ICU Senior Clinical Fellow

Job summary

LeedsTeaching Hospitals Trust is one of the countrys largest NHS trusts, employingnearly 18000 staff.

Thispost is aimed at applicants wishing to pursue a career in Intensive CareMedicine. Applicants will already have attainedsome airway training as part of their specialty training. Applicants who have aCertificate of Completion of Training (CCT) or equivalent in Anaesthesia and/orIntensive Care Medicine are also encouraged to apply and take advantage of theextensive training opportunities and experience on offer.

Ourcritical care service for all general and specialist disciplines withinIntensive Care Medicine

Allacute medical and surgical specialties

Regionaland supra-regional specialist units for:

Neurosurgeryand neurology

Headand neck surgery

Cardiacsurgery and cardiology

Vascularsurgery

MajorTrauma Centre

Thoracicsurgery

UpperGI surgery

Hepatobiliarysurgery

Pancreatitis

Oncology

Haematology

Nephrology

Infectiousdiseases

Supra-regionalcentre for hepatology and liver transplantation.

Main duties of the job

Dutiesinclude the management of all aspects of patient care in the critical careenvironment as part of multidisciplinary team. The posts will be designed aroundthe specific requirements of the doctor, with particular attention paid toprogressing the towards a goal of achieving CESR.

Additionaltraining blocks can be provided in neuro-intensive care, cardiac intensive careand anaesthesia as required. Depending on availability, training may also beprovided in PICU and Acute Medicine specialities. Each doctor will be assignedan experienced Educational Supervisor to help plan their educational journey. Alimited study budget will be available for suitable external training courses.

Thepost will have ample time for clinical audit, research, leadership andteaching. The appointee will be expected and encouraged to take part in theseactivities as part of their fellowship.

Thetrainee will have a huge amount of flexibility in regards to their workpattern. Whilst the on call activity will be based on the ICU, there is scopefor time to be spent within the theatre environment or appropriate medicalspecialities should this be deemed appropriate for the appointed trainee. Thepost very much allows for the development of a trainee-directed programme thatwill be bespoke in nature.

Regularteaching sessions are held covering core topics based on the FFICM curriculum.There is the opportunity to attend M&M meetings, critical incidentreporting and journal clubs.

About us

Ourcritical care service for all general and specialist disciplines withinIntensive Care Medicine

Allacute medical and surgical specialties

Regionaland supra-regional specialist units for:

Neurosurgeryand neurology

Headand neck surgery

Cardiacsurgery and cardiology

Vascularsurgery

MajorTrauma Centre

Thoracicsurgery

UpperGI surgery

Hepatobiliarysurgery

Pancreatitis

Oncology

Haematology

Nephrology

Infectiousdiseases

Supra-regionalcentre for hepatology and liver transplantation.

Leeds Teaching Hospitals is committed to our processof redeploying 'at risk' members of our existing workforce to new roles. Assuch, all our job adverts are subject to this policy and we reserve the rightto close, delay or remove adverts while this process is completed. If you doexperience a delay in the shortlisting stage of the recruitment cycle, pleasebear with us while this process is completed, and contact the named contact ifyou have any questions.

Job description

Job responsibilities

TheCritical Care Units in Leeds Teaching Hospitals are based in Leeds GeneralInfirmary (LGI) and St Jamess University Hospital (SJUH). We provide criticalcare support for a comprehensive range of adult specialties. Across the twohospitals there are over 80 critical care beds, with plans for furtherexpansion.

MEDICALSTAFF IN THE DEPARTMENT

TheCritical Care team consists of consultant intensivists from anaesthetic andmedical backgrounds, supported by ICM trainees, Junior Clinical Fellows, IMTs,ACCS/DRREM trainees, Respiratory StRs, as well as anaesthetic trainees.

Inaddition to this we are supported by a team of Advanced Critical CarePractitioners, critical care outreach nurses, and a highly skilled anddedicated nursing workforce.

KNOWLEDGE,SKILLS AND EXPERIENCE REQUIRED

Pleasesee Person Specification

DUTIESOF THE POST

Dutiesinclude the management of all aspects of patient care in the critical careenvironment as part of multidisciplinary team. The posts will be designedaround the specific requirements of the doctor, with particular attention paidto progressing the towards a goal of achieving CESR.

Additionaltraining blocks can be provided in neuro-intensive care, cardiac intensive careand anaesthesia as required. Depending on availability, training may also beprovided in PICU and Acute Medicine specialities. Each doctor will be assignedan experienced Educational Supervisor to help plan their educational journey. Alimited study budget will be available for suitable external training courses.

