Trust Doctor in Intensive Care Medicine

This is a 12-month clinical trust grade post in Leeds Teaching Hospitals designed to provide comprehensive experience in all aspects of critical care medicine. This post is suitable for applicants wishing to gain or develop their experience in Intensive Care Medicine. Typical applicants undertake this position with a view to gaining tertiary centre experience in ICM whilst considering their career plans with respect to either entering the national training programme or the CESR pathway to become a fully trained consultant in Intensive Care Medicine or another aligning speciality.

The Critical Care Units in Leeds Teaching Hospitals are based in Leeds General Infirmary (LGI) and St Jamess University Hospital (SJUH). We provide critical care support for a comprehensive range of adult specialties. Across the two hospitals there are over 80 critical care beds, with plans for further expansion.

Duties include the management of all aspects of patient care in the critical care environment as part of multidisciplinary team. The posts will be designed around the specific requirements of the doctor, with particular attention paid to progressing towards a goal of achieving CESR.

Additional training blocks can be provided in neuro-intensive care, cardiac intensive care and anaesthesia as required. Depending on availability, training may also be provided in Paediatric ICU and Acute Medicine specialities. Each doctor will be assigned an experienced Educational Supervisor to help plan their educational journey. A limited study budget will be available for suitable external training courses.

Please refer to the attached Job Description and Person Specification documents for full details.

Critical care provision at the LGI is divided between neuro-intensive care, cardiothoracic, general and paediatric units. Regional expertise is provided in the following areas:

• Major Trauma
• Cardiac Surgery
• Neurosurgery
• Vascular surgery
• Head and Neck surgery including major cancer surgery
• Orthopaedics and plastic surgery including major reconstructive surgery
• Paediatrics and paediatric intensive care

Critical care is provided across two critical care units. Duties comprise all aspects of the critical care management of general medical and surgical patients, as well as patients from the regional specialist units on this site:

• Liver surgery and Transplantation
• Thoracic surgery
• Regional respiratory and renal services
• Pancreatic surgery
• Haematology and Oncology
• Infectious diseases

In addition to the many general training opportunities available in such a large critical care department, there will be specific opportunities for training and skills development in the following:

• Management of acute liver failure and the liver transplant patient including pre and post operative care. Time can be allocated to training within the wider liver unit as required.
• Critical care ultrasound in all FUSIC modules and echocardiography training to level 2 accreditation (FUSIC HD, BSE ACCE, fTOE / advanced TOE)
• Advanced renal management including renal transplantation medicine and replacement therapy techniques, including regional citrate anticoagulation and intermittent haemodialysis.
• Management of complex thoracic patients
• Anaesthesia and advanced airway training for single-specialty critical care doctors
• Training in teaching, management and research across a variety of settings within the trust.

Critical care provision at the LGI is divided between neuro-intensive care, cardiothoracic, general and paediatric units. Regional expertise is provided in the following areas:

• Major Trauma
• Cardiac Surgery
• Neurosurgery
• Vascular surgery
• Head and Neck surgery including major cancer surgery
• Orthopaedics and plastic surgery including major reconstructive surgery
• Paediatrics and paediatric intensive care

The post will have ample time for clinical audit, research, leadership and teaching. The appointee will be expected and encouraged to take part in these activities as part of their fellowship.

The trainee will have a huge amount of flexibility in regards to their work pattern. Whilst…