ST4+ Level - Clinical Fellow in Emergency Medicine

ST4+ Level - Clinical Fellow in Emergency Medicine

Closing date: 09 November 2025

Grade: Clinical Fellow / Trust Doctor ST4 or higher

Department: Emergency Department

Hours: Full-time or flexible time

Responsible to: Clinical Director

Not sure how to further your career in 2025? Need time to evaluate your future but want to work and do something that makes your CV stronger for higher Emergency Medicine training or CESR. We recognise that there is a lot of uncertainty and hope that can help. Clinical time spent in an Emergency Department is always useful and can help you become a more decisive and experienced clinician. We are particularly keen to develop doctors who are pursuing an Emergency Medicine career, who may be taking FRCEM exams or trying to get into formal EM training. The EM team is friendly, hardworking and very supportive. Each post is for 6 months with the very likely possibility of an extension.

We can offer suitable candidates a pathway to progression towards CESR with supported secondments in ITU, Anaesthetics and Paediatric ED.

Please note - you will not be shortlisted unless:

• over 4 years experience in Emergency Medicine
• have full MRCEM examination
• IAC in anaesthetics or equivalent evidence of airway skills

Main duties of the job

The post is 80% clinical, 20% non-clinical - meaning you will have the equivalent of 2 days a fortnight to follow a special interest such as QIP, partake in research, teaching or pursuing specialist interests such as paediatrics. We are open to negotiation if you have a particular project you are burning to do. Due to our self-rostering system, flexible or individualised rotas are possible.

The post holder will work alongside senior trainees and supervise the middle grade tier of doctors, F2s and other members of the clinical MDT. You will be 'in charge' of the department on night shifts alongside other ST4+ trainees / equivalent clinical fellows, gaining experience in a safe and busy environment.

The Emergency Department is led by Adult and Paediatric Emergency Consultants. The Department sees over 140,000 new patients per annum and has a separate Paediatric Emergency Department. We have a highly diverse patient population who will challenge and enhance your clinical skills.

Applicants must hold full registration with the GMC and have a proven record of experience in Emergency Medicine. Applicants should have at least 2 years experience post registration and full MRCEM qualifications.

Successful completion of the International English Language Testing System (IELTS) is our accepted minimum language requirement.

About us

You would be joining a friendly, hard-working and supportive Emergency Department that was rated as Outstanding by the CQC. We strive to deliver great patient care by working together as a team and we are looking for equally passionate and enthusiastic doctors to join us and contribute ideas about improving the patient journey within the Emergency Department.

As an organisation we are committed to developing our services in ways that best suit the needs of our patients. This means that some staff groups will increasingly be asked to work a more flexible shift pattern so that we can offer services in the evenings or at weekends.

Equality of opportunity is our policy. The Trust provides health services to a diverse community.

Job responsibilities

Purpose of the role

We are looking for doctors to join our large friendly team and contribute ideas about improving patient care. This post will give you non-shop floor time. You will have the equivalent of 2 days a fortnight to follow a special interest or boost your CV depending on personal career needs/interest/development of training. It is useful for those wishing to take some time out of training before continuing into higher specialty training. Atypical, flexible or individualised rotas are possible.

The EM team is friendly, hard working and very supportive. The department was rated as Outstanding by the CQC. We strive to deliver great patient care by working together as a great team. Each post is initially for 6 months with the possibility of an extension if desired.

These posts are useful for doctors needing competencies in higher Emergency Medicine training. We consider them developmental so encourage work-based assessments, enrolling for an e-portfolio or doing exams. When on duty these post holders will assist the Consultants in direct patient management and supervising the work of the junior medical staff. We all work hard but are very supportive and keen to help progress careers.

For the right person it would be possible to devise an individualised rota but a contribution to out of hours including nights and weekends work is essential.

Educational Program

Clinical Fellows will be given the opportunity to attend appropriate specialist courses including ATLS, ALS, APLS, and to attend appropriate conferences within a set study leave allocation.

The post holder will be expected to attend and present at a variety of educational meetings:

• Morning handover
• Weekly departmental middle grade teaching programme
• Weekly governance, operational and faculty meetings
• FY2, medical student and nurse teaching
• Daily consultant lead ward round on CDU
• Hospital Grand Rounds

The post offers regular teaching sessions and including specific exam-oriented teaching. The department has excellent experience with the RCEM examinations, and previous post holders undertaking the exams have had high success rates.

Research within the Department

We have an active research portfolio within the Emergency Department which we encourage our Clinical Fellows to engage in. This enables interested individuals to develop skills relevant to research and explore development of personal research projects.

Timetable and Salary

The Emergency Department operates a full shift system, which is fully compliant with the European Working Time Directive. We use self-rostering of an annualised rota which enables doctors to work flexibly and ensure that having time off when you need it is always possible with planning. All shifts are either 9 or 10.5 hours in length. There is no on-call commitment to the Emergency Department but rotas may need to be amended to cover unexpected sickness.

Salary is in accordance with the national salary scale.

Please be advised that this vacancy may close early should we receive sufficient number of applications

Person Specification Education/Qualifications

• GMC Registration / Eligible for GMC registration.
• MB BS (or equivalent)
• ALS/ ATLS provider
• MRCEM
• IAC or equivalent
• BSc, BMedSci (or other intercalated degree), other degrees/qualifications.
• ATLS/APLS Provider.
• Intermediate / full FRCEM
• Prove track record of hospital medicine in the NHS, with experience in EM (Minimum 24 months in Emergency Medicine) and a total of a minimum of 4 years working since qualification. Short term locums & clinical attachment are not acceptable and will not be considered. This is not suitable as a first UK post due to the level of responsibility and candidates will not be shortlisted unless they fulfil the criteria below.
• Any EM trainees from recognised overseas training programmes will be considered for shortlisting whether they have yet worked in the UK or not.
• Proven track record of senior doctor in charge of an ED on a shift basis.
• Additional experience in emergency medicine.
• Additional experience in one or more of other related specialties (acute medicine, orthopaedics, cardiology, ITU, anaesthetics, plastics or primary care).
• Research experience, education programme development, ultrasound qualification as appropriate.

Skills/Knowledge/Ability

• Evidence of experience in performing procedures relevant to emergency medicine: venous cannulation, phlebotomy, fracture manipulation.
• Evidence of good documentation - application form or/and documentation audit.
• Evidence of keeping up to date with topics relevant to EM practice- courses/teaching sessions attended.
• Documented provision of teaching sessions on EM relevant topics.
• Correctly written personal statement about why this job and where it fits in to career plans.
• Documented (log book) competence in other practical procedures: central lines, arterial lines, chest drains etc.
• Evidence of a quality improvement or audit project involvement.
• Experience of clinical risk management/clinical governance.
• Feedback on teaching sessions delivered.

Additional Information

• Record of audit of a clinical pathway of direct relevance to EM practice.
• Experience of supporting more junior staff.
• Previous audit projects with closure of loop documented.
• Feedback on ability to supervise juniors.

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Guy's and St Thomas' NHS Foundation Trust

£65,048 a year per annum excl. LZ plus additional allowances