Senior Clinical Fellow / Echo / Simulation Fellowship

This post is to provide resident cover and experience at Imperial College Healthcare NHS Trust. Initially, posts will be offered for 6 months but may be extended by agreement to 12 months or longer depending on satisfactory performance and vacancies. We would like to offer rotations to other sites as vacancies allow.

The Senior Clinical Fellow would be expected to join the registrar grade tier of doctors who provide full on-call cover for the units including at weekends and nights. Airway experience would be essential.

Duties and Responsibilities:

• When on duty for ICU, the resident will review and manage patients on the ICU under the supervision of the consultant.
• They will form part of our multidisciplinary team caring for critically ill patients, performing procedures and investigations, liaising with referring teams, keeping relatives updated, and acting as the first point of call for the ICU nursing staff.
• All junior grades work in close cooperation with the consultants.
• The ICM resident is also expected to take an active role in supervision and training of medical students who are frequently attached to the ICU.

Outline Timetable:

• A minimum of twice daily multidisciplinary consultant ward rounds on each site, weekly MDTs.
• Daily afternoon meeting or ward round with a consultant or SpR in Infectious Diseases/Microbiology.
• Some ward rounds are delegated to the middle grade doctors with consultant background cover and discussion.
• Shifts vary in length from 9.5 to 13 hours.
• The work pattern amounts to an average of less than 48 hours per week (including weekends) for all grades.
• We run a full 7 day service.

Regular educational meetings include fortnightly M&M Meetings, weekly teaching and journal clubs, monthly quality & safety meetings, quarterly clinical governance meetings, and monthly teaching afternoons. In addition, there are weekly hospital grand rounds and medical meetings. All junior doctors get an induction day, organized by the hospital and the local tutor for intensive care medicine and electronic and printed induction and educational material. Network transfer training and BASIC courses are available at no cost. The trust also provides a wide range of courses in management topics and Information Technology (often free of charge or at low cost) in the postgraduate centres at Charing Cross, Hammersmith, and St Mary’s hospital. Intensive Care staff also get access to ALS courses at the trust.

On Call:

• Full shift or partial shift pattern with 1 A banding.
• Frequency of night shifts not expected to be more than 1 night in 6.

Exceptional candidates may be offered the specialist fellowship positions (neuro, teaching/sim, echo & research) and applicants are asked to indicate which post they are applying for. The post can either be taken as a stand-alone role or as an Out of Programme Experience (OOPE) from a specialist training programme. Prior agreement must be sought with the relevant Specialty Training Committee (STC) and the deanery. Full registration with the General Medical Council is required at the time of post commencement. Successful candidates at interview may be considered for GMC sponsorship. Previous ICU/anaesthetics experience (> 12 months) & possession of a postgraduate examination are both essential and candidates without will be excluded at longlisting.