the basic principles of research and including rota organisation etc evidence-based practice, with potential to contribute to research Organisational management. Able to use basic IT packages. CAREER No unexplained career gaps PROGRESSION Appropriate career progression for stage COMMITMENT TO Knowledge of the training programme Participation/leadership in RURAL SURGERY and curriculum competencies extracurricular required activity/achievements Understanding of the particular relevant to Rural General demands of a rural surgical lifestyle Surgery Motivation and commitment to self- Attendance at directed learning national/international meetings or conferences
Rural Surgical Fellowship, North of Scotland Aberdeen-based version, 2021
Commitment to maintain and expand relevant to Rural General a wide range of procedures and Surgery operations across different specialties in the Rural General Hospital setting COMMITMENT TO Knowledge and acceptance of the Evidence of knowledge and WORKING IN A requirements of this Fellowship understanding of the NHS RURAL GENERAL including rotation to different in Scotland HOSPITAL IN geographical locations in the North of SCOTLAND Scotland Evidence of commitment to becoming a Rural General Surgeon in Scotland PERSONAL SKILLS Logbook/summary documentation of Evidence of high level of ability in all essential Judgement surgical exposure to date personal skills and under Pressure Capacity to operate effectively under attributes Communication pressure Skills: Awareness of own limitations & when Problem Solving to ask for help Situation Capacity to communicate effectively & Awareness sensitively with others, able to discuss treatment options with patients in a Decision Making way they can understand Leadership & Capacity to think beyond the obvious, Team with analytical and flexible mind. Involvement Capacity to bring a range of Organisation & approaches to problem solving Planning Capacity to monitor and anticipate
situations that may change rapidly Demonstrates effective judgement and decision-making skills Capacity to work effectively in a multi- disciplinary team & demonstrate leadership when appropriate. Capacity to establish good working relations with others Capacity to manage time and prioritise workload, balance urgent & important demands PROBITY Evidence of total commitment to professional integrity in all actions and behaviour Takes responsibility for own actions, demonstrates respect for the rights of all. Demonstrates awareness of ethical principles, safety, confidentiality & consent. Awareness of importance of being the patients’ advocate, clinical
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governance & responsibilities of an NHS employee FITNESS TO Up to date and fit to practise safely PRACTISE HEALTH Meets professional health requirements (in line with GMC standards/Good Medical Practice)