Emergency Medicine Trust Registrar

NHS; Tees Valley; On-site; GBP 40,000 - 60,000; Full time

Job summary

A healthcare organization in Tees Valley seeks a Trust Grade Registrar in Emergency Medicine. This position requires being registered with the General Medical Council and formal training in Emergency Medicine. Responsibilities include managing patient care in the Emergency Department, contributing to departmental data collection, and providing clinical leadership overnight. Candidates should have at least 5 years post-registration experience and be skilled in working within a busy environment. Excellent opportunities for professional development are offered.

Benefits

Health and well-being initiatives

Opportunities for personal and professional development

Qualifications

• 5 years post registration experience.
• 1 year experience as middle grade with supervisory role in ED.
• Formal training up to CT3 Emergency Medicine or equivalent.

Responsibilities

• Ensure accurate and comprehensive completion of patient records.
• Contribute to performance monitoring and service planning data.
• Reception, examination, and treatment of ED patients.

Skills

Ability to work in a team

Continuing medical education

Working knowledge of IT

Ability to manage Emergency Department on night shift with ENIC

Ability to manage patients safely

Involvement in quality improvement projects

Education

MBChB or equivalent

ATLS or equivalent

ALS or equivalent

APLS or equivalent (or willing to obtain)

Paediatric experience

Job description

Applications are invited for the position of Trust Grade Registrar in Emergency Medicine at the University Hospitals of North Tees and Hartlepool.

Applicants should be fully registered with the General Medical Council with a license to practice and have formal training up to CT3 Emergency Medicine/ RCEM Intermediate EM training or equivalent in UK /USA / Australasia Emergency Care System. This should include 5 years post registration and 1 year experience as middle grade with supervisory role (supervising junior doctors). Applicants must possess a broad range of skills and experience required to work within a busy Emergency Department.

This post has a rolling rota which works out to be one weekend in three. There is an equivalent of one week of nights (non‑continuous) in nine weeks. There are at least 6 clinicians on duty in the department overnight (One specialist doctor/senior trainee, plus another five mixture of trust doctors, residents, Advanced Clinical Practitioners or Physician Associates). Average of 4 hours per week of protected Self‑Development Time is included. The rota averages about 40 hours per week.

This post is deemed to require a Disclosure Check with the Disclosure Barring Service check (DBS). This is due to the fact the post has access to children or vulnerable adults. Further information on the Disclosure Service is available from www.disclosure.gov.uk.

Main duties of the job

Ensure accurate, timely and comprehensive completion of patient records, discharge summaries and referrals in accordance with hospital policies.

Contribute to the collection, analysis and reporting of the departmental data to support performance monitoring and service planning.

The reception, examination and treatment of ED patients;

Engage with Junior and Senior Teaching Programme and QI departmental activity.

Close liaison with GP's, Local Authority Social Services staff, Health Visitors, Community nursing services and other relevant services in relation to patients who require on‑going care in the community.

This post entails running the Emergency Department as sole Senior Decision Maker at night from midnight to 8 am and support the coordination of the department alongside the Emergency Nurse In Charge providing clinical leadership in the absence of the consultant overnight.

About us

South Tees Hospitals NHS Foundation Trust and North Tees and Hartlepool NHS Foundation Trust now form University Hospitals Tees and as such you may be required to work at any site across both Trusts.

At North Tees & Hartlepool NHS Foundation Trust, we want our organisation to be the best place to work with the right staff, in the right roles, at the right time, to ensure we deliver exceptional patient care and experience.

We will support staff through providing an inclusive and supportive workplace with health and well‑being initiatives, staff benefits and opportunities for personal and professional development.

We support the Making Every Contact Count approach to behaviour change in the promotion of health and wellbeing of individuals and communities.

Job responsibilities

The post holder will be expected to:

• Contribute to the achievement of the Trusts strategic Objectives.

Respect and practice the Trusts People First Values:

• Treat all people with compassion, care, courtesy and respect
• Respect each person's right to privacy, dignity and individuality
• Take time to be helpful
• Respond quickly and effectively
• Always give clear, concise explanations
• Develop and maintain an appropriate environment
• Look the part
• Deal effectively with difficult situations
• Perform as a team

Actively participate in the annual cycle of appraisal and job planning.

Undertake mandatory training as directed.

Demonstrate commitment to Improving Working Lives principles and flexible working patterns, to meet the needs of the service and staff.

Tackle discrimination and harassment, and promote equality and diversity in the workplace.

