Trust Doctor ST3+ in Haemato-oncology

2 weeks ago

London, United Kingdom Barts Health NHS Trust Full time

Job overview

Barts Health NHS Trust

Trust Doctor ST3+ in Haemato-oncology

St Bartholomew’s Hospital

Full-time; 1:9 on call from home

259-MED550SBH

Barts Health NHS Trust invites applicants for a ST3 equivalent/Trust doctor post in Haematology, based at St Bartholomew’s Hospital (SBH). This post is to cover a short term gap in the NE London Haematology and Oncology training rotations. This post is available from 1st August 2024 and is for 6-12 months in the first instance. Full MRCP (or equivalent) is an essential requirement and your application will not be considered without it.

The post holder will work under the clinical direction of all the consultants in the respective Haematology or Haemato-Oncology Departments with a clearly identified clinical and educational supervisor. The post would be ideal for those wishing to pursue a career in Haematology and who subsequently wish to apply for a National Training Number.

As such the post is suitable for experienced SHO equivalents/Clinical Fellows/Registrars who plan to pursue a career in Haematology and who would like to add to their experience in Haemato-oncology. 

SBH is a busy and well supported level 3 Haemato-oncology unit an extensive Bone Marrow Transplant and CAR-T cell therapy programme. Clinical duties within the Haemato-oncology Department will cover the whole range of haematological malignancies, with the post-holder rotating between the inpatient and day-unit clinical areas while at SBH. 

Main duties of the job

At various times, they will have clinical responsibility for patients admitted to the wards, those ambulatory patients seen on the Day unit and those seen in outpatients. Support to become proficient in bone marrow biopsy, intrathecal chemotherapy and chemotherapy prescribing will be provided, as will clinical trial experience and opportunities to take part in quality improvement and research projects.

The post holder will be expected to prioritise and time-manage effectively according to the activity of the department and to utilise appropriately the available senior staff for advice. The Department has a key awareness of the importance of clinical audit, and all specialist trainees are encouraged to complete audit projects whilst here. Participation in undergraduate and CMT teaching is also encouraged.

This post does not have educational approval from the postgraduate dean and will not be recognised for training, however support will be provided for career development. In-house SpR training sessions are currently running and attendance at Regional training days is strongly supported

Working for our organisation

Barts Health is one of the largest NHS trusts in the country, and one of Britain’s leading healthcare providers.

The Barts Health group of NHS hospitals is entering an exciting new era on our improvement journey to becoming an outstanding organisation with a world-class clinical reputation. Having lifted ourselves out of special measures, we now have the impetus and breathing space to chart a fresh course in which we are continually striving to improve all our services for patients.

Our vision is to be a high-performing group of NHS hospitals, renowned for excellence and innovation, and providing safe and compassionate care to our patients in east London and beyond. That means being a provider of excellent patient safety, known for delivering consistently high standards of harm-free care and always caring for patients in the right place at the right time. It also means being an outstanding place to work, in which our WeCare values and behaviours are visible to all and guide us in how we work together.

We strive to live by our WeCare values and are committed to promoting inclusion, where every staff member has a sense of belonging. We value our differences and fully advocate, cultivate and support an inclusive working environment.

Detailed job description and main responsibilities

Share workload with other Ward SpRs in an equitable manner.

Assist the Day unit teams where possible for example clerking in ward emergency admissions on the Day unit.

Assist the other firm by offering to take on practical procedures if there is an imbalance in activity.

Day to day management of haematology inpatients on the Barts site

Ensure a daily review of all patients and their results (including results endorsement) in conjunction with SHO’s and liaison with the Attending consultant as indicated

Ensure all chemotherapy is prescribed and administered in a correct and timely fashion – liaise with unit pharmacist as necessary.

Provide daily clinical review of CAR-T cell therapy and transplant patients and their blood results including ciclosporin/tacrolimus levels and ensure the relevant medications are taken as required.

Write CAR-T / BMT protocols for patients having cellular therapy procedures. Ensure these are available for the BMT meeting for discussion 1 week prior to admission (even if information still outstanding).

Provide point of contact for Haematology referrals from other hospitals. This may include arranging ward admission if necessary. To discuss them with Attending consultant

Communicate closely with Attending consultant, non-attending consultants, ward sisters, CNS’s and Day Unit staff

Performing practical procedures as necessary and arrange staging investigation/MDM discussion

Discharge summaries, coding and communication with GP’s/referring consultants

Person specification

Qualifications

Essential criteria

MBBS or equivalent Full MRCP(UK) Evidence of achievement of Foundation (FY1/2) competencies or equivalent Evidence of achievement of CMT1/2 competencies or equivalent

Desirable criteria

Intercalated BSc or equivalent Higher degree MSc, PhD, MD

Experience

Essential criteria

Full GMC registration at time of appointment Evidence that present achievement and performance is commensurate with totality of training. Evidence of experience in a range of acute medical specialties, with experience of managing patients on unselected medical take, during core training or equivalent.

Desirable criteria

Experience at CMT1/2-level of managing patients with haematological disease and managing haematological emergencies by the time of commencement of ST3 training.

Knowledge

Essential criteria

Demonstrates awareness of the basics of managing patients with haematological disease Competence at core-completion level in the management of medical emergencies, in-patients and outpatients

Desirable criteria

Evidence of skills in the management of acute medical emergencies (e.g. ALERT, IMPACT certification) Evidence of skills in the management of patients not requiring hospital admission Evidence of ST3-level procedural skills relevant to medical patients (clinical independence in central venous cannulation, chest drain insertion, joint aspiration, DC cardioversion, abdominal paracentesis.)

Skills

Essential criteria

Capacity to manage/prioritise time and information effectively Capacity to operate under pressure Demonstrates clarity in written/spoken communication Able to work in multi-professional teams and supervise junior medical staff Ability to show leadership, make decisions, organise and motivate other team members; for the benefit of patients through, for example, audit and quality improvement projects Demonstrates understanding of research, including awareness of ethical issues Demonstrates understanding of the basic principles of audit, clinical risk management, evidence-based practice, patient safety, and clinical quality improvement initiatives Evidence of teaching experience and/or training in teaching.

Desirable criteria

Evidence of teaching experience and/or training in teaching. Evidence of relevant academic publications Evidence of involvement in an audit project, a quality improvement project, formal research project or other activity which: focuses on patient safety and clinical improvement Demonstrates an interest in and commitment to the specialty beyond the mandatory curriculum Demonstrates an understanding of clinical governance Evidence of participation in teaching course

other

Essential criteria

Shows initiative/drive/enthusiasm (self-starter, motivated, shows curiosity, initiative) Demonstrable interest in, and understanding of, the specialty Commitment to personal and professional development Meets professional health requirements in line with GMC standards/GMP Professional integrity Learning and professional development

Desirable criteria

Extracurricular activities/achievements relevant to the specialty Evidence of participation at meetings and activities relevant to the specialty.

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