JOB DESCRIPTION

1. General Information

JOB TITLE: Clinical Fellow (Junior or Senior dependent on

experience)

GRADE: Clinical Fellow /Trust Doctor CT1-3 or higher

DEPARTMENT: Emergency Department

HOURS: Full-time or flexible time

RESPONSIBLE TO: Clinical Director

Guy’s & St Thomas NHS Foundation Trust

Guy’s and St Thomas’ NHS Foundation Trust is one of the largest hospital trusts in the
country, with a staff of 12 000 and a turnover of over approximately £1b. The Trust comprises
two of London’s oldest and best known teaching hospitals, with long histories dating back
almost 900 years, and they have been at the forefront of medical progress and innovation
since they were founded. Now, together with King’s College Hospital NHS Foundation Trust,
South London and the Maudsley NHS Foundation Trust and King’s College, London Guy’s
and St Thomas’ is part of King’s Health partners, one of five Academic Health Science
Centres in England.

As well as providing a full range of hospital services for our local communities in Lambeth,
Southwark and Lewisham, the Trust provides specialist services for patients from further a
field, including cancer, cardiothoracic, renal and children’s services. Guy’s is also home to the
largest dental hospital in Europe. As major teaching hospital, the Trust is closely involved in
the education and training of tomorrow’s doctors, nurses and other health professionals.

Organisational Values:
The post holder will:
 Put patients first - consider the patient’s  Act with integrity - maintain the privacy &
needs and wishes in all that they do dignity of patients, work with integrity and
 Take pride in what they do – strive for be trustworthy, be accountable for own
highest standards on own work and work
challenge colleagues to do the same  Respect others – patients, visitors and
 Strive to be the best – in terms of colleagues. Actively give and receive
patient care & teamwork feedback.

Updated March 2023

Main place of employment

Emergency Department, St Thomas’ Hospital

Staffing in the department

The current medical staffing of the Emergency Department is as follows

Consultants:

Dr Michelle Boyle (Clinical Service Lead)

Dr Katherine Henderson (Governance & Mortality, Clinical Director)
Dr Matt May (Frequent Attenders and Recruitment)
Dr Jamal Mortazavi (Medical Education and Head of School)
Dr Laura Hunter (Toxicology, Research and Education lead)
Mr Oliver Grant (Ortho and UCC, Governance lead)
Dr Emily Wilson (PGME, Operations Lead)
Dr Chris Jones (Joint Specialty tutor, wellbeing and workforce lead)
Dr Rocio Santamaria (Joint Specialty tutor)
Dr Peter Jaye (Medical Simulation)
Dr Koorosh Alaghmand (Critical Care)
Dr Savvas Pappasavvas (Simulation and Mental Health)
Dr Shum Dev (Medical Education and Trauma)
Dr Holly Gettings (ID, global medicine and Major incidents)
Dr Shalini Panchal (Adults and PEM)
Dr Maja Gavrilovski (Resus, sedation and prehospital)
Dr Komal Solanki (Silver Trauma)
Dr Matt Blundell (Toxicology, POCUS)
Dr Pippa Alamango (NIV, Clinical Fellow Lead)
Dr Michael Trauer (POCUS)
Dr Maryann Norontha (POCT, Radiology and rota lead))
Dr Cressida Blanshard (ACCS lead, wellbeing)
Dr Irfan Akbarkhan (UGME lead)
Dr Juan Rosales (UCC and sports medicine)
Dr Freddie Alden

Specialist Registrars (or ST 4-6 equivalents),

Senior and Junior clinical fellows

CT3 Emergency Medicine

Foundation year 2 in Adult Emergency Medicine

ACCS trainees at ST1 level

GP VTS Trainees

GPs with an extended role

Physician Associates

Advanced Nurse Practitioners

Emergency Nurse Practitioners

Updated March 2023

Key Persons

At the introductory morning you will be assigned one of the consultants as your Educational
Supervisor.

Director of Postgraduate Medical Education Dr Claire Mallinson

(020 7188 7262)

Confidential independent personal counselling, available to all staff: 02071884160

2. Purpose of the role

We are looking for doctors to join our large friendly team and contribute ideas about improving
patient care. This post will give you non shop floor time. You will have the equivalent of 2
days a fortnight to follow the special interest or boost your CV depending on personal career
needs/interest/development of training). It is useful for those wishing to take some time out of
training from anytime after F2 to those wanting a break before continuing into higher specialty
training. Atypical, flexible or individualised rotas are possible.

The EM team is friendly, hard working and very supportive. The department was rated as
Outstanding by the CQC. We strive to deliver great patient care by working together as a
great team. Each post is initially for 6 months with the possibility of an extension if desired.

These posts are useful for doctors needing competencies in ACCS /Emergency Medicine
training. We consider them developmental so encourage work-based assessments, enrolling
for an e-portfolio or doing exams. When on duty the Clinical Fellow, with other more senior
Emergency Medicine speciality trainees, assists the Consultants in direct patient
management and supervising the work of the junior (FY2) medical staff. We all work hard but
are very supportive and keen to help progress careers.

Flexible working
For the right person it would be possible to devise an individualised rota but a contribution to
out of hours including nights and weekends work is essential.

Educational Program
Clinical Fellows will be given the opportunity to attend appropriate specialist courses including
ATLS, ALS, APLS, and to attend appropriate conferences within a set study leave allocation.

