Consultant in Emergency Medicine

Job responsibilities

Background

This post is part of a strategy to provide increased consultant cover from 08:00 01:00 and overnight 20:00-08:00 7-days per week in the Emergency Department.

Principle Elements of the Post

• Participate in the delivery of high quality Consultant led shop floor clinical care for the Emergency Department.
• To provide on-call cover and cover for Major Incidents
• Ensure high clinical standards are met through structured supervision of Specialist Registrars, Junior Doctors, Emergency Care Practitioners and Advanced Nurse Practitioners
• To deliver and promote excellence in teaching of medical students, paramedics, doctors, nurses and Emergency Nurse Practitioners
• To actively support and promote a culture of high quality patient care through multi-disciplinary Clinical Governance, audit activities and quality improvement projects
• Actively engage in the non-clinical and administrative work that underpins excellence in clinical care
• To act in a way that is consistent with UHLs five values
• To work with the Clinical Governance team to enhance patient safety
• To support and oversee the placement of students in the department and act as a clinical teacher
• To facilitate delivery of undergraduate teaching as directed by the departmentalundergraduate education lead

Job Plan

The job plan will be subject to annual review, with any revisions sought by mutual agreement but it is expected that the successful candidate will work with the ED management team to ensure that services are delivered efficiently and reflect best practice with processes and governance to match - this may require new and flexible ways of working in the future.

The Emergency Department rota is annualised therefore there is not a weekly pattern. Annual, professional and study leave is allocated as per new Consultant contract, and generates a shift total over rota cycles of 16 weeks. On call duties will be roughly1:16 depending on vacancy factor, with up to 1:6 weekends as a minimum. The rota is based on our funded establishment of 31.32WTE Consultants.

The department is working towards an overnight Consultant working model to support the trainees and demand overnight. Flexible working will be considered. The department works on an annualised rota providing flexibility.

The appointment will be whole time. Any Consultant who is unable for personal reasons, to work whole time, will be eligible to be considered for the post. If such a person is appointed, modification of the job content will be discussed on a personal basis in consultation with Consultant colleagues.

Work Programme:

Outline Job plan- Example only

DCC present in ED clinical areas

7.5

Admin / Teaching / CPD (SPA)

2.5

TOTAL PROGRAMMED ACTIVITIES

10.0

Given our current establishment levels, it is anticipated that there will be opportunity for the successful candidate to contract for additional programmed activities in the Emergency Department on a temporary basis, up to the maximum level consistent with the Working Time Regulations (i.e. 12 PAs maximum), through discussion and mutual agreement.

This post will be an RCEM approve post with a job plan designed to deliver high quality care, leadership and teaching.

Your normal place of work will be as discussed at interview and will be confirmed in Section 1 of your contract but you may be required to work in other locations of the Trust. In particular, flexibility is required across the three main Hospital sites (Leicester Royal Infirmary, Leicester General Hospital, Glenfield Hospital). If your initial location is based at one of these sites, excess travel reimbursement will not apply for a permanent/temporary change to base.

Education: Teaching and Training

All Consultants are expected to contribute to teaching and training of undergraduate students and postgraduate trainees as part of their role as a Consultant in UHL.

Consultants will normally have undergraduate medical students placed with them during clinical duties and are expected to teach alongside clinical service work. Similarly, Consultants will normally be involved in clinical supervision of postgraduate trainees working within UHL.

Medical students based at the University of Leicester follow a standard 5 year programme. The teaching of undergraduate students in UHL reflects the Divisional structure of the Trust. Undergraduate medical students are taught by UHL throughout the medical course from years 1 to 5. Both ward and outpatient based clinical teaching, as well as tutorial and lecture style teaching is undertaken.

Some Consultants will choose to take on additional undergraduate and/or postgraduate education and training responsibilities. This activity will be specific, identifiable, evidenced, recognised and appraised. Such additional teaching and training activity will be recognised within their SPA allowance.

Those undertaking specifically agreed additional undergraduate teaching duties recognised as part of the SPA allowance (up to 0.5SPA) within their job plan may be recognised as Clinical Teachers http://www2.le.ac.uk/colleges/medbiopsych/people/documents/clinical-teachers-guidance;https://www2.le.ac.uk/departments/msce/clinical-teaching/clinical-teaching . This teaching can occur in different settings. The clinical teacher will be expected to show evidence of satisfactory performance in this role at appraisal.

Enhanced undergraduate duties will include acting as examiners in medical school assessments, providing occasional seminar and small group teaching, lecturing & other Phase 1 teaching within the medical curricula, in addition to individual supervision of clinical students attached to them.

Those who have an additional significant responsibility as a block or clinical education lead within their DCC time are also considered for the award of the title of honorary senior lecturer.

Enhanced postgraduate duties will include acting as an Educational supervisor for Foundation or Specialty trainee, UHL Divisional Education governance lead, Contributing to recognised postgraduate-teaching courses in UHL, e.g. Specialty Training programmes or involvement in recruitment of trainees, e.g. interviews for Specialty training, recruitment to Foundation programmes.

Qualifications

Essential

• Completed or within 6 months of CCT
• GMC registered
• MB BS or Equivalent
• FCEM or equivalent, provider status for life support courses eg APLS, ALS, ATLS

Desirable

• Membership of RCEM and other professional bodies affiliated to Emergency Medicine

Management

Essential

• Willingness to work in a cohesive manner as a member of the team and shared philosophy
• Evidence of completed projects led by the applicant
• Evidence of completed projects led by the applicant
• Capacity to manage/prioritise time and information effectively; capacity to organise own workload.
• Knowledge of clinical governance issues

Desirable

• Demonstration of previous successful leadership at senior level
• Management training on an accredited course

Communication Skills

Essential

• Clear, fluent and articulate in Written English
• To be empathic and sensitive; capacity to take others perspectives and treat others with understanding

Desirable

• Leadership skills

Teaching

Essential

• oDemonstrate enthusiasm and commitment to teaching.
• oInterest in clinical education
• Experience of, and commitment to teaching postgraduates
• Enthusiastic and ability to inspire others

Desirable

• Past experience of medical education.
• Willingness to develop new approaches to teaching
• Higher qualification in medical education.
• Ability to lead others and deliver change.

Experience

Essential

• Experience of working as part of a large, multidisciplinary team including those involved in caring for older people
• Experience of working in UK Emergency Departments
• Clinical Knowledge and Expertise: Appropriate knowledge base and ability to apply sound clinical judgment to problems; demonstrates clear, logical thinking/analytical approach; understands evidence based practice
• Willingness to develop skills and experience in areas of interest

Audit and Research

Essential

• Experience in, and commitment to medical audit.
• Understanding and interest in research relevant to older people.
