Junior Clinical Fellows in Emergency Medicine

Job description

Job responsibilities

LEEDS TEACHING HOSPITAL NHS TRUST

JOB DESCRIPTION

JOB DETAILS

Job Title: Junior Clinical Fellows in Emergency Medicine

Grade: Clinical Fellow (CT1/CT2 equivalent)

Specialty/Department: Emergency Specality Medicine

Location: SJUH/LGI

This post is for a Junior Clinical Fellow in Emergency Medicine. This is a whole time/part time post offering an exciting opportunity for a highly motivated Medic to join a dynamic, rapidly expanding team delivering multidisciplinary acute care at Leeds Teaching Hospitals NHS Trust.

This post is 80% clinical and 20% non-clinical.

The culture and behaviours in ED are well known to be grounded firmly on the principle that the workforce is the single most valuable asset. This is demonstrated on a continuous basis by attitudes and behaviours which are supportive, helpful, non - blaming and friendly. The team approach is completely embedded in the department and all staff are wholly focused on providing a fast and effective patient service. We currently have 24/7 Consultant on shop floor at Leeds General Infirmary ( MTC) and 16/7 Hrs Consultant at St James University Hospital.

The Non clinical time is built into the job to deliver various projects on going in the departments. We also have a generous study budget.

Current streams of work:

Teaching

Simulation

Global Emergency Medicine

Ultrasound

Quality Improvement

Information Technology

Trauma

MAJAX

If the candidate has other interests which benefit patient care in ED the department is supportive of Medics pursuing this.

The principal of this job is to support and mentor doctors to grow their Clinical and non-clinical skills.

INFORMATION ABOUT THE DEPARTMENT

Childrens Emergency Department, Leeds General Infirmary

The childrens emergency department at the LGI is a separate area, co-located with the adult service and has recently undergone refurbishment. The department sees approximately 40,000 children a year and has 12 cubicle spaces. There are 2 dedicated resus bays and a further bay which can be adapted for use by children. We run paediatric returns clinics 3 days a week. At times of peak demand there is a minor injury unit which is jointly staffed by ENPs and medical staff.

A Paediatric Assessment Unit at the LGI is currently open, providing an ambulatory care model and sees all GP referrals direct.

Leeds is a designated paediatric trauma centre for the region offering an opportunity for those interested in pre hospital and trauma management to expand their repertoire.

In the last two years the Paediatric ED has introduced ketamine sedation and the use of LAT gel for painful procedures in children.

The Department provides excellent opportunities for developing your clinical skills; the department trains the ST3s in Paediatric Emergency Medicine and we are a designated centre for HST training.

Emergency Department (ED)

Both Leeds General Infirmary (LGI) and St Jamess University Hospital (SJUH) provide emergency services for adults.

Adult medicine and GI services are provided at the St Jamess site. Paediatrics, Cardiology, Stroke Medicine, Vascular Surgery and Major Trauma and related services are based at the Leeds General Infirmary.

The ED at Leeds General Infirmary is attended by 110,000 patients a year and is in a modern block, housing ICUs, theatres and interventional cardiology. The ED has a resuscitation room with six bays and 25 majors cubicles.

The Leeds Major Trauma Centre is one of the largest in the country with some of the best outcome data as judged by the independent UK TARN database. It is one of only 12 to provide both adult and paediatric major trauma care on the same site. Inpatient care is based around a Major Trauma Ward which, along with intensive care, theatres and interventional radiology, is based in the same building as the ED (Jubilee Wing). The MTC runs a regular Trauma Team Leadership course and has weekly multi-disciplinary mortality and morbidity meetings.

The ED at St Jamess has been refurbished with expansion of the resuscitation room to five bays and of the majors area to a total of 29 cubicles. Approximately 90,000 patients a year attend this ED.

Both EDs have minor injury areas, adjacent to the main department, staffed by Emergency Nurse Practitioners until 10pm at the earliest.

Both departments have active Clinical Decision Units. The Emergency Medicine consultants are responsible for patients undergoing protocoled, assessment, treatment or observation. The CDU service has been nationally recognised as innovative and high quality.

The Emergency Departments have a combined follow-up clinic held in a purpose-built area.

The Emergency Departmental records are computerised, facilitating collection of data for statistics, audit and information useful in planning future service provision.

The Emergency Departments in Leeds are innovative and have developed new roles and ways of working. For example, Consultants in Elderly Medicine work in the St Jamess ED for several sessions during the week and the Directorate has developed the Advanced Practitioner role.

