Junior Clinical Fellow in Adult Critical Care with Research
| 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: | 6307860/200-CW-712579-6307860-CA |
Summary
A Vacancy at St George's University Hospitals NHS Foundation Trust.
Junior Clinical Fellow in Adult Critical Care with Research
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.
Research is considered an integral part of the provision of critical care at St George's – we aim to offer participation in research to all patients who would wish to be included. We deliver a range of national, international and local research studies across the general, cardiac and neuro intensive care departments. These include interventional, non-interventional and device studies. Current studies running at our site include UKROX, REMAP-CAP, GuARDS, T4P, MOSAIC, BONANZA, SOS and EXAKT. Another 7 studies will open in the next 6 months.
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).
The successful applicant would have responsibility for recruitment to and governance of NIHR portfolio adopted studies being delivered across the directorate, as well as identifying and contributing to the set-up of new research. There is opportunity to develop independent research project for a motivated candidate, as well as an expectation to contribute to the academic writing output of the department, for example through authoring review and education articles. The successful candidate can expect to build a portfolio of research skills which we anticipate tailoring in part to their interests and career aspirations. Formal training through good clinical practice and NIHR associate PI scheme will be encouraged. There is no automatic expectation that this role will lead to submission for funding for further research, but candidates interested in pursuing a higher research degree are encouraged to apply and discuss their ideas and aspirations with the team.
Clinical fellows (CFs) are required to work as part of the critical care medical and multidisciplinary team. Duties and responsibilities will be commensurate with the individual candidate’s experience and are overseen by consultant intensivists at all times.
The successful candidate will be based on General ICU for a period of 12 months. Development of their research interest will take place on flexi days and the standard days falling Monday to Wednesday
The directorate has a strong track record of developing academic clinicians – 4 of our current consultants completed their higher degrees within the directorate and our consultant body includes two Professors, one Reader and a number of academically active consultants at other career levels. Our team includes two (soon to be three) clinical-academic consultants appointed jointly with St George's, University of London, a dedicated research lead consultant, NIHR funded academic doctors and allied healthcare professionals and a team of 7 research nurses, alongside administrative and governance support from St George's University of London
The Directorate has 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 Lead for Education runs a comprehensive teaching programme including journal clubs, weekly consultant led teaching and unit specific training. Clinical fellows will be expected to both attend and run these as well as contributing to clinical governance through presentations at the weekly M and M meetings.
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
Junior Clinical Fellow in Adult Critical Care with Research
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.
Research is considered an integral part of the provision of critical care at St George's – we aim to offer participation in research to all patients who would wish to be included. We deliver a range of national, international and local research studies across the general, cardiac and neuro intensive care departments. These include interventional, non-interventional and device studies. Current studies running at our site include UKROX, REMAP-CAP, GuARDS, T4P, MOSAIC, BONANZA, SOS and EXAKT. Another 7 studies will open in the next 6 months.
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).
The successful applicant would have responsibility for recruitment to and governance of NIHR portfolio adopted studies being delivered across the directorate, as well as identifying and contributing to the set-up of new research. There is opportunity to develop independent research project for a motivated candidate, as well as an expectation to contribute to the academic writing output of the department, for example through authoring review and education articles. The successful candidate can expect to build a portfolio of research skills which we anticipate tailoring in part to their interests and career aspirations. Formal training through good clinical practice and NIHR associate PI scheme will be encouraged. There is no automatic expectation that this role will lead to submission for funding for further research, but candidates interested in pursuing a higher research degree are encouraged to apply and discuss their ideas and aspirations with the team.
Clinical fellows (CFs) are required to work as part of the critical care medical and multidisciplinary team. Duties and responsibilities will be commensurate with the individual candidate’s experience and are overseen by consultant intensivists at all times.
The successful candidate will be based on General ICU for a period of 12 months. Development of their research interest will take place on flexi days and the standard days falling Monday to Wednesday
The directorate has a strong track record of developing academic clinicians – 4 of our current consultants completed their higher degrees within the directorate and our consultant body includes two Professors, one Reader and a number of academically active consultants at other career levels. Our team includes two (soon to be three) clinical-academic consultants appointed jointly with St George's, University of London, a dedicated research lead consultant, NIHR funded academic doctors and allied healthcare professionals and a team of 7 research nurses, alongside administrative and governance support from St George's University of London
The Directorate has 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 Lead for Education runs a comprehensive teaching programme including journal clubs, weekly consultant led teaching and unit specific training. Clinical fellows will be expected to both attend and run these as well as contributing to clinical governance through presentations at the weekly M and M meetings.
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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