Academic Clinical Fellow in Emergency Medicine
Academic Clinical Fellows/Lecturers CT1/CT2 1
Applications are invited for the above post. There is one post available, at either CT1 or CT2 level, you will need to select your application entry level while completing your application.
Applications for this post will be via the Severn Deanery portal.
The links to the right include all the information to assist you with your application to the Severn Deanery.
Please ensure you have read all of the attached documents before making an application or attending an interview.
Please refer to both the academic and specialty specific person specification, to check that you meet the essential eligibility criteria. It is important to demonstrate the essential requirements outlined in the specifications on your application form to ensure your application is progressed through the process.
Interviews: 7 January 2011
If you require assistance with your application please send us a message via the contact panel on the left side of the page or telephone the candidate support line 01454 252610.
Academic Clinical Fellow In Emergency Medicine
Severn Deanery, University Hospitals Bristol NHS Foundation Trust and UWE
1) Summary Of The Programme
This post forms part of the new integrated training scheme for clinical academics, and is designed to attract the very best candidates who wish to become future leaders in the specialty of Emergency Medicine.
The successful appointee will enter at either CT1 or CT2 level, and will participate in a personalised and structured training programme that combines all required clinical training in the acute care common stem specialties, followed by CT3 training in paediatrics and orthopaedics. At the same time they will pursue an academic training programme, including training meetings, an MA in applied health and social care research and six months of full-time research work under supervision.
During the final year of this post the successful applicant will be supported to compete for a PhD studentship, allowing them to pursue a three year research project in detail, and with multidisciplinary support. It is anticipated that they will then return to the emergency medicine training programme, ideally as a clinical lecturer, pursuing further research interests whilst completing clinical training. Individuals completing this training programme will become the academic and specialty leaders of the future, with strong career prospects and valuable expertise. However there is also an option to re-enter the standard training programme at any time, should this prove necessary.
The regional research programme is highly practical and clinically focussed. There are a range of potential topics including: resuscitation and critical care; pre-hospital care; acute medicine; diagnostics; drug and alcohol use; service delivery and organisation. There are also strong opportunities in paediatrics.
2) The Hospitals
University Hospitals Bristol NHS Foundation Trust (UHBristol) is the main teaching hospital in Bristol and has approximately 1,000 beds. It is situated a kilometre from the city centre, and is the oldest voluntary hospital foundation outside London. The hospital contains the regional centre for cardiac surgery, thoracic surgery, maxillofacial surgery, oncology, paediatrics and many other acute specialties.
Whilst this post is based in the Academic Department of Emergency Care at University Hospitals Bristol NHS Foundation Trust and the University of the West of England, Bristol, components of the clinical training programme may be delivered at other hospitals of the Severn Deanery. A degree of flexibility will be required in this regard.
Emergency Medicine forms a key part of UHBristol's clinical strategy and, as such, is an area that is being developed academically as well as clinically. The Trust's objective is to remain at the forefront of research, education and clinical care in all priority areas. The multidisciplinary nature of emergency care supports UHBristol's research and development strategy, which aims to build capacity in multidisciplinary, multiprofessional research. The Trust is actively strengthening its partnership with the University of the West of England with recent new initiatives in rheumatology and radiology as well as EM. UHBristol has developed robust research governance systems ensuring that all clinical research involving the NHS meets the standards outlined in the Research Governance Framework (RGF) (2nd Ed.). UHBristol is a registered Department of Health research sponsor and is one of the few NHS Trusts to have passed a GCP systems inspection performed by the Medicines and Healthcare products Regulatory Agency (MHRA) under the Medicines for Human Use (Clinical Trials) Regulations 2004. Under two Service Level Agreements (SLAs) UHBristol provides research management support for Weston Area Health NHS Trust (WAHT) and the University of Bristol. Rigorous research standards are maintained through established systems for project approval, monitoring and pharmacovigilance. UHBristol has received national recognition for its research policies and practice: for example, UHBristol documentation is cited as exemplars on the Central Office for Research Ethics Committees and Institute of Clinical Research websites.
