Job summary
Maternity Cover
We are seeking an enthusiastic physician to join our team of 16 Acute Physicians to participate in the on-going development and evolution of our Acute Medical Unit (AMU), Medical SDEC (Same Day Emergency Care), Acute Dependency Unit (ADU) & G&A bed base, and to play a key role in the management of emergency admissions.
Main duties of the job
This post has been developed in order to be able to deliver a sustainable model of acute care. The London Quality Standards recognise the importance of a dedicated Acute Physician team leading acute care. This post present an excellent opportunity for a clinician, with experience and considerable understanding of all aspects of acute medicine with or without a specialist interest, to join a team dynamic team of physicians committed to the delivery of the highest standard of patient care. This individual will be expected to contribute to the ongoing development of the clinical interface with both Primary Care and the Emergency Department at St George's.
The Job Description attached has been approved by the RCP (2290014144)
About us
The Acute Medicine Care Group has continually evolved in recent years in order to meet the demand for acute care. This has increased consultant input within the initial 24-48 hours following admission. This post is pivotal to the assessment and management of acutely unwell adult patients. We are also striving to continually improve geriatric and frailty services which most recently has seen integration across the acute and community based teams
The current job plan has been designed to provide a sustainable post in Acute Medicine with or without a complementary specialty. The job plan is designed on an annualised basis which allows some flexibility. There will be an expected commitment to all aspects of the service including; the acute medicine on call rota, physician of the week and Amyand ward rotas, weekend working and the medical SDEC (Same Day Emergency Care).
The appointee is expected to participate in undergraduate, postgraduate and multi-disciplinary education programmes and to play a full part in Clinical Governance.
Job description
Job responsibilities
The Acute Medicine rota will be based on a 14 WTE model, all of whom are dedicated acute physicians. We operate an Acute Physicians of the day model. The post-night consultant period begins with non-resident on-call, followed by a post-night ward round commencing at 08:00, and then an MDT triage meeting and an afternoon ward round. The on-call Physician starts at 08.30 and is then responsible for admissions until 21:00hrs. All referrals from primary care and SDEC are received by the on-call consultant and are triaged to ambulatory care or admission avoidance clinics, which run daily. Referrals from the Emergency Department are taken by the on call SpR, with support from the consultant where required. We currently operate a process model for patients from the Emergency Department in order to maximise productivity and in order to avoid admission where possible. Our ambulatory care team consists of nurse practitioners, nurse co-ordinator, triage nurse, bay nurses alongside the on call team.
On day two of a patients stay, we attempt to preserve continuity with the on call consultant from the previous day being responsible for the ongoing care of the patients admitted in the prior 24 hours.
Job description
Job responsibilities
The Acute Medicine rota will be based on a 14 WTE model, all of whom are dedicated acute physicians. We operate an Acute Physicians of the day model. The post-night consultant period begins with non-resident on-call, followed by a post-night ward round commencing at 08:00, and then an MDT triage meeting and an afternoon ward round. The on-call Physician starts at 08.30 and is then responsible for admissions until 21:00hrs. All referrals from primary care and SDEC are received by the on-call consultant and are triaged to ambulatory care or admission avoidance clinics, which run daily. Referrals from the Emergency Department are taken by the on call SpR, with support from the consultant where required. We currently operate a process model for patients from the Emergency Department in order to maximise productivity and in order to avoid admission where possible. Our ambulatory care team consists of nurse practitioners, nurse co-ordinator, triage nurse, bay nurses alongside the on call team.
On day two of a patients stay, we attempt to preserve continuity with the on call consultant from the previous day being responsible for the ongoing care of the patients admitted in the prior 24 hours.
Person Specification
Qualifications
Essential
- Entered on the Specialist Register for General/Acute Medicine +/- complimentary medical speciality
- MRCP or Equivalent
- Full registration with GMC
Experience
Essential
- Higher specialist training with CCT in General/Acute Medicine +/- another medical speciality
- Advanced Life Support Certificate
- Demonstrable experience in Clinical Governance activities
Desirable
- Demonstrable experience in teaching
- Demonstrable experience in research with an appropriate publication record
Knowledge
Essential
- Detailed knowledge of Acute Medicine
- Understanding of modern medical curricula and of learning assessment tools
Desirable
- Detailed knowledge of the specialist skills required for this post
Skills
Essential
- . Ability to take on independent clinical responsibility whilst working as part of a multi-disciplinary team
- Ability to organize and manage staff and resources effectively
- Ability to communicate effectively with GPs and other professionals in hospital and community
- Ability to teach medical students and junior medical and nursing staff
Desirable
- Ability to engage busy clinicians in the ongoing development of the acute medical service
- Ability to develop research projects and supervise trainees in their research
Personal Disposition
Essential
- Caring attitude to patients
- Flexible and co-operative approach to colleagues and team members
- Demonstrable ability to cope under pressure
- Demonstrable commitment to continuing medical education
Person Specification
Qualifications
Essential
- Entered on the Specialist Register for General/Acute Medicine +/- complimentary medical speciality
- MRCP or Equivalent
- Full registration with GMC
Experience
Essential
- Higher specialist training with CCT in General/Acute Medicine +/- another medical speciality
- Advanced Life Support Certificate
- Demonstrable experience in Clinical Governance activities
Desirable
- Demonstrable experience in teaching
- Demonstrable experience in research with an appropriate publication record
Knowledge
Essential
- Detailed knowledge of Acute Medicine
- Understanding of modern medical curricula and of learning assessment tools
Desirable
- Detailed knowledge of the specialist skills required for this post
Skills
Essential
- . Ability to take on independent clinical responsibility whilst working as part of a multi-disciplinary team
- Ability to organize and manage staff and resources effectively
- Ability to communicate effectively with GPs and other professionals in hospital and community
- Ability to teach medical students and junior medical and nursing staff
Desirable
- Ability to engage busy clinicians in the ongoing development of the acute medical service
- Ability to develop research projects and supervise trainees in their research
Personal Disposition
Essential
- Caring attitude to patients
- Flexible and co-operative approach to colleagues and team members
- Demonstrable ability to cope under pressure
- Demonstrable commitment to continuing medical education
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).
