Senior Clinical Fellow In Adult Critical Care and Research

Nottingham University Hospitals (NUH) is the biggest employer in Nottingham with over 19,000 staff

Senior Clinical Fellow In Adult Critical Care and Research NHS Medical & Dental: Specialty Trainee (ST3-5) Main area Critical Care Grade NHS Medical & Dental: Specialty Trainee (ST3-5) Contract 12 months (Fixed Term) Hours Full time - 40 hours per week Job ref 855

Site Cross site Town Nottingham Salary per annum Closing 01/05/:59

Job overview Applications are invited for a Specialist Fellow in Research and Adult Critical Care post starting in August 2025.

The post is open to all applicants who meet the essential criteria as detailed in the person specification below. It is open to all doctors who hold Full/limited registration with the GMC and successfully completed foundation year 2 training plus a further 2 years in the acute specialities (must have at least 24 months of UK Anaesthesia experience).

This post uniquely allows the post holder be integral to the planning, delivery and dissemination of clinical trial research conducted at Nottingham University Hospitals NHS Trust. It is anticipated that direct experience of all components of the research life cycle will be obtained by the successful applicant.

The successful candidate would be based in the Critical Care department but would have two days per week allocated to Research activities, the details of which will be discussed at interview.

Main duties of the job The successful candidate will participate in the 1in 8 airway rota across both QMC and NCH campus critical care units to maximise the clinical experience you gain during this post.

Clinical Responsibilities will include (not exhaustive):

Perform daily reviews on ICU patients and present findings on the MDT ward round, with a focus on our major trauma patient population within adult critical care.

In conjunction with the consultant support the clinical decision making of junior medical and nursing staff as the senior member of the critical care team

Review critically unwell patients outside of critical care.

Admit, stabilise and formulate an initial management plan for critically unwell adults.

Competently initiate ventilation, use vasopressors, insert CVC and Arterial Lines and be able to transfer the critically unwell patient.

The successful candidate would be based in the Critical Care department but would have at least two days per week allocated to Research activities.

See job description for more details

Working for our organisation NUH consists of the Queens Medical Centre Campus and the Nottingham City Hospital Campus. Duties will be based at both campuses

Critical care is part of the Specialist Support directorate, which incorporates critical care, anaesthesia, theatres, pain and sterile services across NUH. There are 3 distinct adult critical care areas managed by specialist support across the Trust on two campuses. Queen's Medical Centre Campus (QMC) On the Queen's campus Critical Care is divided into a 29-bedded Intensive Care (level 3 beds), and a 20-bedded level 2 High Dependency Unit. At QMC critical care receives referrals from major trauma and the following surgical specialties: neurosurgery, spinal, emergency orthopaedics, hepatobiliary, vascular, lower GI, maxillofacial and ENT. It also receives referrals from acute medicine (including acute gastroenterology). Of note, NUH became the East Midlands Major Trauma Centre in April 2012 and is the busiest Major Trauma Centre in the UK. Nottingham City Hospital Campus The critical care unit at the City campus has 17 beds that are used flexibly to accommodate up to 9 level 3 patients, the remaining beds are for level 2 admissions. The major subspecialty interests at City are thoracic surgery, upper GI surgery, elective orthopaedics, urology, burns and plastics, renal medicine, infectious diseases, oncology, haematology and respiratory medicine.

Detailed job description and main responsibilities The successful candidates will be contracted to Nottingham University Hospitals NHS Trust. The appointees will be expected to adhere to local policies and procedures and to take note of the standing orders and financial instructions of the Trust. All employees who have responsibility for other staff need to ensure that individual performance is reviewed and a personal development plan is jointly agreed, at least annually. Managers and Supervisors will work jointly with their staff to ensure all developmental actions that are agreed during the review take place and are evaluated during the following year.

It is open to all doctors who hold Full/limited registration with the GMC and successfully completed foundation year 2 training and a further 2 years in acute specialities (of which 12 months should be in anaesthesia) who wish to gain further experience in the management of critically unwell patients with a wide range of medical and surgical conditions and enhance their CV for application to specialist training or consultant posts.

