Clinical: Interhospital transfer of critically ill adults and children (with an appropriate level of supervision) by land and air. Supporting NECTAR practitioners with triage and delivery of practitioner led transfer Preparing and presenting case reviews Develop communication and shared learning Teaching on stabilisation training days Multidisciplinary team teaching and simulation In addition to work place based assessments, successful applicants will be expected to gather evidence to use towards the PICS passport and Adult critical care transport competency framework. Each fellow will carry out a substantial project during their time at NECTAR such as research, quality improvement or teaching. Successful candidates will be supported to attend (if not already completed) APLS NAPSTAR Training for transfer Fixed wing flight training Conferences relevant to transport medicine As the post holder will be responsible for the assessment and management of critically ill patients with indirect supervision, significant prior experience in intensive care medicine is required including advanced airway skills and excellent written and spoken English. Research: There are no specific research duties in this post, however there may be opportunities to take part in ongoing clinical trials. Teaching: The department has a strong teaching commitment to junior doctors There is both formal and informal training as well as educational supervision and guidance for the postholders provided in each attachment. Formal study leave to attend relevant regional and national courses, (allocation the same as for regional trainees) with reimbursement of expenses (according to the Trust policy and up to the annual limit) also provided. A number of educational sessions are provided which are targeted towards meeting the specific needs of International training fellows and Trust grade doctors (such as introduction to NHS, simulation in the high fidelity simulation centre, communication); there is also access to the departmental, Trust and regional teaching and courses, such as preparation for FRCA and EDIC examinations. Critical care units run weekly formal teaching as well as journal clubs, exam practice, self-directed learning and practical procedure teaching. The opportunity exists for the post-holder to attend educational sessions within other departments of the hospital.