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Clinical Fellow in Renal Transplant and Vascular Access Surgery

Barts Health NHS Trust
£33,790 to £53,132 a year per annum
Closing date
1 Jun 2023

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Job summary

We are looking for an enthusiastic and dedicated clinical fellow in renal transplant and vascular access surgery for a period of 6 months (extendible with mutual agreement to 12 months and beyond).

Successful candidate will be primarily based at The Royal London Hospital, Bart's NHS Trust and join a dynamic team of 7 consultant transplant surgeons and 4 clinical fellows and a higher speciality trainee. The Transplant service operates within the Renal Clinical Academic Unit of the ECAM Division of Barts Health NHS Trust.

You will be providing highest quality care to one of the largest dialysis and transplant cohort in the UK under direct supervision of a team of highly motivated consultant surgeons. The Royal London hospital is one of the largest transplant unit in the UK.

Main duties of the job

The posts will suit applicants who wish to gain extensive experience in renal transplantation vascular access surgery. Previous experience in General and vascular Surgery is advantageous.

The appointee will be exposed to all aspects of advanced dialysis access and transplant surgery and the relevant medical management of these complex patients on a 1:5 oncall rota. This post is EWTD compliant.

The unit performs an average of 200 renal transplants and more than 500 dialysis access procedures per year (including HeRO graft, extra-anatomical PTFE graft, EndoAVF and IVUS plasty) with a large live donor transplant programme that includes HLA and ABO incompatible transplantation.

About us

Barts Health NHS Trust is one of Britain's leading healthcare providers and the largest trust in the NHS. It was created on 1 April 2012 by bringing together three trusts: Barts and The London NHS Trust, Newham University Hospital NHS Trust and Whipps Cross University Hospital NHS Trust. The new trust has a turnover of approximately �1.1 billion and approximately 15,000 employees.

Together our hospitals - Newham University Hospital in Plaistow, St Bartholomew's (Barts) in the City, The Royal London in Whitechapel and Whipps Cross in Leytonstone - deliver high quality clinical care to the people of east London and further afield.

Barts Health provides a full portfolio of services that serve the needs of the local community, and are home to some of Britain's leading specialist centres including cancer, cardiac, trauma and emergency care. Barts Health also has one of the UK's busiest children's hospitals and internationally renowned surgical facilities.Our vision is to create a world-class health organisation that builds on strong relations with our partners and the communities we serve - one dedicated to ending the historic health inequalities in east London. We will build an international reputation for excellence in patient care, research and education. And as members of UCLPartners, the largest academic health sciences system in the world, we will ensure that our patients are some of the first in the country to benefit from the latest drugs and treatments.

Job description

Job responsibilities

The successful candidate will join a team of 7 consultants and will be a part of 5 middle grade doctors. General duties will provide wide exposure to all parts of the renal transplant and dialysis access training including
  • At least once daily ward round with the consultant surgeon and nephrologist
  • Clinic reviews
    • Pre-transplant assessments
    • Post transplant acute clinics
    • Dialysis (PD and vascular) access clinics
    • Pre-assessments clinic
  • Regular theatres session (5 day operating sessions)
    • Elective
      • Elective living donor transplants
      • Laparoscopic donor nephrectomy
        • Totally Laparoscopic
        • Hand assisted transperitoneal donor nephrectomy
        • Hand assisted rertoperitoneal donor nephrectomy
      • Laparoscopic/Percutaneous/Robotic Peritoneal dialysis catheter insertions
      • Robotic living donor transplants
      • Complex vascular access
      • Complex abdominal wall hernia service (joint procedures with plastic surgery team for pedicle flaps)
      • Renovascular reconstruction with auto-transplantation
      • Elective general surgery for dialysis and transplant population (including laparoscopic hernias, cholecystectomy)
    • Emergency
      • Deceased donor transplants
      • Emergency surgical vascular access salvage surgery
  • Multidisciplinary meeting
    • Transplant listing MDM
    • X-ray MDM
    • Transplant biopsy MDM
    • Intervention radiology and vascular access MDM
  • Education
    • Opportunity to have teaching responsibilities at the medical school
    • Application of Educational grants are encouraged previous clinical fellows have been successful in securing regular grants
    • Department have strong links with the Royal college of surgeons, of England, UEMS and ESOT with educational opportunities
  • Research
    • Expected to be actively involved in departmental projects
    • Presentations at national and international conference is an integral part of the clinical fellows professional development in this job.
    • Post holders will be expected to publish their work to strengthen their academic profile.

Person Specification



  • MB BS, or equivalent
  • MRCS/FRCS or equivalent


  • Higher degree, E.g. MD/phd



  • Knowledge of basic of vascular access surgery


  • Knowledge of all aspects of renal transplantation Publication in this area

Training Expected


  • Training on general surgery/vascular surgery
  • Experience in training undergraduates and postgraduates


  • Previous exposure in Renal Transplant and vascular access surgery

Audit Experience


  • Able to provide evidence of clinical audit and demonstrate understanding of impact and challenges this brings


  • Experience of audit management

Academic Achievements


  • Ability to demonstrate personal experience of clinical research and describe and discuss findings and impact
  • Experience of research, presentations to learned societies on topics related to surgery


  • Demonstrate number of publications in indexed journals, over a variety of subjects relevant to this pos
  • Phd/ MD Thesis

Personal Skills


  • Excellent presentational and verbal skills
  • Ability to motivate and develop medical trainees
  • Ability to manage time well to deliver objectives of the CAU
  • Awareness of best practice through evidence based medicine, and personal drive to enact the change with the team


  • IT skills and computer literacy

Personal Qualities


  • Self motivated with an enquiring, critical approach to work
  • Ability to work under pressure Caring attitude to patients
  • Commitment to continuing medical education
  • Willingness to undertake additional professional responsibilities at local, regional or national level
  • Collegiate approach to work and colleagues
  • Ability to drive change through collaboration and consultation with key stakeholders
  • Willingness to challenge the norm in a positive manner while building a team ethos, to deliver consistently high levels of care for patients in a productive and cost effective manner

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