Senior Clinical Fellow in Emergency Medicine (ST4+) - 80:20 Frailty
The following could be offered individually or a combination of the three:
- 20% Frailty - working alongside the new acute frailty service assessing frail older people in ED and AMU
- 20% Orthogeriatrics - working alongside the team to assess elderly trauma patients and contribute to their ongoing management (silver trauma)
- 20% Stroke - working on the acute stroke unit and being part of the team performing assessments for thrombolysis / thrombectomy.
In addition to this Frailty Fellowship opportunity we can also consider your own interests related to Frailty that you may wish to pursue.
The senior clinical fellow posts include 80% time working in the adult emergency department and 20% paid time to develop in a specialist interest of the successful candidate's choice. The posts are open as OOPT/E for EM HSTs and as stand-alone posts for non-trainees, and can be 100% EM if required. We are also open to SAS and Specialty Doctors if that suits.
Ongoing recruitment cycles and flexible start dates
Applicants should hold a relevant postgraduate qualification (MRCEM, MRCP, MRCS, FRCA or equivalent), and should be ST4 + or equivalent, having completed a minimum of 3 years in approved SHO posts (Post Foundation Medicine) or equivalent in relevant acute specialities including at least 1 year in Emergency Medicine.
Main duties of the job
The post will be a combination of service provision including out of hours and paid time to develop a specialist interest. The candidate to combine a job in Emergency Medicine with a 20% time allowance for a specialist interest. Specialist interests may include but are not limited to education (SIM/FOAMed), global health, expedition medicine, leadership and management, advanced airway management, research (with Professor Jonathon Benger), ultrasound, resuscitation, toxicology and paediatrics. If an applicant has a particular specialist interest they would like to pursue not listed above then we will accommodate. Open to trainees and non-trainees. For those trainees who already have a UK National Training Number in Emergency Medicine, these posts are eligible for OOPT or OOPE.
University Hospitals Bristol & Weston NHS Foundation Trust (UHBW) is one of the largest acute Trusts in the country, with a workforce of over 13,000 staff and 100+ different clinical services across 10 sites, serving a population of over 500,000 people across Bristol and Weston. UHBW has been rated by the CQC as 'Good' overall and our staff are proud to deliver excellent care to patients. As a forward-thinking multi-award winning Trust, committed to improving patient care, our world-leading research and innovations are having a positive local and global impact.
Join us and you can enjoy city living, be in the countryside or by the seaside, with easy access to all the South West offers. UHBW is committed to safeguarding and promoting the welfare of children, young people and vulnerable adults.
As an equal opportunities employer, actively working towards a diverse workforce, we aim to create a workforce that represents the diversity of our community and are committed to designing our services around the needs of patients and their loved ones. Anonymous information will be used from your application in order to ensure we're meeting our pledge.
Please note: If you are considering applying for a role with the NHS it is important that you are aware that it is a legal requirement to be fully vaccinated against Covid-19, by the 1st April 2022 for all patient facing roles and roles within patient facing areas including incidental contact (unless validated as medically exempt).
The reception, diagnosis and emergency treatment of patients presenting to the adult Emergency Department. The successful candidate will be given supervision and support from senior medical staff to develop competency in the autonomous clinical management of these patients whilst ensuring patient safety. This post is based in the adult Emergency Department and no sessions will be undertaken in the paediatric Emergency Department.
There is close liaison between ED and ICU at BRI. Patients referred to Specialist Units within the hospital are the responsibility of that specialist team, who will see the patient in the Emergency Department and arrange appropriate care. However, medical and nursing staff in the ED are responsible for any emergency care necessary. This shared care is seamless and collaborative.
The management responsibility of the post holder will be to the Clinical Director who is responsible to the Chief Executive and Trust Board.
Clinical Audit and Clinical Governance
The post holder must be aware of clinical governance and clinical risk management and take an active part in their implementation, including audit. Clinical audit is established at the BRI. They will participate in at least one supervised audit project during the 12 month post and will be encouraged to attend interdisciplinary clinical governance meetings
In ED the roster is a full shift system. Shifts are a balanced mix of earlies, mids, lates, and nights. The posts pay will be calculated by HR and will be compliant with the new regulations set in Aug 2017.
Education and Qualifications
- Registered with General Medical Council (UK)
- At least 24 months full-time hospital service as a trainee in the Foundation Medicine and a further 36 months full time equivalent hospital work (ideally EM based). No unexplained career gaps
- Advanced Life Support provider
- Previous experience of working in critical care in the British Healthcare system (not observing)
- Specialist Interest intent and evidence of interest
- Previous Anaesthetic experience - ideally with RCoA basic sign off.
- Intermediate EM/ MRCP/MRCS (Part 1) or equivalent
- Other membership, fellowship or diplomas
Knowledge and Experience
- Able to assess, resuscitate and stabilise acutely sick patients
- Able to participate as key member of cardiac arrest team
- Demonstrates good clinical judgement
- Completed specialist skills courses (e.g. difficult airways, ATLS/APLS, ultrasound course, etc)
- Understands audit and governance processes
- Designed and / or completed audits
Skills and Abilities
- Ability to organise and prioritise workload
- Good communication skills
- Honesty and reliability
- Ability to work effectively within a team
- Inquiring and critical approach to work
- Demonstrates initiative
- Appropriately assertive
- Ability to gain confidence of both staff and patients
- A willingness to undertake additional clinical duties when necessary, including cover for colleagues on leave
- Evidence of entitlement to live and work in the UK.