Nhs Fife
Closing date
8 Jul 2021

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REF NO: 056487

We are looking to welcome 2 new colleagues to join an enthusiastic, motivated and supportive Emergency Department team in Fife. You will work in the Emergency Department at Victoria Hospital, Kirkcaldy, which opened in 2012. The department has an annual attendance of 68000 of which 25% are paediatric cases. We perform well in key areas such as sepsis, stroke thrombolysis and compliance with the 4 hour target.

These now well established posts support the provision of high quality patient care within the Emergency Department. It is aimed at clinicians 3 years post registration who wish to broaden their clinical experience and receive excellent training in Emergency Medicine. Applications from clinicians considering the CESR route are encouraged.

Senior clinical fellows will work alongside Specialty trainees in Emergency Medicine from the South East Scotland training rotation. Successful applicants will work at a middle grade level on a rota which provides 24 hour middle grade cover for the department under consultant supervision. The rota will include overnight and weekend work.

The 12 month post attracts 12 PAs of which 10 will be Direct Clinical Care and 2 will be for ongoing Continuing Professional Development. These PAs can be used flexibly for ongoing training and development. All senior clinical fellows will be allocated an educational supervisor to support them in their ongoing training and facilitate appropriate training opportunities tailored to the individual's interests and training needs. Development and maintenance of a portfolio is encouraged.

Senior clinical fellows will be involved in the initial assessment and management of patients attending the emergency department, and in supervising and supporting FY2s and GPSTs in patient management. This will involve work in all areas of the department. There will be opportunities to develop experience of observational medicine under consultant supervision and to take part in Observation ward rounds.

The department includes an 8 bay resuscitation area, a 9 bay majors area, a 6 bay minors area and 2 paediatric consulting rooms. There is a dedicated Procedures room and a 6 bedded Emergency Medicine Observation Unit which admits primarily toxicology and head injury patients. There is access to electronic pathology and radiology ordering. Departmental guidelines, protocols and rotas are available on the StaffLink app on PC desktops and downloadable to all smart phones.

The Emergency Department has 24 hour senior doctor presence, (16 Consultant Emergency physicians 12.3 WTE) with current shop floor consultant presence daily from 0800 to 2300. We have 8 GPwSI who deliver regular sessions daily and at weekends. There are daily ENP sessions to help with the minors flow.

There is a co-located GP OOH service in the evenings and at weekends, allowing redirection of appropriate patients to primary care. A separate , EM departmental redirection policy operates 24/7 in addition to this. In line with the development of NHS 24's 'Right Place, Right Time' initiative, the ED runs a virtual flow and navigation hub for assessment of potential ED patients via 111 pathways. Currently this involves a brief triage by telephone and scheduled departmental appointments for face-to-face review.

There is a 24 hour ENP-led Minor Injuries Unit Located at Queen Margaret Hospital in Dunfermline which is clinically supported by the senior doctors in the Emergency Department.

Applications from those who wish to work flexibly are welcomed.

Enquires to Dr Julie Thomson, Clinical Lead for Emergency Medicine, 01592 643355 ext. 20162, email or Dr Alistair Dewar Consultant in EM ext 29057, email are welcomed and encouraged.

CLOSING DATE: 23rd June 2021

INTERVIEW DATE: To Be Confirmed.

START DATE: August 4th 2021.

Details of all NHS Scotland Medical Vacancies can be found at

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