The post holder will be expected to attend and present at a variety of educational meetings:
 Morning handover
 Weekly departmental middle grade teaching programme
 Weekly governance, operational and faculty meetings
 FY2, medical student and nurse teaching
 Daily consultant lead ward round on CDU
 Hospital Grand Rounds

The post offers regular teaching sessions and including specific exam-oriented teaching. The
department has excellent experience with the RCEM examinations, and previous post holders
undertaking the exams have had high success rates.

Research within the Department

Updated March 2023

We have an active research portfolio within the Emergency Department which we encourage
our Clinical Fellows to engage in. This enables interested individuals to develop skills relevant
to research and explore development of personal research projects.

Timetable and Salary

The Emergency Department operates a full shift system, which is fully compliant with the
European Working Time Directive. We use self-rostering of an annualised rota which enables
doctors to work flexibly and ensure that having time off when you need it is always possible
with planning. All shifts are either 9 or 10.5 hours in length. There is no on-call commitment to
the Emergency Department but rotas may need to be amended to cover unexpected
sickness.

Salary is in accordance with the national salary scale.

Leave
Annual Leave: 27 or 32 (depending on experience) working days per annum plus Bank/Public
Holidays
All requests for annual leave must be approved in advance by the Consultant Middle Grade
Representative.

Study Leave: 10 days per annum at the discretion of Consultant Middle Grade representative,
and subject to the needs of the department but freely granted!.

The post holder is required to follow Trust policies and procedures which are regularly
updated including:

Confidentiality / Data Protection / Freedom of Information

Post holders must maintain the confidentiality of information about patients, staff and other
health service business in accordance with the Data Protection Act of 1998. Post holders
must not, without prior permission, disclose any information regarding patients or staff. If any
member of staff has communicated any such information to an unauthorised person those
staff will be liable to dismissal. Moreover, the Data Protection Act 1998 also renders an
individual liable for prosecution in the event of unauthorised disclosure of information.

Following the Freedom of Information Act (FOI) 2005, post holders must apply the Trust’s FOI
procedure if they receive a written request for information.

Equal Opportunities
Post holders must at all times fulfil their responsibilities with regard to the Trust’s Equal
Opportunities Policy and equality laws.

Health and Safety

All post holders have a responsibility, under the Health and Safety at Work Act (1974) and
subsequently published regulations, to ensure that the Trust’s health and safety policies and
procedures are complied with to maintain a safe working environment for patients, visitors
and employees.

Infection Control
All post holders have a personal obligation to act to reduce healthcare-associated infections
(HCAIs). They must attend mandatory training in Infection Control and be compliant with all
measures required by the Trust to reduce HCAIs. All post holders must comply with Trust
infection screening and immunisation policies as well as be familiar with the Trust’s
Infection Control Policies, including those that apply to their duties, such as Hand
Decontamination Policy, Personal Protective Equipment Policy, safe procedures for using
aseptic techniques and safe disposal of sharps.

Updated March 2023

Risk Management
All post holders have a responsibility to report risks such as clinical and non-clinical accidents
or incidents promptly. They are expected to be familiar with the Trust’s use of risk
assessments to predict and control risk, as well as the incident reporting system for learning
from mistakes and near misses in order to improve services. Post holders must also attend
training identified by their manager, or stated by the Trust to be mandatory.

Safeguarding children and vulnerable adults

Post holders have a general responsibility for safeguarding children and vulnerable adults in
the course of their daily duties and for ensuring that they are aware of the specific duties
relating to their role.

Sustainability
It is the responsibility of all staff to minimise the Trust’s environmental impact by recycling
wherever possible, switching off lights, computers monitors and equipment when not in use,
minimising water usage and reporting faults promptly.

Smoking Policy
It is the Trust’s policy to promote health. Smoking, therefore, is actively discouraged. It is
illegal within Trust buildings and vehicles.
Review of this Job Description
This job description is intended as an outline of the general areas of activity and will be
amended in the light of the changing needs of the organisation. To be reviewed in
conjunction with the post holder.

Updated March 2023

 PERSON SPECIFICATION

CLINICAL FELLOW IN EMERGENCY MEDICINE

ESSENTIAL DESIRABLE
Education/Qualifications  GMC Registration / Eligible for GMC  BSc, BMedSci (or other
registration. intercalated degree), other
 MB BS (or equivalent) degrees/qualifications.
 ALS provider  ATLS/APLS Provider.
 Intermediate FRCEM or MCEM
or equivalent.
Previous experience  Prove track record of hospital  Additional experience in
medicine in the NHS, with emergency medicine.
experience in EM Short term locums
& clinical attachment are not  Additional experience in one or
acceptable and will not be considered. more of other related specialties
This is ONLY suitable as a first UK (acute medicine, orthopaedics,
post IF the candidate has worked cardiology, ITU, anaesthetics,
for a minimum of 12 months in EM plastics or primary care).
fulltime. Candidates will not be  Research experience, education
shortlisted unless they fulfil the programme development,
criteria above ultrasound qualification as
 Any EM trainees from recognised appropriate
overseas training programmes will be
considered for shortlisting whether
they have yet worked in the UK or not.
Skills/Knowledge/Ability  Evidence of experience in performing
procedures relevant to emergency  Evidence of a quality
medicine: venous cannulation, improvement or audit project
phlebotomy, fracture manipulation involvement
 Evidence of keeping up to date with  Idea of a particular area of
topics relevant to EM practice- interest to pursue while in this
courses/teaching sessions attended. post
 Correctly written personal
statement about why this job and
where it fits in to career plans

Additional Information  Record of audit of a clinical pathway  Previous audit projects with
of direct relevance to EM practice closure of loop documented.
 Additional team organisational
experience (can be non
medical)

Updated March 2023