Job summary 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. 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. 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. Main duties of the job 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.. About us 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 Westoffers. 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 aworkforce 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. Date posted 07 November 2024 Pay scheme Hospital medical and dental staff Grade Doctor - other Salary £61,825 to £70,425 a year pa pro rata Contract Fixed term Duration 12 months Working pattern Full-time Reference number 387-M-3082-DY-B Job locations Bristol Royal Infirmary Bristol BS2 8HW Job description Job responsibilities For this post the 20% speciality Interest will be in the Community Emergency Medicine Service (CEMS). Our Bristol Community Emergency Medicine is looking to recruit Emergency Medicine ST4 equivalent (or higher) with a specific interest in community care and pathway development. 20% of their time would be dedicated to Community Emergency Medicine; working with the Specialist Paramedics in Urgent and Emergency Care, responding to the whole spectrum of prehospital cases and assisting crews in assessment and treatment on scene. 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 posts pay will be calculated by HR and will be compliant with the new regulations set in Aug 2017 Job description Job responsibilities For this post the 20% speciality Interest will be in the Community Emergency Medicine Service (CEMS). Our Bristol Community Emergency Medicine is looking to recruit Emergency Medicine ST4 equivalent (or higher) with a specific interest in community care and pathway development. 20% of their time would be dedicated to Community Emergency Medicine; working with the Specialist Paramedics in Urgent and Emergency Care, responding to the whole spectrum of prehospital cases and assisting crews in assessment and treatment on scene. 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 posts pay will be calculated by HR and will be compliant with the new regulations set in Aug 2017 Person Specification Education and Qualifications Essential Registered with General Medical Council (UK) At least 24 months full-time hospital service as a trainee in the Foundation Medicine and a further 36 months full time equivalent hospital work (ideally EM based). 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 Desirable Intermediate EM/ MRCP/MRCS (Part 1) or equivalent Other membership, fellowship or diplomas Knowledge and Experience Essential Able to assess, resuscitate and stabilise acutely sick patients Able to participate as key member of 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 Desirable Designed and / or completed audits Skills and Abilities Essential Ability to organise and prioritise workload Good communication skills Honesty and reliability Ability to work effectively within a team Flexibility Inquiring and critical approach to work Demonstrates initiative Appropriately assertive Ability to gain confidence of both staff and patients Desirable A willingness to undertake additional clinical duties when necessary, including cover for colleagues on leave Ability to take on administrative roles within the Department Other Essential Evidence of entitlement to live and work in the UK. Additional & Aptitudes Essential Respecting Everyone Embracing Change Recognising Success Working Together Person Specification Education and Qualifications Essential Registered with General Medical Council (UK) At least 24 months full-time hospital service as a trainee in the Foundation Medicine and a further 36 months full time equivalent hospital work (ideally EM based). 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 Desirable Intermediate EM/ MRCP/MRCS (Part 1) or equivalent Other membership, fellowship or diplomas Knowledge and Experience Essential Able to assess, resuscitate and stabilise acutely sick patients Able to participate as key member of 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 Desirable Designed and / or completed audits Skills and Abilities Essential Ability to organise and prioritise workload Good communication skills Honesty and reliability Ability to work effectively within a team Flexibility Inquiring and critical approach to work Demonstrates initiative Appropriately assertive Ability to gain confidence of both staff and patients Desirable A willingness to undertake additional clinical duties when necessary, including cover for colleagues on leave Ability to take on administrative roles within the Department Other Essential Evidence of entitlement to live and work in the UK. Additional & Aptitudes Essential Respecting Everyone Embracing Change Recognising Success Working Together 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. Certificate of Sponsorship Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab). From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab). UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). Additional information 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. Certificate of Sponsorship Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab). From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab). UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). Employer details Employer name University Hospitals Bristol and Weston NHS Foundation Trust (UHBW) Address Bristol Royal Infirmary Bristol BS2 8HW Employer's website https://www.uhbw.nhs.uk/ (Opens in a new tab)