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Junior Clinical Fellow in Critical Care

1 month ago

London, United Kingdom Whittington Hospital NHS Trust Full time

Job summary

The Whittington Hospital NHS Trust is seeking to appoint 3 SHO Level Trust grade junior clinical fellow in critical care. They would commence 5th February 2025 and finish on 5th August 2025 (Subject to pre-employment checks being completed). These posts are not recognised for training by the Postgraduate Dean however the successful candidate will have teaching and training equivalent to those in training posts. This post is a fixed term contract, but extension may be agreed.

For the successful candidate this job will provide excellent exposure to Critical Care. The successful applicant will have a named Clinical Supervisor who will also provide career advice and support for onward career progression. There is a weekly ITU teaching program and other training opportunities are available within the Trust, which you will be encouraged to attend. Doctors not in training are also able to apply for study leave and associated expenses.

Duties involve day-to-day clinical management of patients on the 12 bedded adult Critical Care Unit which has 700 admissions a year, as well as supporting the Critical Care Outreach service. These appointments are to enable us to continue running a 9-person rota, with 7 of these posts in recognised training programmes. The Unit is fully covered by Consultant Intensivists in a dedicated Critical Care rota.

This post may close early if enough applications are received.

Main duties of the job

DUTIES OF POST

Assessment & clinical management of critically ill patients both within the ICU and across the wider hospital who are referred for assessment, admission and on-going care.

This includes prompt review of referrals from ED or the ward teams at night as the Critical Care Outreach nurse service only operates 8am-8pm 7 days a week

Timely discussion with senior supervising colleagues regarding appropriateness of admission, unexpected deterioration and suitability for discharge. Familiarity and competence at common procedures is expected (vascular access, chest drain insertion etc) but supervised training is also given for other procedures eg arteria line, central venous access, percutaneous tracheostomy. Airway support is provided by the on-call Anaesthetics team for ICU doctors without anaesthesia or airway skills. Direction, guidance, supervision & teaching of more junior ICU trainees including for practical procedures. Organisation of appropriately detailed patient hand-over both at shift changes including current clinical condition of patients under review outside of the ICU. Written and verbal handover to ward team for patients stepping down to ward care Updating of clinical records, electronic & paper data & audit systems including the ICU activity database Communication with families & relatives of patients to update them on patient progress.

About us

Whittington Health serves a richly diverse population and works hard to ensure that all our services are fair and equally accessible to everyone. Nowhere is this more obvious than in the way we look after our staff. We aim to employ a workforce which is as representative as possible of this population, so we are open to the value of differences in age, disability, gender, marital status, pregnancy and maternity, race, sexual orientation, and religion or belief. The Trust believes that as a public sector organisation we have an obligation to have recruitment, training, promotion and other formal employment policies and procedures that are sensitive to these differences. We think that by doing so, we are better able to treat our patients as well as being a better place to work.

Job description

Job responsibilities

Assessment & clinical management of critically ill patients both within the ICU and across the wider hospital who are referred for assessment, admission and on-going care.

This includes prompt review of referrals from ED or the ward teams at night as the Critical Care Outreach nurse service only operates 8am-8pm 7 days a week

Timely discussion with senior supervising colleagues regarding appropriateness of admission, unexpected deterioration and suitability for discharge. Familiarity and competence at common procedures is expected (vascular access, chest drain insertion etc) but supervised training is also given for other procedures eg arteria line, central venous access, percutaneous tracheostomy. Airway support is provided by the on-call Anaesthetics team for ICU doctors without anaesthesia or airway skills. Direction, guidance, supervision & teaching of more junior ICU trainees including for practical procedures. Organisation of appropriately detailed patient hand-over both at shift changes including current clinical condition of patients under review outside of the ICU. Written and verbal handover to ward team for patients stepping down to ward care Updating of clinical records, electronic & paper data & audit systems including the ICU activity database Communication with families & relatives of patients to update them on patient progress. Person Specification

Education

Essential

Full registration with a licence to practice with the GMC at the time of appointment (1) MBBS or Equivalent (1) ALS (1)

Desirable

Primary FRCA and or part 1 MRCP or equivalent (2) APLS or ATLS (2)

Skills and Abilities

Essential

Good communicator with excellent spoken English Have completed a recognised 2-year foundation training programme in the UK or have a completed CREST form (Certificate of Readiness to Enter Specialty Training)

Knowledge and Experience

Desirable

Previous anaesthetic or critical care experience Minimum of 4 months experience working in the NHS within Anaesthetics, Critical Care, Acute Medicine, A&E, or General Medicine

Personal Qualities

Essential

Enthusiastic , Good communicator with excellent written English , Display ability to work as part of a team.

Audit and Research

Essential

Experience of Audit projects Understanding of research principles