CLINICAL DEVELOPMENT FELLOW IN EMERGENCY MEDICINE
GLASGOW ROYAL INFIRMARY
INFORMATION PACK
REF: 49743d
cLOSING DATE: 8TH DECEMBER 2017
EMERGENCY MEDICINE DEPARTMENTClinical Development Fellow: Medical Education
SUMMARY INFORMATION
Job Ref / 49743D
Title / CLINICAL DEVELOPMENT fellow in emergency medicine
Specialty / EMERGENCY MEDICINE
Remit / Depending on your experience, you will be matched to a role on the Middle Grade rota or the Clinical Fellow rota with a remit to support the middle grade rota
Directorate / Acute Services
Service / Emergency Care And Medical Services
Department / Emergency Department
Base / Glasgow Royal Infirmary, G4 0SF
Health Board / NHS Greater Glasgow And Clyde ,
Responsible/Accountable To / Mr Alastair Ireland, Clinical Director in Emergency Medicine
Dr Scott Taylor, Consultant and Education Lead GRI Emergency Department.
Enquires to / Enquiries and further information can be obtained from either Mr Alastair Ireland or Dr Scott Taylor. Tel: 0141 211 4294
Visits to Department / Please contact Heather Donnelly on 0141 211 9271 (or by email to ) with whom visiting arrangements can also be made
Working Hours / 0.5 wte equivalent clinical work on Band 1A compliant rota
0.5 wte equivalent undergraduate education
On Call / The rota is full shift. There is no on-call component
Mentor / The applicant will be mentored and supervised by a member of the consultant team, allocated on appointment
Tenure / Fixed Term to 2nd August 2018
EMERGENCY MEDICINE DEPARTMENT
Clinical Development Fellow: Medical Education
THE DUAL ROLES
In the clinical role, key priorities for the successful applicant will be delivery of high quality assessment and management of unselected emergency patients attending Glasgow Royal Infirmary whilst assisting colleagues to maintain safe flow within the department. Our staff have direct admitting rights to acute medicine, cardiology, acute surgery, orthopaedic and gynaecology wards and strive to manage patients to admission with a single ED assessment rather than relying on specialty consults. We are continually refining our pathways in collaboration with specialty colleagues to maximise safe patient flows.
The Consultants currently operate a floor Consultant rota to ensure a senior presence in the department up to midnight seven days a week. The duty consultant has the remit of supervising and assisting in the initial management of all patients presenting to the department including those managed by trainees and nurse practitioners and will support middle grade and clinical fellow staff in their role. While the duty consultant retains an overview, clinical fellows and middle grade staff are expected to take a lead role in the resuscitation of critically ill or injured patients.
In addition to the new patients presenting to the department there are two soft tissue injury review clinics per week on Tuesday and Thursday mornings. There are also twice daily ward rounds to manage the in-patient head injuries who are cared for by emergency medicine.
In the Clinical Teaching role, the successful applicant will:
a) work collaboratively as part of the Emergency Department Education Team to develop new, and deliver existing, educational content and strategy.
b) play a major role in the delivery of undergraduate education to attached undergraduate students in Emergency Medicine.
c) participate in the delivery of simulation both in-situ and at the newly developed Simulation Centre at GRI.
d)undertake the PG certificate in medical education – more information about which can be found here:
e) have the opportunity to develop and contribute to educational projects with submissions to relevant conferences, etc. and/or an active role in ongoing departmental research.
The conditions of service are those laid down and amended from time to time by the Hospital and Medical & Dental Whitley Council.
THE REQUIREMENTS: Please view the detailed person specification on page 9Holding both GMC Registration and a licence to practice you should have undertaken post graduate training which included rotations in Emergency Medicine and acute specialties such as Intensive Care Medicine or Anaesthesia. General professional training in a range of specialtiesincluding Emergency medicine is essential and you must have a broad familiarity with the management of full range of Emergency Medicine presentations.
Non UK applicants must demonstrate equivalent training and should visit or click the link for further guidance.
This post does not hold educational approval from the Postgraduate Dean and will not be recognised for Training.
