Job summary
Here at Nottingham University Hospitals NHS Trust, we are looking for two new team members to join the CESR programme in Acute Medicine , providing an alternative route to specialist registration for doctors aspiring to be Consultants in Acute Medicine.
We have two posts available and we are open to applications from post CT doctors who wish to pursue a career in Acute Medicine and from more senior doctors who may have already started their CESR or are currently in a training programme but wish to pursue an alternative, single base route to CCT.
We offer robust and supportive educational and clinical supervision and mentorship, dedicated CPD time, study leave and study leave budget and access to all the rotations needed to complete your training (eg ED, Critical Care, HCOP). CESR Fellows will also have the opportunity to pursue a specialist interest - which may be clinical, research, service improvement or management based.
Main duties of the job
Under the supervision of a consultant, you will be required to assess and provide acute treatment to patients attending the Acute Medicine Department who are either referred from the community or the Emergency Department.
You will provide senior review to new admissions, assist in the supervision and training of junior doctors and other Allied Health Professionals, have an oversight of the take as well as expediting discharges and maintaining patient flow through the department.
We will ask you to participate in the general internal medicine registrar on-call rota associated with the specialty that you have rotated into.
About us
Nottingham University Hospitals (NUH) is one of the biggest and busiest NHS Trusts in the country with a budget of over £1billion and over 17,000 staff. We provide services to over 2.5 million residents of Nottinghamshire.
NUH has a national and international reputation for the quality of our patient care and for research, education and innovation.
We offer a wide range of staff benefits including:
- Access to the Staff Wellbeing programme including our free 24 hour staff advice and emotional support service, financial advice service, a staff physiotherapy service and staff support networks
- On site day nursery
- Amazon parcel collection points
- Secure cycle facilities
- Access to Spiritual and Pastoral Care Services
- Salary sacrifice schemes
- Cycle to work and travel passes
- NHS discounts
We have recently been featured as the new home to Channel 4's '24 Hours in A+E' television show. The first seven episodes are available to watch online now if you missed them when initially broadcast during January 2023
The Acute Medicine department at NUH is one of the busiest in the country. Initially, you will join our middle grade rota, forming part of a highly motivated and ambitious multi-disciplinary team which includes medics, nursing staff, ACPs, Physician Associates and prescribing pharmacists. We strive to deliver the very best care for our patients, but we are also passionate about providing high quality training and support for our team.
Job description
Job responsibilities
The Acute Medicine middle grade rota is largely split into three different roles:
- B3 SpR Responsible for the senior review of new admissions, support of junior doctors, undertaking of clinical procedures and having an overall oversight of the take as well as expediting discharges and maintaining patient flow through the department.
- AMRA SpR Responsible for the senior review of new GP admissions and Same Day Emergency Care patients. Support fellow junior doctors, undertake any clinical procedures and maintain patient flow through the department.
- AMRAT SpR Receive referrals to Acute Medicine from the Emergency Department to ensure that correct pathways are adhered to and patients are seen by the right person, in the right place and at the right time. This role also offers support for advice to our Emergency Department colleagues.
- On-call duties cover both campuses and include GIM on-call, stroke thrombolysis, supporting the medical level 1 unit, and Level 1/Level 2 care for respiratory patients.
The responsibilities and duties of the post include:
- To assess and provide acute treatment to patients attending the Acute Medicine Department who are either referred from the community or the Emergency Department.
- Provide senior review to new admissions
- Liaise with other specialties as indicated
- Assist in the supervision and training of junior doctors and other Allied Health Professionals
- Undertake clinical procedures including Lumbar Puncture, Ascitic Tap/drain, Pleural tap/drain, Central Venous Pressure Line insertion.
- Have an oversight of the take as well as expediting discharges and maintaining patient flow through the department.
- Provide Same Day Emergency Care (SDEC) to this cohort of patients.
- Receive referrals to Acute Medicine from the Emergency Department to ensure that correct pathways are adhered to and patients are seen by the right person, in the right place and at the right time.
- Provide admission advice and support to our Emergency Department colleagues.
- Act as resuscitation team leader for seriously ill patients.
- Participate in the general internal medicine registrar on-call rota or the rota associated with the specialty the post-holder has rotated into.
Job description
Job responsibilities
The Acute Medicine middle grade rota is largely split into three different roles:
- B3 SpR Responsible for the senior review of new admissions, support of junior doctors, undertaking of clinical procedures and having an overall oversight of the take as well as expediting discharges and maintaining patient flow through the department.
- AMRA SpR Responsible for the senior review of new GP admissions and Same Day Emergency Care patients. Support fellow junior doctors, undertake any clinical procedures and maintain patient flow through the department.
- AMRAT SpR Receive referrals to Acute Medicine from the Emergency Department to ensure that correct pathways are adhered to and patients are seen by the right person, in the right place and at the right time. This role also offers support for advice to our Emergency Department colleagues.
- On-call duties cover both campuses and include GIM on-call, stroke thrombolysis, supporting the medical level 1 unit, and Level 1/Level 2 care for respiratory patients.
The responsibilities and duties of the post include:
- To assess and provide acute treatment to patients attending the Acute Medicine Department who are either referred from the community or the Emergency Department.
- Provide senior review to new admissions
- Liaise with other specialties as indicated
- Assist in the supervision and training of junior doctors and other Allied Health Professionals
- Undertake clinical procedures including Lumbar Puncture, Ascitic Tap/drain, Pleural tap/drain, Central Venous Pressure Line insertion.
- Have an oversight of the take as well as expediting discharges and maintaining patient flow through the department.
- Provide Same Day Emergency Care (SDEC) to this cohort of patients.
- Receive referrals to Acute Medicine from the Emergency Department to ensure that correct pathways are adhered to and patients are seen by the right person, in the right place and at the right time.
- Provide admission advice and support to our Emergency Department colleagues.
- Act as resuscitation team leader for seriously ill patients.
- Participate in the general internal medicine registrar on-call rota or the rota associated with the specialty the post-holder has rotated into.
Person Specification
Training and Qualifications
Essential
- Full GMC Registration with current Licence to Practise
- MRCP parts 1 and 2
- MBBS (or equivalent)
- ALS
Desirable
- Higher Professional Degree
- Full MRCP
- Formal teaching qualification
Experience
Essential
- Four years post-graduation experience with minimum one year experience in Acute Medicine
- Twelve months experience at SHO or above level in Medicine in a NHS hospital setting
- Able to manage a wide variety of acute medical emergencies
Desirable
- Experience in other specialties allied to Acute Medicine - e.g. ED, HCOP, Respiratory, Critical Care
- Previous experience at SpR level both in hours and out of hours in a large hospital setting in General Medicine
Analytical and Judgement skills
Desirable
- Evidence of leading a QIP or Audit
Person Specification
Training and Qualifications
Essential
- Full GMC Registration with current Licence to Practise
- MRCP parts 1 and 2
- MBBS (or equivalent)
- ALS
Desirable
- Higher Professional Degree
- Full MRCP
- Formal teaching qualification
Experience
Essential
- Four years post-graduation experience with minimum one year experience in Acute Medicine
- Twelve months experience at SHO or above level in Medicine in a NHS hospital setting
- Able to manage a wide variety of acute medical emergencies
Desirable
- Experience in other specialties allied to Acute Medicine - e.g. ED, HCOP, Respiratory, Critical Care
- Previous experience at SpR level both in hours and out of hours in a large hospital setting in General Medicine
Analytical and Judgement skills
Desirable
- Evidence of leading a QIP or Audit
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
Additional information
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).