3) The Emergency Department
The Emergency Department at UHBristol serves the city centre, South Bristol, Northwest Bristol and the surrounding area. It is the major department in the city and deals with more than 50% of the city’s emergency cases. The number of new adult attendances is expected to be in excess of 65,000 this year, of whom 20% are admitted. Adjacent Paediatric and Eye Emergency Departments annually treat a further 28,000 and 20,000 patients respectively. Integral to the ED is a 10 trolley Observation Unit, practicing modern decision medicine.
The Emergency Department was upgraded in 1994 with the provision of a new reception area, relatives room and staff rest room. The staff seminar room and patient waiting area were refurbished in 2001. The ED Observation Unit was built in 2002. During autumn 2005 the resuscitation room was rebuilt, updated and expanded with a new overhead X-ray gantry and six resuscitation spaces. A further refurbishment of the department occurred in early 2006 and 2009.
The new Bristol Children's Hospital (completed in 2001) is adjacent to the Royal Infirmary. Short corridors link the Bristol Royal Infirmary (BRI) and dedicated Paediatric Emergency Departments.
Within the BRI The clinical facilities now comprise:
- 6 bay resuscitation room
- 11 fully equipped cubicles at the ‘major’ end of the department
- Plaster room
- 7 fully equipped cubicles and 1 consulting room for the examination and treatment of “minor” patients.
ED Consultant - Revd Mr J Nigel Rawlinson
Paediatric ED consultant - Dr Lisa Goldsworthy
ED Consultant - Professor Jonathan Benger (academic lead)
ED Consultant - Dr Sarah Woolley (BRI and BCH)
ED Consultant - Mrs Lisa Munro-Davies (associate clinical director)
ED Consultant - Dr Sian Veysey
ED Consultant - Dr Anne Frampton (BRI and BCH)
ED Consultant – Dr Phil Cowburn
ED Consultant – Dr Richard Jeavons (BRI and BCH)
Paediatric ED consultant – Dr Giles Haythornthwaite
ED Consultant – Dr Paul Reavley (military appointee)
Locum ED Consultant – Dr Emma Redfern
Two further consultant posts in paediatric emergency medicine are being advertised.
Other grades at the BRI
5 x SpR/StR, 1 x senior training fellow, 1.5 x Staff Grades, 1 x clinical fellow (middle grade level), 9 x SHOs. The middle grade rota provides 24 hour cover to the BRI Emergency Department.
Nursing Staff at BRI
1 x I grade matron, 1 x Nurse Consultant, 11 x G grades, 11 x F grades, 18.3 x E grades, 18.3 x D grades, 8.5 x HCA.
A dedicated Emergency Nurse Practitioner service covers the “minor end” of the department for 16 hours each day.
Plaster technicians – a service is provided for the department by plaster technicians from 9 am to 9 pm, Monday to Friday, and from 10 am to 8 pm, Saturday and Sunday. Nurses within the department provide this service outside of these hours.
Physiotherapy and Occupational Therapy are available 6 days a week, based 3 hours in the Emergency Department. There is also a 1.0 WTE extended scope physiotherapist service seeing new patients with musculoskeletal injuries, and providing additional expertise
There are 8 WTE receptionists who provide 24 hour cover for the ED.
Secretarial and other support staff
There is one full time PA, one full time secretary and a ward clerk in the Emergency Department.
5) Library facilities
- All our evidence based clinical guidelines and protocols are available on-line within the Department.
- A selection of appropriate textbooks and journals is available to all staff within the Academic Department of Emergency Care.
- The Cal Room at UHBristol is available 24 hours a day. On line facilities include one of the most comprehensive collections of electronic medical textbooks in the world. The medical imaging section in the Cal room holds the largest collection of medical signs on record.
- A new 5 storey post graduate centre recently opened within 50 metres of the ED.
6) The Academic Department of Emergency Care
In October 2004 the Academic Department of Emergency Care was established within the Bristol Royal Infirmary and the Bristol Royal Hospital for Children. Through links with the University of the West of England it has been possible to develop new areas of research interest, and establish Bristol as a centre of academic activity in emergency care. The aim of the new Department is to promote high quality academic activity (principally teaching and research) within Emergency Care, with a particular emphasis on collaborative and multidisciplinary working. The Academic Department comprises ten staff (including this post) with plans underway for further expansion. An academic office has recently been established within the Bristol Royal Infirmary, including desk and computer space for ACF appointees.
