Clinical Fellow Neurocritical Care

Job summary

Applications are invited for Clinical Fellow posts in Neurocritical Care (Intensive Care) at The National Hospital for Neurology & Neurosurgery, Queen Square, London, for a 6-month period, that can be extended to a year or more, subject to satisfactory appraisal. We have three posts available that will commence 8th August 2024. Interviews will take place 3rd June 2024. The successful applicants will work under consultant supervision at a level best matched to their learning needs and experience. Applications from candidates working at MT04 will also be considered if working at the relevant competencies. Please contact the department for further information.

Main duties of the job

The posts would be suited to anyone wishing to experience intensive care medicine in a nurturing environment with a view to improving their curriculum vitae with the aim of applying for core training in intensive care medicine, emergency medicine, acute medicine, neurology or neurosurgery. Despite being a neurosciences intensive care unit, many of the principles of intensive care medicine remain the same as for a general ICU. The posts are also suitable for those wanting to further their experience of neurocritical care for specialist training.

About us

University College London Hospitals NHS Foundation Trust (UCLH) is one of the most complex NHS trusts in the UK, serving a large and diverse population. We provide academically led acute and specialist services, to people from the local area, from throughout the United Kingdom and overseas. Our vision is to deliver top-quality patient care, excellent education, and world-class research.

We provide first-class acute and specialist services across eight sites:

University College Hospital (incorporating the Elizabeth Garrett Anderson Wing) National Hospital for Neurology and Neurosurgery Royal National ENT and Eastman Dental Hospitals University College Hospital Grafton Way Building Royal London Hospital for Integrated Medicine University College Hospital Macmillan Cancer Centre The Hospital for Tropical Diseases University College Hospital at Westmoreland Street

We are dedicated to the diagnosis and treatment of many complex illnesses. UCLH specialises in women's health and the treatment of cancer, infection, neurological, gastrointestinal and oral disease. It has world class support services including critical care, imaging, nuclear medicine and pathology.

We are committed to sustainability and have pledged to become a carbon net zero health service, embedding sustainable practice throughout UCLH. We have set an ambitious target of net zero for our direct emissions by 2031 and indirect emissions by 2040.

Job description

Job responsibilities

The National Hospital for Neurology and Neurosurgery provides neurological and neurosurgical services on a regional, national and international basis. The neuroscience critical care unit is a 28 bedded unit with approximately 850-950 admissions a year of which 35-40% are planned elective admissions. We provide care for neurology, acute stroke and neurosurgical patients, in one of the largest dedicated neurocritical care facilities in the UK. There is excellent senior support 24/7 for the unit, with two daily ward rounds by ICU consultants and a dedicated anaesthetic registrar to help with airway management, line placement and training, and other out-of-hours intensive care issues. There are opportunities to be involved with teaching, MDT simulation sessions, clinical governance and quality improvement projects to strengthen portfolios for applications for training posts, as well as developing technical skills and competencies in Intensive Care Medicine. The successful applicant will join a team of 17 doctors, including HEE trainees from various specialities (ICM, IMT and neurosurgery), Clinical Fellows (ST1+), CESR ICM fellows and senior neuroanaesthesia fellows (ST5+) as part of an EWTD compliant full shift rota. This post is a remunerated as a locally employed doctor in line with the 2016 terms and conditions of are weekly MDT neurocritical care meetings to discuss patients with neurologists, neurosurgeons, clinical psychologists and AHP. The monthly M&M meetings include interesting learning cases where decision making, and ethical dilemmas are discussed. There is a formal weekly educational programme, consisting of consultant/senior delivered teaching, journal club, as well as informal bedside teaching, tea trolley teaching, in situ MDT simulation and a CVC simulation course for the junior clinical fellows. Some of the consultants are POCUS accredited and can mentor FUSIC heart, lung and transcranial ultrasound. You will be allocated an Educational Supervisor to enable regular appraisal and support in the development of a learning plan and portfolio.

The successful candidate will Share the responsibility for the assessment, resuscitation and treatment of all patients referred to the Critical Care Unit, working as part of a team with the on-call ICU consultant. Work alongside our trainees on a full shift rota. This is a full shift rota and the successful candidate will be required to be resident in the hospital during the working hours allocated to them on the rota Share the responsibility for direct clinical supervision and teaching of the trainee staff, nurses and medical students. Assist in the provision and development of a safe, effective and efficient critical care service and support the Trust in its aim to provide the best possible care to patients. Carry out all duties at the highest possible standard taking responsibility for individual patients in their care. Comply with Trust Health and Safety policies and employ the basic principles of infection control practice to maintain a safe and healthy environment for patients, visitors and staff. Maintain good electronic clinical records and effective working relationships with medical, nursing and allied healthcare professionals on the critical care team. Take an active role in the departmental clinical governance activityApplicants must be eligible for full registration with the GMC at time of appointment and hold a current licence to practise. Post-graduate examination qualifications are desirable, but by no means essential. This post is not recognised for training by the Postgraduate Dean, Faculty of Intensive Care Medicine or by the Royal College of Anaesthetists, although the unit itself is. This post is full-time and is covered by the Medical and Dental Staff Terms and Conditions of Service.

For the full Person Specification and more informationregardingthe main responsibilities of this role, please refer to the attached Job Description.

Come and bea part of the best NHS trust in England to work for, according to our staff*

UCLH top trust to work at in England for the second year running :University College London Hospitals NHS Foundation Trust

*In the most recentNHS staff surveyUCLH had the highest percentage of staff who said they would recommend us as a place to work, out of all general acute or acute/community NHS trusts in England for the second year in a row.

UCLH top trust to work at in England for the second year running :University College London Hospitals NHS Foundation Trust.

Once again, UCLH has received the highest score of all general acute and acute/community NHS trusts in England for staff that would recommend us as a place to work.

Please ensure you regularly check the email account (including junk/spam boxes) from which you apply as we willuse this to contact you regarding your application. Only those applicants who demonstrate clearly how they meet our essential and desirable person specification will be shortlisted for interview.

Person Specification

Education/ Qualifications

Essential

MB BS or equivalent Eligible for full registration with the GMC and hold a licence to practise at time of appointment.

Desirable

Post graduate qualification Intercalated BSc, BMedSci or equivalent

Experience

Essential

Foundation year 2 competencies 2 years' work as a doctor after gaining medical degree.

Desirable

At least one post foundation year experience in medicine, emergency medicine, anaesthesia or ICM Some experience of either NHS intensive care or NHS anaesthetics

Skills/Ability/ Knowledge

Essential

Competent at assessment of the acutely unwell patient. Working knowledge of a general ITU

Desirable

ALS/ATLS/European Trauma Course certified Attendance at ALERT, CCrISP, BASIC, IMPACT courses

Qualities/Attributes

Essential

Ability to work in a multidisciplinary team Aware of own limitations and when to ask for help Ability to prioritise tasks and show effective time management Enthusiastic learner with good time keeping

Desirable

Shows enthusiasm for education and research Previous research or poster publication Previous audit Previous Quality improvement projects

Other Requirements

Essential

IT skills Good organisational skills. Ability to keep good medical records Good communication skills

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