Job summary
We are seeking a Clinical Fellow at ST3+ level to deliver excellent clinical care in the Acute Medical Unit (AMU) at St George's Hospital.
This represents an opportunity for an enthusiastic doctor to join a dynamic clinical team in a progressive and innovative acute medical unit. This unit, with 51 beds, of which 14 form a level 2 area (equivalent to a medical HDU) and with an ambulatory area recently renewed, constitutes the ideal environment for learning and training.
The Clinical Fellows will be contributing to the work of the AMU-based team, including the assessment of patients on AMU, AAA and in A&E, the care of in-patients and the attendance at Acute Medicine clinics.
The appointee will join a team of 15 SpR-level doctors (IMT3, ST4+ trainees and clinical fellows), 15 SHO-level doctors (IMT1 and 2, ACCS trainees, GP trainees, ICM trainees and clinical fellows) and 6 FY1s, working closely with 16 consultants in a hugely supported environment with consultant presence on the unit between 08:00 - 22.00.
There will also be plenty of opportunities to develop other areas of interest, such as taking part in specialty clinics (subject to specialty approval), getting involved in the teaching of under- and post-graduates, participating in service improvement projects or completion of a Postgraduate Certificate in healthcare education.
Main duties of the job
Main duties and responsibilities
The clinical fellows will be required to perform clinical work on the AMU, both as the first doctor to see patients who present to a busy urban emergency department, managing patients on the ward and participating in Acute Medicine clinics.
- The appointees will work closely with the admitting general medical and the multidisciplinary team, supervising the work of more junior staff.
- The post holders will be expected to contribute to the performance of administrative duties on the AMU - such as checking radiology reports and microbiology results - and to contribute to the smooth and efficient running of the service, as required.
- It is envisaged that the appointees would share the running of the multidisciplinary team meetings with the consultants for Acute Medicine.
- The post holders will be expected to contribute to the teaching of medical students and junior doctors. There may also be an opportunity to contribute to the teaching of specialist nurses and physician associates.
- The appointees will be expected to undertake audits and encouraged to take on clinical research projects depending on their interests.
About us
St George's Healthcare NHS Trust serves a resident population of about 300,000, is located within the South West London Strategic Health Authority and serves six local Primary Care Groups. The Trust is one of the largest healthcare units in the UK, accommodating 1070 beds and annually treating around 61,500 inpatients and over 420,000 outpatients. In 2006, more than 98,000 patients presented to the Accident and Emergency Department and 12,100 medical patients were admitted. The Trust employs over 5000 staff incorporating over 700 Medical & Dental Staff. It provides general acute and specialty services, including neurosciences, cardiothoracic, and specialist children's services.
St George's Hospital is the main teaching hospital in the western sector of the South Thames region and has developed links with most of the regional district general hospitals. It supports a significant training programme for junior doctors that rotate through the Trust.
For further information, visit the Trust website at www.stgeorges.nhs.uk.
Job description
Job responsibilities
Key Objectives of the Post
The appointees will:
- Bring expertise in Acute Medicine into the acute admissions process.
- Manage medical emergency admissions in a safe, effective and timely way.
- Play a leadership role in the further development of the Acute Medicine Team.
- Work closely with colleagues of the multidisciplinary team in the Acute Medical Unit and the A&E Department.
- Provide a senior clinical opinion on GP referrals to the AMU when required.
- Contribute to protocols, operational guidelines and standards of care for Acute Medicine.
- Work closely with the Care Group Leads for General Medicine and the Accident & Emergency Department.
- Be accountable to the Clinical Directors for Acute Medicine and report to the Care Group Lead for General Medicine.
Job description
Job responsibilities
Key Objectives of the Post
The appointees will:
- Bring expertise in Acute Medicine into the acute admissions process.
- Manage medical emergency admissions in a safe, effective and timely way.
- Play a leadership role in the further development of the Acute Medicine Team.
- Work closely with colleagues of the multidisciplinary team in the Acute Medical Unit and the A&E Department.
- Provide a senior clinical opinion on GP referrals to the AMU when required.
- Contribute to protocols, operational guidelines and standards of care for Acute Medicine.
- Work closely with the Care Group Leads for General Medicine and the Accident & Emergency Department.
- Be accountable to the Clinical Directors for Acute Medicine and report to the Care Group Lead for General Medicine.
Person Specification
Qualifications and Experience
Essential
- MBBS or equivalent
- Full registration with General Medical Council
- At least 12 months experience working in Emergency or Acute General Medicine
- To have achieved provider status in at least one of ALS, ATLS and APLS.
- Postgraduate diploma (e.g. MRCP(UK), MCEM, MRCS).
Desirable
- Additional relevant clinical experience, preferably including working at middle grade level in Acute Medicine.
- Life support course instructor.
Knowledge and Skills
Essential
- Competent in relevant procedures, including resuscitation skills, chest drain insertion, central venous line insertion, lumbar puncture.
- Able to prioritise clinical need
- Able to work independently, but aware of own limitations and knows when to ask for help from consultant or colleague in other specialties.
- Understands principles of patient confidentiality and data protection and principles of audit.
Desirable
- Experience of endotracheal intubation, ultrasound.
- Has a critical and inquiring approach to knowledge and experience.
- A special interest relevant to Acute Medicine
Other
Essential
- An awareness of how to sustain career development.
- Able to manage time and prioritise workload.
- Experience of managing junior medical staff.
- Interest in and ability to contribute to teaching and learning of more junior doctors and medical students.
- Ability to communicate clearly in written and spoken English.
- Ability to develop rapport with and discuss treatment options with patients in a way they can understand.
- High level of ability to establish good working relationships with others in a multidisciplinary team.
- Good personal attributes as per JD
Desirable
- Understands CPD.
- A track record of teaching.
- Publication(s) / oral presentation(s)
- Evidence of leadership qualities (within and outside medicine).
Person Specification
Qualifications and Experience
Essential
- MBBS or equivalent
- Full registration with General Medical Council
- At least 12 months experience working in Emergency or Acute General Medicine
- To have achieved provider status in at least one of ALS, ATLS and APLS.
- Postgraduate diploma (e.g. MRCP(UK), MCEM, MRCS).
Desirable
- Additional relevant clinical experience, preferably including working at middle grade level in Acute Medicine.
- Life support course instructor.
Knowledge and Skills
Essential
- Competent in relevant procedures, including resuscitation skills, chest drain insertion, central venous line insertion, lumbar puncture.
- Able to prioritise clinical need
- Able to work independently, but aware of own limitations and knows when to ask for help from consultant or colleague in other specialties.
- Understands principles of patient confidentiality and data protection and principles of audit.
Desirable
- Experience of endotracheal intubation, ultrasound.
- Has a critical and inquiring approach to knowledge and experience.
- A special interest relevant to Acute Medicine
Other
Essential
- An awareness of how to sustain career development.
- Able to manage time and prioritise workload.
- Experience of managing junior medical staff.
- Interest in and ability to contribute to teaching and learning of more junior doctors and medical students.
- Ability to communicate clearly in written and spoken English.
- Ability to develop rapport with and discuss treatment options with patients in a way they can understand.
- High level of ability to establish good working relationships with others in a multidisciplinary team.
- Good personal attributes as per JD
Desirable
- Understands CPD.
- A track record of teaching.
- Publication(s) / oral presentation(s)
- Evidence of leadership qualities (within and outside medicine).
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).