This post is whole time and is covered by the Medical and Dental Staff Terms and Conditions of Service. Doctors applying for this post from overseas should note that prior NHS experience is a prerequisite and we would recommend applying for one of our Trust Grade posts in the first instance.

The post is EWTD compliant.

The Salary for this post will be on the MT04 or MT05 scale depending on experience plus an out of hours supplement.

This post is not recognised for training by the Postgraduate Dean, the Faculty of

Intensive Care Medicine or by the Royal College of Anaesthetists.

All successful applicants are allocated a clinical supervisor who will support the individual to develop their clinical and non-clinical skills and offer advice on how to achieve any specific individual goals the fellow may wish to achieve. We recommend that the appointee maintain a logbook of experience, complete appropriate assessments and participates in the wide range of non-clinical opportunities detailed below.

Person Specification: Senior Clinical Fellow in Adult Critical Care and Research

Essential for the post:

A) MB ChB or equivalent. Full GMC registration with licence to practise

B) Successful completion of FY2 training in an NHS setting plus two years of post-foundation training in acute specialities (Anaesthesia, Acute Medicine, Emergency Medicine or ICM) in an NHS hospital.

C) Have Completed Stage 1 Anaesthesia or ICM training or equivalence formally signed off with ROCA/FFICM stage certificate

D) Evidence of competence in clinical task (including intubation and the initiation of organ support)

E) Evidence of continuous career development, including evidence of attending meetings/courses

F) Evidence of good written communication, successful team worker, sensitivity to needs of patients and colleagues

G) Punctuality, professional appearance and attitudes consistent with GMC guidelines. Values and behaviours aligned with NUH standards

Desirable for the post:

H) Primary FRCA or equivalent higher qualification

I) ALS or equivalent accredited life support course

J) ATLS or other trauma course

K) Two year experience of anaesthesia in the UK. Twelve month experience of internal medicine in the UK. Twelve month of previous Critical Care medicine in the UK.

L) Stage 2 anaesthesia or ICM trainee

M) Experience of senior on-call roles in the acute specialities in the UK (ideally sometime in ICM)

N) Completion of an Audit Cycle or Quality Improvement Project with evidence of having presented/published such work.

O) Publications (Research, QIP, Academic etc)

P) Evidence of academic achievement including additional qualifications, prizes, Excellent ARCP Outcomes.

Q) Competence in Bronchoscopy, Lung Ultrasound and Focused ECHO

R) Attendance at meetings/ courses/ membership of professional bodies

S) Evidence of Human Factors Training

T) Demonstrates non-medical interests/ activities

U) Evidence of having completed a leadership or management course.

V) has completed GCP training

W) Have experience of leading designing or recruiting to research projects

The Speciality Critical care is part of the Clinical Support division.

There are 3 distinct adult critical care areas managed by clinical support across both QMC and City campuses.

We aim to rotate you through both campuses so that you are exposed to a wide range of pathologies and speciality experience. Queen's Medical Centre Campus (QMC) On the Queen's campus Critical Care is divided into a 29-bedded Intensive Care (level 3 beds), and a 20-bedded level 2 High Dependency Unit. At QMC critical care receives referrals from major trauma and the following surgical specialties: neurosurgery, spinal, emergency orthopaedics, hepatobiliary, vascular, lower GI, maxillofacial and ENT. It also receives referrals from acute medicine (including acute gastroenterology). Of note, NUH became the East Midlands Major Trauma Centre in April 2012 and is the busiest Major Trauma Centre in the UK.

Nottingham City Hospital Campus The critical care unit at the City campus has 17 beds that are used flexibly to accommodate up to 9 level 3 patients, the remaining beds are for level 2 admissions. The major subspecialty interests at City are thoracic surgery, upper GI surgery, elective orthopaedics, urology, burns and plastics, renal medicine, infectious diseases, oncology, haematology and respiratory medicine.
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