Job summary
Applications are invited for the position of Specialist Fellow in Major Trauma and Adult Critical Care for a 12-month period in August 2024.
This post would ideally suit candidates with anaesthetic/ICM experience who are aiming to advance their CV and develop their ICM & Acute Care Skills to a higher level within a Major Trauma ICU.
The successful candidate would spend 50% of time developing a specialist interest in Major Trauma with opportunities for research, education, quality improvement and development of clinical expertise/skills related to major trauma.
Suitable applicants will be offered opportunity to become faculty on the NUH Trauma, Anaesthesia, Resuscitation and Simulated Care Course and supported in applying for a place on the European Trauma Course.
Main duties of the job
Clinical Responsibilities will include (not exhaustive):
Perform daily reviews on ICU patients and present findings on the MDT ward round, with a focus on our major trauma patient population within adult critical care.
In conjunction with the consultant support the clinical decision making of junior medical and nursing staff as the senior member of the critical care team
Review critically unwell patients outside of critical care.
Admit, stabilise and formulate an initial management plan for critically unwell adults.
Competently initiate ventilation, use vasopressors, insert CVC and Arterial Lines and be able to transfer the critically unwell patient.
Attend trauma calls and with appropriate direct supervision and training:
o perform high quality primary surveys of low, medium, and high injury severity triage patients.
o Resuscitate the unstable major trauma patient including providing immediate haemostatic measures, site wide bore central access, initiate, and manage a massive transfusion.
o Coordinate the initial management of a patient with a high injury severity score as they transition from the emergency department to time critical imaging and then to intervention for haemostasis / damage control surgery in theatre or interventional radiology.
About us
NUH consists of the Queens Medical Centre Campus and the Nottingham City Hospital Campus. Duties will be based at both campuses.
On the QMC campus the critical care area is divided into a 29-bedded intensive care (level 3 beds) and a 20-bedded level 2 HDU. The critical care area at the City campus has 17 beds that are used flexibly for level 2 and 3 care. Between the three units we see approximately 4500 admissions per year.
We are fortunate to have a large and skilled MDT to support the medical team in delivery of critical care to Nottingham and the wider catchment area.
Nottingham is a diverse and vibrant city having a busy and culturally exciting centre, two universities and yet proximity to picturesque villages, the Peak District, Sherwood Forest and Rutland Water. In 2020 Nottingham was described by The Times as...
"one of our favourite cities:fun, funky and affordable, with a swagger to match Manchester's, but on a much more manageable scale. It's a thriving shopping hub with a cracking arts scene and has one of the best public-transport networks in the country."
Job description
Job responsibilities
The post is open to all applicants who meet the essential criteria as detailed in the person specification below. It is open to all doctors who hold Full/limited registration with the GMC and successfully completed foundation year 2 training and a further 2 years in acute specialities (of which 12 months should be in anaesthesia) who wish to gain further experience in the management of critically unwell major trauma patients and enhance their CV for application to specialist training or consultant posts.
Critical Care at NUH admits over 150 level 3 (intubated and ventilated) critically ill major trauma patients a year. We work closely with the major trauma, surgical and interventional radiology teams to deliver a high-quality care to a patient cohort with severe injuries. We have a well-integrated major trauma service delivered by two tiers of major trauma consultant: Trauma Team Leaders from a range of clinical backgrounds (EM / ICU / Anaesthesia / Surgery) as well as dedicated Trauma Surgeons. We are one of the busiest major trauma centres in England based on numbers of: trauma calls, trauma laparotomies and trauma thoracotomies per year.
This post is whole time and is covered by the Medical and Dental Staff Terms and Conditions of Service. Doctors applying for this post from overseas should note that prior NHS experience is a prerequisite and we would recommend applying for one of our Trust Grade posts in the first instance.
The post is EWTD compliant.
The Salary for this post will be on the MT04 or MT05 scale depending on experience plus an out of hours supplement.
Job description
Job responsibilities
The post is open to all applicants who meet the essential criteria as detailed in the person specification below. It is open to all doctors who hold Full/limited registration with the GMC and successfully completed foundation year 2 training and a further 2 years in acute specialities (of which 12 months should be in anaesthesia) who wish to gain further experience in the management of critically unwell major trauma patients and enhance their CV for application to specialist training or consultant posts.
Critical Care at NUH admits over 150 level 3 (intubated and ventilated) critically ill major trauma patients a year. We work closely with the major trauma, surgical and interventional radiology teams to deliver a high-quality care to a patient cohort with severe injuries. We have a well-integrated major trauma service delivered by two tiers of major trauma consultant: Trauma Team Leaders from a range of clinical backgrounds (EM / ICU / Anaesthesia / Surgery) as well as dedicated Trauma Surgeons. We are one of the busiest major trauma centres in England based on numbers of: trauma calls, trauma laparotomies and trauma thoracotomies per year.
This post is whole time and is covered by the Medical and Dental Staff Terms and Conditions of Service. Doctors applying for this post from overseas should note that prior NHS experience is a prerequisite and we would recommend applying for one of our Trust Grade posts in the first instance.
The post is EWTD compliant.
The Salary for this post will be on the MT04 or MT05 scale depending on experience plus an out of hours supplement.
Person Specification
Qulaifications
Essential
- MB ChB or equivalent. Full/limited GMC registration.
- Successful completion of FY2 training in an NHS setting
Desirable
- ALS or equivalent accredited life support course
Experience
Essential
- Two years of post-foundation training in acute specialities (Anaesthesia, Acute Medicine, Emergency Medicine or ICM) in an NHS hospital.
Desirable
- 6 months of previous critical care experience
- Other evidence of academic achievement including additional qualifications, prizes
Ability
Essential
- Evidence of competence in clinical tasks
Desirable
- Competence in bronchoscopy, lung ultrasound, focused echocardiograph
Interpersonal Skills
Essential
- Evidence of good written communication, successful team-worker, sensitivity to needs of patients and colleagues
Desirable
- Evidence of formal Human Factors training
Professional Behaviour and Attitude
Essential
- Punctuality, professional appearance and attitudes consistent with GMC guidelines
- Evidence of continuous career development, including evidence of attendance at meetings/ courses
Desirable
- Attendance at meetings/ courses/ membership of professional bodies
Person Specification
Qulaifications
Essential
- MB ChB or equivalent. Full/limited GMC registration.
- Successful completion of FY2 training in an NHS setting
Desirable
- ALS or equivalent accredited life support course
Experience
Essential
- Two years of post-foundation training in acute specialities (Anaesthesia, Acute Medicine, Emergency Medicine or ICM) in an NHS hospital.
Desirable
- 6 months of previous critical care experience
- Other evidence of academic achievement including additional qualifications, prizes
Ability
Essential
- Evidence of competence in clinical tasks
Desirable
- Competence in bronchoscopy, lung ultrasound, focused echocardiograph
Interpersonal Skills
Essential
- Evidence of good written communication, successful team-worker, sensitivity to needs of patients and colleagues
Desirable
- Evidence of formal Human Factors training
Professional Behaviour and Attitude
Essential
- Punctuality, professional appearance and attitudes consistent with GMC guidelines
- Evidence of continuous career development, including evidence of attendance at meetings/ courses
Desirable
- Attendance at meetings/ courses/ membership of professional bodies
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.
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).
Additional information
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.
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).