Medical Retina Fellow - Ophthalmology

Job overview

This is a 10 fixed clinical session role (40 hours per week) within the Medical Retinal Service and Accident and Emergency Department in Ophthalmology at Imperial College Healthcare NHS Trust.

Key Responsibilities

• Provide clinical expertise and patient care within the Medical Retinal Service and A&E department.
• Diagnose, manage, and treat a variety of retinal conditions, including macular degeneration, diabetic retinopathy, and retinal vein occlusions.
• Participate in the triage and management of acute ophthalmic emergencies, ensuring timely and effective care.
• Collaborate with multidisciplinary teams, including nurses, optometrists, and other ophthalmology specialists, to deliver comprehensive patient care.
• Contribute to teaching and training junior doctors, medical students, and other healthcare professionals.
• Engage in clinical audits, research activities, and service improvement initiatives to enhance patient outcomes and service delivery.
• Maintain accurate and timely medical records in line with Trust policies and standards.

Main duties of the job

The AMD service at the Western Eye Hospital is one of busiest in West London. The service is expanding at the Western Eye Hospital. In addition, the trust has started the second AMD treatment centre at Charing Cross Hospital January 2012. There is a dedicated AMD co-ordinator and an AMD coordinator assistant who fast track all referrals into one of the eight Macula clinics held every week on both sites.

The Western Eye Hospital Macula Suite has 5 consulting cubicles, two clean rooms for intravitreal injections, two networked Spectralis OCT and OCT-A machines and an ophthalmic photography centre providing both FFA and ICG service. The service is led by Mr Saad Younis. We provide intravitreal injection (Lucentis, Avastin, Ozurdex Ocraplasmin, Iluvien and Eylea) as one-stop service as well and TPA injection in conjunction with the vitreoretinal team. There are Pascal and Micropulse laser machines.

The Charing Cross Hospital runs a whole-day Monday AMD one-stop clinic under consultant ophthalmologist Ms Theresa Richardson.

The AMD service is actively involved in academic and pharmaceutical research with clinical trials for new therapeutic agents being conducted on site. We have been awarded research grant by the Imperial College BRC and service development grant by the Macular Disease Society. The post-holder will have an opportunity participate in both pharmaceutical and academic research activities.

Detailed job description and main responsibilities

• Provide High Quality Care to Patients in Ophthalmology

• The post holder must be medically qualified and maintain GMC specialist registration.
• To develop and maintain the competencies required to carry out the duties required of the post.
• To ensure prompt attendance at agreed direct clinical care Programmed Activities.
• To ensure patients are involved in decisions about their care and to respond to their views.

• Research, Teaching and Training

• To provide high quality teaching to medical undergraduates and members of other health care professions as required by the Clinical Director/Chief of Service.
• Attend and participate in the West London weekly post-graduate ophthalmic teaching by organizing and chairing an allocated session 2-3 times a year.
• To attend weekly medical retina informal teaching every  Wednesday  12:30-13:15pm
• To attend weekly medical retina big room meeting every Thursday 12:30-13:15pm
• The selected candidate will also be expected to be involved in three medical retina research projects.

• Performance Management

• To work with medical, nursing and managerial colleagues to ensure high performance in the following areas:

• Governance

• To review clinical outcomes in designated area using external benchmarking data where appropriate to identify and advise variances to the Clinical Director/Chief of Service.
• Participate in clinical audit, incident reporting and analysis and to ensure resulting actions are implemented.
• To ensure clinical guidelines and protocols are adhered to by junior medical staff and updated on a regular basis.

• to ensure NICE guideline for Anti-VGF injection is strictly adhered to
• to manage efficiently application of individual funding request
• to participate in auditing clinical service
• to vet fast track referrals to ensure that patients with wet-AMD are seen promptly