7) The University
The University of the West of England, Bristol (UWE) is the eighth largest University in Britain with more than 23,000 students and a 1,000-strong academic staff. The University's history goes back as far as 1595, representing a long and well established tradition of first class professional education and training. Close links with industry and the professions produce courses that are relevant and innovative - ahead of the field.
The University has four campuses in and around the city of Bristol encompassing 9 faculties and teaching some 300 degree programmes across a wide range of disciplines. In addition, UWE also has an Associate Faculty in Gloucestershire and regional centres in Bath, Gloucestershire and Swindon.
A full range of services and facilities is available to support staff and students at the University. The Library and Learning Resource Units have been recognised in all Quality Assessments as providing excellent resources and access for study. The University on-line provision has grown steadily in recent years and blended method delivery is practised in a wide range of modules and programmes. The Faculty has equipped a range of skills laboratories to enable students of all disciplines to learn and develop the skills of their profession.
8) The Faculty of Health and Life Sciences
The Faculty of Health and Life Sciences was created in 2009 when the former Faculty of Health and Social Care merged with the former Faculty of Applied Sciences at UWE. This created one of the largest and most significant educational communities specialising in health and social care education and research in the UK. The Faculty provides undergraduate and postgraduate study for almost all health and social care professionals, with the exception of medical students who are taught at the University of Bristol.
The Faculty already has a good record in terms of widening participation and is above the current benchmark set by the Government for higher education institutions for widening participation. The Faculty continues to foster and develop new and existing links with various external organisations.
The Faculty also develops new areas of study to meet the local and regional education purchasers’ requirements for education. This includes the development of more flexible means of programme delivery, in mode and access, in time and place.
The Faculty is primarily based at the Glenside Campus in Bristol, which is close to UWE's main Frenchay Campus and three miles from the centre of Bristol. In addition the Faculty has regional centres in Bath, Gloucester and Swindon. There are also a number of Administrative and Research staff located at the Health Training and Research Centre based at the Bristol Business Park opposite the Frenchay Campus.
9) Duties of the Post: Clinical
The successful candidate will be join a team dedicated to the care of patients in the acute specialties, under consultant supervision. The exact nature and location of clinical duties will be tailored to the individual needs of the trainee and established shortly after appointment. It will include the provision of 24 hour care to inpatients and ED patients, whilst developing the knowledge and skills of the academic clinical fellow. The common aim will be to develop the clinical service and successful appointee in all aspects of patient care, teaching and research. Close teamwork with senior medical and nursing staff is an essential requirement of the appointment. The work includes:
The reception, resuscitation, diagnosis and emergency treatment of all patients presenting to the Emergency Department, and the management of inpatients in acute hospital specialties, including work in anaesthesia, acute medicine, paediatrics, orthopaedics and critical care. It would be expected that initial treatment carried out on patients requiring admission or follow-up would be in accordance with the policies agreed between consultants in the relevant specialties.
The clinical supervision of junior staff.
Supervision, regular review and appropriate management of inpatients admitted to the hospital and ED Observation Unit.
Undergraduate Medical Students – this appointment is in a teaching hospital and, therefore, the teaching of students forms part of the day to day routine to the hospital. ii) Postgraduate Medical Staff – postgraduate teaching of medical staff will be subject to paragraph 266 of the Terms and Conditions of Service of Hospital Medical and Dental Staff, but is a normal part of the duties of this post to instruct junior staff working under supervision.
i) Clinical – the routine administrative content of this post, e.g. the day to day routine of the department, is allowed for in the timetable.
ii) ‘Medical Advisory Machinery’ – the holder of this post is entitled to attend meetings of the Division of Junior Medical Staff, and the meetings of the Division of Medicine.
d) Other duties
The appointee accepts that he/she will also perform duties in occasional emergencies and unforeseen circumstances at the request of the appropriate consultant, in consultation where practicable with his colleagues both senior and junior. It has been agreed between the professions and the department that while juniors accept they will perform such duties, the Secretary of State stresses that additional commitments arising under this sub-section are exceptional, and in particular that juniors should not be required to undertake work of this kind for prolonged periods on a regular basis. See also paragraphs 110 and 111 of the Terms and Conditions of Service.
