Advanced Fellow in Adult ICM with an interest in ECMO

University Hospitals of Leicester NHS Trust

The closing date is 22 July 2026.

We are looking for experienced intensive care doctors (ST6 or equivalent level and above) to work as Senior Adult Intensive Care Medicine Fellows with a specialist interest in severe respiratory failure (SRF) and Extracorporeal Membrane Oxygenation (ECMO). You will work as an integral member of the adult intensive care team at Glenfield Hospital. This is a unique opportunity to work in one of the UK's largest and most experienced centres for adult ECMO and the only NHS Trust providing ECMO support to patients of all ages from neonate to adult. The adult intensive care unit admits in excess of 1500 patients annually and has treated more than 1000 patients in the adult ECMO programme.

This post is suitable for:

• Intensive Care Medicine trainees who have completed at least intermediate (or equivalent) training in adult intensive care medicine looking to enhance their skills in a specialist cardio‑respiratory intensive care unit.
• ICM trainees wishing to pursue ECMO as part of their special skills year during stage 2 intensive care medicine training.
• All ICM doctors, regardless of dual speciality interest: Anaesthesia, Respiratory Medicine, Renal or Acute Internal Medicine, Emergency Medicine, Surgery etc.
• Post‑CCT in Anaesthesia, those interested in Cardiac Anaesthesia and those interested in Transport Medicine for critically ill patients.

Main duties of the job:

You will become a key member of a highly skilled multi‑disciplinary team providing adult intensive care services and gaining valuable experience in the following key areas:

• Air and Road Transport of patients with Severe Respiratory Failure including mobile ECMO.
• Initiation and ongoing management of patients on veno‑venous and veno‑arterial ECMO.
• Management of surgical and medical Cardiothoracic intensive care patients – elective and emergency.
• Trans‑thoracic and trans‑oesophageal echocardiography, lung ultrasound.
• Advanced ventilatory techniques – including prone positioning, the use of nitric oxide, APRV and selective lung ventilation.
• The use of a variety of vasoactive drugs, pulmonary artery catheter and intra‑aortic balloon pump for cardiac output monitoring and mechanical circulatory support.
• Competence in key practical skills including percutaneous tracheostomy, ECMO cannulation and decannulation, bronchoscopy, intercostal drain insertion and central venous and pulmonary artery catheter insertion for drug delivery, renal support and invasive haemodynamic monitoring.
• Opportunity and support for national presentations of audit / data / research.

This is an exciting opportunity for a dynamic and ambitious individual to further develop key critical care medicine skills in the provision of advanced respiratory care including ECMO and transport of the critically ill adult and work in a leading cardio‑thoracic intensive care unit.

Job responsibilities:

PRINCIPAL ELEMENTS OF THE POST WILL BE:

• Day to day care of Adult intensive care patients – You will become a key member of a highly skilled multidisciplinary team providing advanced respiratory and cardiovascular critical care support including ECMO and inhaled nitric oxide in adult patients.
• Transport of patients – You will be part of our established transport team, gaining experience in transport of critically ill patients by road and by air (when possible).
• Training in ECMO – You will be expected to undertake our ECMO specialist training programme and we guarantee a place on our popular ECMO specialist course.
• Audit, research and teaching – There is an active programme of audit and research, and you will be expected to participate in data collection and analysis.
• Assessment – Each Fellow will be assigned an educational supervisor and will have an initial meeting to discuss educational goals and set a personal development plan for the attachment.

On‑call commitments – On‑call commitments are split – 50% providing cover for the unit and 50% for ECMO and Severe Respiratory Failure work with defined rest periods.

Person Specification training and experience:

• Full GMC registration.
• Completion of stage 1 and part of stage 2 ICM training or overseas equivalent.
• 36 months ICU experience.
• Final FFICM examination.
• Multiple Choice Question (MCQ) examination or equivalent.
• Primary FRCA or full MRCP, MRCEM examination or equivalent.
• ALS Completion of stage 2 and/or 3 ICM training or international equivalent FFICM.
• Prior experience in transfer of the critically ill, completion of a transfer training course.
• Prior experience in cardiothoracic intensive care and / or caring for ECMO/SARF patients.
• Full FRCA examination or equivalent.

Teaching:

• Evidence of teaching at an undergraduate or post graduate level.
• Certification Course/Diploma/Masters in Medical Education.

Research:

• Understanding of research methodology.
• Medical publications or a background of research activity.

Management:

• Understanding of the NHS, its strategy and current issues.
• Management training.
• Clear, fluent and articulate in verbal and written presentation.

Disclosure and Barring Service Check: This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service to check for any previous criminal convictions.