Job Title: Clinical Fellow in Acute and General Medicine
Department: Acute and General Medicine
Base: Western General Hospital, NHS Lothian
NHS Lothian is committed to encouraging equality and diversity among our workforce and eliminating unlawful discrimination. The aim is for our workforce to be truly representative and for each employee to feel respected and able to give their best.
We welcome applications from all sections of society. We will fully support disabled candidates, and candidates with long‑term conditions or who are neurodivergent by making reasonable adjustments to our recruitment policy and practices.
Applications are welcome for the above Fixed Term, full time (40 hours per week) post based in the Western General Hospital.
3 Clinical Fellow posts are available to commence with immediate effect until 4th August 2026.
The Clinical Fellow posts in Acute and General Medicine at the Western General Hospital are aimed at FY2+ level i.e. doctors who have completed the UK Foundation programme and have been assessed as "acute take safe" under supervision. The role offers further experience of acute and general medicine, which may help to pursue a career in medicine or provide professional development adjunct to future clinical activity. Applicants more senior than FY2+ are also considered and roles may be negotiable depending on experience. There are 10 other Clinical Fellows working within this structure in the department.
The post involves working within the acute medical unit, including first‑hand experience of medical emergencies and resuscitation (with appropriate support) as well as periods of continuing care for downstream medical patients. Additional opportunities to gain experience in Same Day Emergency Care are available.
The post includes participation in a rota with out‑of‑hours working, night shifts and weekends. Efforts are made to ensure healthy working lives and to facilitate work‑life balance. Trainees in these posts are often undertaking postgraduate examinations and the hospital is happy to support and assist with preparation. There is also support for the application and interview process for candidates applying for training routes of entry into IMT, ACCS, GPST or any other required.
All Clinical Fellow posts include 10% development time. Every effort is made to tailor posts to successful applicant’s interests, particularly this development time. The department has a keen interest in medical education including simulation teaching, as well as quality improvement and clinical governance work. Adequate experience is available to develop leadership experience. It is anticipated that clinical fellows would go through either the clinical educators programme or quality improvement training programme offered locally. Region‑based teaching in point‑of‑care ultrasound is available to interested candidates.
The Western General benefits from highly collegiate inter‑specialty working practices. Our Respiratory, Diabetes and Endocrinology, Infectious Diseases, Stroke Medicine, Medicine of the Elderly, Cardiology, Rheumatology, Gastrointestinal, Critical Care, Oncology and Surgical colleagues all work closely with Acute Medicine at the front door. Development time could be used to liaise with a particular specialty of interest in a joint piece of work to aid patient safety or experience in Acute/General Medicine and professional progression.
We have a strongly motivated and supportive consultant workforce with a wide range of specialised interests at a national and local level including undergraduate and postgraduate education, patient safety, quality improvement, informatics and simulation which would be able to support specific applicant’s interests.
General ongoing professional development is supported by a weekly departmental education programme, monthly morbidity and mortality meetings and specific postgraduate resident doctor teaching delivered within the department. There is also the opportunity to join the education programme facilitated by the Same Day Emergency Care Service.
Working Areas
The posts in Acute and General Medicine will primarily be based in the following areas:
Medical Admissions Unit – Emergency (MAUE)
This unit is the site of arrival for the acute unselected medical take at the Western General Hospital. It is a primarily primary care referral base but also takes emergency ambulance referrals. It is a busy environment where the focus is on triage, stabilisation, assessment and management of acute medical presentations pending ongoing decisions regarding placement of care within the four‑hour emergency standard. There is specialty registrar support 0900‑2130 with the Hospital at Night Team covering 2100‑0900. Dedicated Consultant presence 0830‑2000 allows for the development of close working relationships and meaningful informal and formal direct clinical performance feedback.
Medical Admissions Unit – Beds (MAUB) and Ward 72
These areas focus on ongoing clinical management initiated in the MAUE department but requiring an inpatient stay. Twice daily consultant ward rounds are undertaken. Other team members include FY1 doctors and clinical pharmacists. Ongoing patient management includes new patient review, prioritisation of diagnostic and specialty review requests, communication with patients and families and discharge planning including immediate discharge letter provision and HEPMA review. Both MAU areas are high‑throughput acute medical wards with in‑reach from speciality teams. Dedicated Consultant presence 0830‑2130 provides supportive working relationships and feedback.
General Medical Wards
There are two general medical wards each comprising two medical teams whose responsibility includes ongoing inpatient management in these areas plus a portion of the general medical boarding population across the Western General site. Successful applicants will work within these teams which include an FY1 and a Consultant. An expectation to support Consultant ward rounds and to conduct independent ward rounds is included. These areas provide substantial experience in the acute management of chronic medical conditions, close multidisciplinary working and complex discharge planning.
More detailed departmental and specialty information is available upon request.
Closing Date: 24/06/2026
Contact
For an informal discussion please contact:
* Jenni.Crane@nhslothian.scot.nhs.uk
* Claire.Gordon@nhslothian.scot.nhs.uk
Please visit https://apply.jobs.scot.nhs.uk for a job pack detailing the minimum requirements for this post and details of how to apply.
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