Senior Clinical Fellow in Toxicology & Emergency Medicine

NHS; City Of London; On-site; GBP 65,000 - 74,000; Full time

Job summary

A leading healthcare provider in London is seeking a trainee for a 12-month Out of Programme Training Experience in Clinical Toxicology and Emergency Medicine. The role involves 50:50 split training in both areas and participation in the Emergency Department’s night and weekend rota. Applicants must be GMC-registered and at ST3+ level in Emergency Medicine. The post begins in August 2025 and offers educational support and training in a specialist center.

Benefits

Funding for relevant courses

Supportive educational environment

Qualifications

• Applicants must hold full registration with the GMC.
• Currently be an ST3+ in Emergency Medicine in the UK or equivalent.

Responsibilities

• Undertake specialist training in Clinical Toxicology.
• Participate in middle grade rota working with other senior ED trainees.
• Help deliver Clinical Toxicology education.

Skills

Experience in performing procedures relevant to emergency medicine

Competent to work without supervision

Clear, logical thinking showing an analytical/scientific approach

Ability to work as part of a multidisciplinary team

Shows awareness of own limitations

Education

Eligible for registration with the GMC

MRCEM

>= ST4 level in Emergency Medicine

BSc/BMedSci or other intercalated degree

Job description

Job Summary

GUY'S AND ST THOMAS' NHS FOUNDATION TRUST

Out of Programme Training Experience (OOPTE) in Clinical Toxicology (ST4-7) and Senior Fellow in Emergency Medicine [12 month post] £65,048 - £73,992 pa. excl. of London Zone

Both Guys and St Thomas' have central London locations with stunning views across the Thames and are close to many tourist attractions, such as the Houses of Parliament and the South Bank Arts Complex. Both sites have easy access to major transport links

We are recruiting to these 12 month OOPTE in Clinical Toxicology and Emergency Medicine that will be based at St Thomas' Hospital and will start from August 2025 or as soon as possible thereafter; we would also consider a deferred start in February 2026. This post will enable an ST4-7 level trainee in Emergency Medicine (or international equivalent) to develop and expand their skills in Clinical Toxicology in a specialist centre and to undertake research in Clinical Toxicology. The post will be split 50:50 between Emergency Medicine and Clinical Toxicology. The post holder will participate in the ED night (60%) and weekend rota (75%) of the fulltime post.

Main Duties

Clinical Toxicology: You will have the opportunity to undertake specialist training in Clinical Toxicology, with training in both inpatient and outpatient management of poisoned patients. You will have the opportunity to undertake clinical toxicology research in an area of interest of the department (e.g. recreational drug toxicity, deliberate self-poisoning) during the OOPTE; it would be expected that this would lead to submission of paper(s) for publication. You will have the opportunity to help deliver Clinical Toxicology education as part of the portfolio of the clinical toxicology department.

Emergency Medicine: You will participate in a middle grade rota working with other senior ED trainees and supervising junior middle grades, FY2s and ENPs. The Emergency Department is led by twenty-five Adult and ten Paediatric Emergency Consultants. The Department sees over 150,000 new patients per annum and has a separate Paediatric Emergency Department associated with the Evelina London Children's Hospital.

About Us

The post will have an educational supervisor in Emergency Medicine and an Educational Supervisor in Clinical Toxicology. Funding will be available to enable the post holder to attend relevant course(s).

Applicants must hold full registration with the GMC and currently be an ST3+ in Emergency Medicine in the UK (or international equivalent in the UK recognized by the RCEM).

For further details please contact Professor Paul Dargan ([e-mail])

As an organisation we are committed to developing our services in ways that best suit the needs of our patients. This means that some staff groups will increasingly be asked to work a more flexible shift pattern so that we can offer services in the evenings or at weekends.

Person Specification

Education / Qualifications

• Eligible for registration with the GMC
• MRCEM
• >= ST4 level in Emergency Medicine
• BSc, BMedSci (or other intercalated degree), other degrees/qualifications (Desirable)
• ALS/ATLS instructor (Desirable)
• Medical Educational qualification (Desirable)

Previous Experience

• ED training scheme in UK or international equivalent recognised in the UK by RCEM
• Additional experience in one or more of other related specialties (GIM, ITU/PICU) (Desirable)

Skills / Knowledge / Ability

• Experience in performing procedures relevant to emergency medicine
• Competent to work without supervision
• Clear, logical thinking showing an analytical/scientific approach
• Appropriate level of clinical knowledge
• Shows knowledge of evidence-informed practice
• Shows awareness of own limitations
• Ability to work as part of a multidisciplinary team
• Experience of clinical risk management (Desirable)
• Understanding of clinical governance (Desirable)
• Demonstrates breadth of awareness of issues in emergency medicine (Desirable)
• Interest in undertaking an OOPTE in Clinical Toxicology and developing a specialist interest in Clinical Toxicology as part of ED training (Desirable)

Additional Information

• Experience of undertaking previous audit projects
• Experience of supporting more junior resident staff
• Previous audit projects with closure of loop (Desirable)
• Previous research projects with abstract and/or full paper publications (Desirable)
• Previous research in clinical toxicology (Desirable)

Application Details

For further information and to apply online, please go to www.gstt.nhs.uk/jobs quoting reference number MED4686-C.

Closing date: 14 December 2025, midnight.

Please note we may close this vacancy earlier if we receive sufficient amount of applications.

Creating a world‑leading Academic Health Sciences Centre.

Equality of Opportunity is our Policy

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.

UK Registration: Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Guy's and St Thomas' NHS Foundation Trust

Guy's Hospital

Great Maze Pond

London

SE1 9RT