Job summary
- Main area
- Emergency Medicine
- Grade
- Clinical Fellow
- Contract
- Fixed term: 6 months (With extension to 12 months by agreement)
- Hours
- Full time - 40 hours per week (plus out of hours commitment)
- Job ref
- 196-MED4435
- Employer
- Guy's and St Thomas' NHS Foundation Trust
- Employer type
- NHS
- Site
- St Thomas' Hospital
- Town
- London
- Salary
- £55,329 - £63,152 per annum excl LZ
- Salary period
- Yearly
- Closing
- 06/05/2024 23:59
Employer heading
Clinical Fellow in Emergency Medicine and Point of Care Ultrasound
Clinical Fellow
Guy’s and St Thomas’ is among the UK’s busiest and most successful NHS foundation trusts. We provide a full range of hospital and community services for people in south London and as well as specialist care for patients from further afield including cancer, renal, orthopaedic, respiratory and cardiovascular services.
Guy’s is home to the largest dental school in Europe and a £160 million Cancer Centre opened in 2016. As part of our commitment to provide care closer to home, in 2017 we also opened a cancer centre and a kidney treatment centre at Queen Mary’s Hospital in Sidcup. St Thomas’ has one of the largest critical care units in the UK and one of the busiest emergency departments in London. It is also home to Evelina London Children’s Hospital.
Evelina London cares for local children in Lambeth and Southwark and provides specialist services across south east England including cardiac, renal and critical care services. We lead a number of specialist service networks aiming to ensure children are treated locally where possible, but have access to specialist expertise when they need it. Our community services include health visiting, school nursing and support for families of children with long-term conditions.
Our adult community services teams deliver care at the heart of the local communities we serve, working in partnership with GPs, local authorities and other healthcare and voluntary sector organisations. Working with our partners in Lambeth and Southwark, we are focusing on new ways of working to improve care for local patients.
In February 2021 the Royal Brompton and Harefield joined Guy’s and St Thomas’ NHS Foundation Trust, bringing together world-leading expertise in the care and research of heart and lung disease. Our merger provides a once in a generation opportunity to build a lasting, world-renowned heart and lung centre, providing the highest quality care for patients and conducting world-leading research.
We have a reputation for clinical excellence and high quality teaching and research. We are part of King’s Health Partners, one of eight accredited UK academic health sciences centres. In partnership with King’s College London we have dedicated clinical research facilities including an MHRA accredited Phase I clinical trials unit.
Patients are at the heart of everything we do and we pride ourselves on ensuring the best possible patient experience as well as safe, high quality care. We are proud to have one of the lowest mortality rates in the NHS. Following a comprehensive Care Quality Commission (CQC) inspection in 2019 we maintained our overall rating of ‘good’. Our adult community services achieved a rating of ‘outstanding’.
The commitment of our 23,500 staff is key to our success. We are one of the largest local employers and we aim to develop and support all our staff so they are able to deliver high quality, safe and efficient care. The 2019 NHS staff survey results show that we have one of the most engaged and motivated workforces in the NHS. We know this has a positive impact on the care provided to our patients.
We have one of the most ambitious capital investment programmes anywhere in the NHS.
Job overview
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.
Working for our organisation
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.
Detailed job description and main 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.
Person specification
Education/Qualifications
Essential criteria
- • GMC Registration / Eligible for GMC registration.
- • MB BS (or equivalent)
- • ALS provider
Desirable criteria
- • BSc, BMedSci (or other intercalated degree), other degrees/qualifications.
- • ATLS/APLS Provider.
- • Intermediate FRCEM or MCEM or equivalent.
- • Level 1 Ultrasound Provider
Previous experience
Essential criteria
- • Proven 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
- • Any EM trainees from recognised overseas training programmes will be considered for shortlisting whether they have yet worked in the UK or not.
Desirable criteria
- • Additional experience in emergency medicine.
- • Additional experience in one or more of other related specialties (acute medicine, orthopaedics, cardiology, ITU, anaesthetics, plastics or primary care).
- • Research experience, education programme development, ultrasound qualification as appropriate
Skills/Knowledge/Ability
Essential criteria
- • Evidence of experience in performing procedures relevant to emergency medicine: venous cannulation, phlebotomy, fracture manipulation
- • Evidence of keeping up to date with topics relevant to EM practice- courses/teaching sessions attended
- • Correctly written personal statement about why this job and where it fits in to career plans
Desirable criteria
- • Evidence of a quality improvement or audit project involvement • Idea of a particular
- • Idea of a particular area of interest to pursue while in this post
- • Interest in undertaking an OOPTE in PoCUS and developing a specialist interest in PoCUS as part of EM training
Employer certification / accreditation badges
Applicant requirements
You must have appropriate UK professional registration.
This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.
Documents to download
Further details / informal visits contact
- Name
- Dr Matthew Blundell
- Job title
- Consultant in Emergency Medicine
- Email address
- [email protected]
- Telephone number
- 0207188 8888
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