Senior Clinical Fellow for Respiratory Same Day Emergency Care (SDEC)

This 12-month fixed-term clinical fellow post sits in respiratory medicine at the Royal Sussex County Hospital, within the Respiratory Same Day Emergency Care unit. It assesses clinically stable patients sent from A&E with respiratory complaints, arranges investigations and decides on admission or discharge with follow-up. Work spans ambulatory pathways for pleural effusion, pneumothorax and suspected lung cancer, with scope to help set up an ambulatory chest drain service. Full GMC registration with a licence to practise is essential.

What the job involves

• Assess patients transferred from ED with respiratory complaints who are clinically stable for SDEC
• Organise necessary investigations and review results
• Discuss and review patients with the respiratory physician of the day
• Decide the treatment and management plan
• Admit for inpatient care or discharge with appropriate follow-up
• Assess patients known to respiratory consultants or CNS who contact the team when unwell
• See patients with a new unilateral pleural effusion, perform thoracic ultrasound and same-day diagnostic aspiration where there are no contraindications
• Manage primary spontaneous pneumothorax patients in the ambulatory setting
• Take part in setting up and evaluating the ambulatory chest drain pathway
• Assess patients with chest x-ray findings suggestive of lung malignancy and arrange CT chest, diagnostic aspiration, bronchoscopy, PET and EBUS
• Arrange prompt follow-up in the lung cancer clinic
• Help develop further ambulatory respiratory care pathways

What’s required

Qualifications

• Basic medical degree
• Postgraduate qualification or appropriate specialist qualification
• Advanced Life Support Certificate from the Resuscitation Council UK or equivalent
• Completed foundation training in the UK or signed CREST form

Registration & licences

• Full GMC registration with a licence to practise

Experience

• At least 6 months' clinical experience in general medicine in the UK
• Experience of working in multi-professional teams
• Appropriate career progression to date

Skills & knowledge

• Evidence of an interest and commitment to teaching
• Good written communication skills
• Understanding of clinical risk management
• Understanding of NHS, clinical governance and resource constraints

Other

• Evidence of participation in audit

Nice to have

• Recognised teaching qualification
• Higher degree
• Postgraduate experience of working in intensive care or high dependency medicine
• Breadth of experience in and outside the specialty
• Research experiencePublications
• Prizes and honours

What’s offered

• Extensive staff wellbeing programme
• Staff networks
• Buddy to help new members settle in
• Support for learning, teaching and training throughout your career

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