Consultant - Critical Care

Job responsibilities

Job Summary:

The job will be for 10 PAs per week to include clinical commitment to critical care (6-8 PAs), and the option for a second discipline (2PAs). It will also include 2 SPA. The post will attract a 3% on-call supplement. Single ICM CCT applications are encouraged and would be based on up to 8 PAs critical care (and 2 SPAs). Less than full time consultant careers are also supported in a department that recognises the importance of variable job planning to ensure the right work-life balance and an enjoyable and sustainable career.

Candidates will be expected to demonstrate appropriate training and experience in critical care medicine, and a continuing commitment to the long-term development of this discipline, as well as the appropriate qualifications and experience for any base discipline.

There will be no on-call commitment to any discipline other than Critical Care.

Key Responsibilities:

In conjunction with the other critical care consultants, the appointee will be responsible for directing the care of Level 2 and 3 patients referred to and treated by the department of Critical Care. Although clinical responsibility is generally shared with the admitting clinician(s) we work to the model of a “closed unit”. Day to day decisions about the admission and discharge of critically ill patients is the responsibility of the duty critical care consultant in conjunction with the admitting service.

In addition to providing clinical care for our patients the appointee will, in association with the other critical care consultants, be responsible for the training and supervision of trainees who are appointed from other departments including medicine, surgery, anaesthesia or the emergency department. A high level of consultant input to the supervision of trainees is expected.

The appointee would be expected to be familiar with the following services which are provided by the Department to include but not limited to:

· Invasive cardiovascular monitoring, including cardiac output and systemic vascular resistance monitoring.

· Respiratory support including the use of IPPV, continuous positive airway pressure and non-invasive ventilation.

· The use of fibreoptic bronchoscopy for diagnosis and treatment.

· Renal replacement therapy and therapeutic plasma exchange.

· Pain relief techniques including thoracic and lumbar extradural analgesia.

· Intra-aortic balloon pump counterpulsation.

· Transport of the critically, ill. Portsmouth ICU has a well- established dedicated system for the inter-hospital transfer of critically ill patients which includes invasive monitoring and ventilation.

· Temperature management therapy post cardiac arrest.

· Achieved or working towards FICE accreditation in trans-thoracic echocardiography. We have 3 FICE mentors within the department.

· Paediatric stabilisation.

Qualifications

Essential

• Full GMC registration with a licence to practice
• CCT in Intensive Care Medicine (or within 6 months at the date of interview) or eligible for GMC Specialist Register, (and CCT if any planned partner specialty)
• FFICM or equivalent ICM examination
• CCT or equivalent (with associated professional examination requirements) are needed for additional practice in a second speciality

Desirable

• Specific training in paediatric critical care
• Management course or experience
• Additional training in related areas (e.g. medical education, ethics, toxicology etc)

Experience

Essential

• Entry on the GMC specialist register via CCT (proposed date must be within 6 months), CESR or European Community Rights
• Demonstrable, significant and on-going experience in adult critical care medicine
• Demonstrable, significant and on-going experience in any base discipline (only applies if completed dual or joint ICM training)
• Experience in providing paediatric stabilisation and critical care.

Desirable

• Experience in general medicine
• Training and experience in teaching of the medical, nursing and allied health professional team
• ATLS or APLS provider

Skills

Essential

• Professional skills of high standard in adult critical care medicine and the base discipline if applicable
• Professional skills in paediatric stabilisation and critical care
• Demonstrable training, experience and ability in teaching, both formally and informally
• Understanding of clinical risk management
• Understanding and commitment to quality improvement and patient safety
• Evidence of participation in clinical audit and evidence of continuing audit activity
• Commitment to research

Desirable

• Qualification in ECHO and/or point of care ultrasound

Other

Essential

• Leadership and basic management skills
• Interpersonal skills
• Willingness to support research within the Department
• Good oral and written communication skills
• Logical thinking, problem solving and decision making
• Decisiveness/accountability
• Flexibility
• Thoroughness
• Initiative/ drive/ enthusiasm
• Evidence of understanding of constraints on resources

Desirable

• Publications
• Prizes and honours

Knowledge

Essential

• Able to demonstrate appropriate level of clinical knowledge
• Knowledge and use of evidence based practice

Desirable

• IT skills
• Effective, confident presentation ability
• Experience in and outside speciality

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).