Senior Clinical Fellow in Emergency Medicine

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Detailed job description and main responsibilities

The appointee will join the Emergency Medicine team in the delivery of clinical excellence in our Emergency Department and across the Trust.

Work Pattern

The post will involve working a full shift pattern rota providing 24-hour departmental cover. The successful candidate will be required to be present on the shop - floor when on a night shift.

Over 12 months the post-holder will rotate through a rota designed to provide exposure to paediatric and musculoskeletal emergency medicine, including a period of time spent working with Paediatric colleagues on the Paediatric Assessment Unit (PAU) and paediatric wards.

Successful candidates without experience of working in NHS acute services are supported through a short introductory period of supernumerary clinical work in order to gain understanding of policies and processes that may be unfamiliar to them.

Candidates will start working initially at a supervised level depending on previous experience, but will be encouraged to progress in seniority as their experience and leadership ability increases.

Doctors may be asked to perform additional duties in occasional emergencies and unforeseen circumstances.

Continuing Professional Development

This post would have all the training elements of the current Specialty Registrar programme with opportunities where available to support outpatient clinics whereby they have a specialty interest. The post holder would be encouraged to participate in audits / research with allocated time in their time table. She/he would have access to all our Library facilities, and be encouraged to attend the Regional Specialist Registrar Programme Teaching Sessions. He / she would be entitled to study leave as prescribed by the deanery. She/he would have an allocated Educational Supervisor for all e portfolio activities.

Study and Training

The post is not recognised for postgraduate training by the Royal College of Physicians.

Study leave allowances are as set out in the Terms and Conditions of Service.

Personal Development Plans

You will be given a PDP folder by the Medical Centre staff which you should discuss with your educational supervisor at the beginning of your post.

Qualifications/Experience Required for Appointment

The appointee will have MBBS or equivalent, a Certificate of Completion of Basic Medical Training or equivalent and Full MRCEM or equivalent, the appointee must have at least 4 years post-graduate clinical experience with completion of Foundation Years (or equivalent) including a minimum of 1 year experience working in Emergency Medicine.

You are required to comply with the standards set by the General Medical/Dental Council. A breach of such standards may lead to action by the Trust independent of any action taken by the GMC/GDC. Any breach would be investigated fairly and appropriate steps taken to prevent a recurrence and address any wider causes.

Clinical Governance and Audit

Both DME and Medical Directorates have bi-monthly Clinical Governance meetings when all clinical sessions are suspended for a half day. An audit programme is also well established. All medical staff in the department are expected to attend and juniors are encouraged to present audits at these meetings.

Teaching Medical Students

There is an active teaching programme for all Foundation Program trainees and MRCP teaching for ST1-2's in Medicine and Medicine for the Elderly. SpR's are expected to participate actively in the Foundation Program including formal assessments for the trainees working under their supervision. There are weekly two hours bleep free MRCP teaching in addition to weekly departmental and x-ray meetings. The medical rotation posts are extremely popular and the MRCP pass rate is very high. The Hospital became a University hospital in 2011 and medical students from UCL Medical School are regularly attached to the firms.

Emergency Department Teaching / Personal Development

The department receives trainees at a variety of levels from Foundation Year level 2, GP training, ACCS, and EM higher specialty training (ST3 - ST6). They are supported by non-training grade doctors at both junior clinical fellow and staff specialty doctor levels. The ED has Consultant presence on the 'shop-floor' from 7.30am to 11.30pm 7 days a week, allowing for adequate senior supervision and shop-floor teaching, providing opportunities for training and completion of workplace based assessments. Overnight there is an experienced senior staff specialist or registrar level doctor present who supervises the junior team members and supports the management of the shop-floor.

There is a comprehensive rolling departmental teaching programme with teaching sessions every weekday for all doctors (both training and non-training grades), to reflect the variety of training needs. This includes teaching sessions focused on membership exam preparation. The rota includes protected personal professional development time for all doctors regardless of training status.

The Trust holds a weekly Grand Round meeting, and monthly Schwartz Rounds.

Places are available on our ED X-ray teaching course, and the hospital runs regular ALS courses and Simulation days.

The post is not recognised for postgraduate training by the Royal College of Surgeons, Royal College of Physicians, the Royal College of General Practitioners or the Royal College of Emergency Medicine but study leave is available, and may be applied for with the consent of the supervising Consultant, Clinical Director and the Director of Medical Education. Study leave allowances are as set out in the Terms and Conditions of Service and currently up to 30 days per year and up to £600 may be applied for. Study leave will not be granted during night duty.

