Senior Clinical Fellow in Intensive Care Medicine Birmingham

Applications are invited for Locally Employed Doctors to work at a higher level in Intensive Care Medicine across various Fellowships based at the Queen Elizabeth Hospital Birmingham. These are fixed term contracts with 6-12 month posts available and grade/salary will depend on experience. Please note these are not recognised training posts but similar opportunities to a training post will be provided, according to the education and development needs of the successful applicant.

Main duties of the job

The post-holder will be locally employed by the Trust. There are ample opportunities for learning, such as regular departmental education sessions, consultant supervision and mentorship, and also quality improvement, research and teaching opportunities will be provided at an equivalence to ICM Registrar (StR 4-5+) (though note that the post is not a formally recognised training post). Non-training posts within our trust are often termed Locally Employed Doctor (LED) roles - in this nomenclature this is a LED-Higher role. Successful applicants are required to participate in a 1:8 on-call rota covering an Intensive Care Unit Area, depending on the balance of local competency requirements and the clinical/educational interests of the candidate, in the context of ICU service requirements. There will be the option to gain specific sub-specialty experience during normal working days sessions depending on clinical or educational interests. Please discuss any particular interests prior to interview.

About us

University Hospitals Birmingham NHS Foundation Trust strives to have an inclusive culture where everyone feels like they belong, can thrive, knows that they add value and feels valued. We do this by developing compassionate and culturally competent leaders, being values driven in all that we do and by creating a welcoming and inclusive workplace that thrives on the diversity of our people. As such we want to attract and recruit talented individuals from all backgrounds, and for each of you to feel supported for the diversity you bring, to achieve your full potential. For those staff with a disability, including physical disability, long term health condition, mental health or neurodiverse condition, this also means being committed to making reasonable adjustments needed for you to carry out your role.

Job responsibilities

• Liver Critical Care Fellowship: The Queen Elizabeth Hospital Birmingham has one of the two largest adult liver transplant programmes in the UK, completing on average over 200 transplants per annum over the last 10 years, and incorporating innovations such as machine perfusion of donor livers. In addition to valuable experience in general intensive care, Fellows will also gain experience in general hepatology, acute liver failure (including support with plasma exchange), acute-on-chronic liver failure, and post-operative care of the hepatobiliary and liver transplant surgical patient. They will attend liver transplant listing meetings and MDTs, Morbidity and Mortality meetings and can experience transplant surgery and anaesthesia. In addition to Critical Care teaching, there is weekly hepatology teaching. There is an active research programme in liver critical care and across all liver specialties.
• Neurocritical care Fellowship: Clinical experience on the critical care unit will include ischaemic and haemorrhagic stroke (including mechanical thrombectomy), subarachnoid and intraventricular haemorrhage, status epilepticus, neuromuscular disorders, complex weaning and traumatic brain injury with advanced neuro-monitoring techniques, as well as care of the patient post-complex neuro and spinal surgery. To obtain these competencies fellows will rotate through general, trauma and burns in addition to neuro critical care. To obtain additional specific neuro critical care skills they can attend sessions with neuro-radiology, interventional neuro-radiology, neurophysiology and neuro rehabilitation consultants.
• Trauma and Burns Critical Care Fellowship: The QEHB is a regional Burns centre, with 2 dedicated burns shock rooms within critical care. We are a Major Trauma Centre with over 500 trauma admissions to the critical care unit per annum. As part of the clinical team, you will gain experience of trauma care throughout the continuum of the patient pathway- from arrival in the ED, through theatre and critical care to rehabilitation, providing critical emergency care to the wide range of patients. Several of the Consultant Intensivists have an interest in pre-hospital trauma care, and you will have the opportunity to work alongside ED trauma physicians, trauma anaesthetists, trauma intensivists, as well as military personnel from the Royal Centre for Defence Medicine. There are weekly Major Trauma and Burns MDTs, and monthly MTS morbidity meetings. Burns and trauma research is an active area at QEHB.

Person Specification

Qualifications

• Medical degree from a recognised university, eligibility for GMC registration within the required time scale
• Clinical experience and competence such that can deliver out of hours practice in critical care equivalent to: Intensive care - ST4-5+ equivalence
• Independent practice in advanced airway manoeuvres (e.g. intubation - minimum equivalence to Initial Assessment of Competency in RCOA terminology)
• FRCA Part 1 or equivalent recognised by the Royal College of Anaesthetists (RCOA). OR MRCP of equivalent recognised by the Royal College of Physicians (RCP) OR MRCEM or FRCEM Intermediate or equivalent recognised by the Royal College of Emergency Medicine (RCEM)
• Ability to manage the critically unwell patient with distant supervision
• Valid ALS

Experience

• Broad experience of Intensive Care Medicine - minimum of 2 years prior experience
• Experience of allied specialties (e.g. Anaesthesia, Emergency Medicine, Acute or General Internal Medicine)
• Appropriate career progression within the speciality and satisfactory ARCP outcomes.
• Up-to-date logbook information in summary

Additional Criteria

To discuss the role in more detail please contact Dr Greg Packer, ICM Consultant, Deputy Clinical Service Lead, gregory.packer@uhb.nhs.uk and/or Dr Tomasz Torlinski, ICM Consultant, Fellows Lead, tomasz.torlinski@uhb.nhs.uk. Following the deadline a shortlisting process will take place and those shortlisted will be invited to interview.

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 (formerly known as CRB) to check for any previous criminal convictions.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website. From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website.