Clinical Fellow St1/2 in A&e
7 months ago
SHO Clinical fellow in Emergency Medicine with 25% non clinical time:
Education
Research
Simulation
Trauma
Leadership
Emergency Medicine is evolving rapidly. At UHS Eastern Sites (RSCH and PRH) we are ahead of the game with a team of dynamic and enthusiastic colleagues, exploring different ways of working and expanding our departments, services and staff. We are not the finished article, but in the UK, we are leading the way.
We treat 130,000 patients a year from Code Red polytrauma patients brought in by our HEMS doctors to patients with minor injuries. Our close links with Brighton and Sussex Medical School means you can also inspire new generations of doctors with the excitement of what we do.
The year long posts (FT or LTFT) come with 25% dedicated non-clinical time to work on projects within the Emergency Department. Future projects could be tailored depending on personal career needs/interest/development of training after discussion with the lead for the ED Clinical Fellow programme.
**Examples of current and previous Fellow projects**:
Education -(in conjunction with Brighton and Sussex Medical School).
Direct supervision and teaching of 3 rd and 5 th year medical students both in the Emergency Department at RSCH and also at the Medical School mapped to their curriculum. Fellows who do a second year are eligible for a PG Cert in Medical Education.
Simulation
- in situ multidisciplinary simulation of Advanced/Code Red adult and paediatric trauma calls. 1:1 SPEED Emergency Medicine scenarios for SHO and SpR’s. In situ simulation to ‘stress test’ equipment and pathways for paediatric emergencies. Designing and running simulation for ACCS/ HST regional training days to include a major incident MAJAX day. National and International conference presentations.
The job description provides further examples.
In addition, the rotas create efficient use of staffing so that there are not the fluctuations in numbers that happens with traditional templating systems. The three actually go hand in hand because we believe that if you improve staff welfare and job satisfaction then you improve patient care, all whilst improving efficiency.
The rota works via a fundamentally different way of staffing doctors - via an annualisation system. Full allowance of annual leave, study leave and bank holidays (whether worked on bank holidays or not) are allowed for in the annualisation calculations. This calculates a set number of clinical shifts, which have to be worked over the year. This allows for greater flexibility than standard rosters. Weekend frequency is no more than 4 in 9 weekends but with compensatory time off during the week.
The full time jobs are 48 hours. 3 hours non-rostered time is included for work to include audit, quality improvement projects as well as traditional teaching.
These jobs are designed to support post-FY2 doctors to do clinical work but with non-clinical paid time to facilitate job sustainability and satisfaction. It is great for those wishing to take some time out after FY2 who want flexibility, stability, training, supervision, a study budget as well as GMC revalidation but do not yet want to commit to a training programme. They are also great for people who want to take some time out of a formal training programme where they have dedicated non-clinical time.
The rota and the clinical fellow jobs in A&E have won recent RCEM quality improvement prizes and a HSJ highly commended prize in the workforce category and were shortlisted for the BMJ innovation prize. They are used by exemplars by NHS Improvement, HEE (Health Education England) and Deloitte for solving the NHS staffing crisis.
The BMA made a video about these jobs as an exemplar of good practice.
BSUH was awarded the first place Emergency Training Department of the Year by the Royal College of Emergency Medicine in 2018.
The Health Service Journal (HSJ) awarded BSUH this initiative the ‘Acute Services Redesign’ winner for 2018. Registrars do not do single clerking but reviews, and traditional clerking.
Desirable attributes for the postholder
Ideally you have decided on EM as your preferred career or be in an allied specialty with an interest in Emergency Medicine & education. Alternatively, you will have done F2 and looking for a new experience before deciding what you would like to do. You will have an active interest in improving the quality of care within the Trust. You will be capable of managing projects both independently and under supervision and be skilled at team working. Regular supervision meetings with a training Consultant will help you shape your future career.
The BSUH Emergency Department is keen to promote subspecialty interests and the Consultant body has expertise in education, simulation, trauma, pre-hospital medicine, ultrasound and toxicology. The consultants also run courses for FRCEM primary and FRCEM within the department and externally. We will be happy to mentor successful applicant
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