Job summary
We are looking to appoint a Chief Registrar in Emergency Medicine. This role will work closely with Chief Registrar colleagues in Acute and Ambulatory Medicine and will involve enrolment in the prestigious RCP Chief Registrar education programme.
The post will consist of 40% full time equivalent protected time for Chief Registrar work - including quality improvement projects, teaching, leadership and service improvement. The remaining time will be allocated to clinical Emergency Medicine work within the two Emergency Departments at OUH.
OUHNHST has recruited Chief Registrars every year since the launch of the RCP programme. The Chief Registrars have had the opportunity to work on Service Development, Quality Improvement, Leadership Development and have presented their work at a variety of national forums. Their success is allowing the Trust to continue to have Chief Registrars for the coming year.
Support will be given from the consultant body as well as from key leaders within the Trust.
For further details please contact:
Dr Ruth Carter: Emergency Medicine Consultant, ruth.carter@ouh.nhs.uk
Main duties of the job
OUH offers this role as an Out of Programme opportunity for advanced training that is complementary to existing specialist curricula. The successful trainee would leave their specialist training programme for the duration of the Chief Registrar opportunity. Previously permission has been given from the Royal College of Emergency Medicine for the EM CR role to be classed as an 'OOPT' post, with the clinical proportion of the role (typically 60% FTE) contributing to training progression for those working towards a CCT.
The posts within the Emergency Department can be full or less than fulltime with early discussions with the Clinical Lead.
About us
Oxford University Hospitals NHS Foundation Trust (OUH)
OUH is one of the largest NHS teaching trusts in the UK and a renowned centre of clinical excellence. Each year, OUH has over one million patient contacts including nearly 100,000 emergency admissions. The Trust has a strong collaboration with the University of Oxford, which underpins the quality of care that is provided to patients, from the delivery of high-quality research - bringing innovation from the laboratory bench to the bedside - to the delivery of high-quality education and training for doctors.
OUH delivers acute emergency care on two of its four hospital sites (the John Radcliffe Hospital in Oxford and the Horton General Hospital in Banbury), supports the urgent care pathway across distributed community settings, and is working towards comprehensive application of the Future Hospitals Commission principles.
Job description
Job responsibilities
Clinical
60% of basic time will focus on delivering and leading clinical care within OUHFTs Emergency Departments the John Radcliffe and Horton Hospital sites. A full shift-based Emergency Medicine rota including out of hours work will proportionally reflect those working on the same rota tier. This will include clinical work in the day, evening, night and weekends.
The additional hours (beyond basic) Chief Registrar commitment will focus on delivery of leadership in Emergency and Ambulatory care support of peak periods. Typically, urgent care pathways see sustained surges in demand from lunchtime until late evening; Chief Registrar leadership of early, rapid assessment, treatment and pathway determination during this period will be a vital component in delivering better patient outcomes and care.
Service Transformation
In aggregate, 40% of basic time (in-hours) will be allocated to supporting service transformation towards an ambulatory by default model: delivered in all assessment settings, 24-7, with exceptional patient-centred outcomes and inclusive use of innovative pathways that minimise use of traditional inpatient settings and optimise value. Delivering this will require close work with management teams, to initiate and develop projects including those identified by the Chief Registrars.
All activities will embrace the Trusts vision of patient-centered service transformation and be aligned with the Future Hospital Commissions recommendations for ambulatory and same-day emergency care: with greater vertical and horizontal integration of acute services transcending traditional hospital-community and intra-hospital barriers. Such activities will complement Trust service improvement initiatives, and will have patient safety and the delivery of high-quality, better safe, compassionate care at their core.
Job description
Job responsibilities
Clinical
60% of basic time will focus on delivering and leading clinical care within OUHFTs Emergency Departments the John Radcliffe and Horton Hospital sites. A full shift-based Emergency Medicine rota including out of hours work will proportionally reflect those working on the same rota tier. This will include clinical work in the day, evening, night and weekends.
The additional hours (beyond basic) Chief Registrar commitment will focus on delivery of leadership in Emergency and Ambulatory care support of peak periods. Typically, urgent care pathways see sustained surges in demand from lunchtime until late evening; Chief Registrar leadership of early, rapid assessment, treatment and pathway determination during this period will be a vital component in delivering better patient outcomes and care.
Service Transformation
In aggregate, 40% of basic time (in-hours) will be allocated to supporting service transformation towards an ambulatory by default model: delivered in all assessment settings, 24-7, with exceptional patient-centred outcomes and inclusive use of innovative pathways that minimise use of traditional inpatient settings and optimise value. Delivering this will require close work with management teams, to initiate and develop projects including those identified by the Chief Registrars.
All activities will embrace the Trusts vision of patient-centered service transformation and be aligned with the Future Hospital Commissions recommendations for ambulatory and same-day emergency care: with greater vertical and horizontal integration of acute services transcending traditional hospital-community and intra-hospital barriers. Such activities will complement Trust service improvement initiatives, and will have patient safety and the delivery of high-quality, better safe, compassionate care at their core.
