Guy's and St Thomas' NHS Foundation Trust logo

ST4+ Level - Clinical Fellow in Emergency Medicine


Location
Salary
£61,825 per annum excl. LZ plus additional allowances
Profession
Medical doctor
Grade
Senior
Deadline
27 Jul 2026
Contract Type
6 months (6 Months Fixed Term Contract)
Posted Date
20 Jul 2026
Medical Protection — surprisingly affordable support for SAS doctors

Job overview

  • General Information

JOB TITLE:  ST4+LEVEL CLINICAL FELLOW.

GRADE:                  Clinical Fellow /Trust Doctor ST4 or higher

DEPARTMENT:                                     Emergency Department

HOURS:                                                Full-time or flexible time

RESPONSIBLE TO:                              Clinical Director

Not sure how to further your career  into 2027?

Need time to evaluate your future but want to work and do something that makes your CV stronger for higher Emergency Medicine training or CESR.

We recognise that there is a lot of uncertainty and hope that we can help. Clinical time spent in an Emergency Department is always useful and can help you become a more decisive and experienced clinician. We are particularly keen to develop doctors who are pursuing an Emergency Medicine  career, who may be taking FRCEM exams and /or trying to get into formal EM training.  The EM team is friendly, hardworking and very supportive. Each post is for 6 months with the very likely possibility of an extension.

We can offer suitable candidates a pathway to progression towards CESR with supported secondments in ITU, Anaesthetics and Paediatric ED.

Please note - you will not be shortlisted unless:

  • You have over 4 years  experience in Emergency Medicine
  • Have full MRCEM examination
  • IAC in anaesthetics or equivalent evidence of airway skills
  • In date ALS/ ATLS qualification

Main duties of the job

The post is 80% clinical, 20% non clinical – meaning you will have the equivalent of 2 days a fortnight to follow a special interest such as QIP, partake in research, teaching or pursuing specialist interests such as paediatrics. We are open to negotiation if you have a particular project you are burning to do. Due to our self-rostering system, flexible or individualised rotas are possible.

The post holders will work alongside senior trainees and supervise the  middle  grade tier of doctors, F2s and other members of the clinical MDT.  You will be ‘in charge’ of the department on night shifts alongside other ST4+ trainees / equivalent clinical fellows, so have a chance to learn and gain experience in a safe and busy environment.

The Emergency Department is led by  Adult and Paediatric Emergency Consultants. The Department sees over 140,000 new patients per annum and has a separate Paediatric Emergency Department. We have a highly diverse patient population who will challenge and enhance your clinical skills.

Applicants must hold full registration with the GMC and have a proven record of experience in Emergency Medicine. Applicants should have at least 2 years experience post registration and full MRCEM qualifications.

Please note that successful completion of the International English Language Testing System (IELTS) is our accepted minimum language requirement.

Detailed job description and main responsibilities

Purpose of the role

We are looking for doctors to join our large friendly team and contribute ideas about improving patient care. This post will give you non shop floor time. You will have the equivalent of 2 days a fortnight to follow the special interest or boost your CV depending on personal career needs/interest/development of training). It is useful for those wishing to take some time out of training before continuing into higher specialty training. Atypical, flexible or individualised rotas are possible.

The EM team is friendly, hard working and very supportive. The department was rated as Outstanding by the CQC. We strive to deliver great patient care by working together as a great team.  Each post is initially for 6 months with the possibility of an extension if desired.

These posts are useful for doctors needing competencies in higher Emergency Medicine training. We consider them developmental so encourage work-based assessments, enrolling for an e-portfolio or doing exams. When on duty these post holders will assist the Consultants in direct patient management and supervising the work of the junior medical staff. We all work hard but are very supportive and keen to help progress careers.

Flexible working

For the right person it would be possible to devise an individualised rota but a contribution to out of hours including nights and weekends work is essential.

