Advanced Fellow In Adult Icm With An Interest In Ecmo

University Hospitals Of Leicester Nhs Trust; Leicester Forest East; On-site; GBP 60,000 - 90,000; Full time

Job summary

University Hospitals Of Leicester NHS Trust invites applications for Senior Adult Intensive Care Medicine Fellows with a specialist interest in Severe Respiratory Failure and ECMO at Glenfield Hospital. The post is for ST6 or equivalent level and above, in one of the UK’s leading ECMO centres.

You will join a multidisciplinary team, develop critical care and transport skills, and participate in audit, research and teaching.

Qualifications

• Full GMC registration with licence to practice in the UK.
• Completion of ICM training stage 1/2 or overseas equivalent; 36 months ICU experience.

Responsibilities

• Day-to-day care of adult ICU patients, including ECMO management, invasive monitoring and procedures.
• Participate in transport of critically ill patients by road/air, including SARF/ECMO transfers.
• Attend ECMO training, ward rounds, and simulation-based teaching; contribute to audit and research.
• Assist in education programmes, journal clubs, and teaching for trainees on the unit.
• Undertake supervised projects in ECMO, with opportunities for national presentation.
• On-call duties split between unit cover and ECMO/SARF work.

Job description

Job summary
We are looking for experienced intensive care doctors (ST6 or equivalent level and above) to work as Senior Adult Intensive Care Medicine Fellows with a specialist interest in severe respiratory failure (SRF) and Extracorporeal Membrane Oxygenation (ECMO). You will work as an integral member of the adult intensive care team at Glenfield Hospital. This is a unique opportunity to work in one of the UK's largest and most experienced centres for adult ECMO and the only NHS Trust providing ECMO support to patients on all ages from neonate to adult. The adult intensive care unit admits in excess of 1500 patients annually and has treated more than 1000 patients in the adult ECMO programme.
This post is suitable for:

• Intensive Care Medicine trainees who have completed at least intermediate (or equivalent) training in adult intensive care medicine looking to enhance their skills in a specialist cardio-respiratory intensive care unit.
• ICM trainees wishing to pursue ECMO as part of their special skills year during stage 2 intensive care medicine training.
• All ICM doctors, regardless of dual speciality interest: Anaesthesia, Respiratory Medicine, Renal or Acute Internal Medicine, Emergency Medicine, Surgery etc.
• Post-CCT in Anaesthesia, those interested in Cardiac Anaesthesia and those interested in Transport Medicine for critically ill patients.

Main duties of the job
You will become a key member of a highly skilled multi-disciplinary team providing adult intensive care services and gaining valuable experience in the following key areas:

• Air and Road Transport of patients with Severe Respiratory Failure including mobile ECMO.
• Initiation and ongoing management of patients on veno-venous and veno-arterial ECMO
• Management of surgical and medical Cardiothoracic intensive care patients - elective and emergency
• Trans-thoracic and trans-oesophageal echocardiography, lung ultrasound.
• Advanced ventilatory techniques - including prone positioning, the use of nitric oxide, APRV and selective lung ventilation.
• The use of a variety of vasoactive drugs, pulmonary artery catheter and intra-aortic balloon pump for cardiac output monitoring and mechanical circulatory support.
• Competence in key practical skills including percutaneous tracheostomy, ECMO cannulation and decannulation, bronchoscopy, intercostal drain insertion and central venous and pulmonary artery catheter insertion for drug delivery, renal support and invasive haemodynamic monitoring.
• Opportunity and support for national presentations of audit / data / research.

This is an exciting opportunity for a dynamic and ambitious individual to further develop key critical care medicine skills in the provision of advanced respiratory care including ECMO and transport of the critically ill adult and work in a leading cardio-thoracic intensive care unit.

