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Senior Clinical Fellow in Critical Care
4 months ago
Job summary
The Critical Care department at GSTT has an international reputation for clinical excellence and a prominent research profile. As well as serving the local population we provide tertiary critical care to the region.
The critical care directorate comprises six clinical areas and totals 75 beds at the St Thomas' site. There are 39 level 3 beds in the East Wing of the hospital (15 on EW1 ICU, 13 on EW2 ICU and 11 on EW6 ICU), an overnight intensive recovery unit (11 level 3 beds staffed by anaesthetists), a medical/surgical HDU on East Wing level 10 (15 level 2 beds) and cardiovascular surgical HDU (10 level 2 beds) on East Wing level 8. At the Guy's site, there are 13 level 2/3 beds on the Guys Critical Care Unit (GCCU).
Our case mix is challenging with a large proportion of complex medical and cardiothoracic patients. We manage a wide spectrum of medical and surgical emergencies.
We are one of the largest severe respiratory failure centres in Europe by case load. The service was commissioned in 2012. This includes a 24/7 consultant-led ECMO/severe respiratory failure retrieval service. We conduct around 100 ECMO retrievals annually. There is also exposure to extra-corporeal CO2 removal. There is ongoing going development of a VA programme for the management of reversible cardiogenic shock and eCPR. The post holder will also have significant exposure to general ITU patients and complex vascular, general surgery and cardiac surgery patients
Main duties of the job
This post will provide the post-holder with unrivalled clinical experience and many opportunities for portfolio development including audit and research. The role occupies a central position in the Trust's delivery of high class clinical care and carries significant responsibility.
ST 3-7 level trainees are required to provide direct clinical care in all of the Critical Care areas in the trust, namely:
East Wing 1 and 2 Intensive Care Units Guy's Critical Care Unit Victoria High Dependency Unit (EW10 Medical/Surgical HDU) Doulton High Dependency Unit (EW8 Surgical HDU)In addition to providing direct clinical care the ST3-7 trainee is responsible for:
Providing assistance and supervision for the ST1-2 trainees in critical care and their continuous assessment Timely assessment of critically ill patients within the hospital, including the Emergency Department (ED), Overnight Intensive Recovery (OIR) and ward areas. Leading the Clinical Response Team (CRT) with support from senior nursing and physiotherapy colleagues Safe transportation of critically ill patients within the Trust - this includes to and from the CT/MRI scanners and between the Guy's and St Thomas' sites. Transportation of critically ill patients to other hospitals. The ST3-7 trainee may be asked to provide clinical support in the Overnight Intensive Recovery Area (OIR) or the Lane-Fox Unit (chronic respiratory failure)
About us
Guy's and St Thomas' NHS Foundation Trust comprises five of the UK's best known hospitals - Guy's, St Thomas', Evelina London Children's Hospital, Royal Brompton and Harefield - as well as community services in Lambeth and Southwark, all with a long history of high quality care, clinical excellence, research and innovation.
We are among the UK's busiest, most successful Foundation Trusts. We provide specialist care for patients including heart and lung, cancer and renal services as well as a full range of local hospital and community services for people in Lambeth and Southwark.
We have a long tradition of clinical and scientific achievement and - as part of King's Health Partners - we are one of England's eight academic health sciences centres, bringing together world-class clinical services, teaching and research. We have one of the National Institute for Health Research's biomedical research centres, established with King's College London in 2007, as well as dedicated clinical research facilities.
We have around 22,700 staff, making us one of the largest NHS Trusts in the country and one of the biggest employers locally. We aim to reflect the diversity of the communities we serve and continue to develop new and existing partnerships with local people, patients, neighbouring NHS organisations, local authorities and charitable bodies and GPs.
Job description
Job responsibilities
Clinical:
The postholder will, together with colleagues, be responsible for the provision of services to the Guys & St Thomas NHS Foundation Trust to include:
(a) Diagnosis and treatment of patients of the trust in such hospitals, health centres or clinics or other premises as required.
(b) Continuing clinical responsibility for the patients in your charge, allowing for all proper delegation to, and training of, your staff.
Training of junior staff:
The postholder will take responsibility for the training and direction of junior staff allocated to him/her under aegis of the training plan that that postholder has agreed with their supervising consultant.
Teaching:
The postholder will be expected to contribute as appropriate in the teaching of undergraduate and postgraduate students.
Clinical Governance:
All medical and dental staff are expected to take part in clinical governance activity, including clinical audit, clinical guideline and protocol development and clinical risk management. They will be expected to produce evidence of their contribution in these areas and their audit of their own clinical work as part of their appraisal.
Person Specification
Qualifications / Education
Essential
MBBS or equivalent medical qualification MRCP part 2 or equivalent ( primary FRCA, MRCS, MRCEM)
Desirable
Higher degree (MD or equivalent) Post-graduate qualification in intensive care medicine ( EDIC, FFICM)
Professional / Statutory Registration
Essential
Full registration with the GMC at time of appointment Eligible to work in the UK
Previous Experience
Essential
Engaged in medical practice for at least three years out of the last five years (including the most recent 12 months) Evidence that career progression is consistent with personal circumstances Evidence that present achievement and performance is commensurate with totality of period of training Applicants should have sufficient registration experience in the UK by the start of the job
Desirable
Experience of anaesthesia Experience of intensive care medicine Experience of acute medicine
Skills / Knowledge / Ability
Essential
Valid adult life support (ALS) certification
Desirable
Experience of central line or vascath insertion Experience of arterial line insertion Experience of intubation