We have over 50 consultants in the Emergency Department with a wide range of clinical, educational, and managerial interests. These include

Dr Sarah Davey (Clinical Director)

Dr Anin Dasgupta (Clinical Lead SJUH ED)

Dr Helen Mollard (Clincal Lead Paediatric Emergency Department)

Dr Sundararaj Manou (Clinical Lead LGI and Recruitment Lead)

Dr Catherine Holmes (Specialty Tutor)

Dr Andrew Davies (Trust Simulation Lead)

Dr Jennifer Russell (Undergraduate Lead)

Dr Andrew Webster (CCIO- Trust Informatics)

Dr Mohit Arora (TPD for Ultrasound)

Dr Arran Gaunt (W Yorkshire HST Education Lead)

Dr Peter Cutting (Risk and Learning Lead)

Dr Tajek Hassan (Past RCEM President)

Dr Jonathan Jones (West Yorkshire Major Trauma Network Lead)

Dr Najeeb Rahaman (Global EM interest)

KNOWLEDGE, SKILLS AND EXPERIENCE REQUIRED

General Training and Qualifications

The appointee must have completed full registration, and attained FY2 competencies.

Experience

Previous experience in Emergency Medicine in desirable

DUTIES OF THE POST

Fellow Posts

The individual will work a full shift pattern, working ~36 clinical hours per week. There will be on average 9 hours per week of non-clinical time to enable an individual to pursue a special interest in for example undergraduate education, quality improvement, guideline development, and research.

LEVELS OF RESPONSIBILITY

The candidate will be expected the knowledge, skills and attitude to work at the level of a CT1/CT2 doctor.

TEACHING AND RESEARCH/STUDY AND TRAINING

All the posts will include a commitment to teaching.

There is a Monthly dedicated teaching program run by the Department College Tutor and Senior Fellows

There is an opportunity to be involved in research projects, working with our research team.

THE LEEDS WAY VALUES

Our values are part of what make us different from other trusts, so we see this as a strength, as well as a responsibility. They have been developed by our staff and set out what they see as important to how we work. Our five values are:

Patient-centred

Collaborative

Fair

Accountable

Empowered

All our actions and endeavours will be guided and evaluated through these values

Additionally, the following are core values which relate specifically to this post:

The beliefs and attitudes that underpin effective performance within the job role. Emphasis should be on the requirements of the role not the individual when completing this section. Examples might include: quality focus, mistakes are used as a continual learning experience, honesty, integrity etc.

Respect for Patient Confidentiality

The jobholder should respect patient confidentiality at all times and not divulge patient information unless sanctioned by the requirements of the role.

Leeds Teaching Hospitals NHS Trust is part of the West Yorkshire Association of Acute Trusts (WYAAT), a collaborative of the NHS hospital trusts from across West Yorkshire and Harrogate working together to provide the best possible care for our patients.

By bringing together the wide range of skills and expertise across West Yorkshire and Harrogate we are working differently, innovating and driving forward change to deliver the highest quality care. By working for Leeds Teaching Hospitals NHS Trust this is your opportunity to be a part of that change.

WYAAT is the acute sector arm of the West Yorkshire and Harrogate Health and Care Partnership, one of the largest integrated care systems in the country. The Partnerships ambition is for everyone to have the best possible health and wellbeing, and the work of WYAAT, and each individual trust, supports that ambition.

Person Specification

Qualifications

Essential

• MBBS or equivalent medical qualification

Desirable

• Relevant higher degree Higher academic qualification (eg. MD and / or PhD) Working towards FRCEM primary

Eligibility, Fitness to practice, and Language Skills

Essential

• Be eligible for full registration with, and hold a current licence to practise from, the GMC at intended start date Eligibility to work in the UK. Advanced Life Support Certificate from the Resuscitat

Clinical, Academic, and Personal Skills

Essential

• Ability to apply sound clinical knowledge and judgement to problems Ability to prioritise clinical need
• Ability to maximise safety and minimise risk Recognition of, and ability to undertake the initial management of, an acutely ill patient

Desirable

• Either ALS/APLS/EPLS/ATLS

Experience

Essential

• 12 months experience after full GMC registration or equivalent, and evidence of achievement of foundation competences, in line with GMC standards / Good Medical Practice; including:
• make the care or your patient your first concern provide a good standard of practice and care
• take prompt action if you think that patient safety, dignity or comfort is being compromised protect and promote the health of patients and of the public
• treat patients as individuals and respect their dignity work in partnership with patients
• work in partnership with patients work with colleagues in the ways that best serve patients interests
• be honest and open and act with integrity never discriminate unfairly against patients or colleagues
• never discriminate unfairly against patients or colleagues never abuse your patients trust in you or the publics trust in the profession

Additional Requirements

Essential

• Demonstrates understanding of research, including awareness of ethical issues Demonstrates understanding of the basic principles of audit, clinical risk management, evidence-based practice,
• patient safety, and clinical quality improvement initiatives Demonstrates knowledge of evidence-informed practice

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.

Certificate of Sponsorship

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).

Employer details

Employer name

Leeds Teaching Hospitals

Address

St. James's University Hospital

Beckett Street

Leeds

LS9 7TF

Employer's website

https://www.leedsth.nhs.uk/ (Opens in a new tab)