Liver Intensive Care Unit
10 full time or split job liver critical care consultants cover the Unit 24/7, providing 3 x day ward rounds and supervision of all admissions / discharges and management decisions. The LITU consultant body are: Professor Julia Wendon; Professor Georg Auzinger; Professor William Bernal; Dr Christopher Willars; Dr Robert Loveridge; Dr Sameer Patel; Dr Tasneem Pirani (Clinical Lead); Dr Mark McPhail; Dr Stacey Calvert; Dr Pervez Khan. The rota providing cover to the Liver ITU is provided by 16 doctors, mostly at registrar level. Night-time cover is provided by 2 doctors, one of whom being airway trained.
Main duties of the job
Successful candidates will be involved in fixed clinical commitments which would be determined by both their clinical training needs and the service requirements of the Liver Intensive Care Unit. The post holder will be expected to participate in the on-call rota on a flexible basis in accordance with the European Working time directive, and local trust policy. The doctor undertaking the fellowship will be scheduled to undertake non-clinical, management and research aspects of the post through dedicated rostering. There will be an expectation that the doctor will also be responsible for departmental Journal club organization and scheduling.
King's College Hospital NHS Foundation Trust is one of the UK's largest and busiest teaching Trusts with a turnover of c1 billion, 1.5 million patient contacts a year and more than 15,000 staff based across South East London. The Trust provides a full range of local and specialist services across its five sites. The trust-wide strategy of Strong Roots, Global Reach is our Vision to be BOLD, Brilliant people, Outstanding care, Leaders in Research, Innovation and Education, Diversity, Equality and Inclusion at the heart of everything we do. By being person-centred, digitally-enabled, and focused on sustainability, we aim to take Team King's to another level.
We are at a pivotal point in our history and we require individuals who are ready to join a highly professional team and make a real, lasting difference to our patients and our people.
King's is committed to delivering Sustainable Healthcare for All via our Green Plan. In line with national Greener NHS ambitions, we have set net zero carbon targets of 2040 for our NHS Carbon Footprint and 2045 for our NHS Carbon Footprint Plus. Everyone's contribution is required in order to meet the goals set out in our Green Plan and we encourage all staff to work responsibly, minimising their contributions to the Trust's carbon emissions, waste and pollution wherever possible.
Advanced liver CC training opportunities:
- Develop critical care management skills (generic) team management, audit, risk and governance, communication, finances, M&M processes, MDT and Inter-professional communication skills.
- Generic and liver specific skills: bronchoscopy / endoscopy (if appropriate to baseline skills), critical care echocardiography (FICE), ultrasound, CT / MR imaging interpretation.
- Prognostic modelling in liver CC.
- Management of acute liver failure (incorporating management of cerebral oedema and raised intra cranial hypertension), alcoholic hepatitis, liver trauma, liver transplant (immediate).
- Management of critically ill patients with cirrhosis: Variceal bleeding, renal failure, ARDS, ascites, encephalopathy.
- Management of the immunosuppressed patient. Exposure to see patients with ECMO, which is a Consultant Lead service.
- Handling referrals / advice and decision-making.
- Transfer advice and remote clinical decision-making.
- Role of the Intensivist in assessment of the transplant recipient.
- Management and assessment of living donor recipient and donor.
- Management of hepatopulmonary syndrome and porto-pulmonary HTN (RHC diagnostics).
- Management of complex pancreatitis with multiple organ failure.
- Management of intra-abdominal hypertension and the open abdomen.
- Eligible for GMC and licensing with at the point of application
- Eligibility to work in the UK
- Valid ALS certification
- Evidence of post grad exams
- MBBS or equivalent medical qualification
- Prior NHS or equivalent employment
- Registrar or equivalent training in ICM, anaesthesia and/or hepatology/internal medicine
- Ability to provide a complete employment history with no unexplained career gaps
- Evidence that present achievement and performance is commensurate with totality of period of training
- Good standard of written and spoken English to facilitate communication with patients, healthcare professionals and other staff
- Understanding of principles of medical audit and undertaken audit projects
- Understanding of the concept of research
- Understanding of research governance and ethics
- FFICM/EDIC or equivalent qualification
- Evidence of teaching experience
- Commitment to care of patients with liver disease
- Experience within ICM, anaesthesia, internal medicine and/or hepatology
- Advanced airway skills
- Demonstrable research experience
- Demonstrable teaching experience
- Demonstrable interest in the management of patients with liver disease
- Airway competencies, ATLS
- Previous involvement in research projects and published in peer reviewed journals