Urological Clinical Fellow

Job Summary
This prestigious two-year Global Urology Fellowship is designed to provide ST 6+ urologists as well as SAS doctors and international candidates, with a structured, progressive curriculum aimed at transitioning from a competent assistant in complex private care (Year 1) to an independent, high-volume robotic sub-specialist (Year 2). Fellows will gain hands-on experience in world-class institutions, Cleveland Clinic London and UCLH, while mastering advanced robotic techniques, perioperative leadership, and sub-specialized surgical skills. The fellowship emphasizes clinical excellence, academic achievement, and professional development through a combination of supervised operating, independent practice, research, and quality improvement initiatives. Training outcomes are validated against international standards using the ORDNA digital platform, ensuring competency in Entrustable Professional Activities (EPAs) and surgical proficiency. Fellows will also contribute to governance, teaching, and curriculum evaluation, with the goal of becoming leaders in robotic urology.

This fellowship post has been approved by the Royal College of Surgeons as part of the RCS Senior Clinical Fellowship Scheme.

Facility, Institute and Department Summary
Cleveland Clinic is one of the leading healthcare providers in the world and ranked as number two. Our parent unit, Glickman urological institute is ranked as number two in the world. It is a patient centered and not-for-profit healthcare establishment 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 world, 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 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 is located at 33 Grosvenor Place, near Buckingham Palace, in the heart of London’s Belgravia district. It is a multispecialty hospital with 185 beds, including 29 ICU beds, 8 operating theatres, a full imaging suite, endoscopy unit, cardiac catheterization, 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.

The Department of Urology consists of leading Surgeons drawn from tertiary centres across London. Currently there are 7 consultants working within the department.

Senthil Nathan – Clinical Lead for Urology, Director of Robotic Surgery & Surgical Innovations.
John Hines – Governance and Education Lead
Prasanna Sooriakumaran – Research Lead
Rami Issa – Integrated Pelvic Pathway Lead
Ramesh Thurairaja – Pelvic Dysfunction Lead
Sachin Malde
Pippa Sangster

Job Responsibilities
Year 1: Cleveland Clinic London (Foundation Year) The first year focuses on developing perioperative leadership skills, mastering complex robotic assisting techniques, and gaining multi-specialty exposure. Fellows will demonstrate proficiency in pre- and post-operative care for high-acuity patients, assist in advanced robotic surgeries, and broaden their anatomical knowledge through interdisciplinary collaboration. Academic goals include participating in morbidity and mortality meetings, initiating a research project, and completing a quality improvement audit. Progress is assessed via surgical logbooks and quarterly appraisals.

Attendance will also be expected at all the MDT’s and the monthly governance meetings. The postholder would also be expected to assist the M&M lead, currently Mr Hines, with organization and presentation of the cases. The postholder would also be expected to undertake one research project and one quality improvement project during the post.

Year 2: UCLH (Consolidation Year) The second year transitions fellows to independent operating as high-volume robotic surgeons, aiming for proficiency in performing 80-100 robotic cases independently. Fellows will achieve Entrustable Professional Activities (EPAs) in surgical skills, error management, patient safety, and interprofessional communication, validated through the ORDNA system. Academic objectives include publishing peer-reviewed manuscripts, supervising junior trainees, and collecting data to validate the fellowship curriculum. Assessment involves formative and summative evaluations, surgical video reviews, and EPA sign-offs.

A significant part of the time will be spent in the operating theatres where the postholder will be involved in all urological surgeries. They will also be expected to join Colorectal and gynaecological lists when the urology team is not operating, this will broaden the post holder’s surgical exposure and prepare them for future career in multidisciplinary surgery. There is no commitment to the outpatient department but there is an expectation that the postholder will be involved with the consultants and the fellows on the Surgical ward in the care of surgical inpatients.

Proposed timetable CCL
Monday: All Day OR
Tuesday: All Day OR | 1800 Cancer MDT (alt weeks)
Wednesday: All Day OR
Thursday: Ward/Academic | 1800 Pelvic Floor MDT (alt weeks)
Friday: Ward/Academic

Timetable for UCLH:

• Clinical Duties: 8 sessions per week (Theatre/Clinic/Ward).
• Protected Time: 2 half-days per week explicitly protected for Research, Audit, and Simulation training.
• On-Call: 1 in 7 rota (Year 1); Non-resident on-call as per NHS rota (Year 2).

Personal Specification

Qualifications and Training

• MBBS or equivalent (essential)
• Fully registered with the GMC and current license to practice (essential)
• Current UK visa or permission to work (essential)
• MRCS or equivalent (essential)
• Also open to SAS Doctors and International Candidates (essential)
• Intercalated BSc, BA, BMedSci or equivalent (desirable)
• Higher degrees including MSc, PhD or MD (where research thesis not part of first medical degree) (desirable)

Experience

• Candidate has completed at least four years’ full-time postgraduate training (or its equivalent gained on a part time or flexible basis) at least 18months of which must have been within Urology. (essential)
• Demonstrates ability to perform surgical procedures. (essential)
• Competent to work without direct supervision where appropriate. (essential)
• Appropriate clinical and technical skills and abilities. (essential)
• Knowledge of Clinical Governance (essential)
• Previous involvement in Audit/research project(s) (essential)
• Presentations/ publications (desirable)

Skills, knowledge and competencies

• Ability to organize and prioritize clinical needs (essential)
• Evidence of diagnostic skills, and clinical judgment. (essential)
• Competent in the perioperative management of surgical patients including the basic assessment, investigation, and management. (essential)
• Competent in routine clinical skills including venipuncture, blood cultures, arterial sampling, nasogastric tube and urethral catheters. (essential)
• Information technology skills using electronic patient care systems (desirable)
• Evidence of working in a multi-disciplinary team (desirable)

Personal Skills

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

CCL is committed to applying its Equal Employment Opportunity/Workforce Diversity and Inclusion Policy at all stages of recruitment and privileging. Shortlisting, interviewing and selection will always be carried out without regard to any Protected Characteristics. When aware of the need to do so and when required, CCL will make reasonable adjustments to its arrangements for interviews and to conditions of employment/engagement for disabled applicants to ensure, so far as practicable, that they do not place such applicants at a substantial disadvantage in comparison to non-disabled applicants.