We all know that Emergency Medicine can be tough, we want to offer a job that invests time into developing you and your interests alongside our awesome speciality.

We are pleased to be offering further Middle Grade posts as part of an expansion of our team. These posts include annualised hours and self rostering as standard.

It is important to understand these posts are for those with EM experience and involve a leadership role within the department, the personal specification outlines the criteria we are looking for. If you think you might be more suitable for a more junior role please get in touch to discuss our Junior Clinical Fellow posts.

All posts are available as either full time or less than full time and we are offering:

1. 100 % EM posts (with allocated non-clinical time)
2. Fellowships with a special interest (EM posts with additional non-clinical time to undertake specific projects).

If you are interested in a Fellowship with Special Interest please get in touch with us to discuss what we can offer (including education, GEM, sustainability).

Main duties of the job

Clinical work will be undertaken in the Emergency Department (ED). Our Senior Clinical Fellows work on the registrar tier of the rota and work in all areas of the department. You will be expected to lead areas/ small teams and the whole ED overnight.

Non-clinical work includes a range of activities including: teaching (both attending and delivering), QI and audit work, there are also opportunities to support our ongoing recruitment. Dedicated office space is provided for non-clinical work.

Successful candidates will be allocated a supervising FRCEM Consultant with a relevant special interest to support their project and will be encouraged to submit project work for presentation regionally/ nationally.

if you are new to the NHS there will also be a period of structured shadowing available.

About us

NGH is one of the largest employers in the area and all of our divisions are committed to doing things better, with more efficiency as we update, modernise, and advance. We have also entered into a Group Model with neighbouring Kettering General Hospital NHS Foundation Trust.

Being a large DGH with a proud history, we are big enough to get interesting cases, but small enough to care, coach and develop. With over 200 consultants, a similar number of trainees and approximately 60medical undergraduates throughout the year, NGH provides comprehensive care and extensive training opportunities.

With this in mind, we have built a state of the art emergency assessment unit (Nye Bevan building) and are developing new ways of working to streamline in-patient care and optimize working with our partners.

NGH also has a large library, gym with swimming pool, and a brand new entrance with Marks and Spencer, Subway and Costa on site.

Job description
Job responsibilities

We are excited to be advertising a number of Emergency Medicine (EM) Senior Clinical Fellow posts, based in our Emergency Department at Northampton General Hospital.

The post is part of an expansion of our Middle Grade tier of doctors, and is designed for candidates who are working at the level of senior decision maker in Emergency Medicine, or who are ready to take this responsibility and wish to advance their career in this exciting specialty.

Successful candidates will be allocated a supervising FRCEM Consultant with a relevant special interest to support their project and will be encouraged to submit project work for presentation regionally/ nationally.

The successful applicant will begin work at a level commensurate with previous experience, likely to be at ST3-6 (registrar) level. The post holder must be registered with the GMC and hold a licence to practice.

Participation in the Departmental teaching programme will be expected, and you will have a designated Emergency Medicine Consultant supervisor for the duration of your post. Our department consistently receives excellent feedback from trainees regarding the friendly working environment, the approachability and supportiveness of senior staff, and the training opportunities available. The Consultant body has a breadth of experience including an FRCEM examiner, and sub-specialty interests in Geriatric Emergency Medicine, Pre-Hospital Emergency Medicine, Wilderness Medicine, Sports medicine, Acute medicine, Education, Emergency ultrasound practitioners, and Level 1 ultrasound trainers.

The successful applicant will initially be offered a fixed term post, with the option to extend/ convert to a permanent post post by mutual agreement.

Motivated clinicians with sufficient Emergency Medicine experience may also wish to discuss the opportunities available within NGH for specialty training to support an application for entry to the EM specialist register, and enable consultant appointment via the CESR route. We currently have 3 consultants who have done this and 5 MGs working towards it.

This is not a HEE recognised post, and you will not receive a National Training Number or a CCT.

Job Purpose

The purpose of this post is twofold:

1. To increase the level of middle grade cover within the department.
2. To provide a supportive environment for the motivated candidate to gain middle grade experience and progress their Emergency Medicine career.

The successful candidate would be expected to support the trusts corporate objectives, and to participate in, and be supportive of, the clinical governance structure within the Directorate of Medicine and Emergency Care.

Duties and Responsibilities:

The ED has 24/7 middle grade clinical cover with two or more senior doctors present at all times. There is extended consultant cover from 08:00 23:00 weekdays, and flexibly 10:00-22:00Hrs weekends & bank holidays. Outside these hours, consultant cover is provided via an on-call system and consultants will attend the department if required.

Post holders in this grade will participate in the middle grade rota. Duties within the Emergency Department will cover the whole range of clinical responsibility for adults and children with emergency problems from minor injuries to major trauma, and minor illnesses through to the critically unwell. You will be expected to lead major cases in our resuscitation room. You will also be responsible for any patients you admit to our Emergency Observation (Short stay) Ward. We also run a weekday ED Review Clinic, your rota will include shifts covering this.

The post holder will be expected to prioritise and time-manage effectively according to the activity of the department. Out of hours, the post holder will be one of the senior doctors present in the department and will be expected to lead the shift, working with the nurse-in-charge to ensure patient safety.

We would encourage the post holder to complete workplace based assessments to allow documentation of their own development and mapping of competencies achieved in line with RCEM curriculum.

Education is an important part of the role. The successful applicant will be expected to receive and deliver teaching. The post holder will receive consultant supervision and have a named consultant supervisor, and may be involved in supporting the training of other staff: medical; nursing; para-medical at undergraduate and postgraduate level.

Person Specification
Qualifications
Essential

• MBChB, Full GMC
• ALS (in date and face to face)

Desirable

• Post Grad Qual - MRCEM, MRCEP, MRCS (2 points for MRCEM, 1 for others)
• ATLS/ APLS or equivalents (in date and face to face)

Experience
Essential

• At least 4 years post registration
• 2 years full time EM expereince

Desirable

• Worked in NHS (ideally as an ED MG)

Teaching
Essential

• Evidence of clinical teaching
• Commitment to the maintenance of teaching skills.

Desirable

• Life Support Instructor status in one or more courses
• Evidence of educational development / CPD portfolio.

Interpersonal
Essential

• Clinical leadership skills
• Able to work within and lead a team.
• Competent in medical English (e.g. IELTS 7.5 or above, or Medical Degree in English).

Desirable

• Experience of dealing with stressful situations

Research and Audit
Essential

• Evidence of previous governance activity.

Desirable

• Research and audit experience.

Clinical and Technical Skills
Essential

• Competent in the various clinical procedures required in ED practice equivalent to ACCS trained doctors.

Desirable

• Sub-specialist interest in Emergency Paediatrics, Frailty, Ultrasound use in the ED

Motivation
Essential

• An interest and aptitude in Emergency Medicine

Desirable

• Evidence of self-motivated personal development.

Knowledge
Essential

• Good basic and wide-ranging knowledge of clinical medicine

Desirable

• Breadth of clinical experience in complementary specialities

BMJRef: BMJ-123370/265-5239479-A