Senior Clinical Fellow Emergency Medicine 80:20 Medical Examiner
Senior Clinical Fellow ST3+
Main area: Emergency Medicine
Grade: Senior Clinical Fellow ST3+
Contract: 12 months (12 Month Fixed Term Contract available)
Hours: Full time - 40 hours per week
Job ref: 387-M-2074-EL-9-H
Site: Bristol Royal Infirmary
Town: Bristol
Salary: £61,825 - £70,425 pa pro rata
Salary period: Yearly
Closing: 23/01/2025 23:59
As an organisation, we recognise the value of a healthy work-life balance. When applying, speak to us about how we might be able to accommodate flexible working, so your work life fits around your home life.
We particularly welcome applications from Black, Asian, and minority ethnic candidates as they are under-represented within the Trust.
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 if that suits.
For this post, the 20% specialty interest will be in the Medical Examiner Service providing independent scrutiny of all non-coronial deaths, wherever they occur (2022 marks the extension of the service from Acute Trusts to include all Community settings).
Applicants should hold a relevant postgraduate qualification (MRCEM, MRCP, MRCS, FRCA or equivalent), and should be ST4+ or equivalent, having completed a minimum of 3 years in approved SHO posts (Post Foundation Medicine) or equivalent in relevant acute specialities including at least 1 year in Emergency Medicine.
The requirement is that you are 5 years post full GMC registration.
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 is to 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.
Working for our organisation
University Hospitals Bristol & Weston NHS Foundation Trust (UHBW) is one of the largest acute Trusts in the country, with a workforce of over 13,000 staff and 100+ different clinical services across 10 sites, serving a population of over 500,000 people across Bristol and Weston. UHBW has been rated by the CQC as ‘Good’ overall, and our staff are proud to deliver excellent care to patients. As a forward-thinking multi-award-winning Trust, committed to improving patient care, our world-leading research and innovations are having a positive local and global impact.
Join us and you can enjoy city living, be in the countryside or by the seaside, with easy access to all the South West offers. UHBW is committed to safeguarding and promoting the welfare of children, young people, and vulnerable adults.
As an equal opportunities employer, actively working towards a diverse workforce, we aim to create a workforce that represents the diversity of our community and are committed to designing our services around the needs of patients and their loved ones. Anonymous information will be used from your application in order to ensure we’re meeting our pledge.
Detailed job description and main responsibilities
Medical Examiner Service
Ensuring accuracy of the MCCD, discussion of care with the next of kin, and liaison with HM Coroner are our main functions, during which any governance issues arising are fed back constructively to the organisation concerned. Subsequent follow-up ensures our recommendations are established in future practice.
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 post’s pay will be calculated by HR and will be compliant with the new regulations set in Aug 2017.
Person specification
Knowledge and Experience
* Able to assess, resuscitate and stabilise acutely sick patients
* Able to participate as a key member of the 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
Additional & Aptitudes
* Respectful
* Supportive
* Evidence of entitlement to live and work in the UK.
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 the confidence of both staff and patients
* Ability to take on administrative roles within the Department
* A willingness to undertake additional clinical duties when necessary, including cover for colleagues on leave
Qualifications and Training
* Registered with General Medical Council (UK)
* At least 24 months full-time hospital service as a trainee in the Foundation (or higher) grade. 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
* Intermediate EM/ MRCP/MRCS (Part 1) or equivalent
* Other membership, fellowship or diplomas
We hope that you will decide to join us and become part of this exciting journey, helping us to shape our future together.
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