The post-holder will be encouraged to maintain a portfolio of workplace based assessments and supported in the completion of these. Each doctor will be allocated a consultant clinical supervisor with whom they will meet regularly to develop a Personal Development Plan (PDP). Continuing Professional Development is encouraged and study leave will be granted to attend courses that are deemed relevant by your clinical supervisor. The Trust offers support in appraisal and revalidation for all doctors.

The department is consistently rated highly by trainees in the national GMC Trainee Survey for the level of support, training and amount of experience gained. It is a popular choice of rotation for EM higher specialty trainees. Previous clinical fellows have had an almost 100% success rate in gaining entry to their specialty training programme of choice after working in the ED.

The ED welcomes medical students from the University College London (UCL) and the students work closely with the ED team. This allows opportunities for undergraduate teaching and participation in undergraduate mock examinations.

The ED also welcomes trainee PAs from the University of Hertfordshire.

The trust acknowledges that senior clinical fellows have training needs as much as those who participate in the deanery training programs. These training needs are specific to the individual, and if appointed to this role the trust is committed to supporting your training and development so that you can progress in your chosen career. The trust actively supports career progress either to the Specialty Doctor, or through article 14 to achieve full CCT, with the potential for obtaining a full consultant post subsequently.

The L&D has always been renowned for its friendly atmosphere and good working relationships. The Hospital has an excellent track record of financial and senior executive stability.

The Trust has University Hospital status which provides an academic environment to the hospital. In addition to postgraduate training, we welcome medical students from the UCL Medical School throughout the year and by arrangement with the medical school provide a programme of clinical placements to support their education. We have an excellent reputation for junior staff training. Within the Centre of Multi-Professional Educational & Training (COMET) is the Medical Education Department, the library including an IT suite, and the Training & Development Department. The main aim of the Medical Education Department is to promote postgraduate and continuing medical education and training for all doctors and dentists. The Hospital actively promotes career development and progression for all staff.

The Hospital has excellent access to the surrounding areas with easy access to central London and the rural Chilterns. The rural areas include many attractive villages and towns within easy reach of the Hospital including St Albans and Harpenden. Excellent schools are found nearby. There is also very good access to the Midlands and North by road using the M1 or A1, or by rail to one of the Luton's three stations. A direct link using the new 'Busway' takes passengers from Luton Train station just 7 minutes to reach a stop that is within a short walking distance of the hospital. London Luton Airport is within fifteen minutes of the hospital.

All applicants will be required to demonstrate a working knowledge of the English language.

Full registration with the General Medical Council is required at time of application.

The appointment will be subject to full Occupational Health Clearance and Enhanced Disclosure and Barring Service check for the successful candidates prior to commencement.

Visiting Arrangements

Further information about the post is available by contacting Dr G Kamaras, Clinical Director in Emergency Medicine, via her secretary on 01582 497065. Informal visits will be welcomed following shortlisting.

Please refer to the Job Description for full details of the post.

Person specification

Qualifications

Essential criteria

• MBBS or equivalent medical qualification
• Full MRCEM

Eligibility

Essential criteria

• Evidence of achievement of Foundation competencies by time of appointment in line with GMC standards in Good Medical Practice including: • Good clinical care • Maintaining good medical practice • Good relationships and communication with patients • Good working relationships with colleagues • Good teaching and training • Professional behaviour and probity • Delivery of good acute clinical care
• Evidence of achievement of ST1/CT1 competences in a relevant specialty at time of application and likelihood of achieving ST2/CT2 competences in a relevant specialty by the start date of the post.
• Eligible for full registration with the GMC at the time of appointment.
• Eligibility to work in the UK.

Desirable criteria

• NHS experience (EXCLUDING clinical attachment)

Application Completion

Essential criteria

• ALL sections of application form FULLY completed

Specialty specific skills related to the post

Essential criteria

• Full MRCEM A minimum of 1 year clinical experience in Emergency Medicine. Ability to assess and manage all acute emergencies.

Desirable criteria

• Primary FRCEM

Commitment to clinical governance / improving quality of patient care

Essential criteria

• Clinical governance: Capacity to be alert to dangers or problems. Demonstrates awareness of good decision making. Aware of own limitations. Track record of engaging in clinical governance: reporting errors, learning from errors.
• Audit: evidence of active participation in audit
• Teaching: evidence of interest and experience in teaching where required in the job.

