Clinical Fellow in Ambulatory Emergency Care/ Acute Assessment Unit

Job responsibilities

Duties of the PostsDuring your AAU post: You will work across the Acute Medical wards, medical take (day/night shifts) and Ambulatory care shifts (full shift 14 week rotation)

• During your AEC post :you will work only in Ambulatory Care (day shifts/1 in 5 weekend day shifts). For the duration of your AEC post, you will have the option to take up a 10% (averaging half day per week) Teaching Fellow role for the Undergraduate Medical Students allocated to the unit.

Acute Assessment Unit (AAU)

This is a 34-bed unit based across two adjacent wards (Mary Seacole North and Mary Seacole South). This is staffed on a daily basis by 2 Consultants, a registrar, 2-4 SHOs and 2-3 FY1s with daily Consultant led ward rounds.

Wider AMU staffing includes a dedicated and highly trained nursing, physiotherapy, occupational therapy and MDT team, a frailty team, pharmacy and a full complement of support staff.

There are full cardiac monitoring facilities and isolation facilities, with a varied patient mix including a wide range of infectious diseases, patients requiring NIV or HFNO, diagnostic and therapeutic procedures, complex diagnostic conundrums and acute oncology patients. As a London based DGH, we admit all patients under the Acute Medicine team and have a close working relationship with the ITU/ CCOT, local medical specialities and tertiary centres to provide excellent patient centred care.

Ambulatory Emergency Care (AEC)

The award-winning Ambulatory Emergency Care Unit is staffed by a dedicated team of senior and junior doctors and Advanced Clinical Practitioners who see acutely unwell patients, in an outpatient same day emergency care (SDEC) setting, providing an alternative to admission for many patients.

The ambulatory care unit has a dedicated Consultant of the day who supervises the diagnosis, management and treatment of patients on the unit and provide teaching and support for the many procedures (chest drains, ascitic drains, lumbar punctures, infusions and diagnostic imaging) which take place there.

Option for Teaching Fellow element

For 2 of the 4 posts (to be determined at interview), you will have the option to take up a 10% Teaching Fellowship which will make up a half day/week (approximately, dependent on the Academic Timetable) during your AEC post (6 out of the 12 months). This will be supervised by the Acute Medicine Undergraduate Lead and the role will primarily be in delivering the teaching timetable for the medical students rotating within the department, including their procedural and case based training.

Acute Medical Take

This is staffed by 1 SpR, 2 SHOs and 1 FY1. There is an average intake of 30 patients over 24 hours. During the day, there is a hot post-take consultant ward round providing the opportunity for immediate feedback and learning on a 1:1 basis. Overnight, you will be supervised by a medical registrar on site and GIM consultant by phone. There is a strong and supportive CCOT (critical care outreach team) who are available alongside the ITU team. As a DGH, most tertiary services are via liaison with other London centres such as UCH and Barts and RLH, with whom we have strong links.

GMC status

Essential

• Full Registration with the GMC with license to practice

Qualifications

Essential

• MBBS or equivalent medical qualification Currently valid ALS

Desirable

• MRCP any part

Experience

Essential

• Completed 2 year foundation programme or equivalent
• Minimum of 4 months UK experience in Acute and Emergency Medicine

Desirable

• Demonstrates leadership skills

Management skills

Essential

• Demonstrate a flexible, intelligent, analytical approach to problem solving Possesses good organisational skills

Desirable

• Demonstrates leadership skills

Personal Attributes

Essential

• Possesses good communication skills
• Committed to teaching and training
• Has personal insight into own strengths and weaknesses
• Demonstrates ability to adjust to new environment and demands
• Has ability to work on own initiative
• Works well with colleagues at all levels
• Has ability to contribute to the development of the Trust and it's services
• Has ability to make sound and appropriate decisions
• Maintaining good medical practice
• Good relationships and communication with patients and colleagues
• Probity and integrity

Other

Essential

• Physically able to undertake the duties of the post with reasonable adjustments where required

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).