Job responsibilities
1. Day to day care of Adult intensive care patients
You will become a key member of a highly skilled multidisciplinary team providing advanced respiratory and cardiovascular critical care support including ECMO (both veno-venous for respiratory support and veno-arterial for cardio/cardiorespiratory support) and inhaled nitric oxide in adult patients. Within the role there is opportunity to become competent in a number of invasive procedures including ECMO cannulation and decannulation, percutaneous tracheostomy, bronchoscopy, central line insertion for drug delivery, renal replacement therapy and invasive monitoring and chest drain insertion.
2. Transport of patients
You will be part of our established transport team, and you will gain experience in transport of critically ill patients by road and by air (when possible). You will liaise with referring hospitals regarding retrieval and repatriation of patients. This will include both short trips within UHL and the local network and transport of patients to and from hospitals anywhere in the United Kingdom. The transport of patients with Severe Acute Respiratory Failure will be achieved by conventional means, with the possible addition of inhaled Nitric Oxide and in prone position. The most unstable patients and those in whom their current treatment cannot be replicated in the ambulance/aircraft will be transported on mobile ECMO. Initially all transfers of patients referred with Severe Acute Respiratory Failure (SARF), whether conventional or mobile ECMO retrievals will be undertaken under the supervision of an ECMO consultant. During the post you will be expected to gain experience and confidence with independent transfers of critical care patients with increasingly complex needs. Fellows will aim to undertake independent conventional retrievals of SARF patients and intra-hospital transfer of ECMO patients by the end of the attachment.
3. Training in ECMO
You will be expected to undertake our ECMO specialist training programme and we guarantee a place on our popular ECMO specialist course. You will attend daily ECMO ward rounds with the resident ECMO consultant, ECMO co-ordinator and specialists. There will be an opportunity to participate and deliver ECMO simulation for clinicians, ECMO specialists and nursing staff utilising the ECMO simulator.
4. Audit, research and teaching
There is an active programme of audit and research, and you will be expected to participate in data collection and analysis - the post holder will undertake a supervised project in the field of ECMO. There are opportunities to present data at local, national and international meetings. The post holder will be responsible in the organization and delivery of a local journal club to the trainees on the unit, present ECMO cases of interest during the ECMO MDTs and participate in the ECMO Fellow teaching programme.
5. Assessment
Each Fellow will be assigned an educational supervisor and will have an initial meeting to discuss educational goals and set a personal development plan for the attachment. Thereafter meetings will be held every 3 months. ECMO specialist training involves attending the theoretical and simulation based course, 40 hours of preceptorship and a written exam. Fellows will be expected to keep a reflective log of all transfers undertaken. ICM Workplace based assessments will be completed to demonstrate practical skills (DOPS and mini-CEX) and each Fellow will be expected to complete adequate breadth and quality of assessments during the post, to allow ECMO trainers to make valid judgements of the doctors performance across all areas of the ECMO curriculum. For those trainees in recognised ICM training posts who wish to undertake the ECMO module as part of their specialist skills year (SSY), assessment will be as above plus documentation of assistance at 10 ECMO cannulations and decannulations and 10 inter- and intra-hospital ECMO transfers and completion of an audit or service improvement project with national publication (in accordance with the FICM SSY ECMO curriculum).
6. On-call duties
On-call commitments are split - 50% providing cover for the unit (resident, 1 in 7) and 50% for ECMO and Severe Respiratory Failure work (supernumerary and non-resident, 1 in 8) with defined rest periods. All daytime on-call duties will include support to the resident on-call staff.

Person SpecificationTraining and experience

• Essential: Full GMC registration; Completion of stage 1 and part of stage 2 ICM training or overseas equivalent; 36 months ICU experience; Final FFICM examination Multiple Choice Question (MCQ) examination or equivalent; Primary FRCA or full MRCP, MRCEM examination or equivalent; ALS
• Desirable: Completion of stage 2 and/or 3 ICM training or international equivalent; FFICM; Prior experience in transfer of the critically ill, completion of a transfer training course; Prior experience in cardiothoracic intensive care and / or caring for ECMO/SARF patients; Full FRCA examination or equivalent

Teaching

• Essential: Evidence of teaching at an undergraduate or post graduate level
• Desirable: Certification Course/Diploma/Masters in Medical Education

Research

• Essential: Understanding of research methodology
• Desirable: Medical publications or a background of research activity

Management

• Essential: Understanding of the NHS, its strategy and current issues
• Desirable: Management training

Communication skills

• Essential: Clear, fluent and articulate in verbal and written presentation
• Desirable: Leadership skills

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. 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.

UK Registration
Applicants must have current UK professional registration. For further information please see NHS Careers website.

Reference number: 358-8309321-ITA
Closing date: 28 October 2026
Contract: Fixed term, 12 months
Working pattern: Full-time
Pay scheme: Hospital medical and dental staff