Consultant Vascular Surgery in Leinster Region - Republic of Ireland on a fixed term / permanent basis; working for our client via Workplace Doctors

*** Must have IMC (Specialist Division) Registration (Irish Medical Council) - Essential
*** Location: Republic of Ireland - Leinster Region (Louth, Meath, Longford, Westmeath, Offaly, Laois, Carlow,   Kilkenny, Wexford, Dublin, Wicklow, Kildare)
***Speciality: Vascular Surgery
*** Pay rate: €217,235 to €261,051 Euro’s (dependent on experience) basic salary (allowances paid extra)
*** Role: Consultant (6+ years post graduate experience)
*** Duration:12 months FREE Visa & Work Permit Offered
*** Start date: ASAP 
***IELTS Score of 7.0 Overall (minimum) – Essential (overseas doctors only)

***Exact location details provided upon application

Irish Teaching Hospitals and Medical Universities receive great international acclaim & recognition throughout the world, doctors with experience and training in Ireland typically enjoy great success in terms of professional career development & job satisfaction.

Overview

We are seeking to appoint a Consultant Vascular Surgeon, initially for a period of twelve months before going onto a permanent post. The appointee would be expected to be proficient in endovascular surgery in addition to a comprehensive range of traditional open vascular surgical procedures.  He or she will join an established Department of 6 vascular (including this post), 9 general/breast surgeons, and 4 urologists in providing a comprehensive surgical service.

This post has arisen as a result of one of the existing vascular surgeons retiring from vascular surgery to take up general surgery and management. The post holder will complete 6-member senior core vascular team which aims to provide a high quality, timely and modern service to patients with vascular disease. The core purpose of the vascular team is to continually work to improve quality of care and patient experience.

Vascular Surgery

Based at the HSE Hospital, Vascular Unit provides a supra district vascular service to the population / catchment areas and is a designated arterial intervention centre. The department provides the full spectrum of elective and emergency surgery, including endovascular aneurysm repair, urgent carotid endarterectomy, distal bypass and hybrid open/endovascular procedures for peripheral arterial disease, and endo-venous treatment for superficial venous disease. Interventional support is provided by a team of two interventional radiologists. The centre provides limited endovascular treatment for complex aortic disease including thoracic aorta requiring debranching (chimneys etc). There is a desire to extend the programme to include fEVAR procedures pending outcome of the STP consultation.

On-call Commitments: The Vascular Surgeons run a 1:6 split week (4/3 days) on-call rota to which one surgeon based in the secondary hospital contribute. The firm operates as one team; the on-call surgeon is freed of all elective commitments; instead, assuming the responsibilities for the care of all vascular in-patients including elective postop and new vascular emergencies. The on-call surgeon is required to do daily ward rounds including the weekends and provide specialist input to the treatment of patients admitted in the care of other specialties including Diabetes, Care of the Elderly and Cardiology. There is a weekly half-day urgent list (staffed by a vascular anaesthetist and vascular/wire trained scrub staff) in addition to 24/7 CEPOD list. Diagnostic (CT) angiograms are available 24/7 for aortic and peripheral emergencies and vascular laboratory services within the normal working time, five days a week.  The junior vascular team comprises of two middle grades, one core trainee, one SHO and 3 house officer doctors. The general surgical on-call team provides cover for vascular patients out of hours.

Elective operating lists are staffed by dedicated scrub team who are skilled in endovascular interventions and a stock of commonly used wires, catheters, sheaths and closure devices is kept in theatres. A limited stock of EVAR devices is available on site. There are five anaesthetists with major interest in vascular anaesthesia; they are closely involved in pre-operative assessment, optimisation and decision making. Vascular Clinical Lead is responsible for maintaining standards and quality of the service, supported by weekly vascular MDT and a monthly business meeting. The team follows Vascular Society’s QIF for all major vascular interventions.

The other hospitals in the network provide outpatient clinics, diagnostic imaging and day case venous interventions. The Dublin hospital within the group employs two interventional radiologists who undertake peripheral angioplasties locally. There are no vascular in-patients at either of the two spoke hospitals.

