Senior Clinical Fellow in Emergency Medicine

Job responsibilities

LEEDS TEACHING HOSPITAL NHS TRUST JOB DESCRIPTION

JOB DETAILS:

Job Title: Senior Clinical Fellow in Emergency Medicine and Major Trauma

Grade: ST3+

Specialty/Department: Emergency Medicine

Site and Location: LGI

INFORMATION ABOUT THE DEPARTMENT / ROLE:

Leeds Teaching Hospital NHS Trust is one of the largest acute hospital trusts in the country. It provides emergency care in three Emergency Departments with Adult Emergency Departments at St James University Hospital (SJUH) and the Leeds General Infirmary (LGI), and a separate Pediatric Emergency Department at the Leeds General Infirmary.

The Leeds Emergency Departments offer 12-month Senior Clinical Fellow posts designed to provide individually tailored experience and training for those who want to develop a special interest in Emergency Medicine whilst working in a large teaching hospital and major trauma center. This fellowship is targeted specifically at those with an interest in improving their skills managing severely injured patients, and improving the care provided in the regional Major Trauma Centre at the LGI.

Our fellowship posts are designed with substantial non-clinical time (40%) to allow for the development of special interests. They are supported by a generous study budget. We will support trainees to complete a relevant PG Certificate during their time with us.

As well as a clinical role at the regional MTC, 40% of this post is dedicated to non-clinical activities related to the provision of high-quality Major Trauma care. Previous projects have included work on developing a chest drain proforma for pneumothoraces requiring procedural drainage, as well as local and international trauma education. There may be opportunities to utilise non-clinical time to shadow colleagues in other trauma-related specialties, including Anesthesia, Critical Care, Major Trauma Surgery, and Pre-Hospital Emergency Medicine.

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. Furthermore, it is expected you will participate in and ultimately lead some of the weekly virtual Trauma of the Week peer-to-peer review sessions, joining a rota of experienced specialty consultants. Finally, the trauma fellow is involved in delivery of the monthly trauma simulation, which involves the whole MDT trauma team.

In summary, through clinical exposure and a varied non-clinical portfolio of activities, this role will allow you to develop as an expert trauma team leader and emergency physician, and to contribute to the provision of high-quality Major Trauma care to the patients of West Yorkshire and beyond.

KNOWLEDGE, SKILLS AND EXPERIENCE REQUIRED

Please see the Person Specification.

The posts are adaptable to suit the level of experience of the candidate ranging from ST3+ equivalence to post CCT.

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.

DUTIES OF THE POST

Our Senior Clinical Fellows work alongside our HSTs in Emergency Medicine and Staff Grade doctors on our tier two rota. The SCF in EM/Major Trauma is based in the Emergency Department at the LGI, working across all adult clinical areas.

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 individual's 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 non-clinical time is for the development of the fellows special interest in Major Trauma, 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

An example rota is seen below. We provide self rostering for our tier 4 doctors which is a flexible rota system. The work schedule below is an example which includes the correct number of shifts that you will be working but not the order you will work them in.

The posts are offered on a fixed term contract for up to 12 months in the first instance. The post holder must be registered with GMC and hold a licence to practice.

MEDICAL STAFF IN THE DEPARTMENT

We have over 45 consultants in the Emergency Department with a wide range of clinical, educational, and managerial interests. These include

Dr Anin Dasgupta (Clinical Director Urgent Care)

Dr Helen Mollard (Clinical Lead Pediatrics Emergency Department)

Dr Sundararaj Manou (Recruitment Lead, Clinical Lead Adults, LGI)

Dr Dafydd Hammond-Jones ( TPD HST west Yorkshire)

Dr Catherine Holmes (Speciality Tutor & EM simulation TPD Y&H)

Dr Claire Thrompson (Specialty Tutor)

Dr Andrew Davies (TPD ACCS West Yorks)

Dr Jennifer Russell (Undergraduate Lead)

Dr Alia Yakub (Major Trauma Lead)

Dr Mohit Arora (TPD for Ultrasound)

Dr S Higgins (TPD- CT3- West Yorks)

Dr Paul Onion (Consultant in Emergency and Pre-hospital Emergency Medicine)

Dr Peter Cutting (Risk and Learning Lead)

Dr Tajek Hassan (Past RCEM President)

Dr Jonathan Jones (West Yorkshire Major Trauma Network Lead)

Dr Rosalind Roden (Guardian for Safe Working)

Dr Najeeb Rahaman (Global EM track)

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/injured patient
• 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

Desirable

• Research and audit skills: 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
• Teaching: Evidence of interest in, and experience of teaching Evidence of feedback for teaching

Additional Requirements

Essential

• 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 through, for example, audit and quality improvement Projects .
• Capacity to work effectively with others
• 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
• Leadership: Demonstrates the ability to lead multi-disciplinary teams in the management of critically ill/injured patients.

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.
• 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.
• Ability to provide complete details of employment history Evidence that career progression is consistent with personal circumstances.
• Evidence that present achievement and performance is commensurate with totality of their period of training.

Desirable

• At least sixth months (WTE) experience in Anaesthesia/Critical Care Medicine Clinical experience of managing Major Trauma

Qualifications

Essential

• MBBS or equivalent medical qualification MRCEM or Equivalent Successful completion of CT3/ST3

Desirable

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

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 Resuscitation Council UK or equivalent (as required to complete Foundation competences) by intended start date
• Advanced Trauma Life Support/European Trauma Course Certificate by intended start date
• Is up to date and fit to practise safely and is aware of own training needs.
• All applicants to have demonstrable skills in written and spoken English adequate to enable effective communication
• about medical topics with patients and colleagues demonstrated by one of the following;
• That applicants have undertaken undergraduate medical training in English; or
• Academic International English Language Testing System (IELTS) results showing a score of at least 7.5 in each domain (speaking, listening, reading, writing),with an overall score of at least
• 7.5, to be achieved in a single sitting and within 24 months of the time of application.
• If applicants believe they have adequate communication skills, but do not have evidence in one of the above forms, they must provide alternative supporting evidence of language 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.

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).