Senior Registrar

Requisition Id

16433

Position Details

Designation

Senior Registrar – Thoracic and Vascular Surgery

Department

Cardiothoracic and Vascular Surgery (CTVS) / Thoracic and Vascular Surgery

Reporting To

Consultant / Senior Consultant / Head of Department

Department Head

Head of Cardiothoracic and Vascular Surgery

Employment Type

Full-time

Department Category

Clinical Services

Duty Location

Hospital / Multispecialty or Tertiary-Care Centre

Job Purpose

The Senior Registrar – Thoracic and Vascular Surgery is responsible for delivering comprehensive clinical care to patients presenting with thoracic, vascular, and related surgical conditions. The role involves patient evaluation, diagnostic work-up, preoperative assessment, perioperative management, postoperative monitoring, emergency care, and assistance in or performance of surgical procedures in accordance with the individual's qualifications, demonstrated competency, and hospital-approved clinical privileges.

The Senior Registrar will work closely with consultants, anesthesiologists, intensivists, emergency physicians, radiologists, nursing staff, and other multidisciplinary healthcare professionals to ensure safe, effective, and timely patient care.

The position also includes participation in inpatient and outpatient services, emergency and on-call duties, clinical documentation, patient counselling, academic activities, clinical audits, quality improvement initiatives, and compliance with institutional policies and applicable medical regulations.

Key Roles and Responsibilities

A. Patient Assessment and Clinical Management

Perform comprehensive clinical assessments of patients presenting with thoracic and vascular surgical conditions.

Obtain detailed medical histories, including presenting complaints, past medical and surgical history, medication history, allergies, comorbidities, and relevant family and social history.

Conduct appropriate physical examinations and document clinical findings accurately.

Assess the severity of illness and determine the urgency of intervention in consultation with the treating consultant.

Develop appropriate diagnostic and treatment plans under consultant supervision.

Order and interpret relevant investigations, including blood tests, imaging studies, vascular Doppler studies, CT angiography, chest imaging, and other diagnostic tests as clinically indicated.

Identify high-risk patients and ensure timely escalation to the consultant or appropriate critical-care team.

Review patients regularly and modify management plans according to clinical progress and investigation results.

Ensure appropriate referral and coordination with other specialties when required.

B. Thoracic Surgery Responsibilities

Evaluate patients with thoracic surgical conditions, including lung, pleural, mediastinal, chest wall, and other intrathoracic disorders.

Participate in the assessment and management of conditions such as pneumothorax, pleural effusion, empyema, lung masses, chest trauma, and other thoracic pathologies.

Assist in the diagnostic evaluation and perioperative management of patients requiring thoracic surgical intervention.

Assist in thoracic procedures, including chest tube insertion, thoracentesis, thoracoscopy, and other procedures where appropriately trained and credentialed.

Monitor patients with chest drains and assess drainage characteristics, air leaks, respiratory status, and potential complications.

Support the management of postoperative thoracic patients, including pain control, respiratory care, mobilization, and monitoring for bleeding, infection, and respiratory deterioration.

Coordinate with pulmonology, oncology, radiology, anesthesia, and critical-care teams for multidisciplinary management.

Participate in the assessment and management of thoracic trauma and other emergency presentations as part of the hospital's emergency response system.

C. Vascular Surgery Responsibilities

Assess patients with arterial, venous, and other vascular disorders.

Participate in the management of peripheral arterial disease, acute limb ischemia, chronic limb-threatening ischemia, diabetic foot complications, and vascular injuries.

Evaluate patients with venous disorders, including deep vein thrombosis, chronic venous insufficiency, and other clinically relevant vascular conditions.

Assist in the assessment and management of vascular emergencies, including acute arterial occlusion, vascular trauma, and suspected aneurysm-related complications.

Review vascular imaging, Doppler studies, CT angiography, and other investigations in coordination with the consultant and radiology team.

Assist in open vascular procedures, endovascular interventions, and other vascular surgical procedures according to training and approved clinical privileges.

Monitor limb perfusion, peripheral pulses, wound healing, neurological status, and other relevant clinical parameters.

Participate in the management of vascular access complications and postoperative vascular patients, where applicable to the department's scope of services.

Coordinate care with endocrinology, diabetology, nephrology, wound-care services, and other specialties for patients with complex vascular conditions.

Ensure timely recognition and escalation of signs of compromised circulation, graft or access complications, bleeding, and other postoperative emergencies.

D. Preoperative Assessment and Preparation

Conduct preoperative evaluation of patients scheduled for thoracic and vascular surgical procedures.

Review clinical history, examination findings, laboratory reports, imaging studies, and relevant comorbidities.

Assess perioperative risks and identify conditions requiring optimization before surgery.

Coordinate with anesthesia, cardiology, pulmonology, critical care, and other specialties for high-risk patients.

Verify the availability of relevant investigations, blood products, implants, instruments, and other required r