Clinical Fellow in Adult Critical Care

This post was created for and by Professor Timothy W Evans with Dr Neil Soni (Chelsea & Westminster hospital) in the 1990's, at a time when the importance of combining anaesthetic skills with medicine during CCM training was beginning to be recognised, but was not easily achieved within a formal training structure. This one-year fellowship post aimed to support outstanding candidates in this regard. Many established Intensive care consultants across the UK have benefitted from this unique experience. To date, the fellowship continues to enable:

• Physician (or Surgeon) Intensivists obtain 6 months of supervised anaesthetic skills, or
• Anaesthetic Intensivists to obtain 6 months of acute medicine
This complementary training occurs at the Chelsea & Westminster Hospital, together with 6 months of advanced cardiorespiratory CCM at the Royal Brompton. This post may close earlier than stated if a sufficient number of applications have been received. Main duties of the job To be part of the critical care team, based on the ICUs but also contributing to the hospital outreach and cardiac arrest teams, when required. To participate in medical audit and Quality Improvement Projects (QIPs) To participate in the education and supervision of medical trainees and other staff., To be part of the critical care team, based on the ICUs but also contributing to the hospital outreach and cardiac arrest teams, when required. To participate in medical audit and Quality Improvement Projects (QIPs) To participate in the education and supervision of medical trainees and other staff. Job description, To be part of the critical care team, based on the ICUs but also contributing to the hospital outreach and cardiac arrest teams, when required. To participate in medical audit and Quality Improvement Projects (QIPs) To participate in the education and supervision of medical trainees and other staff.

CLINICAL FELLOW IN CRITICAL CARE (whole-time, 1 year). The postholder may have been trained in any specialty but must have previous experience of adult critical care medicine (CCM), and be at least at the level of intermediate level training as previously defined by the Faculty of Intensive Intensive Care Medicine (UK), or equivalent.,
• MB BS or equivalent
• MRCP, FRCA, FRCS or equivalent
• GMC registration
• ALS (or equivalent)
Experience Essential
• Critical care (minimum intermediate level / FICM stage 2)
Desirable
• Cardiothoracic Critical Care
Skills, Knowledge and Abilities Essential
• Knowledge of CCM
• Pathophysiology of CCM
• Teaching Skills
• Ability to Undertake Research
• Participation in Clinical Audit/QIP
• Communication Skills
  
  The intensive care units for adults are split across 2 levels; The 18 bedded Adult Intensive Care Unit (AICU) on level 3, and the 20 bedded Elizabeth Intensive Care Unit (EICU) on level 5. The units admit approximately 1200 patients per year with a variety of cardiological and respiratory diseases. The multidisciplinary ICU teams cares for patients utilising a wide range of organ support therapies, including extracorporeal cardiovascular and respiratory support. post-operative cardiac care is undertaken in a separate dedicated cardiac recovery unit (CRU) and high dependency unit (EICU/EHDU). The two intensive care unit's case-mix includes complex post operative cardiac, thoracic and vascular surgery, Grown Up Congenital Heart disease and various mechanical assist devices. The AICU provides also a severe acute respiratory failure referral service for the South-West of England and is commissioned as one of 5 national ECMO centres.
Each unit has at least 2 consultants on service Monday to Friday and additional consultant The ICUs have an active teaching programme covering general and specialist critical care and can facilitate targeted teaching around relevant postgraduate The unit teaches and trains undergraduate students from Imperial College London and has numerous honorary international visiting fellows. The postholder would be expected to support these teaching activities.