Senior Clinical Fellow in Emergency Medicine (UECC)

Job responsibilities

The Department

At present the Urgent and Emergency Care Centre UECC at The Rotherham NHS Foundation Trust provides a 24-hour Emergency Service to a population in excess of 255,000. The centre co-locates the Primary Care and Urgent and Emergency Care Department. The total annual attendances are approximately 127,000 a year.

Large 6 bedded resuscitation room

A 4 bedded Rapid Initial Assessment area in Majors (RAT)

20 Adult Majors cubicles in two separately areas

Streaming and Triage Rooms along with rooms to carry out investigations from triage.

Minor area with assessment & procedure cubicles, eye / ENT room, 10 large rooms housing Primary Care, Minor Injuries and rooms to see ambulatory patients for Emergency Medicine.

Self-contained Paediatric area with Paediatric assessment area, treatment room and five individual cubicles.

The Post

This post has been created to give applicants the opportunity to continue their emergency medicine training, whilst gaining additional skills in the use of point-of-care ultrasound (PoCUS). They will be contracted 40 hours weekly working in our friendly district General ED/trauma unit caring for both adults and children.

Up to 40% of paid time will be available to pursue and develop a special interest in ultrasound.

The appointment is to commence in August 2025 for a fixed term period of 12 months. This post can be considered as an out-of-programme experience (OOPE) or out-of programme training (OOPT) subject to you gaining approval by the appropriate deanery and the Royal College of Emergency Medicine.

Ultrasound

We have three state of the art machines in the department. There are opportunities to learn or develop skills under our ultrasound lead. There will be opportunities for supervised shop floor ultrasound scanning, in order to work towards your RCEM ultrasound logbook requirements and FUSIC or FAMUS accreditation if desired. You will also have the opportunity to deliver ultrasound training to your ED colleagues, and there will be opportunities for audit or quality improvement projects in ultrasound. If you wish to pursue a post-graduate certificate in point-of-care ultrasound, clinical supervision will be provided by our ultrasound lead, and funding can be provided for half of the course cost.

CLINICAL DUTIES

Responsibilities:

The duties of this post are equivalent to ST4+

The successful candidate will take part in the Resident doctor rota with 80% 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 role of ultrasound fellow as described above

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 4 rota will be annualised and self-rostered from September 2025, under the supervision of Dr Matt Stafford (Emergency Department Rota Lead)

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.

Ultrasound

Essential

• Evidence of working towards completion of RCEM ultrasound sign off (evidence of appropriate logbook covering the range of CORE EM ultrasound modalities)
• Attendance at level 1/CORE EM or equivalent training days
• Attendance at other ultrasound courses/workshops/teaching sessions
• Evidence of completion of e-learning related to ultrasound

Desirable

• Attendance at FUSIC/FAMUS course with evidence of working towards full accreditation

Experience

Essential

• Previous NHS experience at Senior Clinical Fellow level
• At least 5 years post-graduate NHS clinical experience
• Working at ST4 level or equivalent, with at least 6 months experience in both anaesthetics and intensive care medicine.

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
• Completion of NIHR Good clinical practice
• Evidence of audit and the implementation of change following the audit

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 where 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.

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

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

Management Skills

Essential

• Demonstrate effective team working skills
• Time management and organisational ability. An example may be they have developed and run training programmes.
• Proven knowledge of systems
• and process of NHS or equivalent
• Sense of understanding and commitment to corporate responsibility
• Commitment to and understanding of their responsibility to the organisation.

Qualifications

Essential

• Full registration and a licence to practice with the GMC
• MBBS or equivalent
• Eligibility to work in the UK
• ALS Provider
• MRCEM or equivalent

Desirable

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

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).