Junior Clinical Fellow in Intensive Care Medicine (Harefield Hospital)

Job responsibilities

Fellows would be expected to acquire the critical care competencies as described in the Faculty of Intensive Care Curriculum at basic level, that is, within Stage 1. The objective of this post is to provide the Junior Fellow with knowledge and clinical experience in delivering a broad spectrum of critical care including:

Management of single and multiple organ failure secondary to cardiovascular intervention.

Advanced techniques in ventilation including protective lung strategies and management ALI/ARDS, differential ventilation and prone ventilation.

Management of patients post thoracic organ transplant

Renal replacement therapy

Advanced haemodynamic monitoring including pulmonary artery flotation catheters and non-invasive cardiac output monitoring.

Management of extracorporeal life support

In addition the Junior Fellow would acquire specialist skills in:

Postoperative management of complex cardiothoracic surgical patients.

Transoesophageal and transthoracic echocardiography and critical care ultrasound techniques.

Percutaneous tracheostomy, intra-aortic counter-pulsation therapy, invasive and non-invasive cardiac output monitoring techniques and pacing.

Non-invasive ventilation.

Contribution to a clinical or basic science research project during their appointment.

Contribution to an audit project

Competency based training at the Harefield SIM centre

Clinical duties

The post holder will participate in the intensive care junior rota (EWTD compliant) in a 9 week rolling shift system, which comprises a 4 week block of cover to the intensive care unit with late and night shifts. There are further day-time duties in the recovery unit and the high dependency unit. Please note we will be likely changing to a 1 in 8 or 1 in 7 rota in August 2026. This rota is being devised currently.

The ICU is staffed by 15 consultants with an interest in intensive care on a rolling 8 week daytime roster with 2 consultants on during the daytime in the week. A third consultant (from Anaesthesia) covers the recovery unit and a fourth consultant covers the HDU and the critical care outreach service.

The post holder may be able to participate in activities related to his or her base speciality subject to mutual agreement between the post holder, the clinical lead for Intensive Care and the relevant service lead. Further details can be obtained from the clinical lead for Intensive Care.

Clinical experience

TOE training

• Basic and advanced peri-operative and critical care echocardiography education
• Initial training will focus on basic principles (physics, standard views for examination, Doppler principle and quantification etc),

Training sessions on the Heartworks TOE simulator

• Further training may include sponsorship for attendance at a recognised external advanced training course and mentorship for accreditation from the British Society of Echocardiography.

Critical Care Ultrasound

• Vascular access ultrasound
• Chest and pleural space ultrasound
• FEEL/FICE focussed ultrasound

Locally Run Courses

• Transfer training
• ECMO
• Mechanical Life Support

MDT and Transplant administration experience

• Contribution to retrieval and other transplant relating working groups
• Monthly morbidity and mortality audit meeting
• Education through attendance and participation in the Departmental Education Programme.

Research experience

• The Department actively supports research. The post holder will be encouraged to develop and undertake a research project, which may be undertaken in collaboration with the Heart Science Centre (Imperial College).
• There will be an initial assessment at the commencement of the post to assess individual aims and objectives.
• Suitable time will be made available within the weekly timetable to participate in appropriate research and clinical audit.
• The Department encourages active participation in external critical care conferences.

1. Additional Information

1.1. Study Leave: Up to 5 days per six months subject to operational constraints and approval. Study leave may be granted to the maximum consistent with maintaining essential services.

Trust grades and Speciality Trainees must discuss study leave with their Consultants well in advance (at least 6 weeks prior)

1.2. Annual Leave: Up to 12 days per six months subject to operational constraints and approval. Trust grades and Speciality Trainees must give at least 6 weeks notice. All annual leave should be requested via the correct form which must be signed by their consultant and passed to Diane McCann, Divisional Support, for authorisation. No more than 2 Speciality Trainees/Trust grades to be away at same period.

1.3. Library: Library facilities are situated at Harefield Hospital and in the National Heart and Lung Institute which is a departmental library of Imperial College School of Medicine. Services include interlibrary loans, photocopying and on-line searching using CD-ROM and network services including MEDLINE, EMBASE and Science Citation Index. The Audio-Visual Section provides a wide range of facilities including computer graphics, slide processing, poster titles, overhead transparencies and colour printing.

1.4. Sickness: On first day of sickness, please inform your Registrar as well as the Consultant on your firm. On the 8th day, a medical certificate is to be submitted and to be continued at weekly intervals until fit to resume duty. ...