Senior Clinical Fellow (ST3+) in Same Day Emergency Care (SDEC) NHS Medical & Dental: Senior Clinical Fellow ST3+

Job overview

We welcome applications for this role in our Same Day Emergency Care (SDEC) department.

The successful applicant will be working as part of a team providing same day assessment and diagnostics to promote admission avoidance and/or a reduction in length of stay for our patients.

Our SDEC department has three areas of focus:

1. Acute Medical clinics for review and follow up of discharged patients, and for direct GP referrals. There are two clinics running in parallel each weekday, which will be undertaken by a combination of an Advanced Care Practitioner, Resident Doctor or Physician’s Assistant.
2. Acute Assessment pathways to review and assess patients and conditions that cannot be postponed and may require urgent review on the day.
3. Intravenous infusion pathway for provision of IV antibiotics on an outpatient basis and other infusions such as diuretics, iron or blood transfusions.

We work closely with both the Emergency Department and General Internal Medicine on call teams to provide a comprehensive front door assessment service.

We are a strong, cohesive team of doctors, nurses, multi-disciplinary team members and non-clinical support staff. We pride ourselves on giving excellent clinical care combined with outstanding performance.

We are working to develop further innovative pathways to improve patient care.

Main duties of the job

The post provides excellent experience in the acute assessment and management of a wide case mix of acute general medical admissions, with opportunities to acquire skills in procedures.

The successful candidate will be based in Medical SDEC 9am-5pm.

The post-holder will be supervised by the Acute Medicine Consultant covering SDEC and will work closely with the on-call medical team.

The post-holder may be requested to perform exceptional irregular commitments outside normally rostered duties as are essential for the continuity of care and in occasional emergencies and unforeseen circumstances. 

Working for our organisation

St George’s, Epsom and St Helier University Hospitals and Health Group cares for a population of four million people in South West London and North East Surrey. Our sites include St George’s Hospital, one of 11 major trauma centres in the UK and the largest healthcare provider and major teaching hospital in the area; St Helier Hospital, home to the South West Thames Renal and Transplantation Unit and Queen Mary’s Hospital for Children; and Epsom Hospital, home to the South West London Elective Orthopaedic Centre (SWLEOC). 

After years of collaboration, our two Trusts became a hospitals group in 2021. While remaining as two separate Trusts, being a hospitals group will help us to collaborate more closely on research, and the development, education, and training of our 17,000-strong workforce.

Person specification

Qualifications and Training

Essential criteria

• MBBS or equivalent medical qualification
• Full registration with the GMC

Desirable criteria

• BSc or equivalent
• MRCP PACES or equivalent degree
• Prizes or honours in MBBS or equivalent

Clinical, Management & Administrative Experience

Essential criteria

• Minimum of 4 years of clinical experience after graduation with minimum two years of Core Medical training or equivalent
• Experience of general internal medicine
• Maintaining good medical practice
• Professional behaviour and probity
• Delivery of good acute clinical care
• Reliable work record

Desirable criteria

• Experience of Medicine and other medical specialties at ST3 level equivalent and above

Teaching Experience

Essential criteria

• Evidence of teaching experience

Desirable criteria

• Evidence of exposure to different groups/teaching methods
• Teaching qualification(s)

Research Experience

Essential criteria

• Demonstrates understanding of the importance of audit, research and clinical risk management.
• Evidence of active participation in audit

Desirable criteria

• Prizes and other academic distinctions

Language

Essential criteria

• Demonstrable skills in written and spoken English to the appropriate standard necessary to fulfil the job requirements
• Ability to produce legible notes

Personal Attributes

Essential criteria

• Ability to work in a multi-disciplinary team
• Good interpersonal skills
• Good written and verbal communication skills
• Enquiring, critical and flexible approach to work

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