Specialty Registrar in Acute Medicine

*Job Overview*The average daily emergency "take" in Adult Medicine is 35 patients (+25 for Care of the Elderly) and the average length of stay of < 4-5 days. Consultant post-take ward rounds are carried out continuously in the EQ (Emergency Quadrant) There are over 6,000 emergency admissions each year to Adult Medicine, with a further 4,000 annual admissions to Care of the Elderly.The Division of Emergency and Integrated Medicine has twice-weekly sessions of postgraduate and audit activity, including a weekly Physicians' Grand Round. There is also a weekly lunchtime Clinical Conference. The Division has a regular teaching commitment with resident students from Cardiff, Manchester and Liverpool, with the majority of appointed from these Universities. A core curriculum is taught to Foundation Year Ones and SHOs/FY2's, and there are also regular MRCP tutorials. There is a dedicated Clinical Governance Unit and Audit Office with permanent staff.The ability to speak Welsh is desirable for this post; Welsh and/or English speakers are equally welcome to apply.We reserve the right to close this vacancy early if we receive a high volume of suitable applications. We encourage interested candidates to apply as soon as possible to avoid disappointment.Main duties of the jobThe candidate will be responsible, both professionally and managerially, to Dr H Nair clinical lead for acute medicine. You will also be supervised by a team of consultant's hrs within acute medicineThey will:Provide support to Consultant and Associate Specialist, in managing the department in-patients and out-patients (ambulatory patients)Provide leadership and education to the junior doctors on the team.Provide On Call as a Middle Grade.Contribute to local postgraduate activity.Participate in Clinical Audit and CPD, which is fully supported by the Health Board.Participate in research projects as necessary.Shared Office accommodation and access to intranet/internet will be provided.Working for our organisationIf you relish a challenge, have a passion to help others or simply fancy a fresh start, then Betsi Cadwaladr University Health Board (BCUHB) North Wales, has all the right ingredients. The largest health organisation in Wales, providing a full range of primary, community, mental health, acute and elective hospital services for a population of around 700,000, across North Wales . Join our team and get the support you need, in line with our Organisational Values and 'Proud to Lead' competence framework.Enjoy being part of working with engaged leadership at all levels, and be assured we are committed to promoting equality and diversity, and are proud to welcome applicants under the "Disability Confident Employer" scheme.Please check your email account regularly. Successful applicants will receive all recruitment related correspondence via the email account registered on the application form.Applications may be submitted in Welsh. Applications submitted in Welsh will not be treated less favourably than an application submitted in English.*Detailed Job Description And Main Responsibilities*You will be able to find the full Job Description and Person Specification in the supporting documents.Person specificationHealth*Essential Criteria*Meets professional health requirements (in line with GMC standards / Good Medical Practice)Career Progression*Essential Criteria*Ability to provide complete details of employment history. Evidence that career progression is consistent with personal circumstancesAt least 24 months experience in medicine or an ACCS programme or equivalent (not including Foundation modules)Application Completion*Essential Criteria*ALL sections of application form completed FULLY according to written guidelines*QualificationsEssential criteria*MBBS or equivalent medical qualificationMRCP (UK) Part 1 or equivalent at time of application or work toward obtaining Part 1 within 6 months of being appointed.Desirable criteriaMRCP (UK) full diploma or equivalentIntercalated BSc or equivalentHigher degrees including MSc, PhD or MD (where research thesis not part of first medical degreeEligibility*Essential Criteria*Eligible for full registration with the GMC at time of appointment and hold a current license to practiceEvidence of achievement of Foundation competencies from a UKFPO affiliated Foundation Programme of equivalent by time of appointment in line with GMC standards/Good Medical Practice including: -  Make the care of your patient your first concern  Protect and promote the health of patients and of the public  Provide a good standard of practice and care  Treat patients as individuals and respect their dignity  Work in partnership with patients  Be honest and open and act with integrityEvidence of achievement of CT/ST1 competences in medicine at time of application and CT/ST2 competences in medicine (as defined by the curricula relating to Core Medical training) supported by evidence from work-based assessments of clinical performance (DOPS, Mini-CEX, CBD, ACAT) and Multi-Source Feedback or equivalent, ARCP or equivalentEligibility to work in the UKNot previously relinquished, released or removed from a training programme in the specialty except under exceptional circumstancesFitness to Practice*Essential Criteria*Is up to date and fit to practice safely*Language SkillsEssential criteria*All applicants to have demonstrable skills in written and spoken English adequate to enable effective communication about medical topics with patients and colleagues demonstrated by one of the following: -  That applicants have undertaken undergraduate medical training in English; or  Have achieved the following scores in the academic International English Language Testing System in a single sitting within 24 months at time of application – Overall 7, Speaking 7, Listening 7, Reading 7, Writing 7. If applicants believe they have adequate communication skills but do not fit into one of these examples they must provide supporting evidence*Clinial SkillsEssential criteria*Appropriate knowledge base and ability to apply sound clinical judgement to problemsAwareness of the basics of managing cardiovascular diseaseAble to demonstrate proficiency in a range of medial procedures (as defined by the CMT curriculum) as an indication of manual dexterity and hand-eye coordinationEvidence of competence in management of medical emergencies and in-patients through continuous work-based assessments, portfolio evidence, including log book documentation if applicableEvidence of competence to work without direct supervision where appropriateDemonstrate current ALS certification or equivalentDesirable criteriaDemonstrates awareness of the basics of managing general medical emergenciesEvidence of some competences in the specialty as defined by the relevant curriculaEvidence of skills in the management of acute medical emergencies (e.g. ALERT, IMPACT certification)Evidence of ST3 equivalent procedural skills relevant to medical patients (clinical independence in central venous cannulation, chest drain insertion, joint aspiration, DC Cardioversion, abdominal paracentesis)*Essential CriteriaResearch and Audit Skills*Demonstrates understanding of research, including awareness of ethical issuesDemonstrates understanding of the basic principles of audit, clinical risk management, evidence based practice, patient safety and clinical quality improvement initiativesDemonstrates knowledge of evidence-informed practiceDesirable criteriaDemonstrates an understanding of research methodologyEvidence of relevant academic & research achievements and involvements in a formal research projectEvidence of relevant academic publicationsEvidence of involvement in an audit project, a quality project, formal research project or other activity: o Focusing on patient safety and clinical improvement o That in addition to the mandatory curriculum demonstrates an interest in and commitment to the specialtyEvidence of a portfolio of audit projects including where the audit loop has been closed and there is evidence of learning of the principles of change managementDemonstrates an understanding of clinical governanceEvidence of exceptional achievement in medicineEvidence of involvement in teaching students, postgraduates and other professionals, with feedbackEvidence of participation in a teaching course