Orthogeriatrics Physician Associate, Band 7

5 months ago


Gloucester, United Kingdom Gloucestershire Hospitals NHS Foundation Trust Full time

This post offers excellent experience in Orthogeriatrics/Hip Fracture peri-operative care, working under the supervision of the Care of the Elderly (COTE) team on the Hip Fracture Unit and Orthopaedic wards at Gloucestershire Royal Hospital. As a Physician Associate you will be acting within your professional boundaries, providing care for patients from initial history taking, clinical assessment, diagnosis and treatment under the supervision of the senior clinical team. You will liaise with other professionals and specialities as required and complete necessary documentation relating to their patients.

The post holder is expected to participate in all aspects of the patient pathway as appropriate and will be expected to perform delegated duties with a high degree of clinical skill and knowledge.

They will be mentored and supervised by a designated consultant who will oversee their career development. The level and type of supervision will be dependent on the post holders’ skills and knowledge and determined by the trust clinical governance arrangements. The post holder will be expected to follow recommended annual appraisals and continuing professional development set out by the Faculty of Physician Associate (FPA).

**The Orthogeriatrics team comprises**: 1 COTE Consultant (Dr Andy Monro), an Associate Specialist (Dr Rachel Tarling), sessions from a COTE SpR, GPSTs, Foundation level doctors, a senior Physician Associate and a Hip Fracture ANP. The wards are also supported by the full range of multi-disciplinary and therapy staff and a dedicated nutritional assistant.

Following the reconfiguration of our Trauma & Orthopaedics services at the end of 2017 all trauma is routed via Gloucestershire Royal Hospital. We are now the 4th largest Hip Fracture Unit in the UK where approximately 800 hip fracture patients are treated annually. There is a dedicated Orthogeriatrician-led hip fracture ward (ward 3A). All hip fracture patients are under the joint care of the Orthopaedic and Orthogeriatric teams with very close collaborative MDT working.

The Orthogeriatric team also provide input to other elderly trauma patients as requested. The plan is to continue to expand the service in the future to provide joint Orthopaedic/Orthogeriatric care for all elderly trauma patients.

The postholder will be expected to support the daily Consultant ward rounds, attend the daily ward board rounds and ‘huddles’ and provide medical support and patient review on the Hip Fracture Unit and Orthopaedic wards to hip fracture patients, any medical outliers on these wards, and any other patients under the care of the Orthogeriatric team.

Gloucestershire Hospitals NHS Foundation Trust is the largest employer in the county and with over 8,000 staff, we are one of the largest NHS trusts in the UK. We offer a generous annual leave allowance, excellent bank rates, access to the excellent NHS Pension Scheme, discounts for local shops, restaurants and services, access to our health and well-being hub, access to our two on-site nurseries, flexible working options, discounted public transport, reward and recognition schemes, exercise and activity classes and membership to our popular hospital choir.

**Responsibilities**:
1. Clinical Duties
- Supporting ward-rounds; undertaking assessment and examination of ward based patients, ordering appropriate investigations, interpreting investigation findings, forming a list of differential diagnoses and recommending treatment accordingly. The expectation is that in time the PA will progress to leading ward rounds with indirect supervision.
Venepuncture

Cannulation

Arterial blood gases

ECG

Catheterisation of male and female patients
- Developing and maintaining specialist medical knowledge appropriate to orthogeriatric medicine, including, but not limited to:
Dementia and delirium

Falls

Frailty

Continence

Impaired balance

Nutrition - NGT insertion

Movement Disorders
- Keeping up to date with current guidelines and maintain best practice.
- Contributing to achieving and maintaining performance within the hospital and department.
- Contributing to the development of efficient pathways of care in accordance with current best practice and national guidelines.
- Helping to facilitate and improve Physician Associate student placements.
- Holding accountability for the care given and complying with the Fitness to Practice and Code of Conduct standard as established by the UK Managed Voluntary Register for Physician Associates (and subsequently the appropriate statutory regulating body, when this is in place).
- Working within the framework of the scope of professional practice.
- Working within the multidisciplinary team to ensure effective team working in the provision of medical care to patients on a day-to-day basis.
- Developing clinical guidelines to ensure best practice for the management of a wide range of medical conditions.
- Supporting and contributing to timely discharge planning i



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