Clinical Fellow in Emergency Medicine and Point of Care Ultrasound

Guy's and St Thomas' NHS Foundation Trust

The closing date is 11 May 2025

Job summary

This post will provide the point of care ultrasound fellow with 20% protected time to focus on PoCUS training and accreditation within the Emergency Medicine Junior Clinical Fellow or ST4+ rota depending on previous experience. The fellow would be expected to have considerable Emergency Medicine experience (ideally ST4+ or a Senior Clinical Fellow). The fellow would ideally be already signed-off in Level 1 and looking to expand their PoCUS expertise and repertoire. The development objectives would be flexible but could include some more advanced abdominal topics (e.g. cholecystitis & hydronephrosis), DVT scanning, echocardiography or regional anesthesia. We would expect the successful applicant to be involved with PoCUS training of other members of the EM team, undertake a PoCUS based audit/QIP and champion our departmental PoCUS governance principles. We would support the applicant to make a publication in a peer-reviewed journal on a PoCUS topic. We would additionally encourage the fellow to enroll in a Post Graduate Ultrasound course with their scanning forming part of this programme.

Main duties of the job

Increasingly hospital-based ultrasound examinations are occurring outside traditional radiology departments as point-of-care ultrasound (PoCUS) examinations. When performed by appropriately trained professionals they are invaluable for expediting patient care through offering a timely diagnosis and by allowing direct visualisation of structures during ultrasound-guided procedures. PoCUS is also part of the core curriculum for the Royal College of Emergency Medicine which now includes new applications for shock and ultrasound-guided fascia iliaca nerve block.

About us

Our Emergency Department has several Consultants and senior registrars with expertise in PoCUS training and a regular Consultant-led PoCUS teaching programme. As an example of this we were able to rapidly upskill our clinicians in lung ultrasound in response to the coronavirus pandemic. We have also recently launched protocols for ultrasound-guided nerve blocks for patients with rib fractures and for respiratory assessment. We have 10 ultrasound machines, including several state-of-the-art cart-based and hand-held devices, and a co-located Emergency Floor Ultrasound Room staffed by an ultrasonographer providing emergency ultrasound scans within working hours. We have a great relationship with our sonographers and radiologists who support the fellowship and will provide regular supervision. We also have strong relationships with other PoCUS experts in the trust and are part of a multidisciplinary group that hosts monthly cross-specialty training. In addition to our regular online and bedside teaching we also host a number of hands-on departmental courses which the fellows are encouraged to lead.

Date posted

01 May 2025

Pay scheme

Hospital medical and dental staff

Grade

Doctor - other

Salary

£61,825 to £70,425 a year per annum excl LZ

Contract

Fixed term

Duration

6 months

Working pattern

Full-time

Reference number

196-MED4821

Job locations

St Thomas' Hospital

London

SE1 7EH

Job description

Job responsibilities

We would accept applications for those wishing to take some time out of training (for example an OOPTE whilst in higher specialty training). Atypical, flexible or individualised rotas are possible as long as you make a significant contribution to weekends and Out of Hours work.

You would be joining a friendly, hard-working and supportive Emergency Department that was rated as Outstanding by the CQC. We strive to deliver great patient care by working together as a team and we are looking for equally passionate and enthusiastic doctors to join us and contribute ideas about improving the patient journey within the Emergency Department. Each post is initially for 6- 12 months with the possibility of an extension if desired.

*** Please be advised that this vacancy may close early should we receive sufficient number of applications ***

Job description

Job responsibilities

*** Please be advised that this vacancy may close early should we receive sufficient number of applications ***

Person Specification

Education/Qualifications

Essential

oGMC Registration / Eligible for GMC registration.
oMB BS (or equivalent)
oALS provider

Desirable

oBSc, BMedSci (or other intercalated degree), other degrees/qualifications.
oATLS/APLS Provider.
oIntermediate FRCEM or MCEM or equivalent.
oLevel 1 Ultrasound Provider

Previous experience

Essential

oProven track record of hospital medicine in the NHS, with experience in EM Short term locums & clinical attachment are not acceptable and will not be considered. This is ONLY suitable as a first UK post IF the candidate has worked for a minimum of 12 months in EM fulltime. Candidates will not be shortlisted unless they fulfil the criteria above
oAny EM trainees from recognised overseas training programmes will be considered for shortlisting whether they have yet worked in the UK or not.

Desirable

oAdditional experience in emergency medicine.
oAdditional experience in one or more of other related specialties (acute medicine, orthopaedics, cardiology, ITU, anaesthetics, plastics or primary care).
oResearch experience, education programme development, ultrasound qualification as appropriate

Skills/Knowledge/Ability

Essential

oEvidence of experience in performing procedures relevant to emergency medicine: venous cannulation, phlebotomy, fracture manipulation
oEvidence of keeping up to date with topics relevant to EM practice- courses/teaching sessions attended
oCorrectly written personal statement about why this job and where it fits in to career plans

Desirable

oEvidence of a quality improvement or audit project involvement oIdea of a particular
oIdea of a particular area of interest to pursue while in this post
oInterest in undertaking an OOPTE in PoCUS and developing a specialist interest in PoCUS as part of EM training

Person Specification

Education/Qualifications

Essential

oGMC Registration / Eligible for GMC registration.
oMB BS (or equivalent)
oALS provider

Desirable

oBSc, BMedSci (or other intercalated degree), other degrees/qualifications.
oATLS/APLS Provider.
oIntermediate FRCEM or MCEM or equivalent.
oLevel 1 Ultrasound Provider

Previous experience

Essential

oProven track record of hospital medicine in the NHS, with experience in EM Short term locums & clinical attachment are not acceptable and will not be considered. This is ONLY suitable as a first UK post IF the candidate has worked for a minimum of 12 months in EM fulltime. Candidates will not be shortlisted unless they fulfil the criteria above
oAny EM trainees from recognised overseas training programmes will be considered for shortlisting whether they have yet worked in the UK or not.

Desirable

oAdditional experience in emergency medicine.
oAdditional experience in one or more of other related specialties (acute medicine, orthopaedics, cardiology, ITU, anaesthetics, plastics or primary care).
oResearch experience, education programme development, ultrasound qualification as appropriate

Skills/Knowledge/Ability

Essential

oEvidence of experience in performing procedures relevant to emergency medicine: venous cannulation, phlebotomy, fracture manipulation
oEvidence of keeping up to date with topics relevant to EM practice- courses/teaching sessions attended
oCorrectly written personal statement about why this job and where it fits in to career plans

Desirable

oEvidence of a quality improvement or audit project involvement oIdea of a particular
oIdea of a particular area of interest to pursue while in this post
oInterest in undertaking an OOPTE in PoCUS and developing a specialist interest in PoCUS as part of EM training

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.