Speciality Doctor Emergency Medicine

Job responsibilities

THE ROLE

The new appointee will be expected to work with and be supported by the existing ED Consultants to undertake clinical work within the department with an emphasis on the more unwell patients or those requiring more complex procedures. This will involve supervising the junior medical staff and assisting ENPs and providing shop floor teaching where appropriate. Overnight the ED Middle grade doctors will be expected to run the department independently with the ED Consultant on call from home and assist with juniors decision making and to offer advice and support to the Hospital at Night Team (H@NT) when accepting ED referrals. The Trust has Adult/Paediatric Arrest and Trauma Teams. The Consultants and middle grades will be expected to play the leading role when these teams are called to the ED.

EDUCATION AND TRAINING

The appointee will be entitled to the equivalent of a maximum of 10 days study leave per year. They will be allocated an ED Consultant Clinical Supervisor who will be able to offer advice on how best to use this allowance in terms of continuing professional development, individual training requirements, MLE and clinical audit etc. Education, training and development is made available to all staff and is actively encouraged.

We actively support the portfolio pathway and can offer secondments to allied specialities to gain the required experience.

Medical students are intermittently allocated to the ED and it is the responsibility of all ED staff to support them during their rotations. The appointee will also be encouraged to participate in formal and informal teaching of the junior medical and nursing staff via the ED induction programme, the H@NT training programme and simulation training.

There is a good library in the Education Centre at Salisbury District Hospital.

The post is educational. Seminars, CPCs and other postgraduate activities are provided. The post holder would be expected to attend educational sessions and in particular the specifically designed course for Junior Medical Staff, with protected time for education.

CLINICAL GOVERNANCE

The new appointment will be expected to be involved in audit, risk management, multi-professional working and service development where appropriate. Adherence to the principles of evidence based medicine in accordance with agreed protocols and guidelines developed in the speciality would also be expected. Annual appraisal and involvement in CPD is a mandatory part of the post.

The Clinical Governance framework in the Trust is focused around quality of care, including patient safety, clinical effectiveness and patient experience. This is designed to help individuals and teams to continually monitor and improve standards of care. It forms a central part of appraisal and revalidation of doctors. The framework includes the provision of six clinical governance half days, which aim to promote multi-professional working, and enable shared learning. There is no scheduled elective activity undertaken during these sessions and all doctors are expected to take part in the arranged activities. Each half day session is made up of a core and department agenda which cover all aspects of clinical governance patient safety, clinical audit, patient and public involvement, evidence based practice, clinical information / outcomes etc. A bimonthly clinical governance newsletter is also published.

CONTINUING PROFESSIONAL AND PERSONAL DEVELOPMENT The Trust has an Education Centre close to the clinical areas and a library. Educational activities include weekly hospital rounds and regular meetings of the Salisbury Medical Society. Rooms are available for clinical departmental meetings. The Trust is committed to multi-professional education and to continuing professional development for all staff. A full range of additional training and development courses and opportunities are available both within the Trust and externally. RESEARCH AND DEVELOPMENT The Trust is committed to David Camerons (2011) pledge that every patient should be a research patient to help in the fight against disease. The Trust encourages all clinical staff to recruit patients to or host National Institutefor Health Research (NIHR) portfolio research and can provide infrastructure support. The Trust also hosts the Research Design Service South West, providing grant application support to consultants wishing to initiate their own research. INFECTION CONTROL AND PATIENT SAFETY The Trust has an excellent track record in maintaining patient safety through rigorous and consistent application of Trust policies for the prevention and control of infection, including hand hygiene. All staff are required to undertake mandatory annual training/updates in infection prevention and control and to take personal responsibility for the prevention and control of infection in accordance with the legislative framework (Health and Social Care Act 2008; Hygiene Code).

SAFEGUARDING The Trust is committed to developing local robust arrangements to ensure that safeguarding becomes fully integrated into our systems. This will result in greater openness and transparency about clinical incidents, learning from safeguarding concerns that occur within and outside the Trust, clarity on reporting, and more positive partnership working. All staff are required to promote the welfare of children, young people and vulnerable adults in compliance with the Trusts safeguarding policies and national legislation. This will include the need to undertake appropriate mandatory training and updates in safeguarding.

ROTA

The best bit. The department in committed to sustainable flexible working and has recently written new rotas to reflect this. The rota is co-ordinator who is supported by an EM Consultant who takes into account all your annual leave and study leave requests. There are only 3 shifts 8-4:40 (Day), 2-10:30pm (Mid) Night (10-8.15).The rota is based on a rolling rota however this is just a guide and is annualised and published in 6 month blocks from August to end of Jan, and Feb to end of July. where you get to choose when you would like to work a set number of shits that would occur in a rolling 9 week rota. No more swapping out of nights to attend a wedding/ anniversaryjust tell the rota co-ordinator in advance and do the nights elsewhere. We have a flexible, training focussed rota with allocations made for SPA time to maintain own CPD as well as opportunities to take part in weekly teaching.

An example of the working pattern is below.

You rota is based on a 9 DCC: 1 SPA split

Qualifications

Essential

• Full GMC registration with a licence to practice
• At least 2 years of experience in Emergency Medicine in the UK or equivalent healthcare system
• ATLS course passed within last 5 years
• ALS course passed within last 4 years
• EPALS/APLS passed within last 4 years

Desirable

• Full MRCEM
• Worked at tier 4 level in a UK emergency Department for a minimum of 3 months

Experience

Essential

• Evidence of wide experience and a high level of competence in Emergency Medicine including management of paediatrics and trauma. Able to work effectively in majors, minors and resuscitation areas
• Appropriate knowledge base and ability to apply sound clinical judgement to problems: demonstrates clear, logical thinking and an analytical approach
• Experience in managing risk and knows when to seek help. Able to prioritise clinical need
• Knowledge and application of up to date evidence based practice

Management Experience

Essential

• Ability to perform effectively as a member of a team and to motivate other staff particularly in the area of decision making and referral or discharge
• Ability to contribute to the development of the service
• Capacity to manage/prioritise time and information effectively. Capacity to organise own workload and workload of others
• Ability and willingness to work within the Trust and NHS performance targets
• Ability to balance individual requirements against those of the department/Directorate
• Commitment to active clinical governance and learning from errors

Other attributes

Essential

• Ability to gain the trust and confidence of colleagues and patients
• Good interpersonal skills

Communication skills

Essential

• Demonstrates clarity in written and spoken communication in English.
• To be empathetic and sensitive. Capacity to take others perspective and treat others with understanding
• Always considers patients preferences when discussing treatment options

Teaching

Essential

• Demonstration of an interest and commitment to teaching
• Ability to teach clinical skills to trainees and others. Enthusiastic and ability to inspire others

Audit and research

Essential

• Experience in, and commitment to clinical audit
• Ability to appraise research critically and apply research outcomes to clinical problems

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).