Junior or Senior Clinical Fellow in Emergency Medicine - London, United Kingdom - Guy's and St Thomas' NHS Foundation Trust

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    Fixed-Term
    Description

    Job summary

    Not sure what you are doing from August 2024? Feeling you need time to evaluate your future but want to work and do something that makes your CV stronger?

    We recognise that there is a lot of uncertainty and hope that we can help. Clinical time spent in an Emergency Department is always useful and can help you become a more decisive and experienced clinician. We are particularly keen to develop doctors who are interested in Emergency Medicine as a career who may be taking EM exams and /or trying to get into formal EM training. However, lots of future careers can be viewed through Emergency Medicine and we are happy to help you develop skills and connections in all areas. The EM team is friendly, hardworking and very supportive. The department has been rated as Outstanding by the CQC. We strive to deliver great patient care by working together as a great team. Each post is for 6 months with the very likely possibility of an extension. We also have a formal introductory programme for doctors who are new to the NHS but have a keen interest (and significant experience) in Emergency Medicine.

    Main duties of the job

    The post is 80% clinical, 20% non clinical - meaning you will have the equivalent of 2 days a fortnight to follow a special interest such as QIP, partake in research, teaching or pursuing specialist interests such as paediatrics. We are open to negotiation if you have a particular project you are burning to do. Due to our self-rostering system, flexible or individualised rotas are possible.

    The post holders will participate in a middle tier of doctors- supervised by more senior trainees and help supervise FY2s. You will never be 'in charge' of the department so have a chance to learn and gain experience in a safe if busy environment. The Emergency Department is led by 21 Adult and 6 Paediatric Emergency Consultants. The Department sees over 140,000 new patients per annum and has a separate Paediatric Emergency Department. We have a highly diverse patient population who will challenge and enhance your clinical skills. We are near many major cultural attractions and receive patients from many central London events such as the London Marathon.

    Applicants must hold full registration with the GMC and have a proven record of experience in Emergency Medicine. Applicants should have at least 1 year experience post registration.

    Please note that successful completion of the International English Language Testing System (IELTS) is our accepted minimum language requirement.

    About us

    You would be joining a friendly, hard-working and supportive Emergency Department that was rated as Outstanding by the CQC. We strive to deliver great patient care by working together as a team and we are looking for equally passionate and enthusiastic doctors to joinus and contribute ideas about improving the patient journey within the Emergency Department.

    As an organisation we are committed to developing our services in ways that best suit the needs of our patients. This means that some staff groups will increasingly be asked to work a more flexible shift pattern so that we can offer services in the evenings or at weekends.

    Equality of opportunity is our Policy. The Trust provides health services to a diverse community.

    Applicants must hold full registration with the GMC and have a proven record of experience in Emergency Medicine. Applicants should have at least 1 year experience post registration.

    Please note that successful completion of the International English Language Testing System (IELTS) is our accepted minimum language requirement.

    Job description

    Job responsibilities

    Purpose of the role

    We are looking for doctors to join our large friendly team and contribute ideas about improving patient care. This post will give you non shop floor time. You will have the equivalent of 2 days a fortnight to follow the special interest or boost your CV depending on personal career needs/interest/development of training). It is useful for those wishing to take some time out of training from anytime after F2 to those wanting a break before continuing into higher specialty training. Atypical, flexible or individualised rotas are possible.

    The EM team is friendly, hard working and very supportive. The department was rated as Outstanding by the CQC. We strive to deliver great patient care by working together as a great team. Each post is initially for 6 months with the possibility of an extension if desired.

    These posts are useful for doctors needing competencies in ACCS /Emergency Medicine training. We consider them developmental so encourage work-based assessments, enrolling for an e-portfolio or doing exams. When on duty the Clinical Fellow, with other more senior Emergency Medicine speciality trainees, assists the Consultants in direct patient management and supervising the work of the junior (FY2) medical staff. We all work hard but are very supportive and keen to help progress careers.

    Flexible working

    For the right person it would be possible to devise an individualised rota but a contribution to out of hours including nights and weekends work is essential.

    Educational Program

    Clinical Fellows will be given the opportunity to attend appropriate specialist courses including ATLS, ALS, APLS, and to attend appropriate conferences within a set study leave allocation.

    The post holder will be expected to attend and present at a variety of educational meetings:

  • Morning handover
  • Weekly departmental middle grade teaching programme
  • Weekly governance, operational and faculty meetings
  • FY2, medical student and nurse teaching
  • Daily consultant lead ward round on CDU
  • Hospital Grand Rounds
  • The post offers regular teaching sessions and including specific exam-oriented teaching. The department has excellent experience with the RCEM examinations, and previous post holders undertaking the exams have had high success rates.

    Research within the Department

    We have an active research portfolio within the Emergency Department which we encourage our Clinical Fellows to engage in. This enables interested individuals to develop skills relevant to research and explore development of personal research projects.

    Timetable and Salary

    The Emergency Department operates a full shift system, which is fully compliant with the European Working Time Directive. We use self-rostering of an annualised rota which enables doctors to work flexibly and ensure that having time off when you need it is always possible with planning. All shifts are either 9 or hours in length. There is no on-call commitment to the Emergency Department but rotas may need to be amended to cover unexpected sickness.

    Salary is in accordance with the national salary scale.

    Person Specification

    Education/Qualifications

    Essential

  • oGMC Registration / Eligible for GMC registration.
  • oMB BS (or equivalent)
  • oALS provider
  • Desirable

  • oBSc, BMedSci (or other intercalated degree), other degrees/qualifications.
  • oATLS/APLS Provider.
  • oMCEM A, B C/ Intermediate FRCEM
  • Previous experience

    Essential

  • oProve track record of hospital medicine in the NHS, with experience in EM (Minimum 4 months in Emergency Medicine) and a total of a minimum of 1 years working since qualification. Short term locums & clinical attachment are not acceptable and will not be considered. This is not suitable as a first UK post due to the level of responsibility and candidates will not be shortlisted unless they fulfil the criteria below
  • oAny EM trainees from recognised overseas training programmes will be considered for shortlisting whether they have yet worked in the UK or not.
  • Desirable

  • oAdditional experience in emergency medicine.
  • oAdditional experience in one or more of other related specialties (acute medicine, orthopaedics, cardiology, ITU, anaesthetics, plastics or primary care).
  • oResearch experience, education programme development, ultrasound qualification as approriate
  • Skills/Knowledge/Ability

    Essential

  • oEvidence of experience in performing procedures relevant to emergency medicine: venous cannulation, phlebotomy, fracture manipulation
  • oEvidence of good documentation - application form or/and documentation audit.
  • oEvidence of keeping up to date with topics relevant to EM practice- courses/teaching sessions attended.
  • oDocumented provision of teaching sessions on EM relevant topics.
  • oCorrectly written personal statement about why this job and where it fits in to career plans
  • Desirable

  • oDocumented (log book) competence in other practical procedures: central lines, arterial lines, chest drains etc.
  • oEvidence of a quality improvement or audit project involvement
  • oExperience of clinical risk management/clinical governance
  • oFeedback on teaching sessions delivered.
  • Additional Information

    Essential

  • oRecord of audit of a clinical pathway of direct relevance to EM practice
  • oExperience of supporting more junior staff.
  • Desirable

  • oPrevious audit projects with closure of loop documented.
  • oFeedback on ability to supervise juniors.