The other aspects to the Clinical Fellow posts


If you are considering our posts primarily as a “year Out” between ST3/4 with the added benefit of some pre-hospital playtime, that’s fine, although you must understand we have to expect a reasonable amount of activity from the 3 weeks’ worth of spa time we give you!

But we have a huge amount on offer in terms of project work (always supported by an ED consultant) that, with a bit of effort from you, should translate into signIficant additions to your CV.

We expect all our Clinical Fellows to actively pursue a variety of CV-enhancing activities during their time with us, just as we do our SpR/StRs - with consultant support, of course. And it’s worth mentioning that getting some of this CV-enhancing stuff under your belt prior to ST4-6 means less stress during ST5/6 as you prepare for your FRCEM and first consultant post.

Plus, unless you are on OOPE and going to be ARCP’d in absentia, you will need to have an appraisal during your time with us (an appraisal each year is a requirement for revalidation) and so even if you are thinking “year out”, you must do some stuff to be able to have some material in your appraisal folder (and because we are paying you to undertake SPA activities).

In general, our Clinical Fellows all have a portfolio of projects on the go such as:

  1. Mentoring a medical student, a junior doctor, and (if there’s one around!) a WAST trainee Advanced Paramedic Practitioner or Trainee Advanced Nurse Practitioner.

  1. You’ll also look after pre-hospital personnel visiting the ED... paramedics, MRT members, Bristow winchmen etc.

  1. Audit - compulsory. at least one of your own, as well as supporting juniors undertake theirs.

  1. Research – you will have opportunity to access the Bangor Mountain Medicine database (yo’ll be expected to help with data entry, too) and we will help you devise a PHEM-related project. Or, if you can think of anything else, we’ll facilitate this. We have friends at Bangor University, too, especially in the Health Economics department.

  1. Service Development & Quality Improvement – as you build you PHEM log-book, we will be asking you to consider what would be needed to explore alternative ways of service design… “what would be needed to have avoided transporting this patient to hospital”. Inside the ED, if you spot something we should be doing (or should be doing differently), we will help you work out how to fix it.

  1. Teaching – compulsory. Medical students, junior doctors, paramedics, and your peers... from bedside teaching to formal sessions we will provide you with plenty of opportunity to develop your teaching skills. Teaching with ORMS, the civilian provider of SAR helicopter rear-crew training, is popular.... everyone loves working with the winchmen, and the main ORMS paramedic tutors are highly experienced educationalists: they supervise and support any teaching delivered by Clinical Fellows, and then provide written feedback and suggestions for development and improvement. 

  1. Simulation – our Clinical Fellows are expected to develop an ED simulation programme and those opting for MedEd “playtime” will be running simulation for medical students.

  1. Journal Club – compulsory. Responsibility for running our journal club will be shared between the Clinical Fellows and our SpR/StRs.

  1. Management – most of our Clinical fellows are  pre-ST4 and so, whilst management training is not yet a priority, we will be provide you with some gentle introductions to ED management topics. For example, we’ll find you a complaint to answer, show you how to fill in Adverse Incident Report Forms, start to expose you to the issues faced by today’s ED consultants. More senior trainees, spending a year with us between ST4 and ST5 or between ST5 and ST6, will have opportunities to play a more active role in the management of the ED if they wish, always supported by the consultants.

  1. Protocol Development - compulsory. All Fellows are expected to update an existing protocol, and devise a new one, during their time with us. You will, naturally, have consultant guidance. 

  1. Morbidity & Mortality meetings - compulsory. We hold monthly M&M meetings which also cover interesting cases and learning points. Fellows are expected to attend unless EWTD precludes or they are on annual leave (remember, some of your time off if not time off but “paid but not timetabled” SPA!) and once or twice a year you’ll be responsible for running the M&M with the assistance of two juniors. We do, of course, show you how.

  1. Presentation experience and event management - if sufficient Clinical Fellows are  up for it, we organise periodic regional EM/EMS CPD events, where Fellows can gain presentation experience at a sizeable regional meeting (delegates usually around 100) and two at a time can organise the event with step-by-step consultant support.

Oh yes, and there’s a reason for the bit on the person Spec specifying that applicants must be willing to engage with the media if required - it’s so we can line you up as canon fodder for the telly cameras whilst everyone else ducks out!