CESR Fellow (eqv to ST3-5) in Emergency Medicine

Job description

Barts Health is one of the largest NHS trusts in the country, and one of Britain's leading healthcare providers.

The Barts Health group of NHS hospitals is entering an exciting new era on our improvement journey to becoming an outstanding organisation with a world-class clinical reputation.

Our vision is to be a high-performing group of NHS hospitals, renowned for excellence and innovation, and providing safe and compassionate care to our patients in east London and beyond. That means being a provider of excellent patient safety, known for delivering consistently high standards of harm-free care and always caring for patients in the right place at the right time. It also means being an outstanding place to work, in which our WeCare values and behaviours are visible to all and guide us in how we work together.

Barts Health supports the Pregnancy Loss Pledge and commits to supporting their staff through the distress of miscarriage.

We are dedicated to being an outstanding place to work and will work with you to get the best experience. We know flexible working is not a one size fits all and will mean something different to everyone. We are inclusive, so if you are interested in flexible working, please speak to the recruiting manager.

Job overview

The CESR or "Portfolio" Pathway is an alternative pathway for entry onto the GMC Specialist Register for Emergency Medicine to the Emergency Medicine (EM) Training Programme. Applicants need to demonstrate that they have the knowledge, skills and experience required to practice as an EM Consultant in the UK. The registrar cohort of resident doctors currently includes both EM trainees and those on the Portfolio Pathway and we are looking to expand our numbers of the latter.

We are looking for doctors with at least 2 years clinical experience in Emergency Medicine +/- allied acute care jobs and evidence of completion of Foundation Training or equivalent All posts are for an initial 24 months with a view to extend as required for portfolio completion. Successful applicants will work as a Registrar ST3/ ST4+ level in the Emergency Department at Newham Hospital.

This post would suit either a UK candidate who has already completed the ACCS Training Programme (or equivalent) seeking entry onto the Specialist Register via an alternative pathway or an international candidate with significant experience in Emergency Medicine (e.g. completion of a training programme) wishing to consolidate their skills and apply for entry on the Specialist Register in the UK.

Main duties of the job

You will have a named Consultant Educational Supervisor and will be expected to maintain regular contact with them during your post. You will be supported in delivering your e-portfolio keeping up to date with GMC required appraisal and revalidation.

At the start of the post a training needs assessment will be undertaken. During the first year in post there will be opportunity to work on leadership and management of adult emergency patients, plus ring-fenced time in the Paediatric Emergency Department to develop paediatric competencies (if required).

Depending on personal development needs and satisfactory progression, there is opportunity from the second year to undertake secondments outside of the emergency department. The department has been able to secure training opportunities in anaesthetics and ICU at Newham Hospital to which the CESR Registrars rotate in turn. The duration of the secondment may vary but will generally be between 3- and 6-months WTE in each specialty.

Study leave is encouraged, targeting the required resuscitation courses, as well as numerous simulation courses delivered within Barts Health (such as paediatric emergencies, sedation, USS, trauma team leaders, managing miscarriage, acute psychiatric emergencies, nerve blocks).

Working for our organisation

Barts Health is one of the largest NHS trusts in the country, and one of Britain's leading healthcare providers.

Our vision is to be a high-performing group of NHS hospitals, renowned for excellence and innovation, and providing safe and compassionate care to our patients in east London and beyond. That means being a provider of excellent patient safety, known for delivering consistently high standards of harm-free care and always caring for patients in the right place at the right time. It also means being an outstanding place to work, in which our WeCare values and behaviours are visible to all and guide us in how we work together.

We strive to live by our WeCare values and are committed to promoting inclusion, where every staff member has a sense of belonging. We value our differences and fully advocate, cultivate and support an inclusive working environment.

Detailed job description and main responsibilities

The post holder will be providing senior clinical leadership and support in all areas of the emergency department. Roles within the department will be developed as experience is gained, working towards achieving all the competencies on the RCEM curriculum. These include:
• Team leader in the resuscitation room for adults, children and trauma
• Supervising junior doctors
• See, evaluate and provide treatment to emergency patients in a timely manner
• Performing emergency procedures
• Managing patients on the EM SDEC (Same Day Emergency Care) unit
• Assessing ambulance and walk-in patients on arrival and initiating management
• Working within a multi-disciplinary team
• Woking with other specialties, managing referrals and inter-hospital transfers
• Delivering management projects, quality improvement and audit
• Attending and contributing to the departmental teaching programme
• Engagement with the departmental governance activities

You will work within the bounds of your level of competence, fully supported by the Emergency Department Consultants.

Person specification

Qualifications

Essential criteria

• Primary medical qualification accepted by GMC (MBBS or equivalent)
• MRCEM primary (or equivalent) achieved
• Full GMC registration with licence to practise at time of application (or confirmed eligibility before start date)
• Completion of FY2 or equivalent by post start date
• ALS provider status in date or confirmed ability to obtain before start date

Desirable criteria

• Ultrasound Level 1 qualification
• Additional acute care qualifications (e.g. ATLS, APLS, BASIC, GIC)
• Full FRCEM achieved
• MRCEM intermediate (or significant CESR-aligned portfolio) achieved

Experience

Essential criteria

• Minimum 24 months FTE experience in Emergency Medicine at ST1-3 level or equivalent

Desirable criteria

• Experience in high-volume or urban ED
• >36 months FTE experience in Emergency Medicine at ST1-3 level or equivalent Level of supervision required
• Independent in adults only
• Independent across adults and paediatrics
• Independent across all ED areas e.g. adults,, paediatrics, resus, UTC/minors, RAT

Knowledge

Essential criteria

• Has assessed paediatric emergency patients in an ED or paediatric acute care setting without the need for direct supervision
• Has independently clerked and managed undifferentiated adult ED patients without the need for direct supervision

Desirable criteria

• Completion of EM-relevant courses aligned to RCEM curriculum
• Evidence of portfolio development aligned to EM training

We strive to live by our WeCare values and are committed to promoting inclusion, where every staff member has a sense of belonging. We value our differences and fully advocate, cultivate and support an inclusive working environment where staff treat one another with dignity and respect. We aim to create an equitable working environment where every individual can fulfil their potential.

As an Equal Opportunities Employer we actively support applications from individuals' who apply under the Guaranteed Interview Scheme and will process your application as appropriate.

We reserve the right to expire vacancies prior to the advertised closing date once a sufficient number of applications has been received and we regret that we are unable to provide notification if your application is unsuccessful.

After applying via NHS Jobs, your submitted application will be imported into our preferred Third party recruitment system. All subsequent information regarding your application will be generated from apps.trac.jobs.

By applying for this post you are agreeing to Barts Health NHS Trust transferring the information contained in this application to its preferred applicant management system. If you are offered a job, information will also be transferred into the national NHS Electronic Staff Records system.

Barts Health is committed to safeguarding the welfare of children and to child protection. The Trust aims to ensure as far as is possible that anyone, paid or unpaid, who seeks to work in our organisation and who gains access to children, is safe to do so. As such, you may be required to undertake a Disclosure and Barring Check as part of the recruitment process if appointed to a post with direct access to children or vulnerable adults.

Barts Health promotes active travel as part of its goal to reach Net Zero. Each site is accessible by public transport and the Trust has a cycle to work scheme and some sites have Brompton Hire Pods.

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