Trust Grade Doctor in Acute Medicine
1 month ago
Job overview
The post holders will be attached to Medicine for the Elderly for 6 months, during which time they will spend 4 months carrying out additional duties in General Medicine and 2 months gaining additional experience in Dermatology.
Main duties of the job
The posts are approved for specialty training in General Practice. Ward-based clinical commitments of the post are based exclusively at St Mary’s Hospital.
1.Daily to review all patients admitted in their ward areas and to supervise the FY1 and FY2’s.
2.Provide medical cross-cover to the all patients in the elderly care department where necessary
3.To attend multidisciplinary meetings and lead these meetings in the absence of the consultant or registrar
4.To review daily, dermatology inpatients (in addition twice weekly ward rounds with the SpR and attend and present patients at a weekly at a weekly consultant ward round on a Thursday).
5.To attend Dermatology outpatient clinics as specified on the timetable.
6.To clerk in acute Dermatology admissions including organisation of investigations and handover to the on-call ward ST.
7.To cover the on-call Dermatology bleep every Thursday afternoon (SpRs at teaching). ST not expected to see patients but to hand over referrals to the SpR on Friday morning.
8.To take part in the General (Internal) Medical on call rota
9.To teach junior medical/paramedical staff and Year 3 and Year 5 medical students of Imperial College School of Medicine.
10.GP STs may be asked to work outside their work plan from time to time to ensure the above general duties are covered.
11.To participate in the educational activities of the department and the GP STS as outlined in the educational section above.
Working for our organisation
At Imperial College Healthcare you can achieve extraordinary things with extraordinary people, working with leading clinicians pushing boundaries in patient care. Become part of a vibrant team living our values - expert, kind, collaborative and aspirational. You’ll get an experience like no other and will fast forward your career. Benefits include career development, flexible working and wellbeing, staff recognition scheme. Make use of optional benefits including Cycle to work, car lease schemes, season ticket loan or membership options for onsite leisure facilities.
The statutory requirement to be fully Covid-19 vaccinated as a condition of employment from April 2022 is subject to legislative review. At Imperial College Healthcare NHS Trust, we strongly encourage and support vaccination uptake as this remains the best line of defence against COVID19.The successful applicant may have contact with patients and service users and as part of our pre-employment checks and risk assessments, we will ask all candidates to confirm whether or not they have been fully vaccinated or have a medical exemption.
As part of our continued response to Covid19 we are still conducting the majority of our interviews virtually.
We are committed to equal opportunities and improving the working lives of our staff and will consider applications to work flexibly, part-time or job share. Please talk to us at interview.
Detailed job description and main responsibilities
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Rotational Workplans
Month 1&2
Month 3&4
Month 5&6
GPVTS A
Workplan 1:
Geriatrics (Thistle)
+/- GIM on-call
Workplan 2:
Dermatology
+ GIM on-call
Workplan 3:
Acute Frailty
+ GIM on-call
GPVTS B
Workplan 2:
Dermatology
+ GIM on-call
Workplan 3:
Acute Frailty
+ GIM on-call
Workplan 1:
Geriatrics (Thistle)
+/- GIM on-call
GPVTS C
Workplan 3:
Acute Frailty
+ GIM on-call
Workplan 1:
Geriatrics (Thistle)
+/- GIM on-call
Workplan 2:
Dermatology
+ GIM on-call
Work Plan 1: Thistle SHO working on GIM on-call Rota (3rd on ST)
Thistle Ward has 20 patients. New patients are transferred to the ward either from the medical admission wards or from outlying wards under the direction of the Medicine for the Elderly consultants, and are often handed over directly from the care of the Frailty teams. A comprehensive geriatric assessment/clerking for new patients is performed on arrival to the ward and then presented to the registrar/consultant. The ST does other ward work as needed and completes a Health Needs Assessment.
The nominal ward schedule is as follows (each ward will vary slightly):
· Monday . Consultant ward round followed by CMT teaching in the College Lecture Theater 13:00. 2pm MDT meeting which at least one junior doctor should attend with the Consultant to take notes/present patients at the team meeting.
· Tuesday . Registrar led ward round/but also split into smaller groups if well staffed so that STs/juniors have experience in leading the ward round. Departmental teaching from 1300-1400
· Wednesday . Morning ward round with registrar. Falls clinic in the afternoon (optional)
· Thursday . Registrar/junior led ward round. 13.15-XRay meeting on Teams.
· Friday. Consultant Ward Round with Grand round at lunchtime.
Acute Medical On Call Rota : There may be no out of hours work during this 2 month block, although ad-hoc and locum on-call shifts are likely to be available. When on-call, the SHO is the first or second on-call medical SHO on the Rota. First on-call attends patients referred via A&E from 9am. The SHO will be required to attend the post take ward round the next day and may be required for post-take duties all day. Second on-call attends patients in A&E in the afternoon/evening however they can be called sooner if required.
Monday
Tuesday
Wednesday
Thursday
Friday
AM
Ward Round
Consultant Ward
Round
Own Round / Ward Work
Ward round / Community Session
Consultant Ward
Round
13:00
CMT Teaching
Dept. Ed Meeting
Radiology Meeting
Grand Round
PM
MDM
Ward work
Falls Clinic
Ward work
Ward Work
Work Plan 2: Dermatology ST/General Internal Medicine (GIM) Rota
Acute Medical On Call Rota : The SHO is the first or second on-call medical SHO on the Rota. First on-call attends patients referred via A&E from 9am. The SHO will be required to attend the post take ward round the next day and may be required for post-take duties all day. Second on-call attends patients in A&E in the afternoon/evening however they can be called sooner if required.
Dermatology:
Dermatology commitments include:
·Paediatric clinic on Mondays (check with Registrar when this is happening)
·Biopsy clinic with registrar on Tuesday pm
·Thursday: general clinic (special clinic every third Thursday) followed by histopathology meeting, dermatology teaching and ward round. Then cover the dermatology registrar bleep in the afternoon whilst they go to teaching.
·Friday pm biopsy clinic
·Clerk/review any dermatology inpatients on a daily basis
Monday
Tuesday
Wednesday
Thursday
Friday
AM
0900-0930 Review inpatients
Paediatric Dermatology Clinic
0900-0930 Review inpatients
0900-0930 Review inpatients
0900-0930 Review inpatients
General Derm Clinic
0900-0930 Review inpatients
Lunchtime
Dermatology Departmental Teaching
Grand Round
PM
Referrals
Biopsy clinic /
Rapid Access Derm Clinic (Clinic B OPD)
HDR
Dermatology Consultant WR
Admissions / inpatient referrals
Biopsy clinic
Person specification
Qualifications
Essential criteria
On GMC Register with license to practice MBBS or equivalent
Academic achievements including research/publications
Essential criteria
Evidence of achievement appropriate to level of appointment at ICHNT
Language
Essential criteria
Are able to speak and write English to the appropriate standard necessary to fulfill the job requirements
Clinical Skills
Essential criteria
Competent in performing and teaching basic clinical procedures Ability to manage acutely unwell patients and escalate care where needed Aware of own limitations, consults senior colleagues appropriately Ability to manage safely, and appropriately elderly patients
Relevant experience in specialty/Sub specialty
Essential criteria
Must have at least completed Foundation training, IMT 1& 2 or equivalent MRCP Part 1 and 2 (written) Experience at SHO level in Elderly Medicine essential
Desirable criteria
MRCP Part 2 (PACES) Advanced life support NHS work experience (not including observership)Please ensure you check your emails regularly as this is how we will communicate with you throughout the recruitment process. If you are shortlisted you will be contacted by email and text message (if you provide a mobile contact number).
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