Specialty Doctor Emergency Medicine

Job summary

We are interested in hearing from passionate individuals with relevant experience (see person specification in JD) to join our committed ED team as a Specialty Doctor.

The post will be based at the Emergency Department of the Princess Royal University Hospital which is a Trauma Unit and Hyper-acute Stroke Centre (BR6 8ND).

The position is available from August 2024.

Successful candidates will join a dynamic, multi-professional ED treating a wide spectrum of patients. This is a great opportunity to broaden your experience while working in a friendly and supportive environment.

The ED Consultant team provides clinical supervision and care delivery 16 hours per day, seven days a week. They also have varied special interests including trauma, frailty, disaster medicine, education, public health, global health and pre-hospital care.

Regular SPA time is also built into the rota to allow for Audit, QIP and personal learning/development.

Candidates interested in pursuing a CESR will be fully supported within the ED team, including access to relevant secondments such as Anaesthesia, Intensive Care, Acute Medicine and Paediatrics. We also have a great track record of supporting doctors into formal EM training at ST3 or ST4 level.

Successful candidates will be paid on the Specialty Doctor pay scale (MC75).

Main duties of the job

The primary duties of the post are to see new patients within the ED, and to be an on-site source of advice and help for more junior doctors in the ED.

This is a senior post and specialty doctors will be the doctor in charge of the department at night with a consultant on call from home after midnight.

On duty 1 in 3 weekends.

Applications from doctors who wish to work less than full time are welcomed.

About us

King's College Hospital NHS Foundation Trust is one of the UK's largest and busiest teaching Trusts with a turnover of £1 billion, million patient contacts a year and more than 15,000 staff based across South East London. The Trust provides a full range of local and specialist services across its five sites. The trust-wide strategy of Strong Roots, Global Reach is our Vision to be BOLD, Brilliant people, Outstanding care, Leaders in Research, Innovation and Education, Diversity, Equality and Inclusion at the heart of everything we do. By being person-centred, digitally-enabled, and focused on sustainability, we aim to take Team King's to another level.

We are at a pivotal point in our history and we require individuals who are ready to join a highly professional team and make a real, lasting difference to our patients and our people.

King's is committed to delivering Sustainable Healthcare for All via our Green Plan. In line with national Greener NHS ambitions, we have set net zero carbon targets of 2040 for our NHS Carbon Footprint and 2045 for our NHS Carbon Footprint Plus. Everyone's contribution is required in order to meet the goals set out in our Green Plan and we encourage all staff to work responsibly, minimising their contributions to the Trust's carbon emissions, waste and pollution wherever possible.

Job description

Job responsibilities

The primary duties of the post are to see new patients within the ED, and to be an on-site source of advice and help for more junior doctors in the ED.

This is a senior post and specialty doctors will be the doctor in charge of the department at night with a consultant on call from home after midnight.

On duty 1 in 3 weekends.

Applications from doctors who wish to work less than full time are welcomed.

Teaching and Audit

As an academic centre who prides itself on teaching we have an exciting in-house ED training programme to supplement shop floor supervision, supporting each doctor to acquire the knowledge and skills required in emergency medicine. This includes lecture-room teaching, full immersion simulation sessions and the opportunity to attend relevant clinics and courses. Special focus is given towards the passing of the Royal College of Emergency Medicine examinations.

There is regular non-clinical academic time built into the rota and job plan. This is 1PA per week (wte or pro-rata equivalent) taken as a whole day every 2 weeks.

Study leave can usually be arranged, subject to notice, for educational activities relevant to emergency medicine. Relevant study-leave includes life-support courses, other emergency medicine courses, and preparation for exams.

Funding is available for educational activities such as the courses outlined above, College of Emergency Medicine e-learning, and e-portfolio access.

As a forward-thinking department, interested in reviewing outcomes and improving quality we encourage involvement in clinical audit

Continuing Professional Development

The post holder will be expected to achieve a high level of familiarity with emergency management and to keep abreast of developments in the field of Emergency Medicine.

The post holder will be supported and expected to fulfil the CPD requirements of the Royal College of Emergency Medicine

There will be regular appraisals and mentoring with an engaged and motivated Emergency Medicine Consultant.

The post-holder will be strongly encouraged to work towards post-graduate examinations (if not already held)

Certificate of Equivalent Specialist Registration (CESR)

Post-holders who are interested in pursuing the CESR will be fully supported in doing so by the ED consultant body. Support, teaching and advice will be available to prepare for the FRCEM.

Secondments in all the key specialties are available depending on the post-holders learning needs. This includes Anaesthetics, Critical Care, Acute Medicine and Paediatrics.

THE EMERGENCY DEPARTMENT

Introduction

The workload of the Emergency Department is typical for a suburban hospital, with a particular emphasis on medicine and paediatrics. The Emergency Department receives about 80, 000 attendances per year, with another 40,000 attending the Urgent Care Centre.

