Job Ref.

(if applicable):
Job Title: Cleveland Clinic Surgical Clinical Fellow
Facility: Cleveland Clinic London
Institute: Digestive Disease & Surgery Institute
Report to: Institute Chair
Estimated Start Date: Ambassadors 1/9/2020, Fellow 01/01/2021

Job Summary:

This is a Surgical Clinical Fellow position responsible for the acute and elective care of patients at the
surgical and cardiac unit of Cleveland Clinic London, comprised of general surgery, cardiothoracic
surgery and cardiology. The fellow would provide peri-operative care including operative assisting
opportunities under close supervision of the consultants. A suitable candidate should be competent in
the assessment and initial management of acute surgical patients. Fellows will gain clinical experience in
a variety of surgical specialties including hepatobiliary, upper GI, colorectal, urology and cardiothoracic
surgery and relevant innovative technologies such as minimally Invasive and robotic surgeries. The
fellow is expected to provide basic management of cardiac/cardiothoracic patients on the ward with
direct supervision of cardiologists and cardiothoracic surgeons.

An ideal candidate would be a Specialist Registrar (ST3 and above) in General Surgery and holds relevant
certifications such as MRCS/FRCS or equivalent.

Health Informatics Fellowship Opportunity/Ambassador

Cleveland Clinic London is pioneering a parallel clinical fellowship model with a unique focus on hospital
activation work, EPIC electronic medical record software, and healthcare informatics. With the vision of
becoming the most technologically advanced hospital in the United Kingdom, we have reserved a
limited number of positions for fellows who have a keen interest in learning how to optimise and
leverage technology, specifically related to the EPIC electronic medical system and integrated clinical
applications. The fellow would be brought onboard in September 2020, prior to the 2021 opening to
take a deep dive into our electronic medical record system, and informatics strategies. From there, the
fellows would develop expertise in both technology and simulation and ultimately being at the forefront
as ambassadors to facilitate the integration of health informatic system within the organisation from the
day of opening and onwards. If interested in this very unique opportunity, please attach a separate
cover letter.

Facility, Institute and Department Summary:

Cleveland Clinic is one of the leading healthcare providers in the world. It is a patient centred and not-
for-profit medical centre that integrates clinical care with research and medical education. For the 25th
consecutive year, Cleveland Clinic’s heart program has been ranked as the best in the nation, earning
the No. 1 ranking in U.S. News & World Report’s “2018-19 Best Hospitals.” Since 1995, no hospital in the
country has ranked higher than Cleveland Clinic in cardiac care. The best of healthcare models of the US
and UK will be combined to deliver world-class medical care in London to meet the global demand.
Cleveland Clinic London Hospital locates at 33 Grosvenor Place, near Buckingham Palace, in the heart of
London’s Belgravia district. It will be a multispecialty hospital with 185 beds, including 29 ICU beds, 8
operating theatres, a full imaging suite, endoscopy unit, cardiac catheterisation and electrophysiology
labs.

Cleveland Clinic London hosts the latest technologies in surgery, imaging, telemedicine, and electronic
medical records, state-of-the-art imaging equipment including CTs, MRIs, and procedural suites, along
with technologically advanced and modern patient rooms, serving local and international patients in an
environment that combines exceptional amenities with clinical excellence.

Job Responsibilities:

Clinical

Working as a part of the Surgical clinical fellow workforce covering an average fill of 25 beds of the acute
surgical ward.

 Working collaboratively with specialist consultants and nursing professionals to ensure that
patients’ treatment and care needs are met.
 Being a part of the rolling rota covering a 24-7 acute service in the surgical unit.
 Managing surgical patients who are undergoing general surgical operations such as colectomies,
hepatobiliary and urological procedures and neurosurgical operations including spinal surgeries
and craniotomies, under consultant supervision.
 Facilitating the management of cardiac/cardiothoracic patients including those are undergoing
cardiac procedures such as cardiac ablation, pacemaker insertion and percutaneous coronary
intervention and cardiothoracic operations including coronary artery bypass graft, valve
replacement and pulmonary resections.
 Leading and assisting with new admissions and inpatient consultations, including morning and
evening multidisciplinary ward rounds
 Proactively identifying patients who qualify for early mobilisation, are at risk for decline or may
have a longer length of stay

Professional

Taking part in clinical governance, education, training and research to continuously improve and strive
for excellence:

 Participating in the regular in-house learning sessions and other educational activities as well as
taking up educational responsibilities
 Adhering to the best practice guidelines, clinical audits, and governance.
 Active involvement in clinical governance meetings, including but not limited to mortality
review, safety event reporting, peer review, and other relevant activities.
 Continual commitment, and participation in mandatory trainings, including Epic electronic
medical record system.
 If interested, participating in professional development opportunities such as medical
management & leadership, education & simulation or academic research programmes within
 CCL or the main campus in Cleveland, US. A tailored visit to main campus in Ohio will be
available to all Fellows appointed to these roles.

Personal Specification:
REQUIREMENTS ESSENTIAL DESIRABLE
Requirements necessary for safe effective Where available, elements that contribute to
performance in the job improved, immediate performance in the job

Qualifications  MBBS or equivalent  FRCS or equivalent

and Training  Fully registered with the GMC and current  Intercalated BSc, BA, BMedSci or equivalent
license to practice  Higher degrees including MSc, PhD or MD
 Current UK visa or permission to work (where research thesis not part of first medical
 MRCS or equivalent degree)

Experience  ST level or equivalent  ST5 level or above or equivalent

 Perioperative management experience of  Experience in postoperative care in general
general surgical and cardiothoracic surgery and cardiothoracic surgery, including
patients. the management of wound and surgical drains.

Skills,  Information technology skills using electronic

knowledge and  Ability to organise and prioritise clinical patient care systems
competencies needs  Evidence of working in a multi-disciplinary team
 Competent in leading an adult cardiac
arrest team (CALS)
 Evidence of the diagnostic skills, and
clinical judgment.
 Competent in the perioperative
management of the surgical patients
including the basic assessment,
investigation and management.
 Competent in routine clinical skills
including venipuncture, blood cultures,
arterial sampling, nasogastric tube and
urethral catheters.

Personal Skills  Commitment to good team working and  Evidence of achievement outside medicine
relationships
 Evidence of altruistic behaviour, e.g. voluntary
 Demonstrates probity (displays honesty, work
integrity, aware of ethical dilemmas,
respects confidentiality)  Evidence of involvement in management
 Effective communication skills commensurate with experience
 Good leadership skills
 Enthusiasm and ability to work under
pressure
 Demonstrates empathy and understanding
 Supportive and caring attitude to patients
and colleagues