Job summary
Applications are invited for a Clinical Fellowship programme embedded within a well-established, innovative and national leading ambulatory medicine department. The applicant would be one of a team of ten ambulatory fellows working in a well-resourced unit lead by a team of 18 consultants and a large experienced multidisciplinary team. This is an exciting opportunity for an energetic, forward thinking trainee who wishes to develop higher level clinical skills in a university teaching hospital and take full advantage of the links held with other Oxford institutions. The role would involve a mixture of banded clinical practise but also has two non-clinical days per week set aside where the candidate would be expected to gain experience in leadership, quality improvement, research, teaching and point of care ultrasound.
The post is aimed at senior medical doctors in training (ST3) and is designed around the needs of the modern medical registrar. It can be performed Out of Programme
Main duties of the job
The post is aimed at senior medical doctors in training (ST3 to ST5) and is designed around the needs of the modern medical registrar.
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
Successful applicants will develop a job plan in conjunction with a senior Fellowship supervisor which will compose:
60% (0.6WTE) Clinical Work: to include acute ambulatory care in the Ambulatory Assessment Unit, and subject to discussion with supervisor may involve activity in other acute and ambulatory medicine settings in the Trust
40% (0.4WTE) Leadership and Management Portfolio: to be decided in conjunction with supervisor according to applicant interests. Should include:
- Quality Improvement Methodology and Training
- Using OUH Quality Improvement toolkit
- In-house QI development programme with support in project design, data, change management and sustainability.
- Engagement wider multidisciplinary team in QI work
- Presentation of projects at the OUH QI forum
- A structured project relevant to ambulatory and acute medicine. The project will be developed in collaboration with Fellowship supervisors, with the successful applicant leading on project delivery. The project will be expected to be substantially delivered within the time period of the Fellowship, and submitted for dissemination at Trust, regional and/or national level.
- Completion of a formal qualification chosen in conjunction with Fellowship supervisor. Formal qualifications offered by partner institutions are encouraged though those provided by other organisations will be considered. The Fellowship will fund part or all of the qualification.
- Training in point of care ultrasound will be available and participation in this training is encouraged
- A number of portfolio research projects are run out of the ambulatory unit and the candidates would be expected to actively recruit patients to these studies as well as encouraged to take on a role of assistant principle investigator on one study. Further opportunities to undertake other research of the applicants choice in the department would be supported and encouraged.
Alongside their own project portfolio successful applicants will be expected to complement the other Fellowship programmes in research, education, innovation, digital health and informatics. Dedicated opportunities to participate in other departmental, divisional and executive processes will be available and encouraged. Support will be given from the consultant body as well as from key leaders within the Trust.
Job description
Job responsibilities
Successful applicants will develop a job plan in conjunction with a senior Fellowship supervisor which will compose:
60% (0.6WTE) Clinical Work: to include acute ambulatory care in the Ambulatory Assessment Unit, and subject to discussion with supervisor may involve activity in other acute and ambulatory medicine settings in the Trust
40% (0.4WTE) Leadership and Management Portfolio: to be decided in conjunction with supervisor according to applicant interests. Should include:
- Quality Improvement Methodology and Training
- Using OUH Quality Improvement toolkit
- In-house QI development programme with support in project design, data, change management and sustainability.
- Engagement wider multidisciplinary team in QI work
- Presentation of projects at the OUH QI forum
- A structured project relevant to ambulatory and acute medicine. The project will be developed in collaboration with Fellowship supervisors, with the successful applicant leading on project delivery. The project will be expected to be substantially delivered within the time period of the Fellowship, and submitted for dissemination at Trust, regional and/or national level.
- Completion of a formal qualification chosen in conjunction with Fellowship supervisor. Formal qualifications offered by partner institutions are encouraged though those provided by other organisations will be considered. The Fellowship will fund part or all of the qualification.
- Training in point of care ultrasound will be available and participation in this training is encouraged
- A number of portfolio research projects are run out of the ambulatory unit and the candidates would be expected to actively recruit patients to these studies as well as encouraged to take on a role of assistant principle investigator on one study. Further opportunities to undertake other research of the applicants choice in the department would be supported and encouraged.
Alongside their own project portfolio successful applicants will be expected to complement the other Fellowship programmes in research, education, innovation, digital health and informatics. Dedicated opportunities to participate in other departmental, divisional and executive processes will be available and encouraged. Support will be given from the consultant body as well as from key leaders within the Trust.
