Clinical fellow in Acute & General Medicine

Job details

• Job reference: 251062
• Salary: Clinical Fellow (£45,504 - £71,550)
• Job closing date: 24/06/2026
• Job Type: Medical and Dental
• Location: Western General Hospital
• Employment type: Fixed-term
• Hours Per Week: 40
• Job posted date: 10/06/2026
• Employer (NHS Board): NHS Lothian
• Department: Medicine

Job Title: Clinical Fellow in Acute and General Medicine

Department: Acute and General Medicine

Base: Western General Hospital, NHS Lothian

NHS Lothian is committed to encouraging equality and diversity among our workforce and eliminating unlawful discrimination. The aim is for our workforce to be truly representative and for each employee to feel respected and able to give their best.

To this end, NHS Lothian welcomes applications from all sections of society.

We will fully support disabled candidates, and candidates with long-term conditions or who are neurodivergent by making reasonable adjustments to our recruitment policy and practices.

Applications are welcome for the above Fixed Term, full time (40 hours per week) post based in the Western General Hospital.

3 Clinical Fellow posts are available to commence with immediate effect until 4th August 2026

The Clinical Fellow posts in Acute and General Medicine at the Western General Hospital are aimed at FY2+ level i.e. those Doctors having completed the UK Foundation programme and having being assessed as "acute take safe" under supervision who are looking for some further experience of acute and general medicine. This may be to further pursue a career in medicine or to provide professional development adjunct to any future clinical activity. We also welcome applications from doctors more senior than immediately post-FY2 and roles may be negotiable dependent on experience. There are 10 other Clinical Fellows working within this structure in the department

The post involves working within the acute medical unit, including first hand experience of medical emergencies and resuscitation (with appropriate support) as well as periods of continuing care for downstream medical patients. There will be additional opportunities to gain experience in Same Day Emergency Care.

The post includes participation in a rota including out of hours working including night shifts and weekends although every effort is made to ensure healthy working lives and facilitate work-life balance. It is recognised that trainees in these posts are often undertaking postgraduate examinations and we are happy to support and assistance in adequate preparation for these. There is also support for application and interview process available for candidates in applying for training routes of entry into IMT, ACCS and GPST or any other required.

All Clinical Fellow posts include 10% development time. Every effort is made to tailor posts to successful applicant’s interests, particularly this development time. The department has a keen interest in medical education including simulation teaching as well as quality improvement and clinical governance work. There is adequate experience to develop leadership experience. It would be anticipated that clinical fellows working in the department would go through either the clinical educators programme or quality improvement training programme offered locally. We offer region based teaching in point of care ultrasound which interested candidates may have the opportunity to explore.

The Western General has the benefit of highly collegiate inter-specialty working practices. Our Respiratory, Diabetes and Endocrinology, Infectious Diseases, Stroke Medicine, Medicine of the Elderly, Cardiology, Rheumatology, Gastrointestinal, Critical Care, Oncology and indeed Surgical colleagues all work closely with Acute Medicine at the front door. As a result development time could be used to liaise with a particular specialty of interest in a joint piece of work to aid patient safety or experience in Acute/General Medicine and professional progression.

We have a strongly motivated and supportive consultant workforce with a wide range of specialised interests at a national and local level including undergraduate and postgraduate education, patient safety, quality improvement, informatics and simulation which would be able to support specific applicant’s interests.

General ongoing professional development is supported by a weekly departmental education programme, monthly morbidity and mortality meetings and specific postgraduate resident doctor teaching delivered within the department. There is also the opportunity to join the education programme facilitated by the Same Day Emergency Care Service.

The posts in Acute and General Medicine will primarily be based in the following areas:

Medical Admissions Unit – Emergency (MAUE)

This unit is the site of arrival for the acute unselected medical take at the Western General Hospital. It is a primarily primary care referral base but also takes emergency ambulance referrals. It is a busy environment where the focus is on triage, stabilisation, assessment and management of acute medical presentations pending ongoing decisions regarding placement of care within the four hour emergency standard. There is specialty registrar support 0900-2130 with the Hospital at Night Team Reg covering 2100-0900. There is dedicated Consultant presence 0830-2000 allowing for the development of close working relationships and meaningful informal and formal direct clinical performance feedback,

Medical Admissions Unit – Beds (MAUB) and Ward 72

These areas focus on ongoing clinical management initiated in the MAUE department but requiring an inpatient stay. There are twice daily consultant ward rounds. Other members of the team include FY1 doctors and clinical pharmacists. Ongoing patient management includes new patient review, prioritisation of diagnostic and specialty review requests, communication with patients and families and discharge planning including immediate discharge letter provision and HEPMA review. Both of our MAU areas (MAU Base 1 and Ward 72) are high throughput acute medical wards with in-reach from speciality teams. There is dedicated Consultant presence 0830-2130 again allowing the development of supportive working relationships and feedback.

General Medical Wards

There are two general medical wards each comprising of two medical teams whose responsibility includes ongoing inpatient management in these areas plus a portion of the general medical boarding population across the Western General site. Successful applicants will work within these teams which include an FY1 and a Consultant. There will be an expectation to support Consultant ward rounds as well as conduct independent ward rounds. These areas provide substantial experience in the acute management of chronic medical conditions, close multidisciplinary working and complex discharge planning.

More detailed departmental and specialty information can be found in the job description available via email address / link below.

Closing Date 24/06/2026

For an informal discussion please contact:

General and Acute Medicine

• Jenni.Crane@nhslothian.scot.nhs.uk
• Claire.Gordon@nhslothian.scot.nhs.uk

If viewing from an external site, please visit https://apply.jobs.scot.nhs.uk for a job pack detailing the minimum requirements for this post and details of how to apply.

We cannot accept CV’s as a form of application and only a completed online application form will be accepted. Personal information will not be sent with the application for short listing. The application form will be identified by the candidate number only to ensure that all applicants are treated equally.

***PLEASE NOTE: We cannot accept late applications so please ensure your application is submitted early***