Senior Clinical Fellow - CESR Rotation

Job responsibilities

This post is for doctors who are currently in a middle grade position in Emergency Medicine who need to complete specific ACCS competencies to enable their career progression.

The applicant should be aiming to become a Consultant by entering formal training at ST3/4 onwards or by the CESR route and Article 14, or the Defined Route of Entry into Emergency Medicine (DREEM). This post would provide a middle grade position plus experience in Emergency Medicine and a junior position in the rotational specialties. It will provide specific rotational posts, clinical supervision, competency assessment and education.

This is a new middle grade rotation position as Senior Clinical Fellow in Emergency Medicine which rotates to six month positions in Anaesthetics, Critical Care Medicine and Acute Medicine. There are eleven posts in total comprising eight posts in the Emergency Medicine and three in the specialties at any one time. This enables both the provision of high quality middle doctor staff to the Emergency Department and the rotation competencies for their career progression.

The appointment is suitable for those with middle grade Emergency Department experience as Specialty Doctor (old Staff Grade), Clinical Fellow, LAT STR or completed ST1 or ST2. Applicants from Anaesthetics, ITU, Acute medicine backgrounds or completed GPSTR training will be considered if proceeding to a career in Emergency Medicine.

The post duration is up to 48 months in 18 month rotational blocks. The rotation will maintain pay but the banding may change according to the individual departmental rota.

Two of the Clinical Fellows have finished this rotation and successfully entered an ST4 position. Most of our Clinical Fellows pass their MRCEM within two and a half years of starting this post. There is an intense training program associated with this post.

Educational Supervision and Career progression

The appointee will have an Educational/Clinical Supervisor for the duration of the rotation and a designated clinical supervisor for each post. The appointee will be expected to maintain a portfolio of evidence of competencies, work place-based assessments, training undertaken with supervisions and a personal development plan. This will be in keeping with the requirements of the e-portfolio and Curriculum of the College of Emergency Medicine.

Career progression will be a priority and guidance can be provided by the Emergency Medicine Trust College tutor and Educational Supervisor. Associate or Membership of the College of Emergency Medicine will be expected. E-portfolio applications will be supported.

The Clinical role

• You will be part of the multidisciplinary clinical team as middle grade in the Emergency Department and your principal function is to:
• Provide high quality care, knowledge, and skill for the patients either directly or by supervision and floor management of the junior clinical staff
• To maintain the standards of the College of Emergency Medicine and the West Suffolk Hospital NHS Foundation Trust
• To assume clinical responsibility for patients brought to the department by the emergency services, self-referring or referred by GP
• You are expected to deal with unexpected emergencies including those resulting from infectious diseases like COVID-19
• To be part of Trauma Team co-ordinated management of major trauma
• To be immediately available for opinion, guidance and advice on any patient seen by a junior clinician in the ED at any time during the rostered duty shift
• To assist in conducting follow-up review of patients where considered appropriate by the Consultants
• To contribute to the production of departmental clinical management guidelines in line with evidence-based best practice
• To attend in the event of a hospital Major Incident call if available and off duty
• Maintain patient confidentiality
• Identify and act appropriately upon Safeguarding issues in children appropriately

The departments are supervised by ED Consultants 08.00-22.00hrs, who are very supportive and enthusiastic in helping you develop clinical, academic and leadership quality, whilst you are part of our team and beyond.

The post holder will be expected to share responsibility for the delivery of high-quality care to the patients presenting to West Suffolk Hospital

To work within the guidelines and practices of each Department and the hospital

To examine, review and manage patients

To participate in and support the clinical decision making of all medical and nursing clinicians

Participate in the rota appropriate to the Department and level of training

The work patterns will include evening and weekend work

Educational Arrangements

In addition to the Clinical Supervisor and WBPA components, educational opportunities for the middle grade include protected weekly training sessions on Emergency Medicine topics based on the College of Emergency Medicine curriculum. There will be a competency plan based on the doctors requirements at ACCS CT1/2/3 level. Training may be catered to MCEM examination requirements. Our teaching programme has been very well received and we have an increasing number of candidates who have gone into or completed higher specialist training with us.

Free recognised training courses for example, 3 day Fundamentals of Trauma Care course, In-house APLS/ATLS/ALS courses, National ED Conferences

There will also be the opportunity to deliver teaching as part of the regional training programme.

Experience

Essential

• Full registration with the GMC and hold a Licence to Practise at time of starting the post
• Must have three years aggregate hospital experience at SHO/F2 level or higher grades, at least six months of which should be in Emergency Medicine.

Desirable

• Experience of working in UK or EEC hospitals for three years aggregate at SHO/F2 level or higher grades, at least six months of which should be in Emergency Medicine.

Clinical Care (Knowledge and Skills)

Essential

• Competence in basic clinical procedures
• Able to prioritise clinical need
• Aware of own limitations and knows when to consult senior colleagues
• Understands the importance of working effectively in teams

Desirable

• Knowledge and understanding of UK health systems
• Awareness of current issues in the NHS

Acute Care (Knowledge and Skills)

Essential

• Ability to assess, recognise and initiate management of the acutely ill patient
• Play an effective part in advanced life support
• ATLS or ALS

Desirable

• ATLS, ALS and APLS/EPLS.
• Trauma team experience

Qualifications

Essential

• MBBS or equivalent medical qualification

Desirable

• Primary FRCEM

Personal Attributes and Experience

Essential

• Demonstrates initiative, enthusiasm and motivation
• Respectful to individuals rights, interests, preferences, beliefs and cultures
• Potential to benefit from the training available
• Recognises stressful situations and responds appropriately
• Demonstrates self-awareness and ability to accept feedback.
• Enjoy teamwork and work cooperatively with others and demonstrate leadership potential.
• Able to support the department in a professional manner.
• Have clear short- and long-term goals.
• Demonstrate interest and realistic insight in Emergency Medicine training.
• Displays honesty, integrity, aware of ethical dilemmas, respects confidentiality
• Take responsibility for own actions and demonstrate a non-judgemental approach towards others

Desirable

• Achievements outside medicine
• Enjoy teamwork and work cooperatively with others and demonstrate leadership potential.
• Able to support the department in a professional manner.

Communication and Interpersonal Skills

Essential

• Able to communicate effectively in written English
• Able to communicate effectively in spoken English to enable effective communication with patients and colleagues.
• All applicants to have demonstrable skills in written and spoken English that are adequate to enable effective communication about medical topics with patients and colleagues which could be demonstrated by one of the following:-
• -that applicants have undertaken undergraduate medical training in English; or
• -have the following scores in the academic International English Language Testing System (IELTS)-Overall 7.5 Speaking 7, Listening 6, Reading 6, Writing 6.
• If applicants believe that they have adequate communication skills, but do not fit into one of the examples they need to provide evidence
• Computer literate

Desirable

• Able to establish good working relations with patients, carers and multidisciplinary colleagues
• Evidence of team working skills
• Evidence of leadership skills
• Understand the responsibilities of being an employee of the NHS

Teaching, Audit and, Research

Essential

• Active participation in clinical audit
• Contribute to teaching and learning of others in the clinical setting

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).