Trust Doctor in Acute General Medicine IMT 3/ST3 - ST5

Oxford University Hospitals NHS Foundation Trust; England; On-site; GBP 36,000 - 50,000; Full time

Job summary

A leading NHS teaching trust in England is seeking a clinical professional for Acute General Medicine. The appointee will rotate through various departments, engage in quality improvement projects, and participate in teaching undergraduates. This role demands full GMC registration and prior experience in acute medicine. The candidate will also involve in patient care tasks and clinical governance.

Qualifications

• Full GMC registration and licence to practise required.
• Experience in Acute medicine needed.
• Satisfactory progress throughout training.

Responsibilities

• Provision of Acute General Medicine services within the Trust.
• Participate in clinical governance meetings.
• Perform inpatient and outpatient responsibilities.

Skills

Clinical competency

Ability to work under pressure

Effective communication

Teamwork

Education

Full GMC registration

ST4 or above

Job description

The successful candidate will be assigned a clinical supervisor and will receive experience in Acute General Medicine during a two year period. Successful candidates will rotate through Acute General Medicine and Ambulatory Care during this year.

The appointee will be expected to undertake audit and quality improvement projects, as well as to attend clinical governance meetings, mortality and morbidity meetings, regional and national educational meetings. Research activity is encouraged. The close links with the University of Oxford and Oxford Brookes University will further enhance research engagement. The appointee will actively participate in the local educational programme of teaching undergraduates as well as postgraduates.

Main duties of the job

Provision of Acute General Medicine Services within the Trust with responsibility for the prevention, assessment, diagnosis and treatment of illness within the Acute General Medicine department.

Close working with medical, nursing and allied health professionals to assist in providing high quality patient care.

The post holder will be accountable to Dr. Mridula Rajwani as Clinical Lead of the department.

About us

Oxford University Hospitals NHS Foundation Trust (OUH)

OUH is one of the largest NHS teaching trusts in the UK and a renowned centre of clinical excellence. Each year, OUH has over one million patient contacts including nearly 100,000 emergency admissions. The Trust has a strong collaboration with the University of Oxford, which underpins the quality of care that is provided to patients, from the delivery of high-quality research - bringing innovation from the laboratory bench to the bedside - to the delivery of high-quality education and training for doctors.

OUH delivers acute emergency care on two of its four hospital sites (the John Radcliffe Hospital in Oxford and the Horton General Hospital in Banbury), supports the urgent care pathway across distributed community settings, and is working towards comprehensive application of the Future Hospitals Commission principles.

Job description

Job responsibilities

Clinical: The appointee will be responsible, together with other residents, for both inpatient and outpatient work.

1. Inpatient: The in patient arrangement in acute general medicine will be based on a firm system. Each medical firm comprises of a consultant, SpR, SHO and a F1 doctor. The rota cycle for each firm is 8 weeks. The consultants in charge of the firms in acute general medicine have a wide range of special interests including geriatrics, endocrinology, infectious disease, nephrology, and peri-operative medicine.

2. The post holder will be expected to do an acute general medicine take based on rota allocations. In general, these takes are divided into day (9am to 4pm), evening (4pm to 9pm). They will also be expected to join the consultant for the post night take, where he/she will review patients admitted overnight (9pm to 9am). In general, an 8 week rota consists of 6 day takes, 7 evening takes and 5 post night takes.

The post holder will also be expected to attend consultant ward rounds 5 days/week and will perform personal ward rounds on the patients admitted on call under the supervising consultant(s).

3. Outpatient: The post holder will do also be expected to review outpatients referred to the daily diagnostic unit (DDU), under each medical firm and discuss with the allocated consultant.

4. On call rota: The post holder will be on call based on the allocated rota. This includes blocks of 3-4 nights/8 weeks, where they will be responsible for night admissions and emergencies/referrals from in patient units at the John Radcliffe Hospital. On these nights the trainee will also be expected to answer calls for medical opinions and SpR triage from other hospitals within the trust, out of hours GPs and paramedics. Decisions on admission will also be considered by the trainee at these times.

5. The post holder will also be on call for medical referrals and cardiac arrest calls within the hospital based on rota allocations on take days

Administration Duties: These include responsibility for inpatient discharge summaries, outpatient letters etc and the management of other resident staff on the team.

Person Specification

GMC

Essential

• Full GMC registration and licence to practise

Qualifications

Essential

• Be fit to practice
• Experienced in Acute medicine
• Should be ST4 and above
• Should not hold a CCT
• Satisfactory progress throughout training, including ARCP outcomes

Desirable

• Additional degree (intercalated, masters or doctorate)

Clinical Skills

Essential

• Clinical competency in own medical specialty appropriate for their stage in training
• Appropriate knowledge base, and ability to apply sound clinical judgement to problems
• Ability to prioritise clinical need
• Ability to maximise safety and minimise risk
• Ability to work without supervision where appropriate Demonstrable experience in ambulatory care

Desirable

• Demonstrable outcomes in ambulatory care
• Experience in management of frailty syndromes
• Evidence of skills in management of acute medical emergencies (eg ALERT, IMPACT certification, ALS Instructor)

Research

Essential

• Understanding of research, including awareness of ethical issues
• Understanding of research methodology
• Knowledge of evidence-based practice

Desirable

• Evidence of involvement in a formal research project
• Evidence of relevant academic achievements, including publications / presentations

Leadership and management

Essential

• Effective team working and leadership skills, supported by MSF or WBAs
• Self-awareness, with knowledge of personal strengths and weaknesses, impact and areas for development
• Interest in and knowledge of the importance of leadership and management for clinicians

Desirable

• Effective leadership skills in and outside medicine (eg evidence of leading innovations or improvements)
• Understanding of NHS management and resources
• Understanding of the local and national context in which the trust operates, including economic and political influences

Quality / Service improvement

Essential

• Understanding of clinical governance
• Active involvement in QIP/audit, research or other activity that focuses on patient safety and clinical improvement and innovation
• Interest in / knowledge of the delivery of safe, effective healthcare services

Desirable

• Evidence of completed audit/Quality improvement projects
• Evidence of learning about the principles of change management
• Insight into issues facing UK healthcare services

Education and Teaching

Essential

• Interest in and experience of teaching
• Evidence of excellent feedback on teaching

Desirable

• Teaching diploma or degree
• Development of teaching programmes
• Participation in teaching courses

Personal Skills

Essential

• Clarity in written and spoken communication
• Capacity to use logical/lateral thinking to solve problems/ make decisions, indicating an analytical/scientific approach and where appropriate, creativity in problem solving
• Capacity to manage/prioritise time and information effectively
• Ability to work effectively under pressure
• Capacity to manage conflicting demands
• Self-motivation, and resilience
• Initiative and ability to work autonomously

Desirable

• Leadership skills gained within the NHS or elsewhere
• Writing experience: - clinical and/or non-clinical topics - peer-reviewed publications and/or communication
• Evidence of achievements outside medicine
• Evidence of altruistic behaviour (e.g. voluntary work)

321-MRC-MS-7314356-S6