10) Duties of the Post: Research
The successful candidate will join a team committed to the delivery of excellence in teaching and research.
Under the direction of the Director of the Academic Department of Emergency Care the successful candidate will participate in clinical research relevant to emergency care. Formal and informal training in research methodology will be provided within this post, and the successful candidate will agree with the Director a set of research objectives to be attained under appropriate supervision. These objectives will be tailored to the previous experience and preferences of the appointee, but may include the development of research proposals, protocols and associated paperwork, competitive grant submissions, ethics committee approval, compliance with research governance and the conduct, reporting, dissemination and presentation of research findings. Present areas of research interest within the Academic Department of Emergency Care relate to service delivery and organisation, inter-professional working, drug and alcohol use, emergency airway management, paediatric emergency care, pre-hospital care and resuscitation, but other areas would be considered.
The successful candidate may be invited to assist in the supervision of research work, where this is appropriate to their previous experience and knowledge.
The successful candidate may be invited to teach critical appraisal and research skills to others, where this is appropriate to their previous experience and knowledge.
d) Personal Development
The successful candidate will be expected to attend the generic ACF training programme based within Bristol, and also specialty-specific meetings for academic trainees held during the year. They will also be required to complete the Masters programme in Applied Social Research (Health and Social Care) taught by UWE, which is recognised as ideal preparation for a research doctorate. Regular meetings will be held with the academic and clinical lead for the programme, during which specific training needs will be addressed and research ideas developed. They are also expected to produce at least one paper for peer-reviewed publication.
e) Other Duties
The appointee may also be requested to undertake other duties within the Academic Department of Emergency Care that are deemed to be within their scope of competence and of an academic nature.
11) Overall structure of the programme
Initially, academic clinical fellows entering the programme will require time for orientation to the clinical environment, and to gain experience in EM and the associated acute and critical care competencies. This will allow the academic clinical fellow time to select and develop an area that is attractive and relevant to them as a topic for their research. Furthermore, effective research is best undertaken during a dedicated period away from the distractions of clinical care, and after a suitable period of learning, mentorship and preparation. Therefore, a training programme has been constructed in association with the deanery programme director for Emergency Medicine and the host NHS Teaching Trust that will provide eighteen months of relevant clinical experience, gaining the necessary clinical competencies and academic grounding, followed by six months of full-time research. Towards the end of this six-month block, and also during the final twelve months of the overall three year programme, the trainee will be actively supported in applying for a higher degree training fellowship or award.
Months 1 to 18:
During the first 18 months of the programme the academic clinical fellow will be released to attend the generic ACF training programme based within Bristol. This will provide a fundamental grounding in research skills, and will be complimented by the part-time completion of relevant modules from the Masters programme in Applied Social Research (Health and Social Care) taught by UWE. Regular meetings will be held with the academic and clinical lead for the programme, during which specific training needs will be addressed and research ideas developed. The trainee will be encouraged to pursue their own research interests, with individually tailored support, and will be assisted in preparing for the six months of dedicated research that will follow.
Months 19 to 24:
After eighteen months of mainly clinical training, accompanied by a structured programme of preparatory academic development, the ACF will embark on a six month period of full time research. During these six months the ACF will complete the UWE Masters programme in Applied Social Research, using their research as the basis of their final dissertation. An enhanced programme of co-supervision from the programme lead, and an additional academic mentor, will ensure that agreed goals are achieved, and that the ACF is in the best possible position to successfully apply for a training fellowship. This application process will begin in months 23 and 24.
Months 25 to 36:
During months 25 to 36 the ACF will return to clinical training, but will also be released to complete presentations and publications arising from their full-time research, address further academic training needs (identified on an individual basis) and, most importantly, continue the process of applying for higher degree training fellowships. Academic co-supervision will continue until a fellowship or award has been successfully secured. If, however, the ACF reaches month 33 without success, then steps will be taken to integrate the trainee into the standard clinical training programme.
Support, computer and office facilities will be provided to the successful candidate, including a study budget.
