Junior Clinical Fellow in Emergency Medicine

Job description

Job responsibilities

The duties of this post are equivalent to ST1/ST2

The successful candidate will take part in the Junior Doctor rota with 75% of their time being for clinical duties.

The appointed clinical fellow will be expected to assess and manage all categories of patients presenting to the Emergency Department, under the supervision of the Emergency Department Consultants.

The post holders will be responsible to the Consultants in Emergency Medicine, in the management of all patients presenting to the department

Additional responsibilities will be in line with the chosen fellowship interest(s) of the successful candidates.

Key Tasks

To work as part of the multi-disciplinary team in order to support and help to provide a comprehensive Emergency Medicine Service within the Trust.

Maintenance of the highest clinical standards in the management of patients.

Assisting with teaching, training and assessment of junior staff and medical students, nursing staff and other members of the multidisciplinary team.

Main Responsibilities

Direct Clinical Care

Facilitate patient assessment, treatment and admission within the Emergency Department.

Facilitate patient discharge.

Liaison with other specialties and agencies including Primary Care within this process.

Requesting diagnostic tests (such as X-Ray and laboratory investigations) and taking biological samples, manually and through the Trusts computerised systems.

Act in accordance with the policies of the Emergency Department and the Trust and seek advice and assistance from the Consultants when necessary.

Ensure accurate and complete documentation is undertaken for all patient records in line with Trust protocols. This includes coding of clinical information.

Undertake consultations with relatives concerning patients when appropriate, maintaining confidentiality at all times.

When necessary accompany patients being transferred from the Emergency Department to other areas e.g. radiology department for CT or Intensive Care.

Communicate effectively with other healthcare professionals in and out of the Trust (e.g. specialty teams, GPs) about patient care when appropriate.

On-call/Full Shift duties

Hours of Work

The successful candidate will work a full shift pattern 40 hours per week, with dedicated time for pursuing their ED clinical fellow specialism.

The Tier 2 rota is self-rostered, under the supervision of Dr Matt Stafford (Emergency Department Junior Doctor Rota Lead)

The rota is a 12 week annualised 1 in 3 weekends, no nights, latest shift finish 1 am

Break Entitlement

The rota is as a Full Shift Rota and as such Specialty Trainees can expect to be working for the whole duty period, except for natural breaks.

The definition of a natural break is at least a 30 minute continuous break after approximately four hours' continuous duty. If, for any reason, you are unable to take a natural break during any shift you are required to complete an Exception Report Form outlining the reasons why you were unable to take a break. This will facilitate the department reviewing practice, as required, to ensure you continue to work in a safe environment.

Study and Training

Each doctor has a nominated Consultant as a Clinical Supervisor who will regularly meet with them.

General

Clinical Governance

1. In conjunction with Consultant colleagues, to ensure that the requirements of clinical governance are met.

Any Other Duties

2. Any other duties as deemed appropriate.

Person Specification

Qualifications

Essential

• Full registration and a licence to practice with the GMC (Please confirm GMC number)
• MBBS or equivalent
• Eligibility to work in the UK
• ALS

Desirable

• Instructor candidate status for ALS
• APLS/EPALS
• ATLS or other courses

Experience

Essential

• Evidence of achievement of
• Foundation competencies or
• Equivalent
• 1 year of experience of working in the NHS as a Doctor
• Recent experience working in substantive post in the NHS. Clinical attachments are NOT sufficient

Desirable

• Experience working in UK Emergency Medicine

Ability/skills

Essential

• Capacity to apply sound clinical knowledge relevant to the job.
• Experience in making clinical decisions and managing risk.
• Knows when to seek help, able to prioritise clinical need.
• Shows aptitude for practical skills, required in the job.
• Proven ability to work effectively in different clinical settings required in the job.
• Capacity to operate effectively under pressure & remain objective in highly emotive and pressurised situations.
• Awareness of own limitations & when to ask for help.
• Capacity to communicate effectively and sensitively with others, able to
• discuss treatment options with patients in a way they can understand
• Capacity to think beyond the obvious, with analytical and flexible mind.
• Capacity to bring a range of approaches to problem solving
• Capacity to monitor and anticipate situations that may change rapidly
• Demonstrates effective judgement and decision making skills
• Capacity to work effectively in a multi-disciplinary team and demonstrate leadership when appropriate.
• Capacity to establish good working relations with others
• Capacity to manage time and prioritise workload, balance urgent and important demands, and follow instructions.
• Understands the importance and impact of information systems
• Capacity to apply sound clinical knowledge & judgement & prioritise clinical need.
• Demonstrates appropriate technical competence with potential for developing strong/complex clinical/diagnostic skills

Research and Audit

Essential

• Demonstrates understanding of the basic principles of audit, research, Quality Improvement and evidence-based practice, with potential to contribute to projects

Desirable

• Active involvement in a clinical governance
• Programme
• Evidence of a portfolio of audit/quality
• improvement projects, including where the audit
• loop has been closed and there is evidence of
• learning of the principles of change management
• Evidence of understanding the practical workings
• of clinical governance e.g. handling a complaint,
• incident reporting
• Evidence of publication / presentation at conferences.

Education and Teaching

Essential

• The ability and willingness to teach at all levels and to all groups of staff

Desirable

• Experience of
• teaching
• junior staff/ medical students
• Demonstrates an interest in and commitment to
• Emergency Medicine beyond the mandatory

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).

Employer details

Employer name

The Rotherham NHS Foundation Trust

Address

The Rotherham Nhs Foundation Trust

Moorgate Road

Rotherham

South Yorkshire

S60 2UD

Employer's website

https://www.therotherhamft.nhs.uk/ (Opens in a new tab)