Consultant Urologist
Vacancy Status: Open
Integra Healthcare Ltd is seeking an experienced consultant Urologist, to join our very busy practice here on the lovely island of Grand Cayman in the Western Caribbean. You’d be working alongside our existing, significant team of physicians, across family medicine, paediatrics, women’s health, dermatology, and other adult specialists, as well as our wider group physicians & partners, providing extensive diagnostic services, both imaging and laboratory, including the very latest in MRI and CT Imaging, and first class surgical facilities in which to operate.
It’s an opportunity to re-establish a sense of purpose in medicine by returning to delivering both care and a service that you are proud of, and that patients truly value and appreciate. For an experienced professional with the right capability, the work is as varied and interesting as the people themselves. If you have been thinking of a change that encompasses interesting work at a sensible pace, alongside far better work-life balance, a high standard of living and exceptional terms & conditions, then we invite you to discover a little more…
About the Post
Just click on the + sign to find out more about each attribute of our vacancy
The Role & Primary Requirements
We are looking for an experienced urologist who is seeking the right balance between
You the Individual
- 5+ years post-CCT experience (
requirement for registration inCayman 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
We are seeking an individual with a broad base of skills across, diagnosis, treatment and surgical intervention for both male and female urological complaints. In terms of surgical or procedure experience, a reasonably wide set of experiences or competencies drawn from the following would suit our environment (tell us what you can do and where you are less experienced):
- Bladder instillation treatments for benign and malignant disease
- Circumcision
- Correction of ambiguous genitalia
- Cystolithotomy
- Cystoscopy
- Enterostomy as component of urologic procedure
- Extracorporeal shock wave lithotripsy
- Hydrocelectomy
- Insertion/removal of ureteral stent
- Laparoscopic surgery, urologic for disease of the urinary tract
- Laparotomy for diagnostic or exploratory purposes (urologic related conditions)Lymph node dissection-inguinal, retroperitoneal, or pelvic
- Management of congenital anomalies of the genitourinary tract
- Open stone surgery on kidney, ureter, bladder
- Open renal biopsy
- Orchiectomy
- Orchiopexy
- Penis repair for benign or malignant disease
- Percutaneous nephrolithotripsy
- Periurethral injections. e.g., collagen
- Photo-selective vaporization of the prostate
- Plastic and reconstructive procedures on ureter, bladder and urethra, genitalia, kidney
- Prostate ablation
- Prostatectomy, including biopsy
- Radioactive seed implantation for prostate cancer (in collaboration with radiation oncologist)
- Reconstructive procedures on external male genitalia requiring prosthetic implants or foreign materials
- Reconstructive surgery of upper and lower urinary tract
- Reduction of torsion of testes
- Renal surgery through established nephrostomy or pyelostomy
- Sphincter prosthesis
- Surgery of the testicle, scrotum, epididymis and vas deferens including biopsy, excision and reduction of testicular torsion, orchiopexy
- Surgery upon the adrenal gland
- Surgery upon the kidney, including total or partial nephrectomy, including radical
- transthoracic approach
- Surgery upon the ureter and renal pelvis
- Surgery upon the urinary bladder for benign or malignant disease
- Treatment of urethral valves, open and endoscopic
- Total or simple cystectomy
- Transurethral surgery, including resection of prostate and bladder tumors
- Ureterocele repair, open or endoscopic
- Uretero-calyceal anastomosis
- Ureteroscopy including treatment of all benign and malignant processes
- Urethral suspension procedures
- Urethroscopy including treatment for all benign and malignant processes
Role Complexity & Nature of Work
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
BACKGROUND
In terms of this appointment, we aren’t unduly concerned whether someone is busy DGH or tertiary in
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
- Interpretationof a range of imaging method
- Balance between medical and surgical expertise
- Fellowship-trained, possibly with a sub-specialty interest
- 5 years post-CCT experience, which is a licensing criteria for Cayman Islands
Remuneration, Terms & Conditions
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 $180,000 KYD per annum (equates to £180,000 GBP) and likely around $240,000 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!
Informal Discussion
If you would like an informal discussion about the role, please feel free to reach out to any of the following:
I am a co-founder and Divisional Lead for both Women’s Health and for Paediatrics & Newborn Care.
I am a co-founder and Medical Director for the practice, as well as Divisional Lead for both Primary Care and Adult Medicine
Amazing Quality of Life
The Cayman Islands is a truly beautiful place that embraces an outdoor lifestyle because of its natural Caribbean beauty, whilst having an well developed infrastructure, great transport links, an amazing social and cultural scene and an extensive array of restaurants that are the envy of the Caribbean .
About Integra
Integra Healthcare Ltd is a rapidly growing practice for all of the right reasons. Built around the principles of Excellence, Integrity, Commitment & Passion, it translates, with zero hype, into a working environment that is second to none, alongside terms & conditions that the majority regard as the very the best.
Modern, bright facilities
Investment in the right equipment
Situated in beautiful Grand Pavilion
Enviable reputation with patients
Quality, high value medical indemnity cover
Highest possible standards in financial integrity
First class electronic patient record system
Staff conditions, holiday & support second to none
Success is shared
Application for Post
Please complete the application form, attach your latest CV (as a Word or PDF file) and include a covering letter that explains comprehensively why you are interested in applying. We will treat your application as completely confidential until you agree otherwise during the process.
If you are struggling with the form, you may email applications to [email protected]