Reduce sickness absence; workplace accidents; and promote zero tolerance on violence against staff. All employees have a general duty of care towards colleagues, patients and the general public and act in accordance with the requirements of the Health and Safety at Work Act 1974 and associated regulations.

Key relationships

• Clinical Lead for Emergency Care
• Emergency Care Service Lead
• Senior Nurse for Emergency Care

Core functions

Key Results and deliverables:

This post has a rolling rota which works out to be one weekend in three. There is an equivalent of one week of nights (non‑continuous) in nine weeks. There are at least 6 clinicians on duty in the department overnight (One specialist doctor/senior trainee, plus another five mixture of trust doctors, residents, Advanced Clinical Practitioners or Physician Associates). Average of 4 hours per week of protected Self‑Development Time is included. The rota averages about 40 hours per week.

Further information regarding the working of the rota is available by contacting Dr I Cardona

Administrative responsibilities

• Ensure accurate, timely and comprehensive completion of patient records, discharge summaries and referrals in accordance with hospital policies.
• Contribute to the collection, analysis and reporting of the departmental data to support performance monitoring and service planning.

Clinical responsibilities

• The reception, examination and treatment of ED patients;
• Engage with Junior and Senior Teaching Programme and QI departmental activity.
• Close liaison with GPs, Local Authority Social Services staff, Health Visitors, Community nursing services and other relevant services in relation to patients who require on‑going care in the community.

Management and leadership responsibilities

• This post entails running the Emergency Department as sole Senior Decision Maker at night from midnight to 8 am and support the coordination of the department alongside the Emergency Nurse In Charge providing clinical leadership in the absence of the consultant overnight.

Policy and service development

• Participate in forming, reviewing and implementation of hospital polices, Guidelines and clinical protocols.
• Identify areas for improvement in patient care, safety and workflow.
• Engage in clinical governance activates, including incident review, risk management and compliance with safety and quality standards.

Research and audit responsibilities

• The Emergency Department engages with external research projects and has a dedicated Research Nurse working part time. The appointee will have the opportunity to undertake relevant training and encouraged to support ongoing research projects.
• The department undertakes Quality Improvement Projects and Audits coordinated by a departmental lead.

Managing resources responsibilities

• Ensure effective and efficient use of medical equipment, diagnostic services and treatment space to support timely high quality patient care.
• Collaborate with nursing and allied health professional teams to allocate personnel appropriately according to acuity, workload and departmental needs.

Education and training

• Within the Trust, mentoring is encouraged at all levels. New appointees will each be allocated an Educational Supervisor to oversee their training and professional development. They will also be able to give career advice and pastoral support. Dr Ignacio Cardona is the Specialty Tutor who is available to give advice on pursuing a career in Emergency Medicine and professional development. There is also a Trust SASG Tutor, whose role is to assist Trust Grade and Specialty Doctors with their careers.
• A comprehensive education programme for junior doctors is delivered on Thursday afternoons. Local middle grade teaching is held fortnightly on Tuesday afternoons to complement the Regional Emergency Medicine StR education programme.
• The directorate regularly hosts third year, SSC and final year medical students.
• The post holder will be expected to participate in this teaching and training programme. He / she will also be available for shop floor training with the junior doctors and medical students.
• The directorate has an excellent record for facilitating educational development for middle grade doctors. Some of the current specialty doctors have completed secondments to Paediatrics/Medicine/Intensive Care to enhance clinical skills in these specialties and a number have been successful in gaining entry onto training programmes.
• Study leave is available at the discretion of the Directorate Management Team and subject to exigencies of the service.
• Thursday 1‑4 pm Junior Residents Department teaching
• Alternate Tuesdays Directorate Middle Grade teaching 1‑4 pm
• Board rounds with Shopfloor Consultant

Person specification

Qualification

• MBChB or equivalent
• ATLS or equivalent
• ALS or equivalent
• APLS or equivalent (or willing to obtain)
• Paediatric experience

Experience

• 5 years post registration
• 1 year experience as middle grad with supervisory role in UK / USA / Australasia ED
• Formal training up to CT3 Emergency Medicine / RCEM Intermediate EM training or equivalent in UK / USA / Australasia

Knowledge

• Ability to work in team
• Continuing medical education
• Working knowledge of IT
• Ability to manage ED on night shift with ENIC
• Ability to safely manage patients as an individual and part of a team
• Involvement in quality improvement projects

Personal

• Licensed and fully registered with GMC
• Experience of informal teaching
• Knowledge of risk management issues and NHS governance strategies
• Willingness to undertake further academic activity
• Management and administrative experience

Disclosure and Barring Service check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.