Senior Clinical Fellow in Acute Medicine

Job summary

The appointment will be subject to the Terms and Conditions of Service of Trust Grade Doctors (2017) and may be subject to amendment

We wish to appoint 1 Senior Clinical fellow at ST/CT 3-8 in Acute Medicine on a 12-month contract. The post is based in the Acute Medicine department at the Bristol Royal Infirmary and is a new post that we are looking to place within our Same Day Emergency Care (SDEC) unit and Acute Medicine Assessment Unit. The post has a potential negotiable on-call commitment, at the same frequency as the other SpRs.

The Acute Medicine Team covers 34 in-patient beds across an Acute Medicine Assessment unit and Medical SDEC unit which is comprised of a 30 person waiting room and 10 cubicles within our treatment area. There are opportunities to also be involved in the Acute Medicine Clinic and AKI Clinic, accepting the full range of acutely unwell patients.

Main duties of the job

For this Senior Clinical Fellow post, we are looking for a candidate to work both ward shifts (09:00-17:00) and on SDEC (10:00-18:00), normal working days, predominantly on our Medical SDEC unit and possible Acute Medicine Assessment Unit when needed.The purpose of this post is to provide senior leadership to our Medical SDEC unit, Acute Medicine Assessment Unit and clinical teams who work within them. We would be looking for the successful candidate to help lead with service development and exploring ideas to help further the success of our SDEC/AMU department.

About us

Bristol NHS Foundation Trust brings together more than 28,000 staff to deliver over 160 clinical services across thirteen hospital locations,operatingfrom three main sites at Southmead, Bristol citycentreand Weston.

With an annual turnover of £2.3 billion, we are now one of the largest NHS trusts in the United Kingdom. Our hospitals are spread across Bristol and Weston, join us and you can enjoy the very best of both worlds; city living within a stone's throw of the countryside or beside the seaside, both with easy access to all that theSouth Westhas to offer.

Bristol NHS Foundation Trust values all people as individuals. As an equal opportunities employer actively working towards a diverse workforce we aim to recruit andretaina workforce whichrepresentsthe rich diversity of the local population at all levels and are committed to designing our services around the needs of individual patients and those around them. Anonymous information will be used from your applicationin order toensurewe'remeeting our pledge.

Job responsibilities

Duties will involve delivering ambulatory type care to patients under the care of the medical team. The Medical SDEC unit acts as an extension of the Medical Take, with its own designated nursing team and Acute Medicine consultant. The successful applicant may also, if agreed and available, be part of the general medical on-call rota working both day and night shifts to cover ward areas and acute admissions. Some flexibility during times of peak patient activity and/or bed occupancy in covering other teams, such as the Acute Medicine Assessment unit, may be required.

Person specification

Knowledge and Experience

Essential

• oConfident in assessing, resuscitating and stabilising acutely sick patients
• oAble to participate as member of cardiac arrest team
• oDemonstrates good clinical judgement
• oDemonstrates an understanding of clinical governance
• oExperience of Specialty Care within UK
• oAble to demonstrate proficiency in a range of medical procedures as an indication of manual dexterity and hand-eye coordination

Desirable

• oTraining /experience in Respiratory Failure and management of patients on NIV/CPAP
• oDesigned and / or completed audits

Skills and Abilities

Essential

• oEvidence of good multidisciplinary team working and leadership supported by multi-source feedback or other workplace-bases assessments
• oThe ability to practice independently under consultant supervision and supervise/teach junior medical staff
• oEvidence of competence in management of medical emergencies and in-patients through continuous work-bases assessments, portfolio evidence, including logbook documentation if applicable
• oInquiring and critical approach to work

Desirable

• oEvidence of a portfolio of audit projects where the audit loop has been closed

Qualifications and Training

Essential

• oMRCP or equivalent medical qualification
• oMBBS or equivalent medical qualification

Desirable

• oHigher degrees including MSc, PhD or MD
• oALS certification or equivalent

Additional and Aptitudes

Essential

• oEvidence of enthusiasm for education and training

Desirable

• oEvidence of skills in the management of acute medical emergencies (e.g ALERT IMPACT certification)
• oDemonstrate an interest and understanding of Acute Medicine
• oEvidence of involvement in management