Junior Medical Staff

Our junior medical staff perform essential functions in critical care and complement the other members of the team on all four units (Wards 18, 38, 37 and 21). The doctors who make up this group have a varied background and differing levels of seniority which contributes positively to treatment, decision making and communication. They are supervised by consultants and work alongside ACCPs on the junior medical rota.

The roles that junior medical staff perform include daily assessment of critically ill patients, development of management plans, prescribing of drugs, organising investigations (including x-rays, CT and MRI scans), invasive procedures, emergency management such as deteriorating patients or those who require putting onto a ventilator, and medical supervision of unstable or very unwell patients during transfers to scans or even other hospitals. Some of the more experienced junior medical staff will assess patients who are referred for critical care treatment by ward teams or the critical care outreach team.

At the RVI, the most experienced of these doctors will also attend the Emergency Department when there is a major trauma or a patient who may need critical care. On both sites, they will be members of the cardiac arrest teams where they provide support and decision making for the rest of the team.

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Intensive Care Medicine and Anaesthesia Trainees

We provide training for doctors who are specialising in intensive care medicine and anaesthesia. These doctors will be a minimum of 3 years post-qualification from medical school and remain in specialty training for at least 7 years. During this time they must pass a number of professional exams and fulfil specific clinical training requirements set by the Royal College of Anaesthetists and the Faculty of Intensive Care Medicine.


These doctors specialise in the care of critically ill patients and are often the team leaders during emergencies or out of hours care.

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Medical Training Initiative (MTI) Fellows


The Trust supports a number of MTI Fellows. These are doctors who choose to work in the UK for up to 2 years to gain specialist experience. They all practise at a high level in their home country which must have training that is equivalent to training to the UK.

The MTI scheme for anaesthesia and intensive care medicine is run by the Royal College of Anaesthetists.

Trust Fellows


There are a number of doctors who choose to work outside of a training programme; generally this is to gain further experience or qualifications either during or after completing specialist training. In Newcastle we actively support doctors wishing to undertake fellowships. We offer a number of themed fellowships in intensive care medicine including general intensive care, cardiothoracic anaesthesia and intensive care, and Teaching Fellowships.

Teaching Fellowships offer the training in educational theory and completion of a Certificate of Medical Education whilst also spending a year working clinically in the ICU.

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Trainees from other specialties

Training in the management and recognition of critically ill patients can be invaluable to trainees from other specialties as it can help them to more quickly identify deteriorating patients and effectively treat them, or call for help when appropriate. The Newcastle intensive care units also benefit from the knowledge and experience of doctors of varying grades from medical backgrounds (general medicine, acute medicine, emergency medicineinfectious diseases, microbiology and haematology) and some surgical specialties (neurosurgery, general surgery).

Foundation Doctors
The Foundation Programme caters for doctors in their first 2 years after qualifying from medical school. Having early experience of caring for critically ill patients may be helpful later in a doctor's career. It may even influence choice of career and we have a number of senior anaesthesia or intensive care medicine trainees who worked with us as Foundation doctors.