240133 Clinical Fellow in Acute and General Medicine

NHS Lothian is committed to encouraging equality and diversity among our workforce and eliminating unlawful discrimination. The aim is for our workforce to be truly representative and for each employee to feel respected and able to give their best. We will fully support disabled candidates, and candidates with long-term conditions, or who are neurodivergent by making reasonable adjustments to our recruitment policy and practices.

To this end, NHS Lothian welcomes applications from all sections of society.

Applications are welcome for the above Fixed Term (6 months), Full time post based in Western General Hospital.

To work in the United Kingdom, there is a legal requirement for an individual to demonstrate that they have the relevant permission to work in the country. This permission is, without exception, granted by the UK Visa and Immigrations Service.

As part of the pre-employment checks for a preferred candidate, NHS Scotland Boards will check your entitlement to work in the UK. It can be evidenced through a number of routes including specific types of visa as well as EU settled and pre-settled status. To find out more about these routes of permission, please refer to the GOV.UK website .

For specific types of post, if you do not have the necessary eligibility to work in the UK, it might be possible (though not guaranteed) to secure sponsorship via a UK Skilled Worker/Health & Care Worker Visa. However, this is only possible if the employer is a licenced Sponsor, and if the post does not fall below the current minimum salary threshold or ‘going rate’. Further information on these criteria can be found .

It is ESSENTIAL that you have checked that you either already have an appropriate right to work in the UK or that the post would be eligible to be sponsored BEFORE submitting your application form.

The post does not have educational approval from the Postgraduate Dean and will not be recognised for training.

GENERAL AND INTERNAL MEDICINE Western General Hospital

The Clinical Fellow posts in Acute and General Medicine at the Western General Hospital are aimed at FY2+ level i.e. those Doctors having completed the UK Foundation programme and having being assessed as "acute take safe" under supervision who are looking for some further experience of acute and general medicine. This may be to further pursue a career in medicine or to provide professional development adjunct to any future clinical activity. We also welcome applications from doctors more senior than immediately post-FY2 and roles may be negotiable dependent on experience.

The available jobs involve working within the acute medical unit, including first hand experience of medical emergencies and resuscitation (with appropriate support) as well as periods of continuing care for downstream medical patients. There will be additional opportunities to gain experience in Same Day Emergency Care.

The posts include participation in a rota including out of hours working including night shifts and weekends although every effort is made to ensure healthy working lives and facilitate work-life balance. It is recognised that trainees in these posts are often undertaking postgraduate examinations and we are happy to support and assistance in adequate preparation for these. There is also support for application and interview process available for candidates in applying for training routes of entry into IMT, ACCS and GPST or any other required.

Every effort is made to tailor posts to successful applicant’s interests, particularly the 10% development time. The department has a keen interest in medical education including simulation teaching as well as quality improvement and clinical governance work. There is adequate experience to develop leadership experience. It would be anticipated that clinical fellows working in the department would go through either the clinical educators programme or quality improvement training programme offered locally. We offer region based teaching in point of care ultrasound which interested candidates may have the opportunity to explore.

The Western General has the benefit of highly collegiate inter-specialty working practices. Our Respiratory, Diabetes and Endocrinology, Infectious Diseases, Stroke Medicine, Medicine of the Elderly, Cardiology, Rheumatology, Gastrointestinal, Critical Care, Oncology and indeed Surgical colleagues all work closely with Acute Medicine at the front door. As a result development time could be used to liaise with a particular specialty of interest in a joint piece of work to aid patient safety or experience in Acute/General Medicine and professional progression.

We have a strongly motivated and supportive consultant workforce with a wide range of specialised interests at a national and local level including undergraduate and postgraduate education, patient safety, quality improvement, informatics and simulation which would be able to support specific applicant’s interests.

General ongoing professional development is supported by a weekly departmental education programme, monthly morbidity and mortality meetings and specific postgraduate resident doctor teaching delivered within the department. There is also the opportunity to join the education programme facilitated by the Same Day Emergency Care Service.

The posts in Acute and General Medicine will primarily be based in the following areas:

Medical Admissions Unit – Emergency (MAUE)

This unit is the site of arrival for the acute unselected medical take at the Western General Hospital. It is a primarily primary care referral base but also takes emergency ambulance referrals. It is a busy environment where the focus is on triage, stabilisation, assessment and management of acute medical presentations pending ongoing decisions regarding placement of care within the four hour emergency standard. There is specialty registrar support 0900-2130 with the Hospital at Night Team Reg covering 2100-0900. There is dedicated Consultant presence 0830-2000 allowing for the development of close working relationships and meaningful