StJamess Hospital

Criticalcare is provided across two critical care units. Duties comprise all aspects ofthe critical care management of general medical and surgical patients, as wellas patients from the regional specialist units on this site:

Liver surgery and Transplantation

Thoracic surgery

Regional respiratory and renal services

Pancreatic surgery

Haematology and Oncology

Infectious diseases

Inaddition to the many general training opportunities available in such a largecritical care department, there will be specific opportunities for training andskills development in the following:

Management of acute liver failure and the liver transplant patient includingpre and post operative care. Time can be allocated to training within the widerliver unit as required.

Critical care ultrasound in all FUSIC modules and echocardiography training tolevel 2 accreditation (FUSIC HD, BSE ACCE, fTOE / advanced TOE)

Advanced renal management including renal transplantation medicine andreplacement therapy techniques, including regional citrate anticoagulation andintermittent haemodialysis.

Management of complex thoracic patients

Anaesthesia and advanced airway training for single-specialty critical caredoctors

Training in teaching, management and research across a variety of settingswithin the trust.

LeedsGeneral Infirmary

Criticalcare provision at the LGI is divided between neurointensive care,cardiothoracic, general and paediatric units. Regional expertise is provided inthe following areas:

Major Trauma

Cardiac Surgery

Neurosurgery

Vascular surgery

Head and Neck surgery including major cancer surgery

Orthopaedics and plastic surgery including major reconstructive surgery

Paediatrics and paediatric intensive care

Thepost will have ample time for clinical audit, research, leadership andteaching. The appointee will be expected and encouraged to take part in theseactivities as part of their fellowship.

Thetrainee will have a huge amount of flexibility in regards to their workpattern. Whilst the on call activity will be based on the ICU, there is scopefor time to be spent within the theatre environment or appropriate medicalspecialities should this be deemed appropriate for the appointed trainee. Thepost very much allows for the development of a trainee-directed programme thatwill be bespoke in nature.

Regularteaching sessions are held covering core topics based on the FFICM curriculum.There is the opportunity to attend M&M meetings, critical incidentreporting and journal clubs.

LEVELSOF RESPONSIBILITY

Theappointee will be the senior non-consultant grade doctor working in theintensive care unit, with the same responsibilities as the advanced-leveltrainees in Intensive Care Medicine. As such, the postholder will be expectedto work at a senior level, providing support to more junior members of themedical team and to the Advanced Critical Care Practitioners. The trainee willbe the senior of 5 resident medical workforce out of hours.

TEACHINGAND RESEARCH/STUDY AND TRAINING

Theappointee will have regular input into the departmental teaching sessions andwill attend educational sessions targeted at those trainees on the advanced ICMtrainee programme. Opportunities for involvement in research projects areavailable, and the development of a specialist skill, such as FUSICaccreditation, is strongly encouraged.

Thepost is in line with the new junior doctor contract. This post is fixed term inorder to provide a period of training. The post will consist of night andweekend on call commitment. There are five rotas staffed by the medicalworkforce which is further supported by the consultant team.

Person Specification

Eligibility, Fitness to practice, and Language Skills

Essential

Fitness to practice Is up to date and fit to practise safely

Additional Requirements

Essential

Demonstrates probity (displays honesty, integrity, aware of ethical dilemmas, respects confidentiality) Capacity to take responsibility for own actions

Experience

Essential

Basic Medical Qualification (MBChB, MBBS or equivalent) Full GMC Registration > 3 years experience in anaesthesia and/or critical care medicine or a suitable acute speciality Must be able to demonstrate a high level of clinical experience and competence in critical care, including airway management and resuscitation Ability to provide complete details of employment history Evidence that career progression is consistent with personal circumstances Evidence that present achievement and performance is commensurate with totality of period of training

Clinical, Academic, and Personal Skills

Essential

Communication Skills: Demonstrates clarity in written/spoken communication & capacity to adapt language as appropriate to the situation Able to build rapport, listen, persuade & negotiate Demonstrates awareness of the basics of managing medical/surgical conditions, including emergencies. Appropriate knowledge base and ability to apply sound clinical judgement to problems Able to demonstrate proficiency in a range of medical procedures as an indication of manual dexterity and hand-eye coordination Evidence of competence in management of emergencies and in-patients through continuous work-based assessments, and portfolio evidence. Able to work in multi-professional teams & supervise junior medical staff Ability to show leadership, make decisions, organise and motivate other team members for the benefit of patients through, for example, audit and quality improvement Projects

Qualifications

Essential

Eligible for full registration with the GMC at time of appointment and hold a current licence to practice Eligibility to work in the UK. ALS, ATLS

Desirable

Primary FRCA or equivalent

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