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Clinical Fellow in Urology | The Christie NHS Foundation Trust

Posting date:	13 May 2025
Salary:	Not specified
Additional salary information:	£49,909 - £70,425 per annum
Hours:	Full time
Closing date:	12 June 2025
Location:	Manchester, M20 4BX
Company:	The Christie NHS Foundation Trust
Job type:	Contract
Job reference:	7208739/413-MD-C2024-24270-DM-A

Summary

The job is a full-time post without on-call. The job plan will include theatre, outpatient and cystoscopy sessions and participation in MDTs. The successful candidate will be expected to participate in clinical research and in the surgical educational activities at the Christie.

We are looking for a candidate with good general surgical experience with core skills in Urology, along with 4 years of full-time post-graduate training, at least 2 of which in a specialty training programme. The candidate should be someone who has evidence of teaching activity over the last 12 months and a desire to be involved in teaching. With previous senior fellow level experience.

This post is for 10 programmed activities per weekassisting in delivery of a high-quality tertiary referral urological cancer service including:
• Prostate cancer diagnostics and surgical management (robotic)
• Testis cancer (retroperitoneal surgery)
• Soft tissue sarcoma (robotic/open surgery)
• Penile cancer and andrology (penile prosthesis)
• Renal and Adrenal cancer (robotic/open surgery)
• “Late Effects” service- surgical management of the complications of cancer, radiotherapy and chemotherapy, including Genito-Urinary reconstructive surgery
• Core urology
• Research

This post will provide an excellent opportunity for senior trainees and clinicians to gain experience in a large comprehensive cancer centre. The duties will revolve around support for the North-West penile cancer, complex retroperitoneal and pelvic cancer teams. In addition the post holder will assist our tertiary referral service for prostate diagnostics. The post holder will support the Consultant Urological Surgeons, work alongside other junior doctors and liaise closely with senior medical colleagues. The remainder of the appointee’s professional time will be deployed on other clinical duties, administration, and teaching. The candidate will be expected to participate in research with a view to completing anational/international presentation +/- publication during the post.

The role will be responsible for:
• Rotating to Diagnostics Clinics
• Be a part of the Team for level II/III Urological Cancer Surgery
• Must Participate in Research
• Pre-operative preparation and post-operative care for patients
• Active participation in regular audit, SMDT and Research meetings

The Christie is one of Europe’s leading cancer centres, treating over 60,000 patients a year. We are based in Manchester and serve a population of 3.2 million across Greater Manchester & Cheshire, but as a national specialist around 15% patients are referred to us from other parts of the country.

We provide radiotherapy through one of the largest radiotherapy departments in the world; chemotherapy on site and through 14 other hospitals; highly specialist surgery for complex and rare cancer; and a wide range of support and diagnostic services. We are also an international leader in research, with world first breakthroughs for over 100 years.

We run one of the largest early clinical trial units in Europe with over 300 trials every year. Cancer research in Manchester, most of which is undertaken on the Christie site, has been officially ranked the best in the UK.

DUTIES AND RESPONSIBILITIES

This post is for 40 hours per week and it is designed for middle or senior career trainees who wish to gain experience in a large Comprehensive Cancer Centre. The successful applicant will gain experience in urological surgery and have opportunity to do research potentially leading to a further degree. However, we are flexible and can tailor the post to suit the individual. The post holder will support the Consultant Urological Surgeons, work alongside Junior Doctors and liaise closely with Senior Medical colleagues. The remainder of the appointee’s professional time will be deployed flexibly on other clinical duties, administration, research, clinical audit etc. Detailed elements of the job plan arrangements are to be agreed with the successful applicant when in post.