EMERGENCY MEDICINE DEPARTMENTClinical Development Fellow: Medical Education
CLINICAL COMMITMENTS
SAMPLE ROTA
Week / Monday / Tuesday / Wednesday / Thursday / Friday / Saturday / Sunday
1 / 0800-1800 / 0800-1800
Education / 0800-1800
Education / 0800-1800
Education / 2200-0830 / 2200-0830 / 2200-0830
2 / 0800-1800
Education / 0800-1800
Education
3 / 0800-1800
Education / 0800-1800
Education / 0800-1800
Education / 1600-0000 / 1600-0000 / 1600-0000
4 / 0800-1800
Education / 0800-1800
Education / 0800-1800
Education
5 / 0800-1800
Education / 0800-1800
Education / 0800-1800
Education / 0800-1800
Education / 0800-1800 / 0800-1800
6 / 0800-1800
Education / 0800-1800
Education / 0800-1800
Education / 0800-1800
Education
7 / 2200-0830 / 2200-0830 / 2200-0830 / 2200-0830
8 / 1600-0000 / 1600-0000 / 1600-0000 / 1600-0000
The main thrust of clinical activity is treating new patients, (from minor injuries to resuscitation room cases), on the “shop floor” as they present. In addition, middle-grade doctors are expected to supervise and support junior medical and nursing/ENP staff, and liaise with other specialties when appropriate.
Although supported by consultants for the majority of the working week, doctors on the middle grade rota will often have a lead role in the resuscitation room and are expected to be trained and familiar with Advanced Life Support management of medical, traumatic and (occasional) paediatric emergencies.
In addition they support the consultant staff in ensuring safe but efficient flow of patients through the department through supervision of doctors on the junior rota.Very occasionally, the appointee may be liable for duty in unforeseen emergencies and exceptional circumstances.
ADMINISTRATIONAdministrative duties involve participation in daily checks of resuscitation equipment, liaison with the procurator fiscal and GPs in the event of sudden death, review of radiographic reports and recall of patients in the event of missed injury.
You will have a continuing responsibility for the care of patients in your charge, and for the proper functioning of the Department and will undertake the administrative duties associated with the care of patients and the running of the clinical department.In addition to the duties mentioned above, duties at other hospitals administered by the employing authority may be necessary.
EMERGENCY MEDICINE DEPARTMENTClinical Development Fellow: Medical Education
ORIENTATION, INDUCTION AND MENTORSHIP
There is a comprehensive induction programme. New trainees requiring familiarisation with our way of working usually have the opportunity to shadow other members of the team for the first 2 weeks. Sometimes an introductory period on the junior rota is helpful to fully embed local practice before stepping up to the middle grade rota.
ACUTE SERVICES IN NHS GREATER GLASGOW AND CLYDEABOUT US
The Acute Services Division is the largest group of adult acute hospitals in Scotland. It enjoys close links with Glasgow’s three universities and makes a significant contribution to teaching at both undergraduate and postgraduate level. Research also has a high profile within the organisation. Education facilities are provided at Glasgow Royal Infirmary and the new ambulatory care hospital at StobhillHospital. The service in North Glasgow presently employs more than 14,300 staff serving a core catchment population of 560,000.
Glasgow Royal Infirmary (GRI) & StobhillAmbulatoryCareHospital (SACH)
Glasgow Royal Infirmary is one of the major teaching complexes of the University of Glasgow. It provides the Emergency Medicine service for the North Eastern districts of Glasgow and has in-patient beds in general medicine and related specialities, medicine for the elderly, general surgery, orthopaedics, plastic surgery and obstetrics and gynaecology. There are also beds in intensive care, medical and surgical high dependency, and coronary care. Following the closure of StobhillHospital March 2011 all acute medical beds, with the exception of some long-stay care of the elderly beds, are on the GRI site. The Stobhill Ambulatory Care Hospital is a modern purpose built ACH providing a full range of out-patient and ambulatory care services including an ENP led Minor Injuries Unit (MIU). Radiology, Cardiology and Respiratory diagnostic services are provided both at GRI and SACH.
Staff at GRI and SACH are proud of the close inter-departmental links and co-operation. They are at the forefront of a progressive agenda in relation to clinical standards, managed clinical networks and patient focused service re-design. There are close clinical links with colleagues in the Community Health Care Partnership and other hospitals in NHS Greater Glasgow and Clyde, Glasgow, Strathclyde and GlasgowCaledonianUniversities. There is a dedicated hospital wide academic programme supported by a strong service educational commitment. GRI and SACH are provided with dedicated education centres and IT support. Both have excellent reputations in supporting and nurturing its clinical staff and also have an excellent reputation for under and post graduate training.
