Orthopaedic Trauma Clinical Fellowships (OTCFs)
1.
JOB DETAILS
Job Title:
Orthopaedic Trauma Clinical Fellow
Directly accountable to:
Orthopaedic Clinical Director
Medical Director (UHS)
Location:
Orthopaedic Department
Royal Infirmary Edinburgh
Term:
1 year [with option for extension by agreement]
Time Commitment:
Full Time 40 hrs plus banding supplement for on-call
Remuneration:
As per national T&Cs
Qualifications:
Within one year of completion, or three years post-completion,
of a formal, recognised orthopaedic training programme in the
UK or elsewhere
Full Registration GMC
2.
JOB PURPOSE
Working within the Royal Infirmary of Edinburgh Orthopaedic Trauma Unit, these posts will give
successful applicants the opportunity to expand their knowledge and experience in subspecialty orthopaedic trauma. These posts will offer successful applicants the opportunity to
develop their clinical and professional competence in a purposeful and supervised manner in
their development towards a career as a Consultant Orthopaedic Trauma Surgeon.
These posts are aimed at ST8 and post-CCT level i.e. those doctors having recently completed, or
being within three years of completion, an orthopaedic training programme. These posts are ideal
for those who are seeking advanced level training and experience in orthopaedic trauma.
The clinical development will be combined with supervised and directed non-clinical activity linked
to an area of mutual professional interest (applicant and NHS Lothian) including (but not
exclusively) research activity, clinical teaching, quality improvement and safety, management and
leadership development or informatics.
3.
DUTIES OF THE POST
The fellow will be assigned to a Named Clinical Supervisor (FS) within the RIE Orthopaedic Trauma
Unit for six months blocks. Within a 40hr contract, each fellow will contribute approximately:
4.

Supervised Clinical activity within theatre of approximately 3-4 half-day sessions per week

Supervised Clinical activity within out-patient clinics of approximately 3-4 sessions per week

Research and CPD activity of approximately 2 sessions per week

Participation on the second-on-call orthopaedic trauma rota at a rate of approximately 1:12

Involvement in clinical teaching of ST/FY doctors and medical students

Participation in assessment, appraisal and revalidation activity
DIMENSIONS
NHS Lothian is an integrated NHS Board in Scotland providing primary, community, mental health and
hospital services to a population of 850,000. Mr Tim Davison is Chief Executive and Dr David Farquharson
is Medical Director. The NHS Board determines strategy, allocates resources and provides governance
across the health system. Services are delivered by Lothian University hospitals division, the Royal
Edinburgh hospital and Associated mental health services, 4 community health (and social care)
partnerships (CHCPs) in City of Edinburgh, West Lothian, East Lothian and Midlothian, and a Public Health
directorate.
The University of Edinburgh College of Medicine and Veterinary Medicine
The Medical school educates 1311 medical students (including 94 in the intercalated honours year) and is
rated highly in all areas of external benchmarking. It has consistently returned the highest rating in the five
yearly Research Assessment Exercises; on a par with Oxford, Cambridge and Imperial College.
Undergraduate education is led by the Director of Undergraduate Teaching and Learning (Professor Neil
Turner), reporting directly to the Head of College, Professor Sir John Savill.
Appointment: the appointment will be on a fulltime basis for 6 months to two years maximum and subject
to satisfactory on-going appraisal within role.
Salary: In line with current seniority at time of appointment relating to the pay and conditions of service
remuneration of hospital medical and dental staff [NHS Circular: PCS(DD)2010/4]
5.
COMMUNICATIONS AND WORKING RELATIONSHIPS
The post holders will be expected to establish and maintain extremely good communications and working
relationships with a wide range of staff, including:

