Senior Clinical Fellow Emergency Medicine80:20Medical Examiner Service inBristol inBristol PUBLISHED 16 MAY 2024

Band Doctor - other: £55,329 to £64,152 a year pa  FIXED TERM 
The post holder must be aware of clinical governance and clinical risk management and take an active part in their implementation, including audit.


Medical Examiner Service

Ensuring accuracy of the MCCD, discussion of care with the next of kin, and liaison with HM Coroner are our main functions, during which any governance issues arising are fed back constructively to the organisation concerned. Subsequent follow-up ensures our recommendations are established in future practice.


Clinical

The reception, diagnosis and emergency treatment of patients presenting to the adult Emergency Department. The successful candidate will be given supervision and support from senior medical staff to develop competency in the autonomous clinical management of these patients whilst ensuring patient safety. This post is based in the adult Emergency Department and no sessions will be undertaken in the paediatric Emergency Department.

There is close liaison between ED and ICU at BRI. Patients referred to Specialist Units within the hospital are the responsibility of that specialist team, who will see the patient in the Emergency Department and arrange appropriate care. However, medical and nursing staff in the ED are responsible for any emergency care necessary. This shared care is seamless and collaborative.


Managerial

The management responsibility of the post holder will be to the Clinical Director who is responsible to the Chief Executive and Trust Board.


Clinical Audit and Clinical Governance

The post holder must be aware of clinical governance and clinical risk management and take an active part in their implementation, including audit. Clinical audit is established at the BRI. They will participate in at least one supervised audit project during the 12 month post and will be encouraged to attend interdisciplinary clinical governance meetings


On-Call Commitment

In ED the roster is a full shift system. Shifts are a balanced mix of earlies, mids, lates, and nights. The posts pay will be calculated by HR and will be compliant with the new regulations set in Aug 2.

The senior clinical fellow posts include 80% time working in the adult emergency department and 20% paid time to develop in a specialist interest of the successful candidate's choice. The posts are open as OOPT/E for EM HSTs and as stand-alone posts for non-trainees, and can be 100% EM if required. We are also open to SAS and Specialty Doctors if that suits.

For this post the 20% specialty interest will be in the
Medical Examiner Service
providing independent scrutiny of all non-coronial deaths, wherever they occur (2022 marks the extension of the service from Acute Trusts to include all Community settings).

Applicants should hold a relevant postgraduate qualification (MRCEM, MRCP, MRCS, FRCA or equivalent), and should be ST4 + or equivalent, having completed a minimum of 3 years in approved SHO posts (Post Foundation Medicine) or equivalent in relevant acute specialities including at least 1 year in Emergency Medicine.


The requirement is that you are 5 years post full GMC registration.

The post will be a combination of service provision including out of hours and paid time to develop a specialist interest. The candidate is to combine a job in Emergency Medicine with a 20% time allowance for a specialist interest. Specialist interests may include but are not limited to education (SIM/FOAMed), global health, expedition medicine, leadership and management, advanced airway management, research (with Professor Jonathon Benger), ultrasound, resuscitation, toxicology and paediatrics. If an applicant has a particular specialist interest they would like to pursue not listed above then we will accommodate. Open to trainees and non-trainees. For those trainees who already have a UK National Training Number in Emergency Medicine, these posts are eligible for OOPT or OOPE


Medical Examiner Service

Ensuring accuracy of the MCCD, discussion of care with the next of kin, and liaison with HM Coroner are our main functions, during which any governance issues arising are fed back constructively to the organisation concerned. Subsequent follow-up ensures our recommendations are established in future practice.


Clinical

The reception, diagnosis and emergency treatment of patients presenting to the adult Emergency Department. The successful candidate will be given supervision and support from senior medical staff to develop competency in the autonomous clinical management of these patients whilst ensuring patient safety. This post is based in the adult Emergency Department and no sessions will be undertaken in the paediatric Emergency Department.

There is close liaison between ED and ICU at BRI. Patients referred to Specialist Units within the hospital are the responsibility of that specialist team, who will see the patient in the Emergency Department and arrange appropriate care. However, medical and nursing staff in the ED are responsible for any emergency care necessary. This shared care is seamless and collaborative.


Managerial

The management responsibility of the post holder will be to the Clinical Director who is responsible to the Chief Executive and Trust Board.


Clinical Audit and Clinical Governance

The post holder must be aware of clinical governance and clinical risk management and take an active part in their implementation, including audit. Clinical audit is established at the BRI. They will participate in at least one supervised audit project during the 12 month post and will be encouraged to attend interdisciplinary clinical governance meetings


On-Call Commitment

In ED the roster is a full shift system. Shifts are a balanced mix of earlies, mids, lates, and nights. The posts pay will be calculated by HR and will be compliant with the new regulations set in Aug 2.

The senior clinical fellow posts include 80% time working in the adult emergency department and 20% paid time to develop in a specialist interest of the successful candidate's choice. The posts are open as OOPT/E for EM HSTs and as stand-alone posts for non-trainees, and can be 100% EM if required. We are also open to SAS and Specialty Doctors if that suits.

For this post the 20% specialty interest will be in the
Medical Examiner Service
providing independent scrutiny of all non-coronial deaths, wherever they occur (2022 marks the extension of the service from Acute Trusts to include all Community settings).

Applicants should hold a relevant postgraduate qualification (MRCEM, MRCP, MRCS, FRCA or equivalent), and should be ST4 + or equivalent, having completed a minimum of 3 years in approved SHO posts (Post Foundation Medicine) or equivalent in relevant acute specialities including at least 1 year in Emergency Medicine.


The requirement is that you are 5 years post full GMC registration.

The post will be a combination of service provision including out of hours and paid time to develop a specialist interest. The candidate is to combine a job in Emergency Medicine with a 20% time allowance for a specialist interest. Specialist interests may include but are not limited to education (SIM/FOAMed), global health, expedition medicine, leadership and management, advanced airway management, research (with Professor Jonathon Benger), ultrasound, resuscitation, toxicology and paediatrics. If an applicant has a particular specialist interest they would like to pursue not listed above then we will accommodate. Open to trainees and non-trainees. For those trainees who already have a UK National Training Number in Emergency Medicine, these posts are eligible for OOPT or OOPE



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