THE ACUTE OPERATING DIVISIONAt GRI medical emergencies are admitted via an Acute Assessment Unit (AAU) run by acute physicians or via the Emergency Department (ED) to an Acute Medicine Unit (AMU). This comprises 4 geographically defined ward areas covered by specific specialty teams – general medical, respiratory, gastroenterology and medicine for the elderly. Where bed availability permits, patients with specific conditions are triaged to the appropriate specialty team e.g. patients with respiratory disease to the respiratory area. Four consultant physicians representing each speciality group take part in acute receiving each day in the AMU with morning and evening ward rounds.
Acute admissions to medicine range from 45 to 70 per day. Patients requiring a short stay are discharged from AMU. Those requiring longer stays are transferred ‘downstream’ to medical, care of elderly or cardiology beds. There are 216 downstream medical beds split into specialty units/wards; Respiratory Medicine, Rheumatology, Gastroenterology, Diabetes and Endocrinology. Consultants from the department of medicine for the elderly (DOME) contribute to receiving duties, but also have 183 in-patient beds in a number of wards within Glasgow Royal Infirmary with additional rehabilitation beds at LightburnHospital and StobhillHospital. There is a separate Stroke Ward.
By joining us now you will have the opportunity to be involved in the further development of our hospitals - enjoying a real chance to shape services for the future, bringing benefit to you, your colleagues and our patients.
GLASGOW ROYAL INFIRMARYGlasgow Royal Infirmary, in the east of the city, is a very large teaching hospital providing regional, supra-regional and national acute clinical services. Since 2015, further work has ensuredthat the Royal Infirmary is fully equipped to serve as the main inpatient hospital for the north and east of the NHSGGC area.
THE EMERGENCY DEPARTMENTGlasgow Royal Infirmary Emergency Department is one of the busiest departments in Scotland. The ED comprises a 6 bed Resuscitation Room, 19 bed Majors hub, and an expanded Minor Injuries area. We manage a diverse and varied caseload from major trauma associated with a large city, acute medical and surgical presentations, through to minor injuries. We have been the principal receiving hospital in 3 recent major incidents and have well rehearsed procedures for dealing with multiple casualties.
The ED is co-located with the Acute Assessment Unit for GP medical and surgical referrals, and a Rapid Assessment Unit. It has active shopfloor emergency medicine consultant involvement until midnight on 7 days a week, and consultant-led extended triage.
ENP Minor Injury Services are well-established at GRI. Consultant-led soft tissue clinics are provided twice weekly. Head injured patients are managed in an Emergency Department led ward, with twice daily ward rounds.
EQUIPMENT AND SUPPORTING SERVICES
In addition to 3 Emergency Department x-ray rooms, our medical staff have immediate access to CT scanning (there is a dedicated CT scanner within the department and 24/7 radiology reporting) and office hours access to MRI.
There is a modern portable ultrasound machine with echo capability. In addition to near patient blood gas analysis, full emergency laboratory facilities are rapidly accessible via a vacuum pod system for samples with a 30-45 minute turnaround for most results.
Medical staff enjoy a close working relationship with our nursing colleagues. At all times there is a senior nurse who is floor coordinator with another responsible for departmental flow. There are 1-2 triage nurses, 8-10 floor nurses and 1-2 expanded role nurse practitioners managing minor injury cases at any given time. Our Health Care Support workers are trained in cannulation and venepuncture and obtaining ECGs.
TRAINING OVERVIEWThis post will guarantee exposure to the full range of presentations likely to attend an Emergency Department with many opportunities to lead resuscitation cases as well as undertake invasive procedures including arterial and central venous cannulation, rapid sequence intubation, tube thoracostomy and on occasion emergency department thoracotomy.
Clinical Fellows participate in the ongoing educational programme within the ED. Education is organised around weekly themes. ‘Flipped classroom’ teaching is delivered via daily ‘nudge’ emails and weekly themed quizzes. Knowledge is consolidated via several fixed teaching sessions, including a weekly afternoon teaching session for juniors, and a weekly lunchtime teaching session for middle grades and seniors (trauma review meeting, M&M, presentations, journal club, simulation sessions, ultrasound skills, invited speakers). In addition, we hold skills & drills and simulation sessions weekly.
There is also a quarterly board-wide Emergency Medicine Clinical Governance meeting providing another educational forum at which middle grade trainees often present serious clinical incidents. At GRI there is a monthly Trauma M&M meeting with surgical, ITU and anaesthetic colleagues.
