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Intensive Care Fellow

NHS

Job Description

Job summary

These Trust doctor posts are for UK based trainees and represent 6, 12 or 24 month development positions with graduated responsibility dependent based on the assessment of training needs, satisfactory progress and agreement of all the stakeholders. There will be chances to consolidate and develop new skills in managing patients with critical illness. In addition we will provide a supportive training environment and numerous additional educational opportunities.

Main duties of the job

The post holders will contribute to the delivery of a high-quality service, helping to drive a multi-disciplinary team approach to care within the specialty.

The Fellows/Registrars in conjunction with the consultant are responsible for the daily management of patients in the DCC and overseeing the SHOs. Previous advanced airway management is a pre-requisite of the post. Ward referrals and advice are common; no patient should be admitted or refused critical care without prior consultant discussion. The middle grades carry the trauma and paediatric bleep.

About us

All patients requiring Intensive or High Dependency Care in Portsmouth are cared for in the Department of Critical Care at Queen Alexandra Hospital (QAH), admitting a mixed medical and surgical population.

Job responsibilities

Staff gain considerable experience of the Intensive Care management of critically ill, and severely injured adults and children and participate in the following specific aspects of management:

  • Bedside transthoracic echo and Invasive cardiovascular monitoring using LidCCO. We have four FICE accredited echo trainers
  • Respiratory support including the use of IPPV, HFOV, continuous positive airway pressure and non-invasive ventilation and involvement in the REST trial (ECCO2R).
  • The use of fibreoptic bronchoscope for diagnosis and treatment
  • Renal replacement therapy including mainly pumped continuous veno-venous haemofiltration/ haemodiafiltration.
  • Plasmapheresis. The unit undertakes this technique in adults.
  • Pain relief techniques including thoracic and lumbar extradural anaesthesia/analgesia
  • The use of cardiac assist devices.
  • Transporting the critically ill. As a result of its size, location and distribution of facilities, the Portsmouth Intensive Care Unit has established a dedicated system for the inter-hospital transfer of critically ill patients which includes invasive monitoring and ventilation. Doctors in training gain considerable experience of primarily road transfers.
  • Trauma care. The Intensive Care Unit staff in Portsmouth are intimately involved with the care afforded to patients suffering acute trauma. The Intensive Care Registrar is part of the initial hospital trauma team at Queen Alexandra Hospital. Centralisation of trauma services has led to most severe trauma cases being taken to Major Trauma Centres, the local one being based at Southampton.
  • Due to the positioning of the Wessex Renal Medicine and Transplant Unit in Portsmouth, considerable experience of the difficult management of combined respiratory and renal failure is gained, together with involvement in the Intensive Care Unit management of patients who are severely immunocompromised.

Person Specification

Qualifications

Essential

  • Qualifications Full GMC registration with a licence to practice
  • Primary medical qualification recognised by the GMC (MBBS or equivalent)
  • Equivalent qualifications to FRCA/MRCP/MCEM
  • Equivalent qualifications that demonstrate proficiency in written and spoken English language (eg PLAB)

Experience

Essential

  • Evidence of completion of Core Training or equivalent 2 year training programme
  • Experience as a Specialty Trainee 3+ or equivalent
  • Post-graduate experience in other specialities (e.g. up to 1 years experience in one or
  • more of the following: medicine, surgery, paediatrics, A&E) {Desirable}
  • Previous Experience of working in the NHS will be prioritised.
  • Clinical Skills Advanced Life Support Certificate from the Resuscitation Council UK or equivalent by the intended start date.
  • Demonstrable skills and experience of airway management and invasive line placement
  • Able to take initial responsibility for acute emergencies Able to conduct intra-hospital transfers (desirable)

Desirable

  • Demonstrate evidence of being able to manage/prioritise time manage information effectively prioritise clinical need organise ward rounds Ability to maximise safety and minimise risk Monitor developing situations and anticipate issues Understanding of clinical risk management

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

Portsmouth Hospitals University NHS Trust

Address

Queen Alexandra Hosp, Southwick Hill Road, Cosham, Portsmouth, PO6 3LY

Southwick Hill Road

Portsmouth

England

PO6 3LY

United Kingdom

Employer's website

https://www.porthosp.nhs.uk/work-for-us/ (Opens in a new tab)

Good luck with your application