Chief Registrar in Medicine

Job summary

Chief Registrar in Medicine - Epsom and St Helier University Hospitals NHS Trust

An exciting opportunity has arisen for an enthusiastic and motivated senior trainee or equivalent (ST4 or above) with an interest in leadership, management and quality improvement to join Epsom and St Helier University Hospitals NHS Trust as a chief registrar. The successful applicant will be enrolled into the Royal College of Physicians (RCP) Chief Registrar flagship leadership development programme.

The chief registrar role provides senior trainees with 40-50% protected time to develop skills and confidence in leadership, management and quality improvement. Learning that chief registrars gain from an approved leadership development programme will be put into practice in a supported environment that provides autonomy, flexibility and support to develop and support projects that address key local challenges and priorities. This may include service improvement, engagement and morale, education and training, workforce, and sustainability.

The chief registrar role will suit doctors who:

Want to learn about leadership and gain senior leadership experience Are comfortable working in uncertain environments and across traditional boundaries Relish the opportunity to develop their own ideas and initiatives Are committed to and passionate about improving the NHS.

Main duties of the job

The chief registrar job description is broad in scope in order to allow chief registrars and recruiting organisations to have autonomy and flexibility over the work the chief registrar undertakes. Chief registrars should focus on addressing key local challenges and priorities, which may include some or all of the following:

Providing a 'bridge' between senior clinical leaders, managers and the wider trainee workforce to improve communication, engagement and morale. Service improvement, for example redesigning pathways, implementing new technology and establishing new services to improve flow and outcomes for patients. Improving the quality of clinical and non-clinical education and training activities, and supporting/mentoring other trainees to engage in quality improvement. Involvement in workforce planning and improving the deployment of trainees to meet service needs and improve morale. Improving efficiency and reducing waste. Working across teams and boundaries to engage stakeholders in quality improvement and influence change.

About us

The chief registrar will report to and be mentored by the Divisional Medical Director, a nominated deputy, or other senior clinical leader. The mentor role requires a minimum time commitment of monthly 1 hour meetings with the chief registrar, and this commitment should be taken into account when nominating a suitable mentor.

The chief registrar will also have a named educational supervisor for their role, who may or may not be the same as their clinical supervisor.

There will be formal educational oversight of the role by Postgraduate Medical Education Centre (PGMC), with an induction, educational agreement, personal development plan and regular appraisals.

Job description

Job responsibilities

The chief registrar job description is broad in scope in order to allow chief registrars and recruiting organisations to have autonomy and flexibility over the work the chief registrar undertakes. Chief registrars should focus on addressing key local challenges and priorities, which may include some or all of the following:

Providing a bridge between senior clinical leaders, managers and the wider trainee workforce to improve communication, engagement and morale. Service improvement, for example redesigning pathways, implementing new technology and establishing new services to improve flow and outcomes for patients. Improving the quality of clinical and non-clinical education and training activities, and supporting/mentoring other trainees to engage in quality improvement. Involvement in workforce planning and improving the deployment of trainees to meet service needs and improve morale. Improving efficiency and reducing waste. Working across teams and boundaries to engage stakeholders in quality improvement and influence change.

Involvement in and exposure to senior management and organisational decision-making

The chief registrar should attend departmental and divisional management meetings to gain an understanding of management and the wider social, political and economic influences on healthcare delivery.

Where possible and appropriate, they should attend Board meetings. They should lead any sessions on service development, improvement and transformation for which they have direct responsibility.

Person Specification

Qualifications

Essential

Primary Medical Degree Full GMC Registration Should not already hold a CCT ST4 +

Desirable

Additional relevant degree (intercalated, masters or doctorate)

Clinical skills

Essential

Evidence of clinical competencies in their specialty appropriate for their stage in training. An appropriate knowledge base, and ability to apply sound clinical judgement to problems. Ability to prioritise clinical need. Ability to maximise safety and minimise risk. Ability to work without supervision where appropriate.

Audit, QI & Service Improvement

Essential

Understanding of clinical governance, including the basic principles of audit, clinical risk management, evidence-based practice, patient safety and quality improvement initiatives. Evidence of active involvement in quality improvement, audit, research or other activity that focuses on patient safety and clinical improvement and innovation. Interest in / knowledge of the delivery of safe, effective healthcare services.

Desirable

Evidence of a portfolio of audit / quality improvement projects, including evidence that the audit loop has been closed and evidence of learning about the principles of change management. Evidence of publications / presentations / prizes in quality improvement or audit. Good knowledge of the UK healthcare system, including education, research, service provision, regulation, career structures, medical politics and ethics. Clear insight into issues facing UK healthcare services.

Research

Essential

Understanding of research, including awareness of ethical issues. Understanding of research methodology and ability to use basic qualitative and quantitative methods. Knowledge of evidence-based practice.

Desirable

Evidence of relevant academic achievements, including publications / presentations

Leadership and management

Essential

Evidence of effective team working and leadership, supported by multi-source feedback or workplace-based assessments. Self-awareness, with knowledge of personal strengths and weaknesses, impact and areas for development. Interest in and knowledge of the importance of leadership and management for clinicians. Problem solving and decision making skills are essential.

Desirable

Evidence of involvement in local management systems. Evidence of effective leadership ( evidence of leading innovations or improvements). Understanding of the local and national context of the NHS, including economic and political influences.

Education and teaching

Essential

Evidence of interest in and experience of teaching. Evidence of positive feedback on teaching approaches. Development of teaching programmes. Proficient use of online platforms for teaching, including MS Teams and Zoom.

Desirable

Participation in teaching courses. Participation in degree or diploma courses in education. Action learning sets / simulation instructor.

IT Skills

Essential

Excellent computer literacy, proficient use of Microsoft Suite. Proficiency in soliciting, analysing, and reporting feedback

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