Global Fellow in Emergency Medicine and Major Trauma

Job responsibilities

LEEDS TEACHING HOSPITAL NHS TRUST JOB DESCRIPTION

Job Title: Global Fellow in EM Grade:ST3-5

Specialty/Department: Emergency Medicine

Site and Location: LGI/SJUH

Number of Posts: 2

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 SJH and the LGI hospitals and a separate Paeds Emergency Department at the Leeds General Infirmary. The Leeds Emergency Department offer 12-24-month Global Fellows posts designed to provide individually tailored experience and training for those who want to develop advanced skills in Emergency Medicine whilst working in a large teaching hospital and major trauma centre.

Fellowship posts are designed with non-clinical time (20%) to allow clinical development. A generous study budget.

Global fellows based on prior experience start on ST3 level/Rota and then progress to ST4 level in 12 months time. This progress is competency based.

Global fellows have a named Educational Supervisor and a monthly teaching program that is tailored to the group of Global trainees.

Starting period of 2-4 weeks as supernumerary followed by informal assessments prior to moving on the full working rota.

We welcome the development of additional areas of interest and would be happy to discuss options with you once trainee is competent and moves to ST4 level. The areas of interest already supported in the department include Education/ simulation/ Ultrasound and digital transformation and Trauma care.

KNOWLEDGE, SKILLS AND EXPERIENCE REQUIRED

Please see P/S

The posts are adaptable to suit the level of experience of the candidate - ranging from ST3 equivalence to Fellowship level

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

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

DUTIES

Our Global Fellows start work on the ST3 Rota across sites.

Depending on the individuals experience the applicant will work either on the CT3 or HST rota. The individual will have some time to deliver non-clinical duties on individual development needs. This non-clinical time is for the development of the fellows but there is also an expectation that fellows will contribute/ support the departments education, governance and research programs.

Lead Consultants:

Dr Anin Dasgupta (Clinical Director UC)

Dr Helen Mollard (Clinical Lead PEM)

Dr S Manou (Clinical Lead for Adult EM)

THE LEEDS WAY VALUES

Our values are part of what make us different from other trusts, so we see this as 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.

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.

CONDITIONS OF SERVICE

This post is covered by the Hospital Medical and Dental Staff (England and Wales) Terms and Conditions of Service. These documents are available on the Medical Staffing Intranet site.

The post holder is required to be fully registered with the General Medical Council (GMC) and hold a licence to practice.

Standards of Conduct and Behaviour

You are required to work to the standards set out by the General Medical Council in Good Medical Practice. This includes protecting patients when you believe that a doctors or other colleagues conduct, performance or health is a threat to them. If, after establishing the facts, it is necessary, you must follow the Trusts procedures in this matter and inform your Clinical Director or Medical Director in the first instance.

The Trust has a set of expected behaviours for all employees and additional behaviours and skills that are expected of managers and supervisors.

Leave Arrangements

All leave should be applied for in accordance with the Trusts Leave Policy, normally giving six weeks notice of any leave, other than in exceptional circumstances.

Training

Jobholder must take responsibility in agreement with his/her line manager for his/her own personal development by ensuring that Continuous Professional Development remains a priority. The jobholder will undertake all mandatory training required for the role.

Health & Safety

All staff are responsible for working with their colleagues to maintain and improve the quality of services provided to our patients and other service users. This includes complying at all times with the Leeds Teaching Hospitals NHS Trust Policies, including Health and Safety policies, in particular by following agreed safe working procedures, and reporting incidents using the Trust Incident Reporting system.

Equality & Diversity

Jobholder must comply with all policies and procedures designed to ensure equality of employment and that services are delivered in ways that meet the individual needs of patients and their families. No person whether they are staff, patient or visitor should receive less favourable treatment because of their gender, ethnic origin, age, disability, sexual orientation, religion etc.

The Trust's Equality and Diversity Policy ensures that barriers to employment for disadvantaged groups are identified and removed, and that no person is treated less favourably on the grounds of their race, ethnic group, religion, impairment, age, gender, sexual orientation or mental health status. Reasonable adjustments will be made for disabled applicants and post holders where required.

Smoking Policy

The Leeds Teaching Hospitals NHS Trust recognizes the serious hazards to health caused by smoking and has adopted a strict no smoking policy. Under the terms of our No Smoking Policy, staff, visitors and patients will not be permitted to smoke at any time or in any part of Trust property, whether inside or outside the hospital buildings.

Rehabilitation of Offenders Act & DBS Disclosure

This position involves access to patients during the normal course of duties and is therefore subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975. As such you must reveal any information which you may have concerning convictions which would otherwise be considered as spent'. A offer of appointment to this post would be subject to the express condition that the Leeds Teaching Hospitals Trust receives a satisfactory Disclosure and Barring Service (DBS, formerly CRB) Disclosure which will check the existence and the content of any criminal record received.

The Trust has the right to withdraw an offer or employment if not satisfied of a candidate's suitability for this position by reason of criminal record or antecedents, especially in cases where no declaration of criminal proceedings has been made on a candidates application form or DBS Form. The Trust reserves the right to determine this issue at its sole discretion. If you are appointed to this post you will be asked to complete a 'DBS Disclosure Application Form' which will be submitted to the DBS.

LTH NHS Trust has a Policy Statement on the Recruitment of Ex-offenders which is available on request.

Infection Control

Jobholder must always comply with the Leeds Teaching Hospitals NHS Trust Infection Control policies, in particular by practicing Universal Infection Control Precautions. Hand hygiene must be performed before and after contact with patients and their environment.

Patient and Public Involvement

The Trust has a statutory duty to involve patients and public in evaluating and planning services. All staff have a responsibility to listen to the views of patients and to contribute to service improvements based on patient feedback.

Respect for Patient Confidentiality

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

Health and Wellbeing

Leeds Teaching Hospitals is proactive in supporting staff wellbeing and reducing the stigma associated with certain health conditions such as mental ill health. We believe that supporting staff wellbeing is within everyones job role. Once in post, we ask that you familiarise yourself with our diverse offer with includes financial advice and support and mental health support including access to Mental Health First Aid training.

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
• Coping with Pressure and managing uncertainty: Capacity to operate under pressure Demonstrates initiative & resilience to cope with changing circumstances

Qualifications

Essential

• MBBS or equivalent medical qualification MRCEM or Equivalent

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

Desirable

• 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
• Meets professional health requirements (in line with GMC standards/Good Medical Practice)

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.
• 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
• 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
• Evidence of procedural competencies including intercostal drain insertion, arterial cannulation, central venous cannulation and the use of medical devices common in major trauma T
• (eg. Pelvic binders, Tourniquets).

Clinical, Academic, and Personal Skills

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

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

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).