We are delighted to offer three innovative posts at Morriston Hospital Emergency Department, with the opportunity to work on the Emergency Medical Retrieval and Transfer Service (EMRTS) Cymru and Cardiff Physician Response Unit (PRU).
These posts are aimed at strengthening the links between Emergency Medicine and PHEM, both within the arena of critical care and community care. It is intended that these posts in the South Wales region will provide an excellent learning opportunity and will enhance individuals CV's which will attract high calibre candidates.
Main duties of the job
The post offers an excellent opportunity to build portfolios and experience in PHEM. Completion of the post is expected to deliver competitiveness for recruitment into PHEM training programmes.
The post would also be suitable for those wishing to take time out of programme (OOPE), although this must be discussed in detail with relevant current training programme directors.
This is an exciting time for PHEM in Wales. The Emergency Medical Retrieval Service went live in 2015, offering an advanced range of prehospital interventions including RSI and blood transfusion, as well the provision of time critical transfers between healthcare facilities and neonatal support to home deliveries and mid-wifery led units.
Together with the Welsh Ambulance Service, the Cardiff Physician Response Unit is an innovative idea pushing the concept of PHEM within the community - recently termed Community Emergency Medicine. The service offers an effective model of Community Emergency Medicine and helps to integrate local emergency and community providers whilst offering a unique opportunity for streamlining various acute clinical pathways.
This post has an average of just over 40 hours per week of which 80% is clinical and 20% SPA. Each component is further divided to 80% EM 20% PHEM (EMRTS and PRU combined).
Our emergency department fosters a strong multidisciplinary team ethos. We have a focus on achieving sustainable working arrangements and will work with you to develop flexible working patterns. We also have a focus on wellbeing, recognising the pressures of working in a busy ED, we have access to a number of support networks. We aim to help you achieve your full potential.
The department has close links with a number of specialties with the department having consultants accredited in intensive care medicine, paediatric emergency medicine and pre-hospital care and the Welsh Centre for Emergency Medicine Research based in the department. In addition we have consultants with further qualifications in quality improvement, education and change management, this allows us to support individuals wishing to develop skills or a career in a wide range interests.
The post holder will participate in a full shift 24/7 rota of more experienced doctors who provide support to the junior grade at Morriston ED.
You will be clinically responsible for the diagnosis, supervision and management of patients attending the ED.
Provide initial treatment and assessment of adult and paediatric patients presenting with illness or injury and where necessary arranging for patients to be reviewed or admitted by medical staff from other specialties.
On exceptional occasions, be responsible for such irregular commitments outside normal hours as are essential for continuity of patient care.
The appointment is subject to the national medical and dental terms and conditions of service.
The post will be remunerated on the NHS MN37 payscale, at a point, which matches NHS training grade pay and progression for the individual concerned, banded at 50%.
Senior Clinical Fellows will undertake fixed sessions with the EMRTS at Wales Air Ambulance bases in Llanelli, Welshpool and Cardiff, by road and air response. They will be expected to undertake day and/or night shifts. Clinical Fellows will always work with a consultant and/or a Critical Care Practitioner.
This experience will be ideal for those with limited previous exposure to aeromedical work. Full Medical Passenger training will be given, as well as training on helicopter etiquette, use of radios, and response procedures. Personal Protective Equipment including a fitted flight suit and boots will be provided. When responding by air, fellows will work alongside EMRTS, one of the Worlds most advanced pre-hospital and retrieval services
There will be an expectation that fellows will contribute to the development of EMRTS, by writing/reviewing Standard Operating Procedures, undertaking audit, and contributing to monthly Clinical Governance days and training. All of this will be supervised by PHEM Consultants from the EMRTS.
Due to the physical nature of prehospital care, prospective fellows are required to pass the fitness assessment undertaken by all members of the Emergency Medical Retrieval Service. The assessment consists of a timed one mile run with a 20kg rucksack, followed immediately by a prolonged CPR exercise and patient lift. Critical Care Practitioners of the Emergency Medical Retrieval Service will moderate the assessment.
For further information about the EMRTS, please visit - https://www.emrts.cymru/
Cardiff Physician Response Unit
Post holders will be actively involved clinical work, governance, quality improvement and research whilst being supported by the Department of Community Emergency Medicine (DCEM) within Cardiff and Vale UHB. The department is linked with Cardiff University and offers additional huge academic opportunities within the field of CEM and PHEM for those wishing to pursue further PHEM orientated research and quality improvement projects.
An expanding PHEM orientated consultant body within the DCEM allows enhanced pre-hospital experience, with opportunities working alongside other pre-hospital agencies in sport and event medicine, policing and pre-hospital care providers such as BASICS.
Following induction and sign off, post holders will work independently with paramedics, but with remote support from the PHEM orientated consultant body.
- MB BS or recognised equivalent
- GMC Reg with license to practice
- Evidence of working towards Primary MRCEM, Primary FRCA or MRCP.
- MRCEM, MRCP, Primary FRCA
- Provider status in ALS/ATLS/EPLS
- Academic Excellence (prizes, merits, distinctions etc.)
- Evidence of ability to work at a Specialist Registrar/Specialty Doctor level in Emergency Medicine.
- 4 years post-graduation experience in specialties relevant to Emergency Medicine
- Evidence of training in leadership of Trauma and Cardiac Arrest Teams
- Experience in Pre-hospital Medicine/Paediatrics/Acute Medicine/Trauma & Orthopaedics/Anaesthesia/Intensive Care
Skills & Abilities
- Understanding of clinical risk management and clinical governance
- Evidence of ability to communicate effectively in English with patients and colleagues
- High standards of written documentation
- Ability to take considered decisions whilst under pressure