Job Summary
We are looking for experienced intensive care doctors (ST6 or equivalent level and above) to work as Senior Adult Intensive Care Medicine Fellows with a specialist interest in severe respiratory failure (SRF) and Extracorporeal Membrane Oxygenation (ECMO). You will work as an integral member of the adult intensive care team at Glenfield Hospital. This is a unique opportunity to work in one of the UK's largest and most experienced centres for adult ECMO and the only NHS Trust providing ECMO support to patients on all ages from neonate to adult. The adult intensive care unit admits in excess of 1500 patients annually and has treated more than 1000 patients in the adult ECMO programme.
Job Suitability
Intensive Care Medicine trainees who have completed at least intermediate (or equivalent) training in adult intensive care medicine looking to enhance their skills in a specialist cardio-respiratory intensive care unit.
* ICM trainees wishing to pursue ECMO as part of their special skills year during Stage 2 intensive care medicine training.
* All ICM doctors, regardless of dual speciality interest: Anaesthesia, Respiratory Medicine, Renal, Acute Internal Medicine, Emergency Medicine, Surgery etc.
* Post-CCT in Anaesthesia, those interested in Cardiac Anaesthesia and those interested in Transport Medicine for critically ill patients.
Main Duties
You will become a key member of a highly skilled multi-disciplinary team providing adult intensive care services and gaining valuable experience in the following key areas:
* Air and Road Transport of patients with Severe Respiratory Failure including mobile ECMO.
* Initiation and ongoing management of patients on veno-venous and veno-arterial ECMO.
* Management of surgical and medical Cardiothoracic intensive care patients – elective and emergency.
* Trans-thoracic and trans-oesophageal echocardiography, lung ultrasound.
* Advanced ventilatory techniques – including prone positioning, use of nitric oxide, APRV and selective lung ventilation.
* Use of vasoactive drugs, pulmonary artery catheter and intra-aortic balloon pump for cardiac output monitoring and mechanical circulatory support.
* Competence in key practical skills including percutaneous tracheostomy, ECMO cannulation and decannulation, bronchoscopy, intercostal drain insertion, and central venous and pulmonary artery catheter insertion for drug delivery, renal support and invasive haemodynamic monitoring.
* Opportunity and support for national presentations of audit / data / research.
Day-to-Day Care of Adult Intensive Care Patients
You will become a key member of a highly skilled multidisciplinary team (including ECMO consultants, intensivists, AICU nurses, ECMO specialist nurses, perfusionists, cardiothoracic surgeons, anaesthetists, pharmacists, physiotherapists, dieticians, radiologists, radiographers) providing advanced respiratory and cardiovascular critical care support including ECMO (both veno-venous for respiratory support and veno-arterial for cardio/cardiorespiratory support) and inhaled nitric oxide in adult patients. The role offers the opportunity to become competent in a number of invasive procedures such as ECMO cannulation and decannulation, percutaneous tracheostomy, bronchoscopy, central line insertion for drug delivery, renal replacement therapy, invasive monitoring and chest drain insertion.
Transport of Patients
You will be part of our established transport team and gain experience in the transport of critically ill patients by road and by air when possible. You will liaise with referring hospitals regarding retrieval and repatriation. Transport will include local network trips and national transfers, performing transport of patients with Severe Acute Respiratory Failure by conventional means, adding inhaled nitric oxide and prone position where appropriate, and mobile ECMO for patients where treatment cannot be replicated in the ambulance or aircraft. Initially, all transfers will be supervised by an ECMO consultant. During the post you will gain experience and confidence with independent transfers of critical care patients with increasingly complex needs, aiming for independent conventional retrievals by the end of the attachment.
Training in ECMO
You will undertake the ECMO specialist training programme and receive a place on the ECMO specialist course. You will attend daily ECMO ward rounds with the resident ECMO consultant, ECMO co‑ordinator and specialists. There will be opportunities to participate in and deliver ECMO simulation for clinicians, ECMO specialists and nursing staff using the ECMO simulator.
Audit, Research, and Teaching
An active programme of audit and research is available. You will be expected to participate in data collection and analysis, undertake a supervised project in the field of ECMO, present data at local, national and international meetings, organize and deliver a local journal club for trainees, present ECMO cases during the ECMO MDTs and participate in the ECMO Fellow teaching programme.
Assessment
Each Fellow will be assigned an educational supervisor and will have an initial meeting to discuss educational goals and set a personal development plan. Assessments will be held every 3 months. ECMO specialist training involves attending a theoretical and simulation‑based course, 40 hours preceptorship and a written exam. Fellows will keep reflective logs of all transfers undertaken. Workplace‑based assessments (DOPS and mini‑CEX) will demonstrate practical skills. Where trainees are part of a recognised ICM training post, additional assessment includes assistance at 10 ECMO cannulations and decannulations, 10 inter‑ and intra‑hospital ECMO transfers, and completion of an audit or service improvement project with national publication.
On-Call Duties
On‑call commitments are split 50% providing cover for the unit (resident, 1 in 7) and 50% for ECMO and Severe Respiratory Failure work (supernumerary and non‑resident, 1 in 8) with defined rest periods. All daytime on‑call duties include support to the resident on‑call staff.
Job Details
* Pay scheme: Hospital medical and dental staff
* Grade: Doctor – other
* Salary: £73,992 a year per annum
* Contract: Fixed term
* Duration: 12 months
* Working pattern: Full-time
* Reference number: 358‑7728750‑ITA
* Job location: Glenfield Hospital, Groby Road, Leicester, LE3 9QP
Person Specification – Training & Experience
Essential
* Full GMC registration
* Completion of Stage 1 and part of Stage 2 ICM training or overseas equivalent
* 36 months ICU experience
* Final FFICM examination (MCQ) or equivalent
* Primary FRCA or full MRCP, MRCEM examination or equivalent
* ALS competency
Desirable
* Completion of Stage 2 and/or Stage 3 ICM training or international equivalent
* FFICM qualification
* Prior experience in transfer of the critically ill, completion of a transfer training course
* Prior experience in cardiothoracic intensive care and/or caring for ECMO/SARF patients
* Full FRCA examination or equivalent
Person Specification – Teaching
Essential
* Evidence of teaching at an undergraduate or postgraduate level
Desirable
* Certification Course, Diploma or Masters in Medical Education
Person Specification – Research
Essential
* Understanding of research methodology
Desirable
* Medical publications or background of research activity
Person Specification – Management
Essential
* Understanding of the NHS, its strategy and current issues
Desirable
* Management training
Person Specification – Communication Skills
Essential
* Clear, fluent and articulate verbal and written presentation
Desirable
* Leadership skills
Additional Information
Disclosure and Barring Service Check – This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975; a submission for Disclosure to the Disclosure and Barring Service (formerly the CRB) will be required.
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. 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.
UK Registration – Applicants must have current UK professional registration. For further information please see the NHS Careers website.
Employer Details
* University Hospitals of Leicester NHS Trust
* Glenfield Hospital, Groby Road, Leicester, LE3 9QP
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