Senior Clinical Fellow in Emergency Medicine

Job responsibilities

JOB DETAILS:

Job Title: Senior Clinical Fellow in Emergency Medicine Grade: ST3+

Specialty/Department: Emergency Medicine

Site and Location: LGI/SJUH

This post will allow you to work with an enthusiastic group of consultants with a keen interest in simulation. Your responsibilities will include coordinating an embedded weekly in situ simulation program across both of our adult departments. We run a wide variety of simulations covering all EM presentations including our monthly interprofessional trauma team simulations. An interest in human factors and non-technical skills will serve you well in this post.

During your time with us, we will ensure that you have opportunities to develop your own skills as simulation faculty with locally run courses such as Introduction to Simulation and debriefing as well as ongoing constructive feedback at each simulation. You will also have the opportunity to empower junior and interprofessional colleagues to work alongside you.

Postgraduate Medical Education

As the Senior Clinical Fellow in Postgraduate Education, you will have dedicated non-clinical time to pursue activities related to postgraduate education, training and supervision. You will work alongside the departments college tutors to develop and maintain a positive learning environment for clinicians working in the department. There will be opportunities to get involved in areas including (but not limited to) junior doctor teaching, senior teaching, simulation, induction, FOAM-ed and trainee wellbeing. You will be supported to develop your own educational skill set including teaching and curriculum development. There is a study budget available and we will support you pursue a Post Graduate Certificate in Clinical Education or other relevant course.

Undergraduate Medical Education

As the Senior Clinical Fellow in Undergraduate Education, you will have dedicated non-clinical time for the delivery of scheduled undergraduate education for over 100 senior medical students each year. You will work alongside the departments Undergraduate tutor to maintain the learning environment and to support the development of students capabilities in performance and practice. You will be expected to teach, support and mentor the students on the shop floor, in the classroom and in a simulated clinical environment. There is also the opportunity to be formally involved in university summative assessment processes. This fellowship prioritises support for you to transform your own capabilities relating to educational theory, feedback practice, simulation and teaching skills.

Major Trauma

As well as a clinical role at the regional MTC, 40% of the post is dedicated to trauma-based non-clinical activities. Previous projects have included work on developing a chest drain proforma for pneumothoraxes requiring a drain, as well as local and international trauma education.

Weekly attendance at the trauma morbidity and mortality meeting is expected, where all cases ISS>15 are discussed. As the post continues it is expected that you will take a more active role in this, taking part in the rota of reviewing and presenting cases. The trauma fellow is also involved in delivery of the monthly trauma simulation, which involves the whole MDT trauma team. The clinical role will allow you to develop as a trauma team leader, which will be further enhanced by your SIM involvement and other non-clinical projects.

Ultrasound

During the Nonclinical time trainee will be supported to develop their ultrasound skills. Support and lead on the department and undergraduate ultrasound courses.

We welcome the development of fellowships in additional areas and would be happy to discuss options with you on application.

The exact number of posts we can offer will be known at interviews due to current fellows likely to continue in certain areas.

KNOWLEDGE, SKILLS AND EXPERIENCE REQUIRED

Please see Person Specification

LEVELS OF RESPONSIBILITY

The appointee must have experience in Emergency Medicine and in specialties with relevance to emergency medicine i.e. ACCS specialties, T&O, surgery, paediatrics

Applicants must provide information regarding their status from the GMC and/or relevant Royal College at the time of application for the application to be progressed further.

Ideally the candidate will have completed MCEM/FRCEM intermediate, or equivalent qualification

The appointee must be able to demonstrate they have the skills and competencies to work at CT3 or higher level.

The posts are offered on a fixed term contract for up to 12 months in the first instance.

DUTIES OF THE POST

Our Senior Clinical Fellows work alongside our HSTs in Emergency Medicine and Staff Grade doctors on our tier two rota. Fellows work across both sites and all departments.

Previous candidates have had 60% of the post recognized as training time in emergency medicine (OOPT). Trainees applying for out of programme training will be allocated appropriate clinical / educational supervisors and supported to get their required assessments completed and attendance at regional teaching.

Depending on the individuals experience the applicant will work either on the CT3 or HST rota. The individual will have up to 16 hours of non-clinical duties depending on individual development needs. This nonclinical time is for the development of the fellows special interest but there is also an expectation that fellows will contribute/ support the departments education, governance and research programmes. For example:

Delivery and development of undergraduate education and support of medical students in the department

Delivery and development of postgraduate education

Delivery of simulation training

Development of clinical guidelines relevant to the ED

Contributing to clinical governance requirements including quality improvement projects and audit

Qualifications

Essential

• MBBS or equivalent medical qualification
• MRCEM or Equivalent
• Successful completion of CT3/ST3+
• 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 Resuscitation Council UK or equivalent (as required to complete Foundation competences) by intended start date

Desirable

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

Experience

Essential

• 36 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 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 abuse your patients trust in you or the publics trust in the profession.
• Evidence of achievement of CT/ST3+ competencies in medicine or Surgery (as defined by the curricula relating to Core Medical training or Core Surgical Training)
• 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
• Communication Skills: Demonstrates clarity in written/spoken communication & capacity to adapt language as appropriate to the situation
• Able to build rapport, listen, persuade & negotiate
• Problem Solving & Decision Making: Capacity to use logical/lateral thinking to solve problems/make decisions, indicating an analytical/scientific approach
• Empathy & Sensitivity: Capacity to take in others perspectives and treat others with understanding; sees patients as people
• Demonstrates respect for all
• Managing Others & Team Involvement: Able to work in multi-professional teams & supervise junior medical staff
• Ability to show leadership, make decisions, organise and motivate other team members for the benefit of patients

Desirable

• Evidence of relevant academic and research achievements, e.g. degrees, prizes, awards, distinctions, publications, presentations, other achievements
• Evidence of involvement in an audit project, a quality improvement project, formal research project or other activity which:
• focuses on patient safety and clinical improvement
• demonstrates an interest in and commitment to the specialty beyond the mandatory curriculum
• Evidence of interest in, and experience of teaching
• Evidence of feedback for teaching
• Instructor status (or a recommendation for instructor status) in an advanced life support course (ALS, ATLS, EPLS, APLS) or equivalent course

Additional Requirements

Essential

• Organisation & Planning: Capacity to manage/prioritise time and information effectively
• Capacity to prioritise own workload & organise ward rounds
• Evidence of thoroughness (is well prepared, shows self discipline/ commitment, is punctual and meets deadlines)
• Vigilance & Situational Awareness: Capacity to monitor developing situations and anticipate issues
• Coping with Pressure and managing uncertainty: Capacity to operate under pressure
• Demonstrates initiative & resilience to cope with changing circumstances
• able to deliver good clinical care in the face of uncertainty
• Values: Understands, respects and demonstrates the values of the NHS Constitution (e.g. everyone counts; improving lives; commitment to quality of care; respect and dignity; working together for patients

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).