If you are successful at interview for this post you will receive your conditional offer of appointment and information pack via email.
We reserve the right to close this vacancy at any time. Therefore we encourage early applications to ensure consideration for this post. If you are short listed for this post, you will be contacted via your email account you used to apply for this post, therefore please check your account regularly.
Applicants are invited to apply in Welsh, any application submitted in Welsh will not be treated less favourably than an application made in English
Please check your email account regularly. Successful applicants will receive all recruitment related correspondence via the email account registered on the application form.
Aneurin Bevan University Health Board support flexible working.
Please note that this vacancy may be withdrawn at any time should it be filled via the internal redeployment process
Aneurin Bevan University Health Board
Medical & Dental Recruitment
Junior Clinical Fellow – Critical Illness Rotation
Junior Clinical Fellow in Emergency Medicine, Intensive Care Medicine and Acute Medicine
Grange University Hospital, Cwmbran, South East Wales and Nevill Hall Hospital, Abergavenny
Duration: Fixed Term Contract of 12 months initially
Anticipated Start Date: August 2021
Do you want to work in a busy but supportive Specialist Critical Care Centre with an Emergency Department which has a great reputation for clinical experience and teaching and a critical care and Medical Assessment Unit with an equally great reputation?
Are you considering a career in one of the ACCS specialties? Or would you like to develop your skills in the management of acutely unwell patients before you begin your planned training programme in the future? Would you like to gain wider experience/clinical exposure/CV strengthening before deciding your career path? Perhaps you’re considering taking a year out between FP and Core Training and are looking for wider experience? Applications are invited for 5 Junior Clinical Fellow posts in Emergency Medicine, Intensive care Medicine +/- Acute Medicine for a period of 12 months initially, commencing August 2020.
During the period of this rotation the next phase of Aneurin Bevan University Health Board’s clinical futures programme culminates with the opening of the Grange University Hospital. This purpose built Critical Care centre will house the Type 1 Emergency Department, Critical Care Unit and interventional specialities. Depending on the clinical model of the department some cross-site working may be required.
This rotation offers 2 streams – applicants should apply for the rotation and then give preference at interview.
The department functions well as a team, currently comprising 19 enthusiastic Consultants (increasing to 24 with future appointments), supported by a combination of Associate Specialists, Specialty Doctors, Specialist Registrars, and junior doctors including these posts.
Although these Clinical Fellow posts are not recognised for training, they are afforded the same training opportunities as our training posts, with access to in house training. Study leave is encouraged. You will have the opportunities to perform an audit cycle and take part in case presentations.
The Grange University Hospital Critical Care Unit
The critical care unit consists of 24 beds (to be expanded to 30 in future) in single rooms, flexibly managed between level 2 and 3. The critical care unit operates as a closed unit and admits adult patients over the age of 15. There is an active training programme in the unit and the trainee body includes Stage 3 FICM trainees alongside junior ICM, anaesthetic and foundation trainees.
On Intensive Care, clinical fellows will be expected to work within their competencies and their physical duties will be determined by their level of experience and skills. The routine work pattern in critical care will include attendance at team handovers of the patients and the lunchtime MDT meetings. There are two fixed consultant ward rounds on the unit daily, and you must attend the round that covers your patients. Practical procedures will be allocated to trainees in accordance with their experience and training needs. Night-time work is under the supervision of the evening/on call consultant. General duties will include the admission of patients, ward-based assessments, and liaison with the outreach service. Clinical fellows may hold a cardiac arrest bleep for the hospital. Administrative tasks include the writing of discharge summaries, collation of investigation results and updating of the CareFlow software (training will be given).
There will be opportunities to train in Echo skills, chest ultrasound skills, advanced vascular access (PICC lines insertion), research study participation and clinical governance & management meeting participation. There is an active teaching programme every week that caters to the trainees and includes rotational Morbidity & Mortality meetings and directorate meetings.
Clinical and educational activity can be expected on other sites within Aneurin Bevan University Health Board both for service need and individual career development thus giving broad and varied work experience. Support will be given for those taking exams, attendance at teaching is encouraged as is the development of a speciality interest.
The Acute Medical Unit (AMU) is undergoing significant change since the opening of GUH. There is a 15 bed unit including 8 isolation cubicles. In addition there are 2 stabilisation beds with monitoring for the acute management and stabilisation of patients who require step-up care in GUH. The acute medicine team will sometimes provide support for the short stay (<72 hours) ward. Over half of the patients are discharged within 24 hours and there is enhanced MDT input for frail patients using the discharge to assess model.
The team consists of 6 Consultant Acute Physicians (APs), working across the Nevill Hall and GUH sites. The AP’s have specialty interests such as infectious diseases, pharmacology and toxicology, frailty and respiratory medicine. We have either a physician associate or Advanced Nurse Practitioners as part of the team each day, as well as an acute medicine STr, ACCS trainee and another doctor. We have daily in-reach from Home First, PT and older adult mental health teams. There is a strong friendly team in AMU with senior pharmacy support and a well-established nursing team. We have excellent team working with our radiology colleagues to ensure any investigations are done quickly and ideally within days as an outpatient.
The acute physician is present from 8am-4pm and a physician of the day is present from 1pm until 9pm. This means the on call and acute medicine team are well supported. Although the ambulatory pathway has been affected by COVID, patients who are likely to go home will usually be clerked by the consultant or ANP/PA and discharged in a timely manner. Ambulatory care experience could be offered to any trainee.
The patients under the care of acute medicine are seen daily on a ward round led by the AP or acute medicine ST. The AMU is less busy since the opening of GUH and this provides time for teaching and completion of SLE’s. There will be options for the successful applicant to undertake audit and quality improvement.
We have weekly teaching on Tuesdays and Thursdays as well as departmental teaching. Every effort would be made to accommodate any special interests or learning needs of the successful applicant.
Those wishing to discuss the post informally in the first instance or to visit the departments should contact Dr Alastair Richards, Emergency Medicine Consultant, Emergency Medicine on 01633 234066 or via email on firstname.lastname@example.org. For info on critical care, please contact Dr Steve Dumont, Consultant Intensivist & Anaesthetist on 01633 234164 or Steve.Dumont@wales.nhs.uk. For info on Acute Medicine Contact Dr Sarah Woollard Sarah.Woollard@wales.nhs.uk.
This position involves Regulated Activity with children and adults as defined by the Safeguarding Vulnerable Groups Act (amended by the Protection of Freedoms Act 2012) and the following checks will be undertaken following any conditional offer:
Applicants must hold full registration and a licence to practice with the GMC.
Free parking is available across all Aneurin Bevan University Health Board Sites.
You must have appropriate UK professional registration.
This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.