Clinical Fellow in Emergency Medicine and Point of Care Ultrasound
Guy's and St Thomas' NHS Foundation Trust
The closing date is 11 May 2025
Job summary
This post will provide the point of care ultrasound fellow with 20% protected time to focus on PoCUS training and accreditation within the Emergency Medicine Junior Clinical Fellow or ST4+ rota depending on previous experience. The fellow would be expected to have considerable Emergency Medicine experience (ideally ST4+ or a Senior Clinical Fellow). The fellow would ideally be already signed-off in Level 1 and looking to expand their PoCUS expertise and repertoire. The development objectives would be flexible but could include some more advanced abdominal topics (e.g. cholecystitis & hydronephrosis), DVT scanning, echocardiography or regional anesthesia. We would expect the successful applicant to be involved with PoCUS training of other members of the EM team, undertake a PoCUS based audit/QIP and champion our departmental PoCUS governance principles. We would support the applicant to make a publication in a peer-reviewed journal on a PoCUS topic. We would additionally encourage the fellow to enroll in a Post Graduate Ultrasound course with their scanning forming part of this programme.
Main duties of the job
Increasingly hospital-based ultrasound examinations are occurring outside traditional radiology departments as point-of-care ultrasound (PoCUS) examinations. When performed by appropriately trained professionals they are invaluable for expediting patient care through offering a timely diagnosis and by allowing direct visualisation of structures during ultrasound-guided procedures. PoCUS is also part of the core curriculum for the Royal College of Emergency Medicine which now includes new applications for shock and ultrasound-guided fascia iliaca nerve block.
About us
Our Emergency Department has several Consultants and senior registrars with expertise in PoCUS training and a regular Consultant-led PoCUS teaching programme. As an example of this we were able to rapidly upskill our clinicians in lung ultrasound in response to the coronavirus pandemic. We have also recently launched protocols for ultrasound-guided nerve blocks for patients with rib fractures and for respiratory assessment. We have 10 ultrasound machines, including several state-of-the-art cart-based and hand-held devices, and a co-located Emergency Floor Ultrasound Room staffed by an ultrasonographer providing emergency ultrasound scans within working hours. We have a great relationship with our sonographers and radiologists who support the fellowship and will provide regular supervision. We also have strong relationships with other PoCUS experts in the trust and are part of a multidisciplinary group that hosts monthly cross-specialty training. In addition to our regular online and bedside teaching we also host a number of hands-on departmental courses which the fellows are encouraged to lead.
Job description
Job responsibilities
We would accept applications for those wishing to take some time out of training (for example an OOPTE whilst in higher specialty training). Atypical, flexible or individualised rotas are possible as long as you make a significant contribution to weekends and Out of Hours work.
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. Each post is initially for 6- 12 months with the possibility of an extension if desired.
*** Please be advised that this vacancy may close early should we receive sufficient number of applications ***
Job description
Job responsibilities
We would accept applications for those wishing to take some time out of training (for example an OOPTE whilst in higher specialty training). Atypical, flexible or individualised rotas are possible as long as you make a significant contribution to weekends and Out of Hours work.
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. Each post is initially for 6- 12 months with the possibility of an extension if desired.
*** Please be advised that this vacancy may close early should we receive sufficient number of applications ***
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.
- oIntermediate FRCEM or MCEM or equivalent.
- oLevel 1 Ultrasound Provider
Previous experience
Essential
- oProven track record of hospital medicine in the NHS, with experience in EM Short term locums & clinical attachment are not acceptable and will not be considered. This is ONLY suitable as a first UK post IF the candidate has worked for a minimum of 12 months in EM fulltime. Candidates will not be shortlisted unless they fulfil the criteria above
- 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 appropriate
Skills/Knowledge/Ability
Essential
- oEvidence of experience in performing procedures relevant to emergency medicine: venous cannulation, phlebotomy, fracture manipulation
- oEvidence of keeping up to date with topics relevant to EM practice- courses/teaching sessions attended
- oCorrectly written personal statement about why this job and where it fits in to career plans
Desirable
- oEvidence of a quality improvement or audit project involvement oIdea of a particular
- oIdea of a particular area of interest to pursue while in this post
- oInterest in undertaking an OOPTE in PoCUS and developing a specialist interest in PoCUS as part of EM training
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.
- oIntermediate FRCEM or MCEM or equivalent.
- oLevel 1 Ultrasound Provider
Previous experience
Essential
- oProven track record of hospital medicine in the NHS, with experience in EM Short term locums & clinical attachment are not acceptable and will not be considered. This is ONLY suitable as a first UK post IF the candidate has worked for a minimum of 12 months in EM fulltime. Candidates will not be shortlisted unless they fulfil the criteria above
- 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 appropriate
Skills/Knowledge/Ability
Essential
- oEvidence of experience in performing procedures relevant to emergency medicine: venous cannulation, phlebotomy, fracture manipulation
- oEvidence of keeping up to date with topics relevant to EM practice- courses/teaching sessions attended
- oCorrectly written personal statement about why this job and where it fits in to career plans
Desirable
- oEvidence of a quality improvement or audit project involvement oIdea of a particular
- oIdea of a particular area of interest to pursue while in this post
- oInterest in undertaking an OOPTE in PoCUS and developing a specialist interest in PoCUS as part of EM training
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
Additional information
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