Endovascular and Interventional Radiology:

There are four interventional radiologists between the hospital group who provide day time peripheral interventions. Currently out of hour vascular interventional service is by referral to tertiary centres in Dublin but there are plans to set up a 1:6 IR on call service within the STP footprint.

Four of the current vascular surgeons have endovascular skills and undertake their own EVARs and hybrid procedures. More complex procedures are pre-planned to be done jointly by two endovascular surgeons or an endovascular surgeon and interventional radiologist. The workload allows for the surgeons to keep their endovascular skills current. We think that this is the most appropriate model to provide vascular services considering the state of IR workforce. Opportunities are available to develop advance endovascular skills and a dedicated peripheral interventional session can be included in the job plan if required.

VMDT: There is a weekly vascular MDT meeting. All cases for surgical and radiological interventions including infra-renal aneurysms are discussed. The consultant in charge is responsible to keep a record of the discussion and treatment plan as well as for the implementation of the plan.

TMDT: Thoracic aortic MDT is held once in 6 weeks in collaboration with the HSE Cardiothoracic Hospital.

Clinical Duties (guideline only)

The post holder will be expected to undertake full range of traditional open, aortic and peripheral arterial surgery, both in elective and emergency settings. In addition they will be skilled in endovascular interventions particularly for aortic and iliac disease (both aneurysmal and occlusive). They will be expected to operate within the normal working practices and care pathways adopted by the vascular team and work collaboratively for the benefit of patients, and be prepared to be accountable for the quality of their work. The appointee will work in accordance with the values of the Trust and Standard Operating Procedures of the vascular team.

The consultant will have a continuing responsibility for the care of patients even when not on call, ensuring detailed, written handover as appropriate. He/she will provide a prompt help and/or opinion on request from another colleague, whether vascular or from other specialty.

As the vascular network is organized as a hub and spoke model. The appointee will be required to undertake regular clinical activity at Dublin (one clinic and bimonthly half day operating list).

They will be required to attend the weekly vascular MDT where all major cases are discussed.

The appointee will be required to participate in the vascular emergency rota at the secondary hospital, currently on a 1:6 basis. As part of the rota, during the on-call split week, the appointee will be free of elective commitments. The Trust is committed to 7 day working and daily consultant review of inpatients including the weekends by the on-call consultant is mandatory.

• participate as a member of a multi-disciplinary team in the provision of medical care to patients
• co-operate with such arrangements as are put into place to verify the delivery of all contractual commitments
• co-operate with such measures as are necessary to ensure compliance with the requirements of the European Working Time Directive and related Irish legislation (39 Hours per week)
• further progress knowledge of diagnosis and management
• participate in multidisciplinary clinical audit and proactive risk management and facilitate production of all data/information for same.
• ensure that duties and functions are undertaken in a manner that prioritises the safety and well-being of patients – Indoor & Outdoor patients in your care
  diagnose and treat patients- initiate and monitor treatment of patients
• assess patients on admission and/or discharge as required and write detailed reports in the case notes
• order and interpret diagnostic tests
  communicate effectively with patients and colleagues
• co-operate with investigations, enquiries or audit relating to the provision of health services

Teaching Commitments

·       regular commitments to ward based teaching of undergraduates.

·       participation in the lecture programmes for 2^nd and 4^th & 5^th year medical students.

·       teaching of other groups as required including other specialty juniors and specialist nurses.

Job Plan

A formal job plan will be agreed between the appointee, the Operational Medical Director and Lead Vascular Surgery Consultant, on behalf of the Trust’s Medical Director, based on the provisional timetable. This will be signed by the Chief Executive and will be effective from the commencement date of the appointment.

It will be reviewed at 3 months & thereafter annually or at any time, but no less than 3 months after a previous review, as requested by the appointee, Operational Medical Director or Clinical Lead & adjusted accordingly to the agreement of both parties.

Timetable is likely to be flexible, at least initially. There will be two fixed session at the secondary site.

