Job summary
Junior Clinical Fellow Intensive Care Medicine
Harefield Hospital - Aug '24 start
This post is suitable for those pursuing a career in intensive care, cardiothoracic anaesthesia, respiratory medicine, cardiology or cardiothoracic surgery.
The post holder will participate in the intensive care junior fellow rota (EWTD compliant) in a 9 week rolling shift system. There are further day-time duties in the recovery unit and the high dependency unit. Clinical experience would include care of post operative cardiothoracic patients, heart and lung transplants, and all forms of mechanical circulatory support including ECMO, impella and LVADs.
Fellows would be expected to acquire the critical care competencies as described in the Faculty of Intensive Care Curriculum at basic level. The objective of this post is to provide the Junior Fellow with knowledge and clinical experience in delivering a broad spectrum of critical care.
The ICU is staffed by 14 full time consultants with an interest in intensive care on a rolling 8 week daytime roster with 2 consultants on during the daytime in the week. A second consultant (from Anaesthesia) covers the recovery unit and a third consultant covers the HDU and the critical care outreach service.
Main duties of the job
Fellows would be expected to acquire the critical care competencies as described in the Faculty of Intensive Care Curriculum at basic level. The objective of this post is to provide the Junior Fellow with knowledge and clinical experience in delivering a broad spectrum of critical care including:
- Management of single and multiple organ failure secondary to cardiovascular intervention.
- Advanced techniques in ventilation including protective lung strategies and management ALI/ARDS, differential ventilation and prone ventilation.
- Management of patients post thoracic organ transplant
- Renal replacement therapy
- Advanced haemodynamic monitoring including pulmonary artery flotation catheters and non-invasive cardiac output monitoring.
- Management of extracorporeal life support
In addition the Junior Fellow would acquire specialist skills in:
- Postoperative management of complex cardiothoracic surgical patients.
- Echocardiography and critical care ultrasound techniques.
- Percutaneous tracheostomy, intra-aortic counter-pulsation therapy, invasive and non-invasive cardiac output monitoring techniques and pacing.
- Non-invasive ventilation.
- Contribution to a clinical or basic science research project during their appointment.
- Contribution to an audit project
- Competency -based training at the Harefield SIM centre
About us
Harefield Hospital (HH) is a regional centre for cardiology and cardiothoracic surgery, and an international centre for adult heart and heart-lung transplantation. It is one of a small number of UK cardiac centres assisting in development of implantable mechanical ventricular assist devices in the management of end-stage heart failure. It also provides a primary intervention service for acute coronary syndromes to selected Trusts and the London Ambulance Service, in outer West London and the Home Counties. It has approximately 1,185 staff, 180 beds with 5 operating theatres, and 4 catheter laboratories.
Job description
Job responsibilities
This post is suitable for those pursuing a career in intensive care, anaesthesia, respiratory medicine, cardiology or cardiothoracic surgery.
The intensive care unit has over 1500 level 3 admissions per annum and has 18 level 3 beds, a further 5 cardiac recovery level 3 beds and 10 high dependency level 2 beds. The case-mix is mainly intensive care following adult cardiac surgery (78% admissions), transplantation (11%), cardiology (6%) and thoracic surgery (7%).
Fellows would be expected to acquire the critical care competencies as described in the Faculty of Intensive Care Curriculum at basic level, that is, within Stage 1. The objective of this post is to provide the Junior Fellow with knowledge and clinical experience in delivering a broad spectrum of critical care.
Clinical duties
The post holder will participate in the intensive care junior rota (EWTD compliant) in a 9 week rolling shift system, which comprises a 4 week block of cover to the intensive care unit with late and night shifts. There are further day-time duties in the recovery unit and the high dependency unit.
The ICU is staffed by 14 full time consultants with an interest in intensive care on a rolling 8 week daytime roster with 2 consultants on during the daytime in the week. A second consultant (from Anaesthesia) covers the recovery unit and a third consultant covers the HDU and the critical care outreach service.
The post holder may be able to participate in activities related to his or her base speciality subject to mutual agreement between the post holder, the Lead Clinician for Intensive Care and the relevant service lead. Further details can be obtained from the Lead Clinician in Intensive Care.
TTE training
- Basic and advanced peri-operative and critical care echocardiography education
- Initial training will focus on basic principles (physics, standard views for examination, Doppler principle and quantification etc),
Training sessions on the Heartworks simulator
- Further training may include sponsorship for attendance at a recognised external advanced training course and mentorship for accreditation from the British Society of Echocardiography.