Person Specification
GMC
Essential
- Full GMC registration and licence to practise
Qualifications
Essential
- Be fit to practice
- Experienced in Acute medicine
- Should be ST4 and above
- Should not hold a CCT
- Satisfactory progress throughout training, including ARCP outcomes
Desirable
- Additional degree (intercalated, masters or doctorate)
Clinical Skills
Essential
- Clinical competency in own medical specialty appropriate for their stage in training
- Appropriate knowledge base, and ability to apply sound clinical judgement to problems
- Ability to prioritise clinical need
- Ability to maximise safety and minimise risk
- Ability to work without supervision where appropriate Demonstrable experience in ambulatory care
Desirable
- Demonstrable outcomes in ambulatory care
- Experience in management of frailty syndromes
- Evidence of skills in management of acute medical emergencies (eg ALERT, IMPACT certification, ALS Instructor)
Research
Essential
- Understanding of research, including awareness of ethical issues
- Understanding of research methodology
- Knowledge of evidence-based practice
Desirable
- Evidence of involvement in a formal research project
- Evidence of relevant academic achievements, including publications / presentations
Leadership and management
Essential
- Effective team working and leadership skills, supported by MSF or WBAs
- Self-awareness, with knowledge of personal strengths and weaknesses, impact and areas for development
- Interest in and knowledge of the importance of leadership and management for clinicians
Desirable
- Effective leadership skills in and outside medicine (eg evidence of leading innovations or improvements)
- Understanding of NHS management and resources
- Understanding of the local and national context in which the trust operates, including economic and political influences
Quality / Service improvement
Essential
- Understanding of clinical governance
- Active involvement in QIP/audit, research or other activity that focuses on patient safety and clinical improvement and innovation
- Interest in / knowledge of the delivery of safe, effective healthcare services
Desirable
- Evidence of completed audit/Quality improvement projects
- Evidence of learning about the principles of change management
- Insight into issues facing UK healthcare services
Education and Teaching
Essential
- Interest in and experience of teaching
- Evidence of excellent feedback on teaching
Desirable
- Teaching diploma or degree
- Development of teaching programmes
- Participation in teaching courses
Personal Skills
Essential
- Clarity in written and spoken communication
- Capacity to use logical/lateral thinking to solve problems/ make decisions, indicating an analytical/scientific approach and where appropriate, creativity in problem solving
- Capacity to manage/prioritise time and information effectively
- Ability to work effectively under pressure
- Capacity to manage conflicting demands
- Self-motivation, and resilience
- Initiative and ability to work autonomously
Desirable
- Leadership skills gained within the NHS or elsewhere
- Writing experience: - clinical and/or non-clinical topics - peer-reviewed publications and/or communication
- Evidence of achievements outside medicine
- Evidence of altruistic behaviour (e.g. voluntary work)
Person Specification
GMC
Essential
- Full GMC registration and licence to practise
Qualifications
Essential
- Be fit to practice
- Experienced in Acute medicine
- Should be ST4 and above
- Should not hold a CCT
- Satisfactory progress throughout training, including ARCP outcomes
Desirable
- Additional degree (intercalated, masters or doctorate)
Clinical Skills
Essential
- Clinical competency in own medical specialty appropriate for their stage in training
- Appropriate knowledge base, and ability to apply sound clinical judgement to problems
- Ability to prioritise clinical need
- Ability to maximise safety and minimise risk
- Ability to work without supervision where appropriate Demonstrable experience in ambulatory care
Desirable
- Demonstrable outcomes in ambulatory care
- Experience in management of frailty syndromes
- Evidence of skills in management of acute medical emergencies (eg ALERT, IMPACT certification, ALS Instructor)
Research
Essential
- Understanding of research, including awareness of ethical issues
- Understanding of research methodology
- Knowledge of evidence-based practice
Desirable
- Evidence of involvement in a formal research project
- Evidence of relevant academic achievements, including publications / presentations
Leadership and management
Essential
- Effective team working and leadership skills, supported by MSF or WBAs
- Self-awareness, with knowledge of personal strengths and weaknesses, impact and areas for development
- Interest in and knowledge of the importance of leadership and management for clinicians
Desirable
- Effective leadership skills in and outside medicine (eg evidence of leading innovations or improvements)
- Understanding of NHS management and resources
- Understanding of the local and national context in which the trust operates, including economic and political influences
Quality / Service improvement
Essential
- Understanding of clinical governance
- Active involvement in QIP/audit, research or other activity that focuses on patient safety and clinical improvement and innovation
- Interest in / knowledge of the delivery of safe, effective healthcare services
Desirable
- Evidence of completed audit/Quality improvement projects
- Evidence of learning about the principles of change management
- Insight into issues facing UK healthcare services
Education and Teaching
Essential
- Interest in and experience of teaching
- Evidence of excellent feedback on teaching
Desirable
- Teaching diploma or degree
- Development of teaching programmes
- Participation in teaching courses
Personal Skills
Essential
- Clarity in written and spoken communication
- Capacity to use logical/lateral thinking to solve problems/ make decisions, indicating an analytical/scientific approach and where appropriate, creativity in problem solving
- Capacity to manage/prioritise time and information effectively
- Ability to work effectively under pressure
- Capacity to manage conflicting demands
- Self-motivation, and resilience
- Initiative and ability to work autonomously
Desirable
- Leadership skills gained within the NHS or elsewhere
- Writing experience: - clinical and/or non-clinical topics - peer-reviewed publications and/or communication
- Evidence of achievements outside medicine
- Evidence of altruistic behaviour (e.g. voluntary work)
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).
