Senior CF Perioperative Geriatric Medicine & Geriatric Major Trauma

Senior CF Perioperative Geriatric Medicine & Geriatric Major Trauma

Join to apply for the Senior CF Perioperative Geriatric Medicine & Geriatric Major Trauma role at North Bristol NHS Trust

Ongoing development of perioperative geriatric medicine and trauma services is a strategic objective for the Trust. The post‑holder will contribute actively to a modern model of shared medical and surgical care for all older patients admitted with major traumatic injuries. This will involve day‑to‑day medical care for older patients admitted with head, spinal, thoracic, pelvic, and long bone injuries.

Outpatient clinic opportunities will also exist to support the development of skills in enhanced medical pre‑assessment of older patients requiring elective colorectal, vascular, complex orthopaedic and urological surgery.

The post would suit trainees in Geriatric or Acute General Medicine seeking to broaden their perioperative medicine experience, as well as candidates able to perform at senior clinical fellow grade who are in possession of full MRCP(UK) or equivalent international qualification.

The post‑holder will be supervised in every aspect of the role by substantive consultants (listed below) working in Perioperative Geriatric Medicine and will not routinely participate in unselected medical admissions during the fellowship, unless specific training needs are required (subject to agreement).

The post‑holder’s timetable will be subject to agreement at induction and job planning, with rotational placement across major trauma, femoral fracture, or neurosurgery areas. Clinical, quality improvement and research activities will be carried out weekly. (Schedule details omitted for brevity.)

• The post holder’s supervising consultant will be Dr Andrea Joughin, or another substantive consultant working in perioperative geriatric medicine.

• Demographics and political landscape relevant to the older trauma and surgical patient
• National reports and policy drivers relevant to 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 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 pre‑habilitation)
• Clinical assessment with appropriate use of investigations and tools to pre‑operatively 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 regarding 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

The post would suit trainees in Geriatric or Acute/General Medicine seeking to broaden their perioperative medicine experience, as well as candidates able to perform at senior clinical fellow‑grade who are in possession of full MRCP(UK) or equivalent qualifications. International applications will be welcomed from individuals able to fulfil the role.

• Support a shared model of trauma care for older patients admitted with pelvic, long bone, spinal, thoracic, abdominal or head trauma.
• Provide proactive comprehensive geriatric assessment of older people sustaining trauma, and/or undergoing surgery.

• On GMC’s register with a Licence to Practice or eligible to apply for GMC registration and a Licence to Practice
• Full MRCP
• Completion of Core Medical Training (or equivalent)

• Experience and competencies in…