Senior Clinical Fellow in Intensive Care medicine

Job responsibilities

The fellowship is designed to support career development in intensive care medicine and to provide fellows with opportunities to develop academic, leadership, educational or specialist clinical expertise alongside high-quality clinical training.

Special interest fellowship tracks

Fellows will undertake a structured fellowship track in one of the following areas, with dedicated mentorship and protected development time.

• Liver critical care

Fellows will gain experience in management of patients with acute liver failure, decompensated cirrhosis and acute-on-chronic liver failure, patients undergoing liver transplantation, and complex hepatopancreatobiliary surgical patients.

There are opportunities to collaborate with the transplant, hepatology, and HPB teams within a large multidisciplinary service. Fellows will be able to attend hepatology and transplant multidisciplinary meetings and participate in decision making for complex cases. Fellows will also be able to contribute to liver critical care research and quality improvement initiatives, and participate in the departments liver critical care conference programme, which attracts a national audience.

• Clinical research

Fellows will have the opportunity to participate in the departments active critical care research programme, working alongside experienced investigators and a dedicated research nursing team. The role provides an excellent environment for developing academic skills within a busy tertiary critical care unit.

• Opportunities will include designing and undertaking original observational research projects, performing secondary analysis of locally collected and published datasets, and contributing to ongoing national and international randomised controlled trials, including patient recruitment and trial delivery. Fellows will gain experience across the full research pathway, including study design, protocol development, data analysis, and preparation of manuscripts for publication. Where appropriate, fellows will be supported to work through Health Research Authority (HRA) and ethics approval processes to develop investigator-led studies.
• The post also offers the opportunity to generate pilot data to support future academic fellowship or grant applications, including doctoral or externally funded research fellowships.

Fellows will play an active role in the departments academic activities, including leading journal clubs and critical appraisal sessions, and contributing to the promotion of evidence-based practice within the ICU.

• Transthoracic echocardiography
• Fellows with an interest in echocardiography will have the opportunity to develop experience in image acquisition, interpretation and integration of echocardiographic findings with other haemodynamic monitoring modalities used in critical care.
• Training will focus on the use of echocardiography to support haemodynamic assessment and clinical decision making in patients with complex cardiovascular and multi-organ failure. The department provides weekly, protected time for supervised scanning and structured learning. Echo fellows will work towards gaining the British Society of Echocardiography (BSE) level 1 accreditation during their year at the Royal Free. Later on during the year, there is also an opportunity for teaching, joining with the consultant echo group, to help supervise and train residents interested in gaining a FUSIC qualification.
• Quality Improvement and Leadership

Fellows interested in quality improvement and leadership will have opportunities to design and lead quality improvement initiatives within the ICU and wider critical care service. This may include projects focused on patient safety, clinical pathways, service delivery, cost improvement, and implementation of evidence-based practice.

Fellows will work with the multidisciplinary team to identify areas for improvement, develop interventions, and evaluate outcomes using established quality improvement methodologies. There will also be opportunities to engage with the departments governance structures and participate in audit, guideline development and service evaluation.

Projects undertaken during the fellowship may lead to presentation at regional or national meetings and contribute to the fellows professional portfolio.

• Medical Education

Fellows with an interest in medical education will have the opportunity to contribute to the departments established teaching programme for medical students, foundation doctors and specialty trainees. This will include bedside teaching, simulation-based training, and the development of educational resources.

Fellows will be encouraged to develop skills in teaching, curriculum design and educational leadership, and to contribute to innovative approaches to training within critical care.

Educational projects undertaken during the fellowship may form part of a teaching portfolio and support future development in medical education, including formal postgraduate qualifications where appropriate.

Education & professional Qualifications

Essential

• Possession of MBBS or equivalent medical qualification
• Current GMC registration
• Evidence of Post graduate qualifications at ST3 level eg MRCP or Primary FRCA
• Advanced Life support certification
• Experience in Critical Care medicine
• Demonstrates an interest in postgraduate teaching

Skills and Apititude

Essential

• Excellent clinical skills
• Ability to work as part of a team and willingness to be personally accountable for actions
• Strong oral and written communication skills in English
• Ability to build good relationships and work collaboratively with staff at all levels of organisations
• Ability to related to patients and their families from a wide range of backgrounds and show empathy to their needs
• Ability to organise and prioritise workload
• Willingness and skills to recognise and challenge unacceptable behaviour and if necessary escalate
• Awareness and understanding of health, safety and security issues for self and others
• The flexibility, enthusiasm, resilience, positive and helpful attitude and drive needed to thrive in today's rapidly changing NHS

Personal Qulities and attributes

Essential

• Committed to personal development and clinical learning
• Committed to high standards of ethics, personal integrity and probity
• Motivated to provide excellent care to best of your ability
• Awareness and understanding of health, safety and security issues for self and others
• Flexibility, enthusiasm, resilience, positive and helpful attitude needed to thrive in today's rapidly changing NHS
• Willingness and skills to recognise and challenge unacceptable behaviour and if necessary, escalate
• Ability to organize and prioritise personal workload

Royal Free World Class Values

Essential

• Demonstrable ability to meet the Trust Values

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).