Critical Care Ultrasound
- Vascular access ultrasound
- Chest and pleural space ultrasound
- FEEL/FICE focussed ultrasound
Locally Run Courses
- Transfer training
- ECMO
- Mechanical Life Support
MDT and Transplant administration experience
- Contribution to retrieval and other transplant relating working groups
- Monthly morbidity and mortality audit meeting
- Education through attendance and participation in the Departmental Education Programme.
Research experience
- The Department actively supports research. The post holder will be encouraged to develop and undertake a research project, which may be undertaken in collaboration with the Heart Science Centre (Imperial College).
- There will be an initial assessment at the commencement of the post to assess individual aims and objectives.
- Suitable time will be made available within the weekly timetable to participate in appropriate research and clinical audit.
- The Department encourages active participation in external critical care conferences.
Job description
Job responsibilities
This post is suitable for those pursuing a career in intensive care, anaesthesia, respiratory medicine, cardiology or cardiothoracic surgery.
The intensive care unit has over 1500 level 3 admissions per annum and has 18 level 3 beds, a further 5 cardiac recovery level 3 beds and 10 high dependency level 2 beds. The case-mix is mainly intensive care following adult cardiac surgery (78% admissions), transplantation (11%), cardiology (6%) and thoracic surgery (7%).
Fellows would be expected to acquire the critical care competencies as described in the Faculty of Intensive Care Curriculum at basic level, that is, within Stage 1. The objective of this post is to provide the Junior Fellow with knowledge and clinical experience in delivering a broad spectrum of critical care.
Clinical duties
The post holder will participate in the intensive care junior rota (EWTD compliant) in a 9 week rolling shift system, which comprises a 4 week block of cover to the intensive care unit with late and night shifts. There are further day-time duties in the recovery unit and the high dependency unit.
The ICU is staffed by 14 full time consultants with an interest in intensive care on a rolling 8 week daytime roster with 2 consultants on during the daytime in the week. A second consultant (from Anaesthesia) covers the recovery unit and a third consultant covers the HDU and the critical care outreach service.
The post holder may be able to participate in activities related to his or her base speciality subject to mutual agreement between the post holder, the Lead Clinician for Intensive Care and the relevant service lead. Further details can be obtained from the Lead Clinician in Intensive Care.
TTE training
- Basic and advanced peri-operative and critical care echocardiography education
- Initial training will focus on basic principles (physics, standard views for examination, Doppler principle and quantification etc),
Training sessions on the Heartworks simulator
- Further training may include sponsorship for attendance at a recognised external advanced training course and mentorship for accreditation from the British Society of Echocardiography.
Critical Care Ultrasound
- Vascular access ultrasound
- Chest and pleural space ultrasound
- FEEL/FICE focussed ultrasound
Locally Run Courses
- Transfer training
- ECMO
- Mechanical Life Support
MDT and Transplant administration experience
- Contribution to retrieval and other transplant relating working groups
- Monthly morbidity and mortality audit meeting
- Education through attendance and participation in the Departmental Education Programme.
Research experience
- The Department actively supports research. The post holder will be encouraged to develop and undertake a research project, which may be undertaken in collaboration with the Heart Science Centre (Imperial College).
- There will be an initial assessment at the commencement of the post to assess individual aims and objectives.
- Suitable time will be made available within the weekly timetable to participate in appropriate research and clinical audit.
- The Department encourages active participation in external critical care conferences.
Person Specification
Qualifications
Essential
- Full GMC registration with licence to practice
- MBBS or equivalent medical qualification
- Completion of foundation year 2 training (or equivalent)
Desirable
- FRCA/MRCP/MRCS or equivalent (first part)
Experience
Essential
- Minimum one year of clinical experience in hospital practice
- Ability to provide a complete employment history with no unexplained career gaps
Desirable
- Evidence that career progression is consistent with personal circumstances
- Experience within Intensive Care Medicine and/or anaesthesia
- Demonstrable research experience
- Demonstrable teaching experience
Skills, knowledge and abilities
Essential
- Good interpersonal and communications skills in line with the Trust's Core Behaviors
- IT skills and computer literacy
- Advanced Life Support
Person Specification
Qualifications
Essential
- Full GMC registration with licence to practice
- MBBS or equivalent medical qualification
- Completion of foundation year 2 training (or equivalent)
Desirable
- FRCA/MRCP/MRCS or equivalent (first part)
Experience
Essential
- Minimum one year of clinical experience in hospital practice
- Ability to provide a complete employment history with no unexplained career gaps
Desirable
- Evidence that career progression is consistent with personal circumstances
- Experience within Intensive Care Medicine and/or anaesthesia
- Demonstrable research experience
- Demonstrable teaching experience
Skills, knowledge and abilities
Essential
- Good interpersonal and communications skills in line with the Trust's Core Behaviors
- IT skills and computer literacy
- Advanced Life Support
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).