Clinical Fellows will have an ePortfolio record of their progress and will undergo annual appraisal with an allocated appraiser, in line with GMC requirements for revalidation.A clinical and educational supervisor will be designated and a programme of workplace based assessments will be undertaken in line with College of Emergency medicine training requirements similar to trainees participating in the Scotland Deanery, West Region, training programme in Emergency Medicine.Click this link or visit
Clinical fellows will be encouraged and supported in their career development either towards application to join a formal training programme or further career development as a specialty doctor.
Where appropriate, suitable candidates will have opportunities for secondment to other acute disciplines to consolidate their skills in critical care and acute medicine.
EMERGENCY MEDICINE DEPARTMENTClinical Development Fellow: Medical Education
THE TEAM
Consultants in Emergency Medicine:
Mr Alastair J Ireland (Clinical Director)
Dr Scott Taylor (GRI hospital sub-dean, Education Lead)
Dr Neil Dignon (Chair of GRI Major incident committee, pre-hospital liaison)
Dr Sam Perry (Addictions/Psych Liaison)
Dr Donogh Maguire (Clinical Governance and Research lead)
Dr Philip Anderson (Rotas, QI)
Dr Tadhg Kelliher (lead for head injury ward and induction programme)
Dr Sheila MacGlone (Teaching and QI)
Dr Claire Fitzpatrick (Lead for Paediatrics, Child protection and M&M)
Dr Ryan Connelly (Trauma M&M lead, GRI Scottish Trauma Audit Group lead)
Dr Fiona Ritchie (Sepsis Lead and airway management)
Dr Stephen Boyce (Dual accredited in Sports and Exercise Medicine)
Dr Richard Stevenson (Police Liaison/ toxicology)
Dr Emma Sur (audit)
Dr Colin Bell (paediatrics and Child protection)
Dr Jacques Kerr (Unscheduled care lead)
Dr Triona Considine (Sim lead)
Dr Hannah Bell (website development, Sim)
Dr Michael Gillespie (Pre-hospital Liaison and M&M)
Associate Specialists in Emergency Medicine:
Dr Jennifer Devine
Dr John Burns
Middle Grade Staff:
4 LAT ST3+ / Senior Clinical Fellow (including this post)
5 ST4-6 registrars
1 CT3 registrar
4 Specialty Doctors
Junior Staff:
23 doctors of FY2, GPST, and ACCS grades
RECENT ACHIEVEMENTSThe department consistently delivers a high standard of clinical teaching and in reflection of this we have earned a Teaching Excellence Award for the last four consecutive years. Our role in the development of the hospital’s Virtual Fracture clinic earned a Chairman’s award in 2014 and an NHSGGC Staff Award for Excellence for the ED team. In 2017 our Education Team won the prize for best poster at the Emergency Medicine Educators Conference (#theemec) in Birmingham.
EMERGENCY MEDICINE DEPARTMENTClinical Development Fellow: Medical Education
LIVING AND WORKING IN GLASGOW
The Glasgow and Clyde region is one of Europe’s most exciting and beautiful destinations and combines the energy and sophistication of a great international city with some of Scotland’s most spectacular scenery within easy reach. Glasgow itself is easily accessible as it is served by two international airports, a fast rail link to London and the north of England and excellent motorway links to Edinburgh and the rest of Scotland. Glasgow and Clyde doesn’t just offer you a huge choice of leisure activities – it offers you more time to pursue them. With short commuting times – and its proximity to the great outdoors – working in Glasgow and Clydewill give you more time to call your own.
Today Glasgow is a compact, vibrant and modern city. In fact Glasgow’s scale comes as a surprise to some people. It has the largest suburban rail network outside London and is second only to the UK Capital as a retail centre.Glasgow also has a wealth of culture and leisure activities. As well as this, Glasgow has an abundance of places to visit, with Loch Lomond just 40 minutes from the city Centre, and with the vast areas around it, it’s rarely crowded. Add this to high quality housing, good schools, thorough transport links – and you can understand why people here enjoy a unique standard of living.
There are top-ranking schools, excellent leisure facilities, beautiful golf courses and elegant accommodation across all price ranges.
The night life and restaurants are renowned and its opera, theatres, art galleries and museums offer plenty of cultural stimulation. Greater Glasgow and Clyde Valley are one of the world’s most thrilling and beautiful destinations.