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Junior Clinical Fellow in Adult Critical Care with Education

Job details
Posting date: 17 May 2024
Salary: Not specified
Additional salary information: £37,068 - £57,570 per annum
Hours: Full time
Closing date: 16 June 2024
Location: London, SW17 0QT
Company: st georges nhs trust
Job type: Contract
Job reference: 6308075/200-CW-712579-6308075-CA

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Summary

A Vacancy at St George's University Hospitals NHS Foundation Trust.


Junior Clinical Fellow in Adult Critical Care with Education

Adult Critical Care Directorate, St George’s Hospital, London



Minimum requirement: Post Foundation Training or equivalent.



Full time appointment, August 2024.

The St George’s Adult Critical Care Directorate has 60 critical care beds across three critical care unts: General Intensive Care, Neuro Intensive Care and Cardiothoracic Intensive Care. This is an extremely exciting time for the Directorate with construction of a new 20 bed adult ICU currently underway. Successful candidates will work across one or more of these units during their period of employment at St George’s and where possible we will accommodate specific unit preferences.

The applicant should be post foundation training or equivalent. Prior experience of the UK healthcare system is desirable, and GMC registration is essential (unless applying for sponsorship)

Successful candidates will work with the directorate lead for Education helping to run the directorates comprehensive teaching programme including journal clubs, weekly consultant led teaching and unit specific training. There will be an education fellow working on each adult ICU and so there will be the opportunity for unit specific education projects as well as pan directorate initiatives with all three education fellows working together.

Time dedicated to the educational component of the job will take place on flexi days and the standard days falling Monday to Wednesday

Please note that while every effort will be made to accommodate this work pattern, in exceptional circumstances doctors may be required to perform clinical duties on their flexi and research days and this may include covering other units when staffing levels dictate.

Away from work on education, clinical work will be on one of the adult ICU where clinical fellows (CFs) are required to work as part of the critical care medical and multidisciplinary team. We can accommodate experienced trainees / CFs looking to broaden their experience (including subspecialty specific) and novice trainees / CFs with no prior ICM experience. Duties and responsibilities will be commensurate with the individual candidate’s experience and are overseen by consultant intensivists at all times. The experience gained will be beneficial to trainees wishing to pursue a wide variety of career aims.

The Critical Care Directorate is internationally recognised for its research and several Intensive Care Consultants hold leadership positions in national and international societies. There are multiple international research studies being actively recruited to at any one time which successful candidates will have the chance to be a part of. The Directorate has also recently appointed a Quality Improvement Lead who is coordinating audit and quality improvement work across the three adult ICU and beyond. Here again multiple opportunities exist for motivated fellows to contribute.

The Directorate has an outstanding track record as a route to speciality training with 90% of fellows successful at the recent Anaesthetic and Intensive Care interview rounds. Successful candidates are encouraged to seek advice and assistance with any planned speciality applications early.

GICU is a 24 bedded unit offering all aspects of level 2 and level 3 critical care (with the current exception of Extracorporeal Circulatory Support) to a wide variety of patients. GICU admits approximately 1500 patients per year. The workload is currently a broad mix of general medical patients as well as high risk elective and emergency surgical patients and major trauma. There is a dedicated, post ICU, follow-up team that provides in-patient review, rehabilitation co-ordination and a weekly, consultant delivered, out-patient clinic.

Under the supervision of more senior colleagues, the successful candidate will be able to develop the necessary skills to see patient referrals and evaluate where, how and when to admit a deteriorating patient and how to stabilise and manage the patient in ICU.



CTICU has 21 beds and offers all aspects of level 2 and level 3 critical care to cardiothoracic surgery, cardiology and vascular surgery patients as well as when the need arises a breadth of general intensive care patients. CTICU has also recently expanded to house the St George’s Cardiogenic Shock service. This was launched in 2022 and has developed over the past year to now involve the use of mechanical support devices including IABP, Impella and VA-ECMO. The remit of the Cardiogenic Shock service is to identify patients in low cardiac output states secondary to cardiogenic shock and to rapidly convene an MDT meeting to discuss and agree management options.

Successful candidates will assist with management of all CTICU patients including generic intensive care support, advanced respiratory support, advanced cardiovascular monitoring (including pulmonary artery floatation catheters), intra-aortic balloon pumps, trans-thoracic and trans-oesophageal echocardiography and renal replacement therapy.



NICU is a 18 bed specialist tertiary referral intensive care providing elective and emergency care for neurosurgical, neurology and stroke patients. The patient admission profiles include neurology patients with a variety of diagnoses requiring close monitoring and organ support. The unit also provides level 2 and 3 care to Stroke patients post-thrombectomy and other high risk patients requiring interventional radiology as well as general intensive care patients.

The post holder will assist with the management of patients with severe traumatic brain injury, spinal cord injury, subarachnoid haemorrhage, elective and emergency post-operative neurosurgical cases and patients with neurological disease requiring advanced organ monitoring and support.

Please see the job description for the person specifications and further details of the job responsibilities.

Due to the high volumes of applications we receive for certain posts, we reserve the right to close any adverts before the published closing date once we have received a sufficient number of applications. After the closing date we strongly advise you check the email account which is registered. If you have not heard from us within four weeks of the closing date, please assume that you have not been shortlisted.


This advert closes on Tuesday 21 May 2024

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