Job Ref.

(if applicable):
Job Title: Critical Care Clinical Fellow
Facility: Cleveland Clinic London
Institute: Critical Care & Anaesthesia Institute
Report to: Institute Chair
Estimated Start Date: Ambassadors 1/9/2020; Fellows 01/01/2021

Job Summary:

This is a Critical Care Clinical Fellow position responsible for managing critically ill patients in the
medical, neurological and cardiothoracic intensive care unit. A suitable candidate should be proficient in
advanced airway management, leading an adult cardiac arrest team (CALS), vascular line placements,
nasogastric tube insertion, and invasive monitoring. Other more specialised skills are desirable, including
intracranial pressure monitoring, management of renal failure & replacement and use of cardiac pacing
systems.

An ideal candidate would be a Specialist Registrar (ST4 and above) and holds relevant certifications such
as Primary FRCA and/or FFICM or equivalent.

Health Informatics Fellowship Opportunity/Ambassador

Cleveland Clinic London is pioneering a parallel clinical fellowship model with a unique focus on hospital
activation work, EPIC electronic medical record software, and healthcare informatics. With the vision of
becoming the most technologically advanced hospital in the United Kingdom, we have reserved a
limited number of positions for fellows who have a keen interest in learning how to optimise and
leverage technology, specifically related to the EPIC electronic medical system and integrated clinical
applications. The fellow would be brought onboard in September 2020, prior to the 2021 opening to
take a deep dive into our electronic medical record system, and informatics strategies. From there, the
fellows would develop expertise in both technology and simulation and ultimately being at the forefront
as ambassadors to facilitate the integration of health informatic system within the organisation from the
day of opening and onwards. If interested in this very unique opportunity, please attach a separate
cover letter.

Facility, Institute and Department Summary:

Cleveland Clinic is one of the leading healthcare providers in the world. It is a patient centred and not-
for-profit medical centre that integrates clinical care with research and medical education. For the 25th
consecutive year, Cleveland Clinic’s heart program has been ranked as the best in the nation, earning
the No. 1 ranking in U.S. News & World Report’s “2018-19 Best Hospitals.” Since 1995, no hospital in the
country has ranked higher than Cleveland Clinic in cardiac care. The best of healthcare models of the US
and UK will be combined to deliver world-class medical care in London to meet the global demand.
Cleveland Clinic London Hospital locates at 33 Grosvenor Place, near Buckingham Palace, in the heart of
London’s Belgravia district. It will be a multispecialty hospital with 185 beds, including 29 ICU beds, 8
operating theatres, a full imaging suite, endoscopy unit, cardiac catheterisation and electrophysiology
labs.

Cleveland Clinic London hosts the latest technologies in surgery, imaging, telemedicine, and electronic
medical records, state-of-the-art imaging equipment including CTs, MRIs, and procedural suites, along
with technologically advanced and modern patient rooms, serving local and international patients in an
environment that combines exceptional amenities with clinical excellence.

Job Responsibilities:

Clinical

Working as a part of the Critical Care clinical fellow workforce covering a Intensive Care Unit of up to 29
beds capacity.

 Working collaboratively with specialist consultants and nursing professionals to ensure that
patients’ treatment and care needs are met.
 Being a part of the rolling rota covering a 24-7 acute service under the supervision of
consultants in critical care medicine.
 Managing Critical Care patients including those with multi organ failure, requiring
cardiopulmonary support including intubation, ventilation and management of arrhythmias.
 Leading and assisting with new admissions and inpatient consultations, including morning and
evening multidisciplinary ward rounds
 Proactively identifying patients who qualify for early mobilisation, are at risk for decline or may
have a longer length of stay

Professional

Taking part in clinical governance, education, training and research to continuously improve and strive
for excellence:

 Participating in the regular in-house learning sessions and other educational activities as well as
taking up educational responsibilities
 Adhering to the best practice guidelines, clinical audits, and governance.
 Active involvement in clinical governance meetings, including but not limited to mortality
review, safety event reporting, peer review, and other relevant activities.
 Continual commitment, and participation in mandatory trainings, including Epic electronic
medical record system.
 If interested, participating in professional development opportunities such as medical
management & leadership, education & simulation or academic research programmes within
CCL or the main campus in Cleveland, US. A tailored visit to main campus in Ohio will be
available to all Fellows appointed to these roles.
Personal Specification:
 REQUIREMENTS ESSENTIAL
Requirements necessary for safe effective
performance in the job
Qualifications and  MBBS or equivalent
Training  Fully registered with the GMC and
current license to practice
 Current UK visa or permission to work
 or equivalent
 Primary FRCA
Experience  ST4 level or equivalent and above
 Perioperative patient management
experience to include cardiac, neuro and
GI surgery patients
 Minimum of 1 year training and working
in a critical care unit under supervision
Skills, knowledge and  Ability to organise and prioritise complex
competencies demands
 Effective communication skills
 Competent in airway management
including endotracheal intubation and
the management of airway emergencies
 Competent in leading an adult cardiac
arrest team (CALS),
 Competent in the insertion of arterial
and central venous lines and nasogastric
tubes
 Competent in the management and
transport of the ventilated patient
 Competent in the initial management of
the unstable critically ill patient
 Management of the post cardiac surgical
critical care patient
Personal Skills  Commitment to good team working and
relationships
 Good leadership skills
 Demonstrates probity (displays honesty,
integrity, aware of ethical dilemmas,
respects confidentiality)
 Enthusiasm and ability to work under
pressure
 Demonstrates empathy and
DESIRABLE
Where available, elements that contribute to
improved, immediate performance in the job
 FRCA or/and FFICM or equivalent
 Intercalated BSc, BA, BMedSci or
equivalent
 Higher degrees including MSc, PhD or MD
(where research thesis not part of first
medical degree)
 ST6 level and above with experience of
leading the unit out of hours and
managing patients following
cardiothoracic surgery and neurosurgery
 Experience in the management of
external cardiac pacing, invasive
monitoring, tracheostomy, intracranial
pressure monitoring, renal failure &
replacement and spinal drains
 Experience in ECMO, TTE, TOE
 Management of the long term critically ill
rehabilitation patient
 IT skills using electronic patient care
systems
 Evidence of working in a multi-
disciplinary team
 Insertion and interpretation of PA
catheters
 Management of the patient with a
tracheostomy
 Planning and implementing quality
improvement projects and quality
improvement research
 Evidence of achievement outside
medicine
 Evidence of altruistic behaviour, e.g.
voluntary work
 Evidence of involvement in management
commensurate with experience
 understanding
 Supportive and caring attitude to  Evidence of training in appraisal skills
patients and colleagues