12) Main conditions of service
a) The post is covered by the Terms and Conditions of Service of Hospital Medical and Dental Staff.
b) Whole time appointment. The postholder’s hours of duty shall be the standard working week of 40 hours and in addition, the holder of the post will be paid for Additional Duty Hours on a pro-rata basis for clinical duties standing by or working at the hospital. The Terms and Conditions of Service, as amended from time to time, will apply to and govern this statement.
c) The salary scale will be confirmed following successful appointment.
i) The appointment is designated resident, and it is the postholder’s responsibility to ensure that when rostered on clinical duty, he/she is available within the hospital.
ii) All accommodation charges are made in accordance with the Terms and Conditions of Hospital and Medical and Dental Staff (paragraphs 173-182).
iii) There is a limited amount of married accommodation in the form of furnished or unfurnished flats and houses.
iv) The Trust regrets that it cannot guarantee being able to find accommodation for non-resident postholders, but every effort will be made to assist in finding something suitable.
13) Other facilities
a) Clubs – junior medical and dental staff have access to the University sports facilities as honorary members of the University. Access to the union swimming pool and to Woodland House squash course is by application for associate membership tickets at the General Enquiry Office, Senate House, University of Bristol. When applying for either membership, identification must be produced as to the post he/she holds in the Trust. Certificates for either of these purposes may be obtained on request in the Human Resources Department, Bristol Royal Infirmary.
b) Car parking – parking in the centre of Bristol is difficult, but we have two car parks adjacent to the BRI. These car parks are over subscribed and there is usually a waiting list.
c) Shopping – the Bristol Royal Infirmary is only a few minutes walk away from one of the city’s main shopping areas.
d) Transport – the intercity and country bus terminus is very near to the BRI, and other bus routes are also available within a few minutes walk.
14) Conditions of appointment
a) The passing of a medical examination is a condition of appointment of all practitioners within the scope of the National Health Service Superannuation Scheme.
b) The successful applicant will be required to provide documentary evidence of natural or acquired immunity to hepatitis B. Where this is not possible, the postholder will be required to demonstrate by recent (within the last year) evidence of serology showing the absence of hepatitis B antigen. These provisions are to meet the requirements of the Department of Health’s instructions to Trusts (11SG(93)40).
15) Protection of children
a) Disclosure of Criminal Background of Those with Access to Children. The person appointed to this post may have substantial access to children under the provisions of Joint Circular No HC(88)9, WHCF(88)10. Applicant are, therefore, advised that shortlisted candidates will be asked to complete a form disclosing any convictions, bind-over orders or cautions, and to give permission in writing for a police check to be carried out. Refusal to do so could prevent further consideration of the application. Attention is drawn to the provisions of Rehabilitation of Offenders Act 1974 (Exceptions) (Amendment) Order 1986, which allow convictions that are spent to be disclosed for this purpose by the police and to be taken into account on deciding whether to engage the applicant.
b) Candidates are assured that the completed form will be treated with strict confidentiality, and will not be disclosed to the Advisory Appointments Committee until the successful candidate has been selected. A police check will only be requested in respect of the candidate recommended for appointment.
c) All forms completed and returned by other candidates will be destroyed when the final selection of the candidate to be recommended for appointment has been made.
16) Visiting arrangements
Those interested are welcome to visit the Emergency Department and Academic Department of Emergency Care at the University Hospitals Bristol NHS Foundation Trust and the Faculty of Health and Life Sciences at the University of the West of England.
Sally Long, PA to Professor Jonathan Benger
Bristol Royal Infirmary
Tel: 0117 3424363
Email: Sally.Long2@UHBristol.nhs.uk or Jonathan.Benger@UHBristol.nhs.uk
|Academic Person Specification|
|Person Specification CT1|
|Person Specification CT2|
|Entry, Eligibility & Exit||NIHR Guidance|
|Schools and Colleges|
|School of Emergency Medicine|
|School of Clinical Academic Training|
|Reference Form Academic|
|Reference Guidance Academic|
|Documents to bring||This is a list of all the documentation each candidate will be required to bring to interview.|
|Expense Form||This form can be used to claim interview travel and subsistence expenses.|
|Expense Guidance||This document contains information on travelling expenses and subsistence allowances to candidates attending interviews at the Severn Deanery.|
|Interview Location||Interviews will be held at the Severn Deanery.|