Simulation Fellow in Emergency Medicine

Gloucestershire Hospitals NHS Foundation Trust

A new, exciting opportunity is being offered for enthusiastic and motivated senior trainees (ST4 or above) with an interest in simulation education to join Gloucestershire Hospitals NHS FT. We are looking to expand our simulation service in the emergency department, and we are looking to appoint a simulation fellow in Emergency Medicine for 2025/6. The post will consist of 40% full time equivalent protected time for simulation education work - including the planning and delivery of simulation-based education. The remaining time will be allocated to clinical Emergency Medicine work within the two Emergency Departments.

The Simulation Fellow will be mentored by a senior educator within the department and will be supported by the department lead for simulation as well as the nursing education and development team.

Evidence of prior involvement in delivering simulation education is desirable; however, we are keen to provide formal educational opportunities such as funded attendance at relevant courses or conferences:

1. Train the trainers simulation faculty course
2. Attendance at Simulation conference such as ASPiH
3. Generic Instructors Course (GIC)

The role can be undertaken in programme or out of programme (training, experience or pause). In the first instance, applications must be discussed with your educational supervisor and training programme director (TPD), and permission to apply must be granted by the TPD.

Main duties of the job

Clinically, as an ED senior doctor (ST4+ equivalent), your role will be in the assessment and treatment of the ill and injured patient as well as providing clinical advice to more junior ED clinicians, where appropriate. You will have the opportunity to be lead or part of the Trauma Team within the ED and to be the nominated Resus or Paediatric doctor of the day. You will be expected to lead your colleagues in these areas as well as being an active team member. The clinical experience you gain will be diverse and interesting.

As an employee of the Trust, the post-holder will work in close co-operation with and support other clinical, medical, professional, and managerial colleagues in providing high-quality healthcare to the Trust's patients.

About us

The Emergency Departments within Gloucestershire Hospitals NHS Foundation Trust receive approximately 150,000 patients per year, making us one of the largest units in the South West. Gloucestershire Royal ED is an accredited Level 2 Trauma Unit, receiving the most trauma cases of all Trauma Units in the region. In addition, Cheltenham General Hospital (CGH) receives those patients suffering from acute stroke with an active stroke thrombolysis service. Within GRH ED, there is a dedicated Paediatric Emergency area that receives ill and injured children. Paediatric attendances constitute approximately 25% of all our attendances. There is Emergency Medicine Consultant supervision from 8am until midnight, seven days per week in GRH. CGH ED operates as an emergency department between 0800-2000 and as an MIIU between 2000-0800. CGH does receive emergency patients, after being screened by the Emergency Medicine consultant in charge, by ambulance until 8pm each day, after which the ambulance patients attend GRH. There is Consultant supervision in the ED at CGH until 10pm each weekday and until 5pm at weekends (where a senior Emergency Medicine clinician is present until 10pm).

Job responsibilities

Clinically, as an ED senior doctor (ST4+ equivalent), your role will be in the assessment and treatment of the ill and injured patient as well as providing clinical advice to more junior ED clinicians, where appropriate. You will have the opportunity to be lead or part of the Trauma Team within the ED and to be the nominated Resus or Paediatric doctor of the day. You will be expected to lead your colleagues in these areas as well as being an active team member. The clinical experience you gain will be diverse and interesting.

As an employee of the Trust, the post-holder will work in close co-operation with and support other clinical, medical, professional, and managerial colleagues in providing high-quality healthcare to the Trust's patients.

The Simulation Fellow role will suit trainees who are interested in:

1. Contributing to a successful weekly in-situ simulation programme
2. Building relationships with other departments and organising multi-specialty simulation in the emergency department - especially for complex/HALO scenarios
3. Developing skills in simulation education and debriefing.
4. Working collaboratively to drive the trusts simulation strategy
5. Creating a new and bespoke simulation training day/course for colleagues
6. Reinforcing learning from simulation by developing methods for sharing amongst the whole team
7. Using simulation to test pathways and systems - contributing to safety and risk management in ED.

Person Specification

Qualifications

• Full GMC Registration and a licence to practice
• MBBS or equivalent medical qualification
• MRCEM
• Hold national training number
• ST4 or above
• Should not already hold a CCT or be within 12 months (ideally not within 18 months) of completion of training on intended start date
• Evidence of satisfactory / more than satisfactory progress through training, including annual review of competence progression (ARCP) outcomes
• ALS/APLS/ATLS or ETC

Experience

• Capacity to apply sound clinical knowledge, judgement & prioritise clinical need
• Demonstrate appropriate technical competence & Evidence of development of excellent diagnostic skills & judgement
• Previous ACCS EM completion or other accredited route

Knowledge, Skills and Attributes

• Knowledge of evidence-based practice
• Broad range of Information Technology skills
• Able to provide leadership within a team and able to work as a team member
• Evidence of effective team working and leadership, supported by multi-source feedback or workplace-based assessments
• Self-awareness, with knowledge of personal strengths and weaknesses, impact and areas for development

Education and Teaching

• Evidence of interest in and experience of teaching
• Evidence of positive feedback on teaching approaches

Quality/Service Improvement and Audit

• Understanding of clinical governance, including the basic principles of audit, clinical risk management, evidence-based practice
• Evidence of a portfolio of audit / quality improvement projects, including evidence that the audit loop has been closed and patient safety and quality improvement initiatives
• Evidence of active involvement in quality improvement, audit, research or other activity that focuses on patient safety and clinical improvement and innovation
• Interest in / knowledge of the delivery of safe, effective healthcare services

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.