Guy's and St Thomas' is among the UK's busiest and most successful NHS foundation trusts. We provide a full range of hospital and community services for people in south London and specialist care for patients from further afield including cancer, renal, orthopaedic, respiratory, and cardiovascular services.
Guy's is home to the largest dental school in Europe and a £160 million Cancer Centre opened in 2016. As part of our commitment to provide care closer to home, in 2017 we opened a cancer centre and a kidney treatment centre at Queen Mary's Hospital in Sidcup. St Thomas' has one of the largest critical care units in the UK and one of the busiest emergency departments in London. It is also home to Evelina London Children's Hospital.
Evelina London cares for local children in Lambeth and Southwark and provides specialist services across south east England including cardiac, renal, and critical care services. We lead a number of specialist service networks aiming to ensure children are treated locally where possible, but have access to specialist expertise when they need it. Our community services include health visiting, school nursing, and support for families of children with long-term conditions.
Our adult community services teams deliver care at the heart of the local communities we serve, working in partnership with GPs, local authorities, and other healthcare and voluntary sector organisations. In February 2021, the Royal Brompton and Harefield joined Guy's and St Thomas' NHS Foundation Trust, bringing together world-leading expertise in the care and research of heart and lung disease. Our merger provides a once-in-a-generation opportunity to build a lasting, world-renowned heart and lung centre, providing the highest quality care for patients and conducting world-leading research.
We have a reputation for clinical excellence and high-quality teaching and research. We are part of King's Health Partners, one of eight accredited UK academic health sciences centres. In partnership with King's College London, we have dedicated clinical research facilities including an MHRA accredited Phase I clinical trials unit.
Patients are at the heart of everything we do and we pride ourselves on ensuring the best possible patient experience as well as safe, high-quality care. We are proud to have one of the lowest mortality rates in the NHS. Following a comprehensive Care Quality Commission (CQC) inspection in 2019, we maintained our overall rating of 'good'. Our adult community services achieved a rating of 'outstanding'.
The commitment of our 23,500 staff is key to our success. We are one of the largest local employers and we aim to develop and support all our staff so they are able to deliver high-quality, safe, and efficient care. The 2019 NHS staff survey results show that we have one of the most engaged and motivated workforces in the NHS. We know this has a positive impact on the care provided to our patients.
We have one of the most ambitious capital investment programmes anywhere in the NHS.
Job overview
1. General Information
JOB TITLE: ST4+ LEVEL CLINICAL FELLOW
GRADE: Clinical Fellow / Trust Doctor ST4 or higher
DEPARTMENT: Emergency Department
HOURS: Full-time or flexible time
RESPONSIBLE TO: Clinical Director
Not sure how to further your career in 2025? Need time to evaluate your future but want to work and do something that makes your CV stronger for higher Emergency Medicine training or CESR? We recognise that there is a lot of uncertainty and hope that we can help. Clinical time spent in an Emergency Department is always useful and can help you become a more decisive and experienced clinician. We are particularly keen to develop doctors who are pursuing an Emergency Medicine career, who may be taking FRCEM exams and/or trying to get into formal EM training. The EM team is friendly, hardworking, and very supportive. Each post is for 6 months with the very likely possibility of an extension.
Please note - you will not be shortlisted unless:
* You have over 4 years experience in Emergency Medicine
* Have full MRCEM examination
* IAC in anaesthetics or equivalent evidence of airway skills
* In date ALS/ATLS qualification
Main duties of the job
The post is 80% clinical, 20% non-clinical - meaning you will have the equivalent of 2 days a fortnight to follow a special interest such as QIP, partake in research, teaching, or pursuing specialist interests such as paediatrics. We are open to negotiation if you have a particular project you are burning to do. Due to our self-rostering system, flexible or individualised rotas are possible.
The post holders will work alongside senior trainees and supervise the middle grade tier of doctors, F2s, and other members of the clinical MDT. You will be 'in charge' of the department on night shifts alongside other ST4+ trainees/equivalent clinical fellows, so have a chance to learn and gain experience in a safe and busy environment.
The Emergency Department is led by Adult and Paediatric Emergency Consultants. The Department sees over 140,000 new patients per annum and has a separate Paediatric Emergency Department. We have a highly diverse patient population who will challenge and enhance your clinical skills.
Applicants must hold full registration with the GMC and have a proven record of experience in Emergency Medicine. Applicants should have at least 2 years experience post-registration and full MRCEM qualifications.
Please note that successful completion of the International English Language Testing System (IELTS) is our accepted minimum language requirement.
Working for our organisation
You would be joining a friendly, hard-working, and supportive Emergency Department that was rated as Outstanding by the CQC. We strive to deliver great patient care by working together as a team and we are looking for equally passionate and enthusiastic doctors to join us and contribute ideas about improving the patient journey within the Emergency Department.
As an organisation, we are committed to developing our services in ways that best suit the needs of our patients. This means that some staff groups will increasingly be asked to work a more flexible shift pattern so that we can offer services in the evenings or at weekends.
Equality of opportunity is our Policy. The Trust provides health services to a diverse community.
Applicants must hold full registration with the GMC and have a proven record of experience in Emergency Medicine. Applicants should have at least 1 year experience post-registration.
Please note that successful completion of the International English Language Testing System (IELTS) is our accepted minimum language requirement.
Detailed job description and main responsibilities
Purpose of the role
We are looking for doctors to join our large friendly team and contribute ideas about improving patient care. This post will give you non-shop floor time. You will have the equivalent of 2 days a fortnight to follow the special interest or boost your CV depending on personal career needs/interest/development of training. It is useful for those wishing to take some time out of training before continuing into higher specialty training. Atypical, flexible, or individualised rotas are possible.
