Trust Doctor StR Lower – Geriatrics/Peri-operative Medicine

Job description

Job responsibilities

Audit, Research, Teaching and Service Development

• Ensure elements required for achievement of Best Practice Tariff for Hip Fracture are recorded accurately and updated regularly.

• Review delays to theatre for audit purposes, to understand themes causing delay to surgery and instigate guidelines and changes in practice for future improvement.
• Participate in development of guidelines and pathways to promote good and safe practice and drive improvement in care.
• Review hip fracture database (NHFD) and oversee continual audit aiming to provide high quality care and assessment to this patient group.
• Present and participate in educational sessions for surgical and other healthcare staff on peri-operative topics such as delirium, falls, fluid management, acute kidney injury etc.
• Develop skills in local anaesthetic blocks with Lead Anaesthetic Consultant and Orthopaedic staff.
• Attend and participate in weekly Health Care of the Elderly Educational meetings and the Medical Grand Round.
• Attend relevant conferences, local and national, pertinent to educational needs/professional development.

Attend regular Fractured Neck of Femur Ward meetings as part of our Clinical

• Governance to identify areas for these patients where care, communication and protocols could improve outcomes and the experience for our patients.
• Attend regular teaching and clinical governance meeting within Trauma and Orthopaedics including CME for audit, and morbidity/mortality meetings.
• There are excellent opportunities for getting involved in service development in this ever-developing specialty of peri-operative and Ortho-geriatric medicine, including a wide variety of audit and quality improvement opportunities, of both local and national relevance, such as pain relief, delirium management, adherence to recommended guidelines and treatment etc.

The hours for the post are Monday-Friday 0800 1730, taking part in 1 in 5 weekends (0800-1730) providing cover for the three Trauma and Orthopaedic Wards. Opportunities to supplement the post via additional shifts may be possible via the rota co-ordinator. There are Continuing Professional Development (CPD) days built in within the rota to support portfolio and clinical governance commitments. Off days are rostered in to ensure adherence to EWTD regulations.

Managerial and Leadership

The post holder will be professionally accountable to the Medical Director and managerially accountable to the Service Line Director Mr Mark Brinsden, Consultant Trauma and Orthopaedic Surgeon via Dr J Davies, Consultant Ortho-geriatrician.

Person Specification

Essential

Essential

• MBBS or equivalent medical qualification Applicants must: Be eligible for full registration with, and hold a current licence to practise from the GMC at time of intended start date Be eligible to work in the UK. To have completed two years of foundation year training or equivalent Advanced Life Support Certificate from the Resuscitation Council UK or equivalent (as required to complete Foundation competences) by intended start date

Desirable

• Additional related qualifications, eg intercalated degree, BSc, BA, BMedSci or equivalent

Knowledge & Experience

Essential

• Ability to identify acutely ill patients

Desirable

• Attendance at relevant course Clinical experience working in Healthcare of the Elderly and other acute medical posts Qualification such as Diploma in Geriatric Medicine

Aptitude & Abilities

Essential

• Communication skills: Demonstrates clarity in written/spoken communication, and capacity to adapt language to the situation, as appropriate Able to build rapport, listen, persuade & negotiate. Problem solving & decision making: Capacity to use logical/lateral thinking to solve problems/make decisions, indicating an analytical/scientific approach. Managing others & team involvement: 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 Capacity to work effectively with others. Organisation and planning: Capacity to manage/prioritise time and information effectively Capacity to prioritise own workload and organise ward rounds Evidence of thoroughness (is well-prepared, shows self-discipline/commitment, is punctual and meets deadlines.) Vigilance and situational awareness: Capacity to monitor developing situations and anticipate issues. Coping with pressure and managing uncertainty: Capacity to operate under pressure Demonstrates initiative and resilience to cope with changing circumstances Is able to deliver good clinical care in the face of uncertainty.

Desirable

• Management and leadership skills: Evidence of involvement in management commensurate with experience Demonstrates an understanding of NHS management and resources Evidence of effective multi-disciplinary team working and leadership, supported by multi-source feedback or other workplace-based assessments Evidence of effective leadership in and outside medicine. IT skills: Demonstrates information technology skills. Other: Evidence of achievement outside medicine Evidence of altruistic behaviour, eg voluntary work Evidence of organisational skills - not necessarily in medicine, eg grant or bursary applications, organisation of a university club, sports section, etc.

Disposition, Attitude & Motivation

Essential

• Empathy and sensitivity: Capacity to take in others' perspectives and treat others with understanding; sees patients as people Demonstrates respect for all.

Other Factors

Essential

• Research and audit skills: 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 Demonstrates knowledge of evidence-informed practice Probity - Professional Integrity Demonstrates probity (displays honesty, integrity, aware of ethical dilemmas, respects confidentiality) Capacity to take responsibility for own actions. Health Applicants must meet professional health requirements (in line with GMC / Good Medical Practice).

Desirable

• Research and audit skills: Evidence of relevant academic and research achievements, eg degrees, prizes, awards, distinctions, publications, presentations, other achievements 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 Teaching: Evidence of interest in, and experience of, teaching Evidence of feedback for teaching.

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.

Certificate of Sponsorship

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).

Employer details

Employer name

University Hospitals Plymouth NHS Trust

Address

University Hospital Plymouth

Derriford Road.

Plymouth

PL6 8DH

Employer's website

https://www.plymouthhospitals.nhs.uk/ (Opens in a new tab)