Educational Program

Clinical Fellows will be given the opportunity to attend appropriate specialist courses including ATLS, ALS, APLS, and to attend appropriate conferences within a set study leave allocation.

The post holder will be expected to attend and present at a variety of educational meetings:

  • Morning handover
  • Weekly departmental middle grade teaching programme
  • Weekly governance, operational and faculty meetings
  • FY2, medical student and nurse teaching
  • Daily consultant lead ward round on CDU
  • Hospital Grand Rounds

The post offers regular teaching sessions and including specific exam-oriented teaching. The department has excellent experience with the RCEM examinations, and previous post holders undertaking the exams have had high success rates.

Research within the Department

We have an active research portfolio within the Emergency Department which we encourage our Clinical Fellows to engage in. This enables interested individuals to develop skills relevant to research and explore development of personal research projects.

Timetable and Salary

The Emergency Department operates a full shift system, which is fully compliant with the European Working Time Directive. We use self-rostering of an annualised rota which enables doctors to work flexibly and ensure that having time off when you need it is always possible with planning. All shifts are either 9 or 10.5 hours in length. There is no on-call commitment to the Emergency Department but rotas may need to be amended to cover unexpected sickness.

Salary is in accordance with the national salary scale.

*** Please be advised that this vacancy may close early should we receive sufficient number of applications ***

Person specification

Previous experience

Essential

  • • Prove track record of hospital medicine in the NHS, with experience in EM (Minimum 24 months in Emergency Medicine) and a total of a minimum of 4 years working since qualification. Short term locums & clinical attachment are not acceptable and will not be considered. This is not suitable as a first UK post due to the level of responsibility and candidates will not be shortlisted unless they fulfil the criteria below
  • • Any EM trainees from recognised overseas training programmes will be considered for shortlisting whether they have yet worked in the UK or not.
  • proven track record of senior doctor in charge of an ED on a shift basis

Desirable

  • • Additional experience in emergency medicine.
  • • Additional experience in one or more of other related specialties (acute medicine, orthopaedics, cardiology, ITU, anaesthetics, plastics or primary care).
  • • Research experience, education programme development, ultrasound qualification as approriate

Additional Information

Essential

  • • Record of audit of a clinical pathway of direct relevance to EM practice
  • • Experience of supporting more junior staff.

Desirable

  • • Previous audit projects with closure of loop documented.
  • • Feedback on ability to supervise juniors.

Education/Qualifications

Essential

  • • GMC Registration / Eligible for GMC registration.
  • • MB BS (or equivalent)
  • • ALS/ ATLS provider
  • MRCEM
  • IAC or equivalent

Desirable

  • • BSc, BMedSci (or other intercalated degree), other degrees/qualifications.
  • • ATLS/APLS Provider.
  • Intermediate / full FRCEM

Skills/Knowledge/Ability

Essential

  • • Evidence of experience in performing procedures relevant to emergency medicine: venous cannulation, phlebotomy, fracture manipulation
  • • Evidence of good documentation – application form or/and documentation audit.
  • • Evidence of keeping up to date with topics relevant to EM practice- courses/teaching sessions attended.
  • • Documented provision of teaching sessions on EM relevant topics.
  • • Correctly written personal statement about why this job and where it fits in to career plans

Desirable

  • • Documented (log book) competence in other practical procedures: central lines, arterial lines, chest drains etc.
  • • Evidence of a quality improvement or audit project involvement
  • • Experience of clinical risk management/clinical governance
  • • Feedback on teaching sessions delivered.

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Applying for this NHS job

This advert is for ST4+ Level - Clinical Fellow in Emergency Medicine with Guy's and St Thomas' NHS Foundation Trust in London, London, England. It is listed as a Senior Medical doctor Emergency Medicine role. The advertised salary is £61,825 per annum excl. LZ plus additional allowances. The contract type is 6 months (6 Months Fixed Term Contract). The application deadline is 27 Jul 2026.

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