Clinical Fellow Emergency department

Royal Free London NHS Foundation Trust; Greater London; On-site; GBP 43,000 - 60,000; Full time

Job summary

The Royal Free London NHS Foundation Trust invites applications for Middle Grade Emergency Medicine posts in London. The posts are designed to develop essential competences and progress toward Article 14, with flexible rostering and opportunities for secondments in ITU, Anaesthetics, Acute Medicine, and Paediatrics.

Successful candidates will work under consultant supervision in the ED and may lead resuscitation and trauma calls, with consultant presence from 0800 to midnight daily and on-call

Qualifications

• ST3+ equivalent doctors with at least 12 months experience in Emergency Medicine.
• Involvement in departmental audits and quality improvement projects.
• Ability to supervise junior doctors and participate in education.

Responsibilities

• Provide and maintain a high standard of care for all patients in the Emergency Department.
• Communicate effectively with medical and nursing staff and paramedics.
• Provide intermediate supervision for ACCS, GPVTS, FY2 and Trust SHO doctors.
• Participate in audit activity meetings.
• Facilitate education of juniors and nursing staff.
• Lead resuscitation and trauma calls.

Skills

Emergency Medicine

Leadership

Audit participation

Job description

The post holder will work on the Middle Grade rota and if on the senior tier will be responsible for running the Department in the late evenings and nights. This will include leading Trauma calls and Cardiac arrests. There is consultant presence onsite from 0800 - Midnight each day, and a consultant on-call from midnight to 0800.

Whilst in ED you will work as part of the Middle Grade rota. This is split into a senior and junior tier. The post-holder will move between these 2 tiers as experience allows. The Middle Grade rota is self- rostered giving great flexibility to the doctors to choose their shifts and opportunity to improve work-life balance to the applicant.

The posts are designed to allow the post holder to develop essential competences and to progress towards Article 14. We are committed to provide secondment/s in specialist area/s in the hospital according to a personal development plan. These may include 3 months in the following areas (ITU/Anaesthetics/Acute Medicine/Paediatrics).

All post-holders encouraged to participate in departmental audit and Quality Improvement Projects.

The Royal Free London NHS Foundation Trust is one of the UK's biggest and most innovative trusts. Across three main hospitals, our dedicated army of staff care for over 1.6million patients, treat more than 200,000 in A&E, deliver over 8,000 babies and carry out more than 17million tests.

Our size, scale and influence offer you unrivalled career opportunities and a forward-thinking approach to working that works around your lifestyle. From flexible hours and generous benefits, to next level training, we make it easier to take your career to the top

The successful candidates will be expected to be fully involved in all aspects of the work of the Accident & Emergency Department under the supervision of the consultant in charge, to whom he/she will be responsible.

• Provide and maintain a high standard of care for all patients in the
  Emergency Department
• Communicate effectively with medical and nursing staff of other disciplines, ancillary workers and paramedics in the interest of achieving efficient management of patients
• Provide intermediate level supervision for the ACCS, GPVTS, FY2 and Trust SHO doctors.
• Participate in audit activity meetings
• Facilitate education of his/her juniors, including the nursing staff of the
  department
• Assist the ED consultants in promoting health care to the department's
  patients in a friendly and caring way.
• Lead resuscitation and trauma calls

Middle grade doctors are at the centre of service provision and supervision in the department. They work closely with the specialities in the hospital to ensure best care for the patients. The Trust is fully committed to national targets of care including patient flow through the ED department.

These exciting senior posts in Emergency Medicine are aimed at doctors (ST3+ equivalent) who have at least 12 months experience working in Emergency Medicine.

The Emergency Department at the North Middlesex University Hospital has an annual attendance of 190,000 new patients. 27% of attendances are under the age of 16.

The department comprises of 4 streaming rooms, a dedicated initial assessment and treatment area for ambulance arrivals, a 6-bay resuscitation unit, an 18-bay majors' area, a separate treatment area for sitting patients, an urgent care centre and a paediatric emergency department with a separate waiting area. The department had been redesigned and restructured recently to further optimise patient care.

Acute Medical and Assessment Units are in proximity to the department. There is an emergency Radiography Department adjacent to the ED which is staffed 24 hours a day. There is always A CT scanner available with excellent consultant-based radiology support.

Full emergency laboratory facilities including a well-resourced point of care testing room are available.

There is a significant trauma workload; the department is part of the London trauma network.

The department receives nearly 20% of its workload as ambulance borne. The department has a philosophy of comprehensive patient care where the initial management of the patient is undertaken in the ED and the patient then handed over to in-patient teams. There is an excellent relationship with the in-patient teams with seamless referrals. The case mix has the highest acuity in the Northeast Thames region with preponderance towards medically unwell patients.