Professionals Across Borders
Senior Clinical fellow
Starting off
Most doctors from overseas will start off at JCF for 3 – 12 months before being promoted to SCF. Practically the scale you start off on will have an impact only due to the fact that JCF recognizes 5 years of experience and SCF recognizes up to 10 years of experience. So if you can complete your MRCP and come over as SCF it could add some credits to your starting salary. However, once you pass MRCP and get on the SCF tier, your salary will recognize up to 10 year of experience
Salary scales 2017
Year
Year 0
Year 1
Year 2
Year 3
Year 4
Year 5
Year 6
Year 7
Year 8
Year 9
Year 10
Salary JCF
30605
32478
35093
36675
38582
40491
Salary SCF
30605
32478
35093
36675
38582
40491
42399
44307
46215
48123
a) A Banding depending on the intensity of your oncall will be added onto this salary
b) The amount you will get in hand depends on tax. So you could do as a rough estimate Base salary (above) *140%.
c)The deduction of tax and National insurance can be calculated at the salary calculator
d) You can earn £45 approx per hour for additional work that you do ( LOCUM SCALES). You can earn higher amounts through locum agencies. However you have to take your own medical protection insurance as you are not covered by the employing trust insurance ( Crown indemnity.. ALSO CHECK YOUR VISA RESTRICTIONS REGARDING EMPLOYMENT.
Senior Clinical fellow is equivalent to the PG registrar. There is the foundation doctor and Junior Clinical Fellow you will have to supervise. You are the senior most person on site on the on call rota and you will be responsible for patients and liaising with juniors and seniors ( Consultants) to manage the hosptial.
You will need to have done the
- ALS course (ALS PROVIDER) ( Book on this course as soon as you join the trust – The trust should fund this course for you
2. IMPACT course – This is also a desirable course and you can do the on call but if subsequently you take this course and fail, you will have to stop doing on calls till you pass this course.
3. MRCP or a recognized equivalent postgraduate degree.
Your work is mainly on the wards with some out patient clinics. You will have do on calls receiving acutely unwell patients from A and E and General Practitioners. You will have to clerk them in, make management plans and present them to registrar for review or consultant on post take rounds
Your regular day will also include procedures, Consultant led ward rounds and ward work including discharge summaries
Regular day
The day usually starts at 9 AM for medicine and 8 AM for all other specialties. The day starts with a review of patients on your ward, looking at new admissions, reviewing any sick patients or patients where there has been a significant change overnight. At 10 AM there is usually a board rounds which is a virtual ward round to plan the day. This is followed by a regular ward rounds of all patients on the ward. After you finish, you can attend clinic, study for your exams or do private study. You are still expected to be contactable by pager.
On Call day
This will start at 9 AM and you will have to carry the on call bleep for 12 hours and 30 minutes till the end of the shift. You are normally exempt from regular ward work unless you don’t have any new patients to clerk in. You will be told about patients being admitted, expected to clerk patients and institute management. You are expected to get senior review for any patients you are concerned about.
Zero day
In lieu for long working on your on calls you will get days off which are called zero days. Generally you will get 3 to 5 days for each completed cycle. Each cycle is the full 14 days and nights on calls (i.e. 7 – 12 hour days and 7 -12 hour nights on call). You are free on those days, but you might choose to use these days for clinics, audits or training for your exams.
Other responsibilities
You will need to prepare for your exams and get through your membership exams. This level usually lasts for 3 years and you will need to prepare quite hard to get through all three sections during this time.