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SalaryJob Description Text 1. BACKGROUND This post is designed to provide comprehensive experience in all aspects of critical care medicine. This post is suitable for applicants wishing to gain or develop their experience in Intensive Care Medicine. Typical applicants undertake this position with a view to gaining tertiary centre experience in ICM whilst considering their career plans with respect to either entering the national training programme or the CESR pathway to become a fully trained consultant in Intensive Care Medicine or Anaesthesia. Leeds General Infirmary (LGI) provides tertiary surgical and medical services for the large population of West Yorkshire as well as some centrally commissioned services covering all of Yorkshire. Our services include major trauma, cardiology, stroke and neurology, cardiac surgery, neurosurgery, vascular and ENT. The successful applicants will join an existing team of Intensive Care and Anaesthetic trainees on the rota, supported by a wider team of Medical SHOs and Allied Health Professionals. There is extensive support from the 15 Critical Care Consultants and this post provides an excellent environment to experience a complex, diverse and busy intensive care environment. There is also occasional potential to cover shifts at Saint James University Hospital, which is a regional centre for oncology, hepatobiliary surgery and thoracic surgery, as well as a liver and kidney transplant centre. SJUH also provides the acute general medical and general surgical services for Leeds. 2. OBJECTIVES OF THE POST 1. To work with other critical care colleagues in the provision of a comprehensive critical care service to Leeds Teaching Hospitals NHS Trust. 2. To develop and / or consolidate expertise and experience in intensive care medicine. 3. To support service plans for the specialty, taking account of the changes in clinical practice and new technologies available. 4. To participate in and progress Clinical Governance. 5. To develop specialised areas of interest eg Simulation, Teaching and Research. 3. REQUIREMENTS OF THE POST 3.1 General Training and Qualifications The appointee must have full registration with the General Medical Council and have as a minimum completed Acute Care Common Stem (ACCS), Core Anaesthetic Training (CAT), or equivalent. Applicants must provide information regarding their status from the GMC and/or relevant Royal College at the time of application, in order for their application to be progressed further. 3.2 Experience The appointee must have sufficient experience that they are able to competently manage the acutely deteriorating patient who requires intensive care support. This includes management of the airway of an unconscious patient. . 3.3 Research Although this is a clinical post, the appointee will have the opportunity to actively participate in research projects. All main Anaesthetic and Intensive Care Medicine journals are available in the Hospital Library. The involvement of trainees in research is encouraged and supervision is provided. There is the opportunity to become involved in multi-centre randomised control trials and learn about becoming an associate Principle Investigator. PC access and other I.T. support is also available. 3.4 Personal Attributes The appointee will have excellent communication skills in both written and oral English, and be able to work effectively as part of a team. They will have an understanding of current NHS management and Trusts and be aware of the responsibilities that a Clinical Fellow post brings. 3.5 Clinical Audit The appointee will be expected to contribute and, where appropriate, take the lead in the following (e.g.):- Mortality and morbidity meetings Clinical audit Development and application of agreed clinical guidelines Simulation in Critical Care In the discharge of these responsibilities the candidate will be expected to maintain and update his/her skills and knowledge through appropriate continuing medical education. 4. TEACHING The Trust as a Teaching hospital recognises the importance of links with the University of Leeds School of Medicine for the Undergraduate teaching and all Clinical fellow and medical staff are required to provide an appropriate contribution to the undergraduate teaching programme. The post holder will be required to participate in the informal teaching of medical students, nurses and operating department practitioners/assistants. The post holder will have access to the Trusts extensive and spacious library in the Clinical Sciences Building that houses approximately 5,500 books and several hundred journals. Staff in this library will also arrange loans of books etc. from the Medical School Library and the National Lending Library based at Boston Spa. 5. JOB PLAN AND WORKING ARRANGEMENTS Aim This post is designed to provide clinical service to, and experience in, Intensive Care Medicine, primarily in Leeds General Infirmary, Leeds. Opportunities may be available to cover shifts at St Jamess University Hospital, where appropriate. Objective The post should attract those wanting to specialise in anaesthesia or ICM and it will provide extensive experience in ICM for a wide range of medical and surgical specialties. It will also give significant opportunities for clinical audit and research. Summary of post Critical care in LGI is provided in three areas: a 14-bedded General ICU (primarily caring for trauma, vascular and medical patients), a 16-bedded Neurosciences ICU and a 16-bedded Cardiac Surgical ICU. Duties include the management of all aspects of patient care in the critical care environment, as part of a team comprising trainees in Anaesthesia and ICM, core trainees from other acute specialties, advanced nurse practitioners and consultants. A wide case-mix of patients is admitted to critical care in LGI: Acute cardiology, neurology and stroke patients Regional specialist units for: o Interventional Cardiology, including Primary PCI, TAVI and Electrophysiology o Stroke Thrombolysis and Thrombectomy o Vascular Surgery - open and endovascular procedures o ENT and Max-Fax Surgery o Major Trauma o Plastics and Reconstructive Surgery, including Hand Transplantation o Cardiac Surgery, including Aortic Surgery and Adult Congenital Cardiac Surgery o Neurosurgery, including endovascular treatments The post is in line with the new junior doctor contract. The post will consist of night and weekend on call commitment. There are three rotas staffed by the trainee medical team and there is further support from allied staff and consultants. The post will have ample time for clinical audit, research and teaching and will provide further opportunity to enhance personal development. There is widespread usage of point-of-care ultrasound and there will be supervision and time allowed to achieve all FUSIC modules and more advanced cardiac ultrasound if desired. The appointee will be expected and encouraged to take part in these activities as part of their one year fellowship. There is ample consultant supervision and the opportunity to complete clinical assessments that could benefit the postholder in further training. We would look forward to supporting the successful candidate in the future if they wished to peruse CESR training in Leeds. Regular weekly teaching sessions are held which includes core topics in ICM, M&M meetings, critical incident reporting and journal club.
