Job summary
An exciting opportunity has arisen for a Senior Clinical Fellow to join the Adult Critical Care Department as a Fellow in Critical Care Echocardiography commencing in August 2026.
Please note that only applicants with a minimum of 12 months substantive anaesthesia experience will be considered.
The purpose of the post is to learn how to perform echocardiography (echo) within the critical care department. The successful candidates would work with the ICU Echo Lead and cardiac physiologists to provide an echo service for the department, undertake echo related quality improvement, clinical governance, audit and research projects and assist with the departmental postgraduate echo education program.
This is an exciting and challenging post which will provide the post-holder with unrivalled clinical experience and many opportunities for portfolio development. The role occupies a central position in the Trusts' high class delivery of care and carries significant responsibility.
This post may close early if a sufficient number of applications have been received.
Main duties of the job
This post is offered as a Fellowship in Critical Care Echocardiography for a period of one year with an option to extend to two years subject to satisfactory performance. The post is divided into two parts. 40% of the time the post holder will be working closely with cardiac physiologists to learn how to perform echocardiograms in order to provide a departmental echo service and working on echo related projects. The other 60% the post holder is required to work a full on-call system delivering clinical care for our critical care units and outreach services.
The candidates would be expected to gain FUSIC Heart accreditation within the first 4 months alongside either BSE Level 1 or FUSIC HD by 6 months. By the end of the year the candidates should be scanning at a BSE Level 2 standard and working towards completion of BSE Level 2, ACCE or EDEC. Subject to performance there would be an option to extend the placement to a second year in order to complete BSE L2/ACCE and/or EDEC accreditation.
About us
The Critical Care department at GSTT has an international reputation for clinical excellence and a prominent research profile. As well as serving the local population we provide tertiary critical care to the region.
The critical care department comprises seven clinical areas and totals 70 beds at the St Thomas' site. There are 39 level 3 beds in the East Wing of the hospital (15 on EW1 ICU, 13 on EW2 ICU and 11 on EW6 ICU), an overnight intensive recovery unit (11 level 3 beds staffed by anaesthetists), a medical/surgical HDU on East Wing level 10 (15 level 2 beds) and cardiovascular surgical HDU (5 level 2 beds) on East Wing level 8. At the Guy's site, there are 13 level 2/3 beds on the Guys Critical Care Unit (GCCU).
Our case mix is challenging with a large proportion of complex medical and cardiothoracic patients. We manage a wide spectrum of medical and surgical emergencies.
We are one of the largest severe respiratory failure centres in Europe by case load. The severe respiratory failure service uses conventional ventilation techniques, extracorporeal membrane oxygenation and extracorporeal carbon dioxide removal.
Job description
Job responsibilities
Duties of the post:
PART A: Echocardiography
- To work with cardiac physiologists to triage and perform daily transthoracic echos
- To work towards echo qualifications are listed above
- To undertake echo clinical governance projects to ensure BSE and data governance standards are being maintained
- To undertake quality improvement work to develop the critical care echo service
- To participate in the departmental research program
- To participate and develop the postgraduate echo and POCUS training programs
- Participate in echo courses for external candidates
- Present at local and regional echo meetings
PART B: Clinical duties
This post is open to registrar grade (Senior Clinical Fellow) doctor applicants with airway skills (minimum 12 months substantive anaesthesia required).
- Rota Arrangements
The rota is fully compliant with the new junior doctors contract. The ICU Echo fellows will provide either day time cover to the critical care patients (0830 2130), night time cover to critical care patients (2030 0930) or critical care outreach for 60% of their allocated time. The remaining 40% will be spent undertaking echo activities.
Job description
Job responsibilities
Duties of the post:
PART A: Echocardiography
- To work with cardiac physiologists to triage and perform daily transthoracic echos
- To work towards echo qualifications are listed above
- To undertake echo clinical governance projects to ensure BSE and data governance standards are being maintained
- To undertake quality improvement work to develop the critical care echo service
- To participate in the departmental research program
- To participate and develop the postgraduate echo and POCUS training programs
- Participate in echo courses for external candidates
- Present at local and regional echo meetings
PART B: Clinical duties
This post is open to registrar grade (Senior Clinical Fellow) doctor applicants with airway skills (minimum 12 months substantive anaesthesia required).
- Rota Arrangements
The rota is fully compliant with the new junior doctors contract. The ICU Echo fellows will provide either day time cover to the critical care patients (0830 2130), night time cover to critical care patients (2030 0930) or critical care outreach for 60% of their allocated time. The remaining 40% will be spent undertaking echo activities.
Person Specification
Qualifications / Education
Essential
- MBBS or equivalent medical qualification
- FRCA/MRCP/MRCS or equivalent qualification
Desirable
- FICM/EDIC or equivalent qualification in intensive care medicine
Professional / Statutory Registration
Essential
- Eligible for full registration with licence to practice with the GMC at time of appointment
- Eligibility to work in the UK
Previous Experience
Essential
- Ability to provide a complete employment history with no unexplained career gaps
- Evidence that career progression is consistent with personal circumstances
- Evidence that present achievement and performance is commensurate with totality of period of training
- Minimum 12 months substantive experience in intensive care medicine and 12 months anaesthesia
Desirable
- Basic point of care ultrasound experience
- Teaching experience
- Evidence of quality improvement projects
Skills / Knowledge / Ability
Essential
- Knowledge of basic educational principles and their application within clinical settings
- Valid adult life support (ALS) certification
- Airway skills (minimum 12 months substantive anaesthesia)
- Excellent verbal and written communication skills for a wide range of audiences
- Excellent interpersonal skills, including confident and comfortable interaction with colleagues and students
Desirable
- FUSIC Heart or equivalent level one transthoracic echo experience
- Critical appraisal skills
- Presentations or papers
- Fluent use of IT including email, word processing, spreadsheet, database
Physical Requirements
Essential
- Manual dexterity required to perform a transthoracic echo
Additional Information
Essential
- Excellent networking abilities
- Enthusiasm for critical care and cardiac physiology
- Good communication skills
Person Specification
Qualifications / Education
Essential
- MBBS or equivalent medical qualification
- FRCA/MRCP/MRCS or equivalent qualification
Desirable
- FICM/EDIC or equivalent qualification in intensive care medicine
Professional / Statutory Registration
Essential
- Eligible for full registration with licence to practice with the GMC at time of appointment
- Eligibility to work in the UK
Previous Experience
Essential
- Ability to provide a complete employment history with no unexplained career gaps
- Evidence that career progression is consistent with personal circumstances
- Evidence that present achievement and performance is commensurate with totality of period of training
- Minimum 12 months substantive experience in intensive care medicine and 12 months anaesthesia
Desirable
- Basic point of care ultrasound experience
- Teaching experience
- Evidence of quality improvement projects
Skills / Knowledge / Ability
Essential
- Knowledge of basic educational principles and their application within clinical settings
- Valid adult life support (ALS) certification
- Airway skills (minimum 12 months substantive anaesthesia)
- Excellent verbal and written communication skills for a wide range of audiences
- Excellent interpersonal skills, including confident and comfortable interaction with colleagues and students
Desirable
- FUSIC Heart or equivalent level one transthoracic echo experience
- Critical appraisal skills
- Presentations or papers
- Fluent use of IT including email, word processing, spreadsheet, database
Physical Requirements
Essential
- Manual dexterity required to perform a transthoracic echo
Additional Information
Essential
- Excellent networking abilities
- Enthusiasm for critical care and cardiac physiology
- Good communication skills
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.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
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.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
