ICU Senior Clinical Fellow

Job description

Job responsibilities

The Critical Care Units in Leeds Teaching Hospitals are based in Leeds General Infirmary (LGI) and St Jamess University Hospital (SJUH). We provide critical care support for a comprehensive range of adult specialties. Across the two hospitals there are over 80 critical care beds, with plans for further expansion.

MEDICAL STAFF IN THE DEPARTMENT

The Critical Care team consists of consultant intensivists from anaesthetic and medical backgrounds, supported by ICM trainees, Junior Clinical Fellows, IMTs, ACCS/DRREM trainees, Respiratory StRs, as well as anaesthetic trainees.

In addition to this we are supported by a team of Advanced Critical Care Practitioners, critical care outreach nurses, and a highly skilled and dedicated nursing workforce.

KNOWLEDGE, SKILLS AND EXPERIENCE REQUIRED

Please see Person Specification

DUTIES OF THE POST

Duties include the management of all aspects of patient care in the critical care environment as part of multidisciplinary team. The posts will be designed around the specific requirements of the doctor, with particular attention paid to progressing the towards a goal of achieving CESR.

Additional training blocks can be provided in neuro-intensive care, cardiac intensive care and anaesthesia as required. Depending on availability, training may also be provided in PICU and Acute Medicine specialities. Each doctor will be assigned an experienced Educational Supervisor to help plan their educational journey. A limited study budget will be available for suitable external training courses.

St Jamess Hospital

Critical care is provided across two critical care units. Duties comprise all aspects of the critical care management of general medical and surgical patients, as well as patients from the regional specialist units on this site:

Liver surgery and Transplantation

Thoracic surgery

Regional respiratory and renal services

Pancreatic surgery

Haematology and Oncology

Infectious diseases

In addition to the many general training opportunities available in such a large critical care department, there will be specific opportunities for training and skills development in the following:

Management of acute liver failure and the liver transplant patient including pre and post operative care. Time can be allocated to training within the wider liver unit as required.

Critical care ultrasound in all FUSIC modules and echocardiography training to level 2 accreditation (FUSIC HD, BSE ACCE, fTOE / advanced TOE)

Advanced renal management including renal transplantation medicine and replacement therapy techniques, including regional citrate anticoagulation and intermittent haemodialysis.

Management of complex thoracic patients

Anaesthesia and advanced airway training for single-specialty critical care doctors

Training in teaching, management and research across a variety of settings within the trust.

Leeds General Infirmary

Critical care provision at the LGI is divided between neurointensive care, cardiothoracic, general and paediatric units. Regional expertise is provided in the following areas:

Major Trauma

Cardiac Surgery

Neurosurgery

Vascular surgery

Head and Neck surgery including major cancer surgery

Orthopaedics and plastic surgery including major reconstructive surgery

Paediatrics and paediatric intensive care

The post will have ample time for clinical audit, research, leadership and teaching. The appointee will be expected and encouraged to take part in these activities as part of their fellowship.

The trainee will have a huge amount of flexibility in regards to their work pattern. Whilst the on call activity will be based on the ICU, there is scope for time to be spent within the theatre environment or appropriate medical specialities should this be deemed appropriate for the appointed trainee. The post very much allows for the development of a trainee-directed programme that will be bespoke in nature.

Regular teaching sessions are held covering core topics based on the FFICM curriculum. There is the opportunity to attend M&M meetings, critical incident reporting and journal clubs.

LEVELS OF RESPONSIBILITY

The appointee will be the senior non-consultant grade doctor working in the intensive care unit, with the same responsibilities as the advanced-level trainees in Intensive Care Medicine. As such, the postholder will be expected to work at a senior level, providing support to more junior members of the medical team and to the Advanced Critical Care Practitioners. The trainee will be the senior of 5 resident medical workforce out of hours.

TEACHING AND RESEARCH/STUDY AND TRAINING

The appointee will have regular input into the departmental teaching sessions and will attend educational sessions targeted at those trainees on the advanced ICM trainee programme. Opportunities for involvement in research projects are available, and the development of a specialist skill, such as FUSIC accreditation, is strongly encouraged.

The post is in line with the new junior doctor contract. This post is fixed term in order to provide a period of training. The post will consist of night and weekend on call commitment. There are five rotas staffed by the medical workforce which is further supported by the consultant team.

Person Specification

Eligibility, Fitness to practice, and Language Skills

Essential

• Fitness to practice Is up to date and fit to practise safely

Clinical, Academic, and Personal Skills

Essential

• Communication Skills: Demonstrates clarity in written/spoken communication & capacity to adapt language as appropriate to the situation
• Able to build rapport, listen, persuade & negotiate
• Demonstrates awareness of the basics of managing medical/surgical conditions, including emergencies.
• Appropriate knowledge base and ability to apply sound clinical judgement to problems
• Able to demonstrate proficiency in a range of medical procedures as an indication of manual dexterity and hand-eye coordination
• Evidence of competence in management of emergencies and in-patients through continuous work-based assessments, and portfolio evidence.
• Able to work in multi-professional teams & supervise junior medical staff
• Ability to show leadership, make decisions, organise and motivate other team members for the benefit of patients through, for example, audit and quality improvement Projects

Qualifications

Essential

• Eligible for full registration with the GMC at time of appointment and hold a current licence to practice
• Eligibility to work in the UK.
• ALS, ATLS

Desirable

• Primary FRCA or equivalent

Experience

Essential

• Basic Medical Qualification (MBChB, MBBS or equivalent)
• Full GMC Registration
• >3 years experience in anaesthesia and/or critical care medicine or a suitable acute speciality
• Must be able to demonstrate a high level of clinical experience and competence in critical care, including airway management and resuscitation
• Ability to provide complete details of employment history
• Evidence that career progression is consistent with personal circumstances
• Evidence that present achievement and performance is commensurate with totality of period of training

Additional Requirements

Essential

• Demonstrates probity (displays honesty, integrity, aware of ethical dilemmas, respects confidentiality)
• Capacity to take responsibility for own actions

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).

Employer details

Employer name

Leeds Teaching Hospitals

Address

St. James's University Hospital

Beckett Street

Leeds

LS9 7TF

Employer's website

https://www.leedsth.nhs.uk/ (Opens in a new tab)