Person Specification
Qualifications
Essential
- Full GMC Registration and Licence to Practice
- Previous NHS Experience
- ALS / ATLS / PALS or APLS provider
- MBBS/MBChB or Equivalent
- Active experience in Emergency Medine UK Healthcare
- Should not hold a CCT, CESR in Emergency Medicine or be within 6 months of anticipated completion
Desirable
- Additional degree (intercalated, masters or doctorate)
- Post Graduatate Emergency Medicine Exam
- Anaesthetic/Intensive Care compentancies
- Clinical Paediatric Experience
Skills and Knowledge
Essential
- Pre-registration/foundation training, and at least three years in emergency medicine (with a minimum of one year in an NHS hospital or with equivalent experience from overseas) That of a mature, motivated and competent middle grade doctor
- Appropriate knowledge base, and ability to apply sound clinical judgement to problems
- Ability to work without direct supervision where appropriate.
- Ability to communicate professionally at all times with patients and staff at all levels.
Desirable
- Evidenced experience in Point-of-Care Ultrasound, and a clear timeline and plan to achieve independent competence.
- Evidence of skills in management of acute medical emergencies (e.g. ALS Instructor, ATLS, ETC. APLS)
- Demonstrable outcomes in ambulatory or emergency care service improvement
- Experience in management of frailty syndromes or development of frailty systems or pathways
Research
Essential
- Understanding of research, including awareness of ethical issues
- Knowledge of evidence-based practice
Desirable
- Evidence of involvement in a formal research project
- Evidence of relevant academic achievements, including publications / presentations
Quality / Service improvement and audit
Essential
- Awareness of the RCP Future Hospital Programme and understanding of the Chief Registrar Programme in relation to the implementation of the Future Hospital Commission's recommendations
- Participation in Clinical Governance activities
- Active involvement in QIP/audit, research or other activity that focuses on patient safety, clinical improvement or innovation
Desirable
- Evidence of completed audit/Quality improvement projects
- Prizes in QIP/Audit
Education and Teaching
Essential
- Evidence of interest in and experience of teaching
Desirable
- Higher qualification in teaching
- Development of teaching programmes
- Participation in delivering teaching courses
Leadership and Management
Essential
- Effective team working and leadership skills, supported by MSF or WBAs
Desirable
- Effective leadership skills in and outside medicine (eg evidence of leading innovations or improvements)
- Evidence of interest in Health Care Leadership.
Person Specification
Qualifications
Essential
- Full GMC Registration and Licence to Practice
- Previous NHS Experience
- ALS / ATLS / PALS or APLS provider
- MBBS/MBChB or Equivalent
- Active experience in Emergency Medine UK Healthcare
- Should not hold a CCT, CESR in Emergency Medicine or be within 6 months of anticipated completion
Desirable
- Additional degree (intercalated, masters or doctorate)
- Post Graduatate Emergency Medicine Exam
- Anaesthetic/Intensive Care compentancies
- Clinical Paediatric Experience
Skills and Knowledge
Essential
- Pre-registration/foundation training, and at least three years in emergency medicine (with a minimum of one year in an NHS hospital or with equivalent experience from overseas) That of a mature, motivated and competent middle grade doctor
- Appropriate knowledge base, and ability to apply sound clinical judgement to problems
- Ability to work without direct supervision where appropriate.
- Ability to communicate professionally at all times with patients and staff at all levels.
Desirable
- Evidenced experience in Point-of-Care Ultrasound, and a clear timeline and plan to achieve independent competence.
- Evidence of skills in management of acute medical emergencies (e.g. ALS Instructor, ATLS, ETC. APLS)
- Demonstrable outcomes in ambulatory or emergency care service improvement
- Experience in management of frailty syndromes or development of frailty systems or pathways
Research
Essential
- Understanding of research, including awareness of ethical issues
- Knowledge of evidence-based practice
Desirable
- Evidence of involvement in a formal research project
- Evidence of relevant academic achievements, including publications / presentations
Quality / Service improvement and audit
Essential
- Awareness of the RCP Future Hospital Programme and understanding of the Chief Registrar Programme in relation to the implementation of the Future Hospital Commission's recommendations
- Participation in Clinical Governance activities
- Active involvement in QIP/audit, research or other activity that focuses on patient safety, clinical improvement or innovation
Desirable
- Evidence of completed audit/Quality improvement projects
- Prizes in QIP/Audit
Education and Teaching
Essential
- Evidence of interest in and experience of teaching
Desirable
- Higher qualification in teaching
- Development of teaching programmes
- Participation in delivering teaching courses
Leadership and Management
Essential
- Effective team working and leadership skills, supported by MSF or WBAs
Desirable
- Effective leadership skills in and outside medicine (eg evidence of leading innovations or improvements)
- Evidence of interest in Health Care Leadership.
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
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).