Role Purpose

The post holder will undertake a broad range of clinical duties in support of the Consultant Urologists. There is one specialty Doctor post and 1 clinical fellow post within department which also has 2 Specialist registrars which spend half time at The Christie and half time at their alternative hospital. There will be ample opportunities to gain valuable experience in Penile Cancer Surgery, Sexual Dysfunction, Robotic surgery, Retroperitoneal Surgery (Testis) and experience in Complex Pelvic Surgery dependent upon individual preferences and needs. They will work alongside junior doctors (in particular to meet some current unmet needs for delivery of a high quality service) and other specialties. The post holder should be familiar with day case urology – in particular flexible cystoscopy.



The role will be responsible for:

· Helping to delivering a high-quality Tertiary Referral Urological Cancer Service which can include penile cancer, complex pelvic and retroperitoneal cancers.

· Research in chosen field

· Rotating to Diagnostics Clinics e.g. flexible cystoscopy.

· Outreach Clinics (travel may be required)

· Being a part of the Team for level II/III Urological Cancer Surgery.

· Potential On call service commitments as a middle grade as required in surgical oncology.

· Pre-operative preparation and post operative care for patients.

· Active participation in regular audit, SMDT and Research meetings.

The Christie Urology team work closely with other surgical specialties at The Christie as part of a tertiary referral “Pelvic Surgery Team”. This team comprises 9 colorectal, 4 gynecological and 4 oncoplastic surgeons specialising solely in complex abdomino-pelvic malignancy. They undertake ultra-high volume complex pelvic and exenterative surgery for a population of >5 million people. The urology team also works in an integrated multi-disciplinary manner with 9 clinical oncologists and 4 medical oncologists with 8 specialist uro-oncology nurses. It is one of the largest uro-oncology teams in the UK. The urology team are active in all aspects of research, being one of the UK’s highest recruiters to UK clinical trials and coordinating joint oncology research clinics in urological cancer. The team are an integral part of one of 2 national centres of excellence in the UK for prostate cancer research (The FASTMAN team). They are the largest penile cancer service in Europe and participate in local, national, and international research, with a good track record.

The applicant is expected to participate in professional continuing medical education; study leave is provided for this purpose, and the appointee will be entitled to apply for a contribution to funding of this activity. Mandatory Training is essential during this post.



Continuing Professional Development

The Trust supports the requirements for continuing professional development (CPD) as laid down by the GMC and surgical colleges and is committed to providing time and financial support for these activities.



Role Planning

Provisional Job Plan for illustrative purposes



Daily ward rounds 8-9am

Week 1



Monday

Tuesday

Wednesday

Thursday

Friday

8 am

WR

WR

Research / Team meeting



Ward

AM

Admin





SPA/

Research

Clinic (outreach)

See below

Theatre(VKS/ASP)

Diagnostics/Research

Lunch



MDT

PM

Theatre (outreach)

See below/Team work/ Research



On call Commitments

This role does notrequire participation in the on-call rota.

PERSON SPECIFICATION





Essential for the post

Desirable for the post

METHOD OF ASSESSMENT
1. ATTAINMENTS

Qualifications



MB BS (or equivalent)



MRCS (or equivalent)





CE/AF

Professional Qualifications



GMC registration



CE

Research / Publications



Evidence of clinical research / audit

Desire to participate in research

AF/I
1. TRAINING



Core skills in Urology




1. EXPERIENCE

Job Specific

General Surgical experience with good practical skills (min 1 year)



Experience in Urology (min 2 years)



Career evidence of a commitment to the specialty



On call experience in Surgery

Experience at specialist registrar level

AF/I
1. TEACHING

Experience and desire to be involved in teaching and education

Involved in teaching and education of medical students

AF/I
1. PERSONAL SKILLS



General Surgical skills, Experience in Urology, Skills in general Urological Diagnostics.

Good organisational ability and a willingness to be flexible in accordance with the demands of team working across a urological network

Computer Literate

Experience of working in a clinical team with good communication skills



Experience in pelvic surgery

AF/I



Abbreviations for Methods of Assessment:

AF – Application Form

I – Interview

R – References

CE – Certification Evidence




This advert closes on Tuesday 27 May 2025

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