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Job summary

Main area
Emergency Medicine
Grade
NHS Medical & Dental: Clinical Fellow
Contract
6 months (6 Months fixed term contract)
Hours
Full time - 40 hours per week (additional EM hours)
Job ref
196-MED4432
Employer
Guy's and St Thomas' NHS Foundation Trust
Employer type
NHS
Site
St. Thomas' Hospital
Town
London
Salary
£43,923 - £63,152 p.a excl. LZ and additional allowances
Salary period
Yearly
Closing
06/05/2024 23:59

Employer heading

Guy's and St Thomas' NHS Foundation Trust logo

Junior or Senior Clinical Fellow in Emergency Medicine

NHS Medical & Dental: Clinical Fellow

Guy’s and St Thomas’ is among the UK’s busiest and most successful NHS foundation trusts. We provide a full range of hospital and community services for people in south London and as well as specialist care for patients from further afield including cancer, renal, orthopaedic, respiratory and cardiovascular services.

Guy’s is home to the largest dental school in Europe and a £160 million Cancer Centre opened in 2016. As part of our commitment to provide care closer to home, in 2017 we also opened a cancer centre and a kidney treatment centre at Queen Mary’s Hospital in Sidcup. St Thomas’ has one of the largest critical care units in the UK and one of the busiest emergency departments in London. It is also home to Evelina London Children’s Hospital.

Evelina London cares for local children in Lambeth and Southwark and provides specialist services across south east England including cardiac, renal and critical care services. We lead a number of specialist service networks aiming to ensure children are treated locally where possible, but have access to specialist expertise when they need it. Our community services include health visiting, school nursing and support for families of children with long-term conditions. 

Our adult community services teams deliver care at the heart of the local communities we serve, working in partnership with GPs, local authorities and other healthcare and voluntary sector organisations. Working with our partners in Lambeth and Southwark, we are focusing on new ways of working to improve care for local patients.

In February 2021 the Royal Brompton and Harefield joined Guy’s and St Thomas’ NHS Foundation Trust, bringing together world-leading expertise in the care and research of heart and lung disease. Our merger provides a once in a generation opportunity to build a lasting, world-renowned heart and lung centre, providing the highest quality care for patients and conducting world-leading research.

We have a reputation for clinical excellence and high quality teaching and research. We are part of King’s Health Partners, one of eight accredited UK academic health sciences centres. In partnership with King’s College London we have dedicated clinical research facilities including an MHRA accredited Phase I clinical trials unit.

Patients are at the heart of everything we do and we pride ourselves on ensuring the best possible patient experience as well as safe, high quality care. We are proud to have one of the lowest mortality rates in the NHS. Following a comprehensive Care Quality Commission (CQC) inspection in 2019 we maintained our overall rating of ‘good’. Our adult community services achieved a rating of ‘outstanding’.

The commitment of our 23,500 staff is key to our success. We are one of the largest local employers and we aim to develop and support all our staff so they are able to deliver high quality, safe and efficient care. The 2019 NHS staff survey results show that we have one of the most engaged and motivated workforces in the NHS. We know this has a positive impact on the care provided to our patients.

We have one of the most ambitious capital investment programmes anywhere in the NHS.



Job overview

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.

Working for our organisation

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 join us 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.

Detailed job description and main 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 10.5 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 criteria
  • • GMC Registration / Eligible for GMC registration.
  • • MB BS (or equivalent)
  • • ALS provider
Desirable criteria
  • • BSc, BMedSci (or other intercalated degree), other degrees/qualifications.
  • • ATLS/APLS Provider.
  • • MCEM A, B C/ Intermediate FRCEM

Previous experience

Essential criteria
  • • Prove 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
  • • Any EM trainees from recognised overseas training programmes will be considered for shortlisting whether they have yet worked in the UK or not.
Desirable criteria
  • • Additional experience in emergency medicine.
  • • Additional experience in one or more of other related specialties (acute medicine, orthopaedics, cardiology, ITU, anaesthetics, plastics or primary care).
  • • Research experience, education programme development, ultrasound qualification as approriate

Skills/Knowledge/Ability

Essential criteria
  • • Evidence of experience in performing procedures relevant to emergency medicine: venous cannulation, phlebotomy, fracture manipulation
  • • Evidence of good documentation – application form or/and documentation audit.
  • • Evidence of keeping up to date with topics relevant to EM practice- courses/teaching sessions attended.
  • • Documented provision of teaching sessions on EM relevant topics.
  • • Correctly written personal statement about why this job and where it fits in to career plans
Desirable criteria
  • • Documented (log book) competence in other practical procedures: central lines, arterial lines, chest drains etc.
  • • Evidence of a quality improvement or audit project involvement
  • • Experience of clinical risk management/clinical governance
  • • Feedback on teaching sessions delivered.

Additional Information

Essential criteria
  • • Record of audit of a clinical pathway of direct relevance to EM practice
  • • Experience of supporting more junior staff.
Desirable criteria
  • • Previous audit projects with closure of loop documented.
  • • Feedback on ability to supervise juniors.

Employer certification / accreditation badges

Timewise helps businesses to attract and develop the best talent through flexible working.Care quality commission - GoodDisability confident employer

Applicant requirements

You must have appropriate UK professional registration.

This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.

Documents to download

Apply online now

Further details / informal visits contact

Name
Matt May
Job title
Consultant in Emergency Medicine
Email address
[email protected]
Telephone number
02071887188
Additional information

For further details please contact Dr Matt May 

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