Job responsibilities
Job
Description Text 1. BACKGROUND
This
post is designed to provide comprehensive experience in all aspects of critical
care medicine. This post is suitable for applicants wishing to gain or develop
their experience in Intensive Care Medicine. Typical applicants undertake this
position with a view to gaining tertiary centre experience in ICM whilst
considering their career plans with respect to either entering the national
training programme or the CESR pathway to become a fully trained consultant in
Intensive Care Medicine or Anaesthesia.
Leeds
General Infirmary (LGI) provides tertiary surgical and medical services for the
large population of West Yorkshire as well as some centrally commissioned
services covering all of Yorkshire. Our services include major trauma,
cardiology, stroke and neurology, cardiac surgery, neurosurgery, vascular and
ENT.
The
successful applicants will join an existing team of Intensive Care and
Anaesthetic trainees on the rota, supported by a wider team of Medical SHOs and
Allied Health Professionals. There is extensive support from the 15 Critical
Care Consultants and this post provides an excellent environment to experience
a complex, diverse and busy intensive care environment.
There
is also occasional potential to cover shifts at Saint James University
Hospital, which is a regional centre for oncology, hepatobiliary surgery and
thoracic surgery, as well as a liver and kidney transplant centre. SJUH also
provides the acute general medical and general surgical services for Leeds.
2. OBJECTIVES
OF THE POST
1.
To work with other critical care colleagues in the provision of a comprehensive
critical care service to Leeds Teaching
Hospitals NHS Trust.
2.
To develop and / or consolidate expertise and experience in intensive care
medicine.
3.
To support service plans for the specialty, taking account of the changes in
clinical practice and new technologies
available.
4.
To participate in and progress Clinical Governance.
5.
To develop specialised areas of interest eg Simulation, Teaching and
Research.
3. REQUIREMENTS OF THE POST
3.1
General Training and Qualifications
The
appointee must have full registration with the General Medical Council and have
as a minimum completed Acute Care Common Stem (ACCS), Core Anaesthetic Training
(CAT), or equivalent. Applicants must
provide information regarding their status from the GMC and/or relevant Royal
College at the time of application, in order for their application to be progressed
further.
3.2
Experience
The
appointee must have sufficient experience that they are able to competently
manage the acutely deteriorating patient who requires intensive care support.
This includes management of the airway of an unconscious patient.
.
3.3 Research
Although
this is a clinical post, the appointee will have the opportunity to actively
participate in research projects. All main Anaesthetic and Intensive Care
Medicine journals are available in the Hospital Library. The involvement of trainees
in research is encouraged and supervision is provided. There is the opportunity
to become involved in multi-centre randomised control trials and learn about
becoming an associate Principle Investigator. PC access and other I.T. support
is also available.
3.4
Personal Attributes
The
appointee will have excellent communication skills in both written and oral
English, and be able to work effectively as part of a team. They will have an
understanding of current NHS management and Trusts and be aware of the
responsibilities that a clinical fellow post brings.
3.5
Clinical Audit
The
appointee will be expected to contribute and, where appropriate, take the lead
in the following (e.g.):-
Mortality and morbidity meetings
Clinical audit
Development and application of agreed
clinical guidelines
Simulation in Critical Care
In
the discharge of these responsibilities the candidate will be expected to
maintain and update his/her skills and knowledge through appropriate continuing
medical education.
4.
TEACHING
The
Trust as a Teaching hospital recognises the importance of links with the
University of Leeds School of Medicine for the Undergraduate teaching and all
Clinical fellow and medical staff are required to provide an appropriate contribution
to the undergraduate teaching programme.
The
post holder will be required to participate in the informal teaching of medical
students, nurses and operating department practitioners/assistants.
The
post holder will have access to the Trusts extensive and spacious library in
the Clinical Sciences Building that houses approximately 5,500 books and
several hundred journals. Staff in this library will also arrange loans of
books etc. from the Medical School Library and the National Lending Library based
at Boston Spa.
5.
JOB PLAN AND WORKING ARRANGEMENTS
Aim
This
post is designed to provide clinical service to, and experience in, Intensive
Care Medicine, primarily in Leeds General Infirmary, Leeds. Opportunities may
be available to cover shifts at St Jamess University Hospital, where
appropriate.
Objective
The
post should attract those wanting to specialise in anaesthesia or ICM and it
will provide extensive experience in ICM for a wide range of medical and
surgical specialties. It will also give significant opportunities for clinical
audit and research.
Summary
of post
Critical
care in LGI is provided in three areas: a 14-bedded General ICU (primarily
caring for trauma, vascular and medical patients), a 16-bedded Neurosciences
ICU and a 16-bedded Cardiac Surgical ICU. Duties include the management of all
aspects of patient care in the critical care environment, as part of a team
comprising trainees in anaesthesia and ICM, core trainees from other acute
specialties, advanced nurse practitioners and consultants. A wide case-mix of
patients is admitted to critical care in LGI:
Acute cardiology, neurology and
stroke patients
Regional specialist units for:
o Interventional Cardiology, including
Primary PCI, TAVI and Electrophysiology
o Stroke Thrombolysis and Thrombectomy
o Vascular Surgery - open and
endovascular procedures
o ENT and Max-Fax Surgery
o Major Trauma
o Plastics and Reconstructive Surgery,
including Hand Transplantation
o Cardiac Surgery, including Aortic
Surgery and Adult Congenital Cardiac Surgery
o Neurosurgery, including endovascular
treatments
The
post is in line with the new junior doctor contract. The post will consist of
night and weekend on call commitment. There are three rotas staffed by the
trainee medical team and there is further support from allied staff and
consultants.
The
post will have ample time for clinical audit, research and teaching and will
provide further opportunity to enhance personal development. There is
widespread usage of point-of-care ultrasound and there will be supervision and
time allowed to achieve all FUSIC modules and more advanced cardiac ultrasound
if desired. The appointee will be expected and encouraged to take part in these
activities as part of their one year fellowship.
There
is ample consultant supervision and the opportunity to complete clinical
assessments that could benefit the postholder in further training. We would
look forward to supporting the successful candidate in the future if they
wished to peruse CESR training in Leeds.
Regular
weekly teaching sessions are held which includes core topics in ICM, M&M
meetings, critical incident reporting and journal club.