Reception and Ambulatory Area

The Emergency Department shares a front door with a co-located Urgent Care Centre which provides an initial streaming service for all patients not arriving by ambulance.

The Emergency Department Reception and Adult Waiting Area gives access to a Nurse Triage room, a phlebotomy room and an ambulatory assessment and treatment area.

Majors

Following refurbishment, the majors area has 21 single cubicles including an isolation room with lobby and en-suite toilet.

Resuscitation Room

There are four fully equipped Resuscitation bays with full invasive monitoring facilities. One bay is specifically equipped for the treatment of children.

Paediatric AreaThis area was recently refurbished to provide separate facilities for nurse triage, a childrens waiting area, and 7 cubicles including one high dependency room.

Clinical Decision Unit

This unit is immediately adjacent to the Emergency Department and has nine beds and six chairs. Patients are admitted under the care of the ED consultants on pre-defined clinical pathways for observation, treatment, or further diagnostic evaluation to support a safe discharge.

Diagnostic Imaging

The imaging department is located immediately behind the Emergency Department, with facilities for plain films and CT (24 hours) and Ultrasound and MRI (limited hours). Advanced imaging is a Consultant delivered service 24/7. A mobile Ultrasound machine is available for the exclusive use of trained Emergency Department doctors.

Administration and Teaching

Offices for Emergency Medicine Consultants and senior nurses, and administrative and support staff are co-located with the Emergency Department. There is an Emergency Department Seminar Room with audiovisual and IT equipment.

Relatives Room

There is a relatives room for family members of critically ill patients.

4. CLINICAL ORGANISATION

Medical students in the ED

There is active undergraduate teaching (KCL medical students at different stages of their training and elective medical students from all over the world) in both departments.Undergraduate medical student teaching is provided in the following ways in addition to shop floor teaching:1. Twice weekly sessions (year 4) for those in EMTL module2. Supervision of student Selected Components (years 2,3 & 4)3. Facilitating Problem Based Learning (Scenarios-year 3)4. Examining for OSCEs (year 3 5)5. Acting as Clinical Adviser to students (year 3 5)

Postgraduate teaching and training in the EDThere are protected weekly teaching sessions for all grades of doctors. Higher specialist training in Emergency Medicine includes weekly teaching sessions, regional monthly meetings, a journal club, and participation in clinical audit both in the department and Trust-wide. There are protected weekly teaching sessions for Junior and Middle Grade doctors with input from Emergency Medicine Consultants and others.

Interdisciplinary teaching and learning

Interdisciplinary and multi-professional teaching and learning is actively encouraged in the department. Nursing students, Radiography students and other Allied Health Professionals rotate through the department as part of their training. In addition, London Ambulance Technicians and Paramedics are regularly seconded to the Department as part of their initial and/or refresher in-hospital training.

Resuscitation training

The Resuscitation Teaching Programme for staff of King's College Hospital NHS Foundation Trust and students of the allied professional schools is organised by Resuscitation Training Officers. The Department offers training on all life support courses- ATLS, ALS, ILS and APLS are run several times a year.

Emergency Department team

Consultants:Dr Claire Gray Clinical Lead and FrailtyDr Mitesh Davda Cardiology and RecruitmentDr Khalid Pervaiz AppraisalDr Shayan Shah Clinical GovernanceDr Giles Cattermole ResearchDr Sam Thenabadu Paediatric Emergency Medicine and Staff Well-beingDr Hua Luk Major Incident and College TutorDr Tim Scott Major TraumaDr Gemma Walker Medical Education and SimulationDr Tahseen Ansari Audit and High Frequency UsersDr Paul Schofield Research and ITDr Qadir Adelasoye Paediatric Emergency MedicineDr Thomas Obermaier Rota and AmbulatoryDr Arif Ahmad US and UCC

Medical Staff EstablishmentConsultants 13 wteAssociate Specialist 2Specialist 2ST4-6 4 Specialty Doctor 12CT1 ACCS 1ST1-2 GPVTS 3Junior Clinical Fellow 14F2 18ACP 4

The Local Area

Bromley offers the best of both worlds due to the close proximity and good transport links into central London and its leafy suburban feel. It is a great location for families and anyone that would enjoy a calmer pace and town life while benefiting from all the amenities of the capital. The Trust promotes family life and encourages a good work-life balance. Therefore, we provide childcare advice and nursery facilities in conjunction with a supportive mentoring and career planning programme. Applications for job sharing are welcome.

Person Specification

Qualifications

Essential

Registerable medical qualification. Full registration with GMC with License to Practice

Desirable

Relevant parts of post-graduate diplomas (eg MRCEM part A etc)

Experience

Essential

4 years post qualification work in acute/emergency or emergency specialties

Desirable

UK Emergency Medicine experience Emergency Paediatric experience Ultrasound competencies Procedural sedation experience Relevant procedural skills

Skills

Essential

Effective communicator, able to work in a close-knit team and co-operate with all medical and paramedical staff

Desirable

Teaching skills course / qualification.

---