Senior Clinical Fellow in Emergency Medicine 80:20 Frailty

NHS; Bristol; On-site; GBP 50,000 - 70,000; Full time

Job summary

A leading NHS Trust is seeking a Senior Clinical Fellow in Emergency Medicine to provide high-quality patient care in a dynamic environment. The role involves clinical work in the adult emergency department and opportunities to develop specialist interests. Candidates will manage emergency treatments and collaborate with senior staff, contributing to patient care and clinical governance. This position offers a unique blend of responsibilities and the chance to pursue additional interests in a supportive and diverse setting.

Qualifications

• Minimum 24 months hospital training post-Foundation Medicine plus 36 months in relevant acute specialties.
• Experience in critical care within the UK.

Responsibilities

• Manage the reception, diagnosis, and emergency treatment of adult ED patients.
• Participate in clinical governance, audit, and interdisciplinary meetings.

Skills

Organizational skills

Teamwork

Critical thinking

Education

GMC registration

Advanced Life Support certification

Intermediate EM/MRCP/MRCS (Part 1)

Job description

Go back University Hospitals Bristol and Weston NHS Foundation Trust (UHBW)

Senior Clinical Fellow in Emergency Medicine 80:20 Frailty

The closing date is 29 May 2025

Senior Clinical Fellow in Emergency Medicine (ST4+) - 80:20 Frailty

The role offers a combination of the following:

1. 20% Frailty - working with the acute frailty service assessing frail older adults in ED and AMU
2. 20% Orthogeriatrics - assessing elderly trauma patients and contributing to their management (silver trauma)
3. 20% Stroke - working on the acute stroke unit, participating in assessments for thrombolysis/thrombectomy

Additional interests related to Frailty can also be pursued.

The fellowship involves 80% clinical work in the adult emergency department and 20% dedicated to developing a specialist interest of the candidate's choice. The posts are open as OOPT/E for EM HSTs and as stand-alone posts for non-trainees, with options for 100% EM or for SAS and Specialty Doctors.

We offer ongoing recruitment cycles and flexible start dates.

Applicants should hold a relevant postgraduate qualification (e.g., MRCEM, MRCP, MRCS, FRCA or equivalent) and be ST4+ or equivalent, with at least 3 years in approved SHO posts (Post Foundation Medicine) or equivalent, including at least 1 year in Emergency Medicine.

Main duties of the job

The role combines service provision, including out-of-hours work, with paid time to develop a specialist interest, which may include education, global health, expedition medicine, leadership, advanced airway management, research, ultrasound, resuscitation, toxicology, or paediatrics. Candidates can propose other interests for consideration. Open to trainees and non-trainees; trainees with UK National Training Numbers in Emergency Medicine are eligible for OOPT or OOPE.

About us

UHBW is one of the largest acute NHS Trusts in the UK, with over 13,000 staff across 10 sites, serving over 500,000 people. Rated 'Good' by the CQC, the Trust is committed to excellence in patient care, research, and innovation. Enjoy city living, countryside, or seaside locations with easy access to the South West. We are committed to diversity and safeguarding.

Job responsibilities

Clinical

Manage the reception, diagnosis, and emergency treatment of adult ED patients, with supervision from senior staff to develop autonomous management skills, excluding paediatric cases. Collaborate with ICU and specialist units for patient care.

Managerial

Report to the Clinical Director, with responsibilities including clinical governance, audit, and participation in interdisciplinary meetings.

On-Call Commitment

Full shift system covering early, mid, late, and night shifts, with pay compliant with regulations.

Person Specification

Education and Qualifications

• GMC registration
• Minimum 24 months hospital training post-Foundation Medicine plus 36 months in relevant acute specialties, including at least 1 year in Emergency Medicine
• Advanced Life Support certification
• Experience in critical care within the UK
• Interest and evidence of a specialist focus
• Experience in Anaesthesia, preferably with RCoA basic sign-off
• Intermediate EM/MRCP/MRCS (Part 1) or equivalent

Knowledge and Experience

• Ability to assess, resuscitate, and stabilize acutely ill patients
• Participation in cardiac arrest teams
• Good clinical judgment
• Completion of specialist skills courses (e.g., difficult airways, ATLS, ultrasound)
• Understanding of audit and governance processes
• Experience in designing or completing audits

Skills and Abilities

• Organizational and prioritization skills
• Honesty and reliability
• Teamwork and flexibility
• Critical thinking and initiative
• Confidence with staff and patients
• Willingness to undertake additional duties as needed

Other

• Legal entitlement to work in the UK

Additional Aptitudes

• Respectfulness
• Supportiveness

Disclosure and Barring Service Check

This post requires a DBS check due to safeguarding policies.