The Department At present the Urgent and Emergency Care Centre (UECC) at The Rotherham NHS Foundation Trust provides a 24-hour Emergency Service to a population in excess of 255,000. The centre co-locates the Primary Care and Urgent and Emergency Care Department. The total annual attendances are approximately 127,000 a year. Large 6 bedded resuscitation room A 4 bedded Rapid Initial Assessment area in Majors (RAT) 20 Adult Majors cubicles in two separately areas Streaming and Triage Rooms along with rooms to carry out investigations from triage. Minor area with assessment & procedure cubicles, eye/ ENT room, 10 large rooms housing Primary Care, Minor Injuries and rooms to see ambulatory patients for Emergency Medicine. Self-contained Paediatric area with Paediatric assessment area, treatment room and five individual cubicles. Consultants Dr E Staunton Clinical Lead Dr J Reynard Dr S How Dr S R McCormick Dr D Stephenson Dr K Rankin Dr H Cannings Dr A Ahmed Dr T Locker Dr C Mapatuna Dr G Kay Dr G Hartshorne Dr R Gentles Dr L Evans Dr M Stafford Dr K Lewis Dr A Madhok Other Medical Staff At present there are: 8 Specialty Registrars in Emergency Medicine 7 CESR trainees 1 Senior Clinical Fellow In time, we intend to expand our CESR programme as well as taking on further Senior Clinical Fellows as part of our workforce expansion. Junior Training Grades doctors 11 Core and Foundation Year 2 Doctors (training) 8 Junior Clinical Fellows (non-training) Advanced Care Practitioners We have a hybrid workforce within UECC as we strive to increase provision for the people of Rotherham whilst supporting and maintaining our trainees in their development. A key part of this is our thriving programme in Emergency Medicine and Primary Care training ACPs and ECPs. We have ACPs working in both the Emergency Department and Primary Care and ECPs managing minor injuries. We do not and will not have PAs working in UECC. The Post These posts have been created to give applicants the opportunity to gain or consolidate experience of emergency medicine. They will be contracted 40 hours weekly working in our friendly district General ED/trauma unit caring for both adults and children. 20% of paid time will be available to develop and pursue special interests. We are an expanding department with a strong mix of experienced and new Consultants and have good opportunities to pursue special interest in fields including but not limited to Medical Education and SIM, Ultrasound, QI and green ED. Appropriate individual bespoke options will also be considered. The appointment is to commence in August 2025 for a fixed term period of 12 months. These posts are not recognised as training posts. The duties of this post are equivalent to an F2/ST1/ST2 Doctor. Special interest options Quality improvement This is a key part of our departmental ethos and in the past 12 months trainees have successfully completed projects including: the use of age adjusted D-dimer in VTE, single shot Erector Spinae plane and SA blocks for rib fractures and the SNAP protocol hugely benefiting our patients and the trainees themselves. There are always projects ongoing that can be joined or lead by a successful applicant, but we also welcome new proposals. Ultrasound We have three state of the art machines in the department. There are opportunities to learn or develop skills or projects under our ultrasound lead Dr A Madhok. Medical Education and Simulation We have an excellent reputation regionally regarding medical education both as a hospital and as a department. As a Medical Education Clinical Fellow you will get the chance to develop your educational skills, primarily through your expected participation in a number of areas of undergraduate training within the department. This will include showing leadership around the bedside experience of medical students in the department (January September), facilitating their case based discussion tutorials (mostly Mondays), and assisting with their simulation sessions (most Thursdays). You will also have the opportunity to develop educational projects of your own, with this group, with the wider group of Sheffield medical students who are trained at Rotherham Hospital, and with postgraduate doctors in their early years. Support, training and feedback will be provided across all of these activities, if required, and can be tailored to help meet any requirements for educational qualifications being undertaken. Green ED The Climate crisis is a Health Crisis and as clinicians we are dedicated to reduce the impact of our work upon the planet and our patients. There are multiple ongoing projects aiming to achieve this and if desired clinical fellows would have many opportunities to help reduce our impact as we continue steps to Green ED accreditation. Previous projects including the adoption of Penthrox and scaling back Entonox to paediatric areas only. You could help drive the next project. Urgent / Primary Care For those interested in primary and urgent care we are a co-located Urgent and Emergency Care Centre. We work closely with the Urgent Care General Practitioners and Community Out of Hours team who are based in house. Applicants would be free to use their 25% to work with these colleagues on the Primary Care stream, on home visits or projects within this space. This is a great opportunity for those uncertain whether primary care or Emergency Medicine is the best fit for them, or those interested in Primary Care who want more exposure and experience in Urgent care. Bespoke If there is another specialty within the Trust you want more time or the opportunities to work with or shadow we will support this where possible. Additionally if you have other suitable projects that will help develop your skills and career as a clinician that would benefit from 20% of your clinical time this will also be considered. CLINICAL DUTIES Responsibilities: The duties of this post are equivalent to ST1/ST2 The successful candidate will take part in the Junior Doctor rota with 80% of their time being for clinical duties. The appointed clinical fellow will be expected to assess and manage all categories of patients presenting to the Emergency Department, under the supervision of the Emergency Department Consultants. The post holders will be responsible to the Consultants in Emergency Medicine, in the management of all patients presenting to the department Additional responsibilities will be in line with the chosen fellowship interest(s) of the successful candidates. Key Tasks To work as part of the multi-disciplinary team in order to support and help to provide a comprehensive Emergency Medicine Service within the Trust. Maintenance of the highest clinical standards in the management of patients. Assisting with teaching, training and assessment of junior staff and medical students, nursing staff and other members of the multidisciplinary team. Main Responsibilities Direct Clinical Care Facilitate patient assessment, treatment and admission within the Emergency Department. Facilitate patient discharge. Liaison with other specialties and agencies including Primary Care within this process. Requesting diagnostic tests (such as X-Ray and laboratory investigations) and taking biological samples, manually and through the Trusts computerised systems. Act in accordance with the policies of the Emergency Department and the Trust and seek advice and assistance from the Consultants when necessary. Ensure accurate and complete documentation is undertaken for all patient records in line with Trust protocols. This includes coding of clinical information. Undertake consultations with relatives concerning patients when appropriate, maintaining confidentiality at all times. When necessary accompany patients being transferred from the Emergency Department to other areas e.g. radiology department for CT or Intensive Care. Communicate effectively with other healthcare professionals in and out of the Trust (e.g. specialty teams, GPs) about patient care when appropriate. Study and Training Each doctor has a nominated Consultant as a Clinical Supervisor who will regularly meet with them. Hours of Work The successful candidate will work a full shift pattern 40 hours per week, with dedicated time for pursuing their ED clinical fellow specialism. The Tier 2 rota is self-rostered, under the supervision of Dr Matt Stafford (Emergency Department Rota Lead) The rota is a 12 week annualised 1 in 3 weekends, no nights, latest shift finish 1am Break Entitlement The rota is as a Full Shift Rota and as such Specialty Trainees can expect to be working for the whole duty period, except for natural breaks. The definition of a natural break is at least a 30 minute continuous break after approximately four hours' continuous duty. If, for any reason, you are unable to take a natural break during any shift you are required to complete an Exception Report Form outlining the reasons why you were unable to take a break. This will facilitate the department reviewing practice, as required, to ensure you continue to work in a safe environment.