Monday

o Clinic

o Admin / List

Tuesday

o Admin / Emergency list

Wednesday (secondary hospital)

o Diabetes MDT and Foot ward round

o Ward referrals and admin

o Clinic

Thursday

o Admin/Clinic/List

Friday

o Operating list

On call Commitments

•1:6 rota – hot week (4:3 split of days)

•Ward round when on call as predictable activity

Departmental Meetings

•Vascular MDT (1.5 hour/week)

•Vascular Business Meeting (1.5 hours a month)

•Departmental Audit Meetings

9 programmed activities (PAs) direct clinical care:

•Theatre 2.5 PA (flexible)

•OPD 2 PA

•Ward referrals 0.5 PA

•Travelling between the hospitals 0.75 PA

•EVAR Planning 0.50 PA

•Clinical administration 0.5 PA

•MDT/X-ray meetings 0.50  PA

•Predictable/un-predictable on-call 1.75 PA

 (during emergency week, predictable on-call activity replaces elective commitments)

1.0 PAs supporting professional activities

Standard Duties and responsibilities

a) To participate in development of and undertake all duties and functions pertinent to the Consultant’s area of competence, as set out within the Clinical Directorate Service Plan  and in line with policies as specified by the Employer.

b) To ensure that duties and functions are undertaken in a manner that minimises delays for patients and possible disruption of services.

c) To work within the framework of the hospital / agency’s service plan and/or levels of service (volume, types etc.) as determined by the Employer. Service planning for individual clinical services will be progressed through the Clinical Directorate structure or other arrangements as apply.

d) To co-operate with the expeditious implementation of the Disciplinary Procedure 

e) To formally review the execution of the Clinical Directorate Service Plan with the Clinical Director / Employer periodically. The Clinical Directorate Service Plan shall be reviewed periodically at the request of the Consultant or Clinical Director / Employer. The Consultant may initially seek internal review of the determinations of the Clinical Director regarding the Service Plan.

f) To participate in the development and operation of the Clinical Directorate structure and in such management or representative structures as are in place or being developed. The Consultant shall receive training and support to enable him/her to participate fully in such structures.

g) To provide, as appropriate, consultation in the Consultant’s area of designated expertise in respect of patients of other Consultants at their request.

h) To ensure in consultation with the Clinical Director that appropriate medical cover is available at all times having due regard to the implementation of the European Working Time Directive as it relates to doctors in training.

i) To supervise and be responsible for diagnosis, treatment and care provided by non-Consultant Hospital Doctors (NCHDs) treating patients under the Consultant’s care.

j) To participate as a right and obligation in selection processes for non-Consultant Hospital Doctors and other staff as appropriate. The Employer will provide training as required. The Employer shall ensure that a Consultant representative of the relevant specialty / sub-specialty is involved in the selection process. 

k) To participate in clinical audit and proactive risk management and facilitate production of all data/information required for same in accordance with regulatory, statutory and corporate policies and procedures.

l) To participate in and facilitate production of all data/information required to validate delivery of duties and functions and inform planning and management of service delivery

Requirements

This post is open to doctors who hold Registration as a Specialist in the Specialist Division of the Registrar of Medical Practitioners maintained by the Medical Council in Ireland in the specialty of Clinical and Vascular Surgery.

Office Accommodation

Office accommodation will be provided for the appointee with secretarial support.

Management Responsibility

All Consultants are required to attend the monthly Directorate Meetings. Post holders will be expected to share in administrative duties allocated by mutual agreement within the Directorate. As part of the Consultant Team, the consultant  will offer mentoring support and lead the existing clinical team through; joint clinics, one-to-one support, individual case management and complex cases, identifying development needs and suggesting CPD (Continuous Professional Development) opportunities and responding to clinical enquiries via e-mail and telephone.

If you are interested in working in growing your career and increasing your income, then talk to our healthcare team today. If you can fill the above requirements, we will give you the following benefits:

*** Visa & Work Permit for FREE!

*** Guidance, Training & Career Development

*** Dedicated & Supportive team- Consultant available when you need.

*** Excellent Basic Pay, Overtime paid for extra hours
***Assistance provided with relocation

You are able to also apply online (see below) We look forward to helping you progress your career and find you the ideal position.

Doctors Guide to working in the Republic of Ireland – Click here

Call us today on +44 (0) 1234 889213 to discuss this vacancy or email your CV to info@workplacedoctors.co.uk  or apply online today (see below).

***Please note due to the high number of applications, we do answer every application in turn.***