Education Fellow in Adult Critical Care (HEE Supported)

Job overview

Applications are invited for an Education Fellow in Adult Critical Care (Health Education England Supported) starting in August 2023.

The objective of this fellowship is to develop a clinical learning programme consisting of simulation and targeted training sessions to improve delivery of care to critically unwell patients by trainees in specialities which do not include critical care as part of their training programme. You will have 2 days per week (on average) to complete this project.

HEEM will support the engagement and funding of an academic qualification or similar appropriate area upto the value of £3000.

This post would ideally suit candidates with anaesthetic experience who are aiming to advance their CV and develop their ICM and Acute Care Skills to a higher level within a tertiary teaching ICU. The applicant would work on the airway rota and therefore should have at least 1 years’ experience in Anaesthesia.

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
• 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

During your time in post you will also:

• Develop a clinical learning programme with the support of the Postgraduate Medical Education Centre. There is the potential to role this project out locally and regionally.
• Opportunity to present your project and experience at prestigious national conferences and publication in peer reviewed journals.

Working for our organisation

About Us

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

On the QMC campus the critical care area is divided into a 29-bedded intensive care (level 3 beds) and a 20-bedded level 2 HDU. The critical care area at the City campus has 17 beds that are used flexibly for level 2 and 3 care.* Between the three units we see approximately 4500 admissions per year. NUH is the East Midlands Major Trauma Centre and is one of the busiest trauma units in Europe. (*During the covid pandemic we were able to increase our capacity significantly).

We are fortunate to have a large and skilled MDT to support the medical team in delivery of critical care to Nottingham and the wider catchment area.

Ours is a diverse and vibrant city having a busy and culturally exciting centre, two universities and yet close proximity to picturesque villages, the Peak District, Sherwood Forest and Rutland Water.

Detailed job description and main responsibilities

Job Description

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 Stage 1 Anaesthesia or ICM training and 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.

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 paid at MT04 or MT05 depending on experience.

This post isnotrecognised 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: Education Fellow in Adult Critical Care

Essential for the post:

• MB ChB or equivalent & GMC registration with licence to practise
• Have completed Stage 1 Anaesthesia or ICM Training.
• Ability to stabilise the deteriorating patient (including intubation and the initiation of organ support)
• Evidence of continuous career development
• Evidence of good written communication, successful team worker, sensitivity to needs of patients and colleagues
• Punctuality, professional appearance and attitudes consistent with GMC guidelines. Values and behaviours aligned with NUH’s

Desirable for the post:

• Primary FRCA or equivalent higher qualification
• ALS or equivalent accredited life support course
• Experience of senior on-call roles in the acute specialities in the UK
• Completion of an Audit Cycle
• Published Research
• Evidence of academic achievement including additional qualifications, prizes
• Competence in Bronchoscopy, Lung Ultrasound and Focused ECHO
• Attendance at meetings/ courses/ membership of professional bodies
• Demonstrates non-medical interests/ activities
• Evidence of Human Factors Training

HEE Post Specific Information

Aims and objectives of Fellowship:

• The objective of the fellowship would be to develop a clinical learning programme consisting of simulation and targeted training sessions to improve the delivery care to critically unwell patients by trainees in specialities which do not include a critical care rotation as part of their training programme
• Only a limited number of speciality curriculums currently include a critical care rotation as part of their curriculum requirements and therefore creation of a programme would enable those in surgical specialities etc to gain skills and knowledge to improve the care that is provided to their patients.
• This would address the inequality in critical care experience between curriculums and therefore is something that needs addressing locally, regionally and nationally.
• Opportunity to lead and manage a project on a local, regional and potentially national level
• Experience in the delivery of simulation with faculty support from the Trent Simulation and Clinical Skills Centre
• Gain a broader understanding of implementing an educational strategy within a local organisation and delivering this on a regional level

This fellowship will give a highly motivated clinical practitioner the opportunity to work on a regional scale. The fellow will be supported to build and develop their professional leadership and other key skills and will have the opportunity to attend key regional and national meetings that focus on the appropriate area. The fellowship will create the chance for increasing knowledge of strategic thinking and innovation and will enable the fellow to gain a broader understanding of the NHS and Arm’s Length Bodies. There is a wealth of opportunity for shared learning and personal, professional and leadership development for an individual with a specific interest in the appropriate areas and other areas across health and social care, talent management, education, and research.

HEEM will support the engagement and funding of an academic qualification or similar appropriate to the area upto the value of £3000.

Opportunity to present your project and experience at prestigious national conferences and publication in peer reviewed journals.

Non Clinical Opportunities

Within NUH Junior Critical Care Fellows have the opportunity to pursue their interest in a variety of clinical and non-clinical areas. This can include simulation, teaching, governance and quality improvement.

Educational opportunities

The departments offer extensive learning resources. There are several regular educational meetings each week including journal clubs, ITU rounds and morbidity meetings. There is a monthly protected teaching day for our Fellows which cover the clinical aspects of critical care in addition to optional teaching days which cover generic non-clinical topics (e.g. ethics, medical law, professionalism, interview skills). There are hospital and departmental libraries at both sites including IT facilities.

FICE & FUSIC

There is plenty of opportunity for trainees to gain their FICE and FUSIC accreditation. The department is supported by several FICE & FUSIC mentors as well as consultants with experience of TOE.

Research opportunities

Available by special arrangement. Critical Care has links with the Academic Departments of Anaesthesia and Surgery and participation in on-going research and audit programmes will be encouraged.

Applications for training posts

The department has an excellent reputation for successful recruitment into higher speciality training posts. Trainees are encouraged to develop their portfolio and identify and utilise opportunities to increase their success in subsequent recruitment. We are also fortunate to have a number of consultants who interview for example for National Anaesthesia Recruitment and therefore are in a position to support applicants during interview preparation.

Internal cover and Locums

The current banding allocation of this post includes an allowance for internal cover to cover the normal leave allowance of colleagues. In exceptional circumstances and for short periods only, Clinical Fellows may be requested to provide additional cover, for example, to cover sickness. Locums may also be employed in this instance.

Contact

If you would like further information about this post please email Gurmukh.sandhu@nuh.nhs.uk