Job summary
IMT3 doctors are based on the respiratory ward or the acute medical unit. They are often involved in respiratory inpatient referrals under the supervision of more senior registrars and/or Consultants. There will be the opportunity to learn about non-invasive respiratory support, including CPAP, BiPAP and HFNO and to sit in and see patients in Respiratory clinics.
Main duties of the job
The post holder will be required to work in a MDT environment to deliver high-quality medical care to patients on the ward.
The Respiratory ward (Manvers) has an Acute Respiratory Unit with two 4 bedded bays where patients can receive CPAP, BiPAP and HFNO. The rest of the ward takes primarily respiratory and general medical admissions, with 8 beds being looked after by the Endocrinology team.
The acute medical wards (Emergency Medical Admission (EMA), Emergency Medical Short Stay (EMSS) and Douglas Side Rooms) consist of 40 beds in total which are divided amongst the five medical firms (Respiratory, Gastroenterology, Hepatology, Endocrinology, and Firm V).
About us
There are two inpatient Respiratory teams, together forming one of five medical firms who participate in the acute medical take and manage admitted patients. Each team is staffed from a pool of 3 SpRs and 1 IMT3; 4 SHO grade doctors (2 FY2, 2 IMT) and 4 FY1s. Staffing varies according to annual leave, study leave and on call commitments but each team will have a minimum of 1 SpR grade and two other staff members at all times.
Both teams manage patients with acute and chronic respiratory disease along with patients with general medical problems. Team A takes responsibility for inpatients on the respiratory ward (Manvers), which will include patients with COPD, asthma, lung cancer, respiratory failure, interstitial lung disease and other general medical conditions. Team B is responsible for the acute take and the care of patients admitted to the medical assessment unit on the acute take, until they go home or to an appropriate ward,
The weekly timetable differs slightly according to the team the trainee is assigned to. It is usual to rotate between A and B teams on a bi weekly basis.
There are 13 Respiratory Consultants who undertake inpatient work on a rotational basis. T. There are close links with the infectious diseases, HIV and intensive care teams, and with the radiology, microbiology, histopathology and cytology departments.
Job description
Job responsibilities
The post involves the following responsibilities and opportunities:
- Participating in the acute medical take (including night shifts) and in the ongoing care of patients admitted via the take until their discharge or triage to a different medical team
- Providing out-of-hours medical ward cover on an on-call rota
- Acting as part of a clinical team and leading board rounds and ward rounds, supported by Consultants
- Identifying and synthesising problems
- Prescribing safely
- Keeping an accurate and relevant medical record
- Managing time and clinical priorities effectively
- Communicating effectively with patients, relatives and colleagues
- Using evidence, guidelines and audit to benefit patient care
- Acting in a professional manner at all times
- Coping with ethical and legal issues which occur during the management of patients with general medical problems
- Educating patients effectively
- Becoming lifelong learners and teachers
In addition the post holder will gain experience of interpreting thoracic radiology, performing procedures such as arterial cannulation, intercostal aspiration and drainage, and lumbar puncture, and the use of non-invasive ventilation.
Scope and purpose of job description
A job description does not constitute a term and condition of employment. It is provided only as a guide to assist the employee in the performance of their job. The Trust is a fast moving organisation and therefore changes in employees duties may be necessary from time to time. The job description is not intended to be an inflexible or finite list of tasks and may be varied from time to time after consultation/discussion with the postholder.
Outline of timetable
The below is an example timetable for the Respiratory ward team; this will vary depending on the consultant on the ward
Monday
Tuesday
Wednesday
Thursday
Friday
AM
Daily board round with consultant
SpR/IMT3 Ward Round
830-9am morning report
Board round
Consultant Ward Round
Board Round
SpR/IMT3 Ward Round
Board Round
Consultant Ward Round
Board Round
SpR/IMT3 Ward Round
Lunch
Acute medicine teaching
Respiratory department teaching / Grand Round
Respiratory radiology meeting
Dept of medicine teaching
PM
Ward duties/ referrals
Ward duties/ referrals
Ward duties/ referrals
Clinic (fast track lung)
Ward duties/ referrals
Weekend handover
Job description
Job responsibilities
The post involves the following responsibilities and opportunities:
- Participating in the acute medical take (including night shifts) and in the ongoing care of patients admitted via the take until their discharge or triage to a different medical team
- Providing out-of-hours medical ward cover on an on-call rota
- Acting as part of a clinical team and leading board rounds and ward rounds, supported by Consultants
- Identifying and synthesising problems
- Prescribing safely
- Keeping an accurate and relevant medical record
- Managing time and clinical priorities effectively
- Communicating effectively with patients, relatives and colleagues
- Using evidence, guidelines and audit to benefit patient care
- Acting in a professional manner at all times
- Coping with ethical and legal issues which occur during the management of patients with general medical problems
- Educating patients effectively
- Becoming lifelong learners and teachers
In addition the post holder will gain experience of interpreting thoracic radiology, performing procedures such as arterial cannulation, intercostal aspiration and drainage, and lumbar puncture, and the use of non-invasive ventilation.
Scope and purpose of job description
A job description does not constitute a term and condition of employment. It is provided only as a guide to assist the employee in the performance of their job. The Trust is a fast moving organisation and therefore changes in employees duties may be necessary from time to time. The job description is not intended to be an inflexible or finite list of tasks and may be varied from time to time after consultation/discussion with the postholder.
Outline of timetable
The below is an example timetable for the Respiratory ward team; this will vary depending on the consultant on the ward
Monday
Tuesday
Wednesday
Thursday
Friday
AM
Daily board round with consultant
SpR/IMT3 Ward Round
830-9am morning report
Board round
Consultant Ward Round
Board Round
SpR/IMT3 Ward Round
Board Round
Consultant Ward Round
Board Round
SpR/IMT3 Ward Round
Lunch
Acute medicine teaching
Respiratory department teaching / Grand Round
Respiratory radiology meeting
Dept of medicine teaching
PM
Ward duties/ referrals
Ward duties/ referrals
Ward duties/ referrals
Clinic (fast track lung)
Ward duties/ referrals
Weekend handover
Person Specification
Qualifications
Essential
- On GMC registered/ licensed Medical Practitioner
- Primary Medical Degree
Language
Essential
Clinical skills
Essential
- oHistory taking and examination
- oManaging patients using evidence based practice
- oPrioritising and triage of tasks
- oAccurate record keeping
- oSafe prescribing
- oCommunicating effectively
- oTeam working within the respiratory team and other healthcare workers
- oCommunicating with family members
- oAct in a professional manner
- oDeal with ethical and legal issues
- oEducate patients regarding their illness and management
- oDevelop skills in practical procedures
Desirable
- Experience in leading the acute take
- Experience in respiratory medicine at a F1/2/IMT level
- Experience in pleural procedures
- Experience in non-invasive respiratory support
Person Specification
Qualifications
Essential
- On GMC registered/ licensed Medical Practitioner
- Primary Medical Degree
Language
Essential
Clinical skills
Essential
- oHistory taking and examination
- oManaging patients using evidence based practice
- oPrioritising and triage of tasks
- oAccurate record keeping
- oSafe prescribing
- oCommunicating effectively
- oTeam working within the respiratory team and other healthcare workers
- oCommunicating with family members
- oAct in a professional manner
- oDeal with ethical and legal issues
- oEducate patients regarding their illness and management
- oDevelop skills in practical procedures
Desirable
- Experience in leading the acute take
- Experience in respiratory medicine at a F1/2/IMT level
- Experience in pleural procedures
- Experience in non-invasive respiratory support
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).