Clinical Director of the Orthopaedic Unit who will act as immediate Line manager

Supervising Staff members from Medical, Clinical and AHPs backgrounds

Named Clinical Supervisor

Colleagues in training grades at Foundation, Core and Specialty level
6.
LOGISTICS
Base
The post holder will be based at the Royal Infirmary of Edinburgh, Orthopaedic Trauma Unit and will spend
time with other clinicians, staff and medical students. In collaboration with the successful applicant and
Clinical Directors it may well be possible to experience a second Orthopaedic clinical attachment or
hospital base in the 12-month period.
Assessment and Appraisal
The post-holder will participate in an induction meeting with their Named Clinical Supervisor at the
beginning of the attachment, and agree goals and responsibilities for the fellowship. There will be a midterm meeting to discuss progress towards these goals. Towards the end of the fellowship period, or
annually at a minimum, there will be a formal assessment and appraisal procedure, in line with GMC and
NHS Lothian guidance.
Annual leave
Annual leave is in accordance with the nationally agreed level for the grade of applicant
Medical Clearance
The offer of appointment is subject to the post holder undergoing relevant clearances and health checks as
dictated by HR Recruitment and Occupational Health
Qualifications and Experience
The post holder must (at the time of commencement of employment) have full registration with the GMC.
Ideally applicants will be within their final year of training, or be within three years of completion of a formal,
recognised orthopaedic traning programme and understand the UK Healthcare system. It is no longer a
requirement of employment within the NHS that medical staff be registered with a medical insurance
organisation. Should you wish to maintain registration with such an organisation this is entirely your own
choice.
Job Revision
This job description should be regarded only as a guide to the duties required and not definitive or
restrictive in any way. It may be reviewed in the light of changing circumstances following consultation with
the post holders. This job description does not form part of the contract of employment.
Visits & Information
Prospective applicants are encouraged to make contact with Mr Jeffrey Reid, Consultant Orthopaedic
Surgeon, Edinburgh Orthopaedic Trauma Unit, by email at: jeffrey.reid@nhs.net
Arrangements can be made for propsective applicants to speak with current post holders about their
experience.
Training Approval
These posts are not recognised for core or speciality training but have been built on sound educational
governance principles.
7.
JOB DESCRIPTION AGREEMENT
The post will be for a six month to two-year tenure only, as negotiated between the fellow and Clinical
Director.
Signature (Post Holder):
Date:
Signature (Clinical Director or appointed Deputy):
Date:
Person Specification: Orthopaedic Trauma Clinical Fellow
ENTRY CRITERIA FOR APPLICANTS
Essential
Qualifications Within one year (ST8) of completion or less than three
years from completion, of a formal, recognised
orthopaedic training programme
Experience
Prior senior-trainee level experience in orthopaedic
theatres, clinics and wards
Eligibility
Full registration with the GMC at time of appointment and
hold a current licence to practice.
Evidence of achievement of postgraduate medical training
in line with GMC standards/Good Medical Practice.
Eligibility to work in the UK
Desirable
Published, peerreviewed research in
orthopaedic trauma
Distinction, prizes or
honours during
Postgraduate training
Well-presented log book
or professional portfolio
Evaluated
Application form
Application
form/Interview
Application form
Application
form/Interview
Application form
Teaching
Enthusiastic in teaching clinical skills in the workplace or
training environment.
Evidence of contributing to teaching & learning of others
Experience of simulation
based teaching
Has successfully
completed a ‘training the
trainers’ or ‘teaching
skills’ course
Application
form/Interview
Fitness To
Practise
Is up to date and fit to practise safely
Application form
References
Health
Meets professional health requirements (in line with
GMC standards/ Good Medical Practice)
Academic/
Research
Skills
Evidence of relevant
Research Skills:
academic & research
Demonstrates understanding of the basic principles of
achievements
audit, clinical risk management & evidence-based
e.g. degrees, prizes,
practice
awards, distinctions,
Understanding of basic research principles, methodology publications,
& ethics, with a potential to contribute to research
presentations, other
Audit: Evidence of active participation in audit
achievements
Evidence of participation
in risk management
and/or clinical/laboratory
research
Application Form
Preemployment
health
Application
screening Form
Interview
Personal
Skills
Personal
Skills contd…
Probity
ESSENTIAL
DESIRABLE
Judgement Under Pressure:
• Capacity to operate effectively under pressure &
remain objective In highly emotive/pressurised
situations
• Awareness of own limitations & when to ask for help
Communication Skills:
• Capacity to communicate effectively & sensitively
with others
• Able to discuss treatment options with patients in a
way they can understand
• Excellent written and verbal communication skills
Problem Solving:
• Capacity to think beyond the obvious, with analytical
and flexible mind
• Capacity to bring a range of approaches to problem
solving
Situation Awareness:
• Capacity to monitor and anticipate situations that
may change rapidly
Decision Making:
• Demonstrates effective judgement and decisionmaking skills
Organisation & Planning:
• Capacity to manage time and prioritise workload,
balance urgent & important demands, follow
instructions
• Understands importance & impact of information
systems
Excellent interpersonal skills
Evidence of ability to present oneself in an organised,
professional manner
Evidence of understanding of the importance of team
work
Experienced with Microsoft Word including PowerPoint,
word-processing and spreadsheet software
Motivated and able to work
unsupervised as well as
within a small team under
appropriate guidance
Professional Integrity:
Takes responsibility for own actions
Demonstrates respect for the rights of all
Demonstrates awareness of ethical principles, safety,
confidentiality & consent
WHEN
EVALUATED
Application Form
Interview
References
Application Form
Interview
References
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