CCT in ICM - programme overview unit ... - London Deanery

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Dr Marie Healy, Educational Supervisor, ICM Dr Peter O Shea, Dr Gurdip Samra, Dr Dan Kennedy and Dr Huw Owen – Reece. All are from an anaesthetic background and have approximately 3 anaesthetic sessions each per week. Consultant cover is for one week at a time although this is currently being reviewed. There are 10 senior sisters / charge nurses, who rotate so that one is in a full time teaching role. We have a full-time “sudden bereavement support sister”, dedicated to the ICU. We have ICU pharmacists (2), technicians (3), dieticians (1), physiotherapists (3) and ward clerks (3). We have 7 trainees who participate in a shift system (56 hours per week, band 2A). 6 are anaesthetic SpRs (year2-5) who do 3 month blocks. The 7th is a senior SHO in a 6 month post. We also have a neurosurgical and an anaesthetic SHO who do not participate in ICU on-call. In addition funding has recently been approved for 2 clinical fellow posts. The ICM post This is an additional post where the trainee would be able to gain experience in many aspects of adult critical care, including audit, outreach, outpatient follow-up and management. The unit offers particular expertise in all aspects of the care of the severely injured patient, including the initial resuscitation. The on call responsibilities will be commensurate with the training needs of the individual who is likely to be second on call on a one in six basis. Opportunities exist within the Trust for individual trainees to gain experience in cardiothoracic ICU and haem-oncology. This is a busy unit, which relies heavily on good multidisciplinary teamwork. There are regular social functions and we aim to provide a stimulating and fun working environment. St Bartholomew’s Hospital St Bartholomew’s and the London NHS Trust is the largest provider of acute care in the country and is a major tertiary referral centre. St Bartholomew’s provides tertiary services (cardiothoracic surgery, maxillofacial surgery, ENT surgery, infectious diseases, cardiology, radiotherapy and oncology). The Queen Mary & Westfield Medical School is affiliated with Barts and the London. Profile of the Intensive Care Unit The ICU has educational approval from the Intercollegiate Board in Intensive Care Medicine for training at all levels including advanced. Within the Critical Care area there are 13 beds nominally allocated as 4 general intensive care & 9 cardiothoracic intensive care. There are 8 high dependency beds allocated to cardiothoracic patients. In addition to providing intensive care services for postoperative cardiothoracic patients, the unit admits patients with haematological malignancy, after bone marrow transplantation, infections
including HIV, after major head and neck surgery, ENT, gynaecological oncology and urology. Six consultants specialise in intensive care (Dr M Messent - lead clinician, Prof. C Hinds , Dr G Wray, Dr N Zimbler, Dr P Jones, Dr P Breen) and are responsible for the clinical management of the patients on a weekly basis. Resident medical staff is provided by 7 anaesthetic SpR’s who undertake 3- 6month full time ICU/cardiothoracic anaesthesia attachments. They work a full shift rota, one being present during the daytime and one at night. There is one full time Intensive Care Registrar post. Clinical The Advanced Intensive Care Specialist Registrar will gain experience in all aspects of the management of the wide range of critically ill patients that are admitted to the Intensive Care Unit. At all times they will be under the direct supervision of the ICU consultant (with overall responsibility for training resting with Dr Zimbler). The Advanced Trainee will have the opportunity to conduct ward rounds under supervision and formulate management plans for the patients. They will be responsible for the immediate supervision of the resident medical staff. Training and further experience will be gained in the range of therapeutic manoeuvres available in intensive care. This will include training in mechanical ventilation, fibreoptic bronchoscopy, percutaneous tracheostomy, noninvasive ventilation, advanced haemodynamic monitoring including pulmonary artery catheterisation, intra-aortic balloon counter pulsation, continuous renal support, transoesophageal echocardiography and basic ultrasound imaging. Hours of Duty The post is full time and attracts Band 1A additional payments for a full shift rota with an average maximum number of hours worked per week of up to 48. Weeks are generally worked as 9am to 5pm shifts Monday to Friday with occasional full 12 hour shifts (day or night) depending on requirements of the rota. The post is classed as band 2A. Audit& Teaching The intensive care unit has an active audit programme and is a member of a national intensive care audit (the ICNARC case mix programme). The post holder will gain experience in intensive care audit and will be expected to undertake an audit project utilising the computerised database. They will also be responsible (under supervision) for analysing and presenting the data for the monthly audit/mortality and morbidity meetings. There is a weekly journal club/teaching session on Tuesday mornings to which the postholder will be encouraged to contribute to when on duty. Regular tutorials will be arranged for the Advanced Trainee in order to assist them in their preparation for the Diploma in ICM.
Page 1 and 2: JOB DESCRIPTION Specialty Training
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Page 13: senior clinical fellows and SHOs. T
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CCT in ICM - programme overview unit ... - London Deanery

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