Consultant Endocrinologist

You the Individual

• 3+ years post-CCT experience (requirement for registration in Cayman Islands)
• Loves practical, hands-on care
• Values-driven, and aligned with ours (Excellence, Integrity, Commitment & Passion)
• Seeking a professionally-driven environment that’s service-orientated, quality-focused and with great colleagues
• Truly wanting to regain that focus on and commitment to the patient

Ideal Professional Experience & Capability

• Diabetes (Type 1 & Type 2)
• Thyroid Disease e.g. hyperthyroidism, hypothyroidism, benign & cancerous thyroid disease
• Bone Disorders e.g. osteoporosis
• Pituitary Disorders, including fertility, menstrual, growth and cortisol-related e.g. Cushing’s Syndrome
• Hypertension, where it is caused by adrenal hormone imbalance
• Lipid Disorders or endocrine origin e.g. diabetes or hypothyroidism
• Metabolic Syndrome
• Menopause & Later Years Conditions
• Menstrual Disorders & Irregularities
• Dysfunctional Ovulation
• Endocrine Issues during Pregnancy
• Acne & Skin Disorders
• Alopecia/ Hair Loss and Hirsutism/ Abnormal Excessive Hair

Paediatric Endocrinology
(not essential)

We happen to have the Island’s largest private paediatric practice and although we are absolutely not expecting someone to have strong paediatric experience, if they happened to have some experience in the following from a paediatric perspective then this would be a bonus:

• Type 1 and type 2 diabetes
• Growth Disorders
• Puberty Disorders
• Obesity and Insulin Resistance
• Low Bone Mass
• Thyroid problems

We are very keen to find someone who has a broad range of capabilities across the specialty, given the size of our population and complexity of tertiary referral (we are often the go-to practice for more complex care due to the calibre of individuals we have). Consequently, the competencies you have will obviously have a bearing on the complexity of your work but in any event, as an island, good clinicians tend to attract interesting work.

A Perspective from Dr Sara Watkin, Co-founder & Consultant Paediatrician & Neonatologist

I am a tertiary neonatologist, coming from one of the UK’s premier services that accepted a very complex caseload. Consequently, here, I not only provide paediatrics and neonatal care for private patients, but also act as one of the go-to neonatologists for the Government too, when it comes to complex or very preterm infants. Coming from my tertiary background, one of my original concerns was whether I might be short of intellectually-stimulating work. Reality is that I actually have more variety and definitely enough complexity because there aren’t multiple ‘units’ with big teams and lots of juniors to spread it over. I have also loved returning to fully hands-on clinical medicine. The variety is wonderful.

BACKGROUND

In terms of this appointment, we aren’t unduly concerned whether someone is busy DGH or tertiary in background, as each will produce an interesting caseload. As a group, we have more tertiary clinicians than DGH, but we have both, and they thrive equally. What’s more important is the breadth of capability, rather being too niche or sub-specialist. If you happen to have tertiary capability, you’ll undoubtedly find yourself becoming a reference clinician for the unusual cases, alongside the more bread and butter ones. If you are more busy DGH in background, you’ll find yourself with a very nice variety of more mainstream cases.

Because the Cayman Islands is not especially a training environment, you need to be hands on and comfortable with doing ‘all’ your specialty entails, without delegating to juniors.

ESSENTIAL & DESIRABLE CRITERIA

• Active, hands-on capability
• Broad-based adult endocrine experience
• Happy with face-to-face and telehealth consultations
• Health & wellness-orientated, as well as health concierge-orientated
• Demonstrable assessment & diagnostic capability
• Some experience in paediatric conditions (not essential)
• 3 years post-CCT experience, which is a licensing criteria for Cayman Islands

Obviously this will be influenced by experience and skill sets but we can definitely set some parameters that will help you evaluate the opportunity. We are somewhat unique on the island by remunerating our doctors with a robust salary to start, rather than a limited one. Additionally, we further remunerate based on a share of revenue (which is completely standard on the island) but more uniquely we do so on billing, not on collection like the majority, which removes the doubt and impact of any poor collection practices (we are very efficient!). As a starting point, the following is a reliable guide:

• Basic salary of not less than $150,000 KYD per annum (equates to £150,000 GBP) and likely around $180,000 KYD depending on experience
• Significant additional billing-related annual earnings after period of getting established (we can elaborate to the interested)
• Full indemnity cover (robust Lloyds cover)
• All work permit fees (medical work permits are $13,650 per annum)
• Health insurance (Choice of plans)
• Pension as required by law (do not get excited by this but see below)
• Holiday and Study Leave

Cayman Islands are a tax free jurisdiction. Consequently, for professional grades of staff, saving into a pension is no more tax-beneficial than any other savings or investment strategy. However, a pension is a requirement of the law at the level of 5% employee and 5% employer contributions, up to a maximum annual salary of $87,000 per annum.

We are aware that remuneration is CONSIDERABLE compared to the UK, even before the tax free status is considered. However, we want to be abundantly clear that we are looking for individuals motivated by what the work and life represent and who wish, like us, to work hard and consequently enjoy a robust financial return alongside a very nice work-life balance. If we get any sense someone is coming ‘just’ for the money, that’s a screen out for us. However, we are absolutely certain that remuneration will not be a barrier to anybody!