Desirable criteria

• Research Skills: Demonstrates understanding of the principles of research, evidence of relevant academic and research achievements.
• Teaching: evidence of experience in teaching where required in the job

Clinical Skills

Essential criteria

• Acute Care Safe: ALS (or equivalent life support course) provider, Hospital at night team working/experience. Out of hours experience relevant to the job.
• Relevant Specialty clinical knowledge; capacity to apply sound clinical knowledge relevant to the job, specialty knowledge exam.
• Clinical judgement: experience in making clinical decisions and managing risk. Knows when to seek help, able to prioritise clinical need.
• Practical skills: shows aptitude for practical skills, required for the job.
• Proven ability to work effectively in different clinical settings required in the job

Desirable criteria

• ALS Intructors Certificate

Fitness to Practise

Essential criteria

• Applicant's knowledge is up to date and fit to practise safely

Language Skills

Essential criteria

• All applicants to have demonstrable skills in written and spoken English that are adequate to enable effective communication about medical topics with patients and colleagues, which could be demonstrated by one of the following:
• a) Applicants have undertaken undergraduate medical training in English
• b) • Applicants have scores in the academic International English Language Testing System (IELTS) or equivalent equal to those required for recruitment to MMC specialty training programmes.
• If applicants believe that they have adequate communication skills but do not fit into one of the examples they need to provide evidence

Health

Essential criteria

• Meets professional health requirements (in line with GMC standards in Good Medical Practice)

Communication Skills

Essential criteria

• Effective communication skills: demonstrates clarity in written/spoken communication and capacity to adapt language as appropriate to the situation.
• Empathy and sensitivity: capacity to listen and take in others' perspectives.
• Works in partnership with patients: always considers patients preferences when discussing treatment options. Always considers the full impact of clinical decisions on the patients, Practice shared decision making. Directs and supports patients to access the information they need to support decision making.

Desirable criteria

• 360 feedback
• Patient survey feedback and reflections.

Personal Skills

Essential criteria

• Team working: demonstrated experience working in a team, values the input of other professional in the team.
• Managing others and team involvement: capacity to work co-operatively with others and demonstrate leadership when appropriate. Capacity to work effectively in multi-professional teams.
• Coping with pressure: capacity to operate under pressure. Demonstrates initiative and resilience to cope with the setbacks & adapt to rapidly changing circumstances.
• Problem solving & decision making: capacity to use logical /lateral thinking to solve problems & make decisions.
• Organisation and planning: capacity to organise oneself and prioritise own work. Demonstrates punctuality, preparation and self-discipline. Understands importance of information technology.
• Flexible approach to work: able to adapt and work with employers to deliver improved patient care.
• Equality and diversity: promotes equality and values diversity.

Desirable criteria

• Able to adapt to work with employers to deliver Leadership skills: experience in leadership
• Demonstrates skills needed for effective delegation within the team: 360 feedback
• Driver with a valid license.

Probity

Essential criteria

• Professional integrity and respect for others: capacity to take responsibility for own actions and demonstrate a non-judgmental approach towards others. Displays honesty, integrity, awareness of confidentiality and ethical issues.

Committment to on-going professional development

Essential criteria

• Learning and personal development: demonstrates interest in the specialty required for the job. Demonstrates a commitment to maintaining professional skills and knowledge relevant to the job.
• Demonstrates a willingness to fully engage in appraisal. Self-awareness and ability to accept and learn from feedback.

Desirable criteria

• Extracurricular activities / achievements relevant to the job.
• Specialty exams.

It is an exciting time to join the newly formed Bedfordshire Hospitals NHS Foundation Trust. We run two busy hospital sites in Bedford and Luton. Our 7,500 staff provide high quality care for a growing population of around 700,000 across Bedfordshire and the surrounding areas.

You will be joining a friendly, high performing Trust committed to ensuring the health and wellbeing of staff. As one of the largest NHS Trusts in our region you will have access to a programme of high quality training and development to help you grow your career. Travel between hospital sites may be required. We have state-of-the art facilities placing us at the heart of cutting edge health care. The Trust continues to be committed to delivering the best patient care using the best clinical knowledge and technology available.

All new staff will be subject to a probationary period covering their first six months in post.

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

• JD (PDF, 512.3KB)
• JD (PDF, 512.3KB)
• JD (PDF, 512.3KB)
• L&D Hospital site map (PDF, 96.8KB)
• Disclosure & Barring Information and Recruitment of Ex-Offenders (PDF, 78.5KB)
• Information for Disabled Applicants (PDF, 98.7KB)