The EM team is friendly, hardworking, and very supportive. The department was rated as Outstanding by the CQC. We strive to deliver great patient care by working together as a great team. Each post is initially for 6 months with the possibility of an extension if desired.
These posts are useful for doctors needing competencies in higher Emergency Medicine training. We consider them developmental so encourage work-based assessments, enrolling for an e-portfolio, or doing exams. When on duty, these post holders will assist the Consultants in direct patient management and supervising the work of the junior medical staff. We all work hard but are very supportive and keen to help progress careers.
Flexible working
For the right person, it would be possible to devise an individualised rota but a contribution to out of hours including nights and weekends work is essential.
Educational Program
Clinical Fellows will be given the opportunity to attend appropriate specialist courses including ATLS, ALS, APLS, and to attend appropriate conferences within a set study leave allocation.
The post holder will be expected to attend and present at a variety of educational meetings:
* Morning handover
* Weekly departmental middle grade teaching programme
* Weekly governance, operational and faculty meetings
* FY2, medical student, and nurse teaching
* Daily consultant lead ward round on CDU
* Hospital Grand Rounds
The post offers regular teaching sessions and including specific exam-oriented teaching. The department has excellent experience with the RCEM examinations, and previous post holders undertaking the exams have had high success rates.
Research within the Department
We have an active research portfolio within the Emergency Department which we encourage our Clinical Fellows to engage in. This enables interested individuals to develop skills relevant to research and explore the development of personal research projects.
Timetable and Salary
The Emergency Department operates a full shift system, which is fully compliant with the European Working Time Directive. We use self-rostering of an annualised rota which enables doctors to work flexibly and ensure that having time off when you need it is always possible with planning. All shifts are either 9 or 10.5 hours in length. There is no on-call commitment to the Emergency Department but rotas may need to be amended to cover unexpected sickness.
Salary is in accordance with the national salary scale.
*** Please be advised that this vacancy may close early should we receive sufficient number of applications ***
Person specification
Education/Qualifications
Essential criteria
* GMC Registration / Eligible for GMC registration.
* MB BS (or equivalent)
* ALS/ATLS provider
* MRCEM
* IAC or equivalent
Desirable criteria
* BSc, BMedSci (or other intercalated degree), other degrees/qualifications.
* ATLS/APLS Provider.
* Intermediate/full FRCEM
Previous experience
Essential criteria
* Proven track record of hospital medicine in the NHS, with experience in EM (Minimum 24 months in Emergency Medicine) and a total of a minimum of 4 years working since qualification. Short-term locums & clinical attachments are not acceptable and will not be considered. This is not suitable as a first UK post due to the level of responsibility and candidates will not be shortlisted unless they fulfil the criteria below
* Any EM trainees from recognised overseas training programmes will be considered for shortlisting whether they have yet worked in the UK or not.
* Proven track record of senior doctor in charge of an ED on a shift basis
Desirable criteria
* Additional experience in emergency medicine.
* Additional experience in one or more of other related specialties (acute medicine, orthopaedics, cardiology, ITU, anaesthetics, plastics, or primary care).
* Research experience, education programme development, ultrasound qualification as appropriate
Skills/Knowledge/Ability
Essential criteria
* Evidence of experience in performing procedures relevant to emergency medicine: venous cannulation, phlebotomy, fracture manipulation
* Evidence of good documentation - application form or/and documentation audit.
* Evidence of keeping up to date with topics relevant to EM practice- courses/teaching sessions attended.
* Documented provision of teaching sessions on EM relevant topics.
* Correctly written personal statement about why this job and where it fits into career plans
Desirable criteria
* Documented (log book) competence in other practical procedures: central lines, arterial lines, chest drains, etc.
* Evidence of a quality improvement or audit project involvement
* Experience of clinical risk management/clinical governance
* Feedback on teaching sessions delivered.
Additional Information
Essential criteria
* Record of audit of a clinical pathway of direct relevance to EM practice
* Experience of supporting more junior staff.
Desirable criteria
* Previous audit projects with closure of loop documented.
* Feedback on ability to supervise juniors.
Guy's and St Thomas' celebrates, respects, and values the diversity of its staff and patients. We review our policies, procedures, and practices to ensure that all employees, patients, and carers are treated equitably according to their needs. We are actively committed to ensuring that no one who applies for a job, works or studies at the Trust, or accesses our services is discriminated against on the grounds of race, ethnicity, nationality, disability, religion or belief, age, gender identity, gender reassignment, sexual orientation, pregnancy and maternity/paternity, or marital/civil partnership.
Applications are welcomed from applicants with a disability. We can make reasonable adjustments and offer support and advice in a variety of ways throughout the application process. Equality of opportunity is our policy.
As an organisation, we are committed to developing our services in ways that best suit the needs of our patients. This means that some staff groups will increasingly be asked to work a more flexible shift pattern so that we can offer services in the evenings or at weekends.
Flexible working
We are committed to supporting all employees to achieve a healthy work-life balance and to work in a way that is best for them and our patients. We will consider all requests to work flexibly, taking into account the individual's personal circumstances as well as the needs of the service. We encourage all prospective applicants to discuss their individual circumstances with the recruiting manager as part of the on-boarding process.
Your e-mail address is important to us - We communicate to all job applicants via the e-mail address which has been provided on the application form. Please ensure that you check your e-mail on a regular basis.
Please apply for this post by clicking "Apply Online Now."
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
* Job Description (PDF, 264.4KB)
* Person Specification (PDF, 48.5KB)
* FRF (PDF, 99.1KB)
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