Senior Clinical Fellow in Emergency Medicine 80:20 Global Health

Senior Clinical Fellow in Emergency Medicine 80:20 Global Health

University Hospitals Bristol and Weston NHS Foundation Trust (UHBW)

Senior Clinical Fellow in Emergency Medicine (ST4+) - 80:20 Global / Humanitarian Health

The Global Health Fellowship is the opportunity to spend 2 months alongside staff in Nanyuki ED, developing clinical practice and governance. The project builds on previous work by 'Future Health Africa' in the region and looks to develop Emergency Medicine as a speciality.

Activities involve development projects and co-ordinating a formal training course provided by ED staff. These posts fit recognised frameworks for Global Health posts through 'Future Health Africa' and RCEM.

The senior clinical fellow posts include 80% time working in the adult emergency department and 20% paid time to develop in a specialist interest of the successful candidate's choice. The posts are open as OOPT/E for EM HSTs and as stand-alone posts for non-trainees, and can be 100% EM if required. We are also open to SAS and Specialty Doctors.

The posts provide an ideal opportunity for the successful candidates to develop their own specialist interests while working in a busy inner city university hospital, with teaching and research responsibilities and are based in the adult side of the department.

Main duties of the job

The post will be a combination of service provision including out of hours and paid time to develop a specialist interest. The candidate will combine a job in Emergency Medicine with a 20% time allowance for a specialist interest. Specialist interests may include but are not limited to education (SIM/FOAMed), global health, expedition medicine, leadership and management, advanced airway management, research (with Professor Jonathon Benger), ultrasound, resuscitation, toxicology and paediatrics. If an applicant has a particular specialist interest they would like to pursue not listed above then we will accommodate. Open to trainees and non-trainees. For those trainees who already have a UK National Training Number in Emergency Medicine, these posts are eligible for OOPT or OOPE.

Job responsibilities

Clinical

The reception, diagnosis and emergency treatment of patients presenting to the adult Emergency Department. The successful candidate will be given supervision and support from senior medical staff to develop competency in the autonomous clinical management of these patients whilst ensuring patient safety. This post is based in the adult Emergency Department and no sessions will be undertaken in the paediatric Emergency Department.

There is close liaison between ED and ICU at BRI. Patients referred to Specialist Units within the hospital are the responsibility of that specialist team, who will see the patient in the Emergency Department and arrange appropriate care. However, medical and nursing staff in the ED are responsible for any emergency care necessary. This shared care is seamless and collaborative.

Managerial

The management responsibility of the post holder will be to the Clinical Director who is responsible to the Chief Executive and Trust Board.

Clinical Audit and Clinical Governance

The post holder must be aware of clinical governance and clinical risk management and take an active part in their implementation, including audit. Clinical audit is established at the BRI. They will participate in at least one supervised audit project during the 12 month post and will be encouraged to attend interdisciplinary clinical governance meetings.

On-Call Commitment

In ED the roster is a full shift system. Shifts are a balanced mix of earlies, mids, lates, and nights. The posts pay will be calculated by HR and will be compliant with the new regulations set in Aug 2017.

Person Specification

Education and Qualifications

• Registered with General Medical Council (UK)
• At least 24 months full-time hospital service as a trainee in the Foundation Medicine and a further 36 months full time equivalent hospital work (ideally EM based). No unexplained career gaps.
• Advanced Life Support provider.
• Previous experience of working in critical care in the British Healthcare system (not observing).
• Specialist Interest intent and evidence of interest.
• Previous Anaesthetic experience - ideally with RCoA basic sign off.
• Intermediate EM/ MRCP/MRCS (Part 1) or equivalent.
• Other membership, fellowship or diplomas.

Knowledge and Experience

• Able to assess, resuscitate and stabilise acutely sick patients.
• Able to participate as key member of cardiac arrest team.
• Demonstrates good clinical judgement.
• Completed specialist skills courses (e.g. difficult airways, ATLS/APLS, ultrasound course, etc).
• Understands audit and governance processes.
• Designed and / or completed audits.

Skills and Abilities

• Ability to organise and prioritise workload.
• Honesty and reliability.
• Ability to work effectively within a team.
• Flexibility.
• Inquiring and critical approach to work.
• Demonstrates initiative.
• Appropriately assertive.
• Ability to gain confidence of both staff and patients.
• A willingness to undertake additional clinical duties when necessary, including cover for colleagues on leave.

Other

• Evidence of entitlement to live and work in the UK.

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.