Imperial Clinical and stroke simulation Fellowship

Applications are invited for a clinical fellow to join other stroke SHOs and registrars in our service located at Charing Cross (CXH) hospital. Applicants may be at IMT 1 or above level (SHO or Spr). Applicants from the UK are welcomed from different base specialties including acute medicine, neurology, general internal medicine/geriatric medicine, and rehabilitation medicine.

The applicant will participate in a clinical rota, however, will be given an opportunity and dedicated time to focus on developing the existing stroke thrombolysis and thrombectomy simulation training programme and optimising the service pathways. A background in stroke and/or simulation training is highly desirable.

Besides the clinical activities above, we participate in the Stroke Sentinel National Audit Programme (SSNAP) which continuously monitors our infrastructure, staffing levels, care processes and patient outcomes, and compares our parameters with other HASUs nationally. Complex clinical cases are discussed at the weekly Stroke Consensus Grand Rounds, interesting cases are presented at weekly Academic Meetings, and deaths are discussed at the monthly Mortality & Morbidity Meetings.

Key performance indicators dictated by Healthcare for London and patient outcomes are monitored and assessed regularly, and an active programme of internal audit within the stroke service provides essential data for clinical governance purposes. Standard Operating Procedures (SOPs) for major elements of stroke care have been developed and are continually updated to ensure best practice according to the latest clinical guidelines and research evidence.

Imperial Stroke Fellows are encouraged to take part in internal audits, local service developments, writing of SOPs, and departmental meetings. At Imperial College Healthcare you can achieve extraordinary things with extraordinary people, working with leading clinicians pushing boundaries in patient care. Become part of a vibrant team living our values—expert, kind, collaborative and aspirational. You’ll get an experience like no other and will fast forward your career. Benefits include career development, flexible working and wellbeing, staff recognition scheme. Make use of optional benefits including Cycle to Work, car lease schemes, season ticket loan or membership options for onsite leisure facilities. We are committed to equal opportunities and improving the working lives of our staff and will consider applications to work flexibly, part time or job share. Please talk to us at interview.

Key Responsibilities

• Review the thrombolysis and thrombectomy pathway, identify areas for improvement and implement changes with the team support.
• Conduct an in‑depth review of the thrombectomy metrics and present at the monthly thrombectomy M&M meeting.
• Support the Stroke simulation lead to develop and implement a hyper‑acute pathways simulation program.
• Run regular simulation‑based education for the entire MDT thrombectomy team.
• Link with regional referrers to develop QI projects to improve thrombectomy referral processes and door‑in‑door‑out times.
• Attend daily morning HASU board round, academic meetings, multidisciplinary meetings, stroke consensus grand rounds, neuroradiology and neuro‑vascular MDT meetings, and participate in all educational opportunities relevant to stroke trainees.
• Provide clinical support to the HASU or ASU when required and cover 2–3 clinics weekly (either FU or TIA).
• Participate in a thrombolysis/thrombectomy on‑call rota. All final decisions for stroke intervention are made by the on‑call stroke consultant, who is on site from 9am to 8pm (and off site thereafter), 7 days a week.
• Teach junior medical staff and medical students.
• Participate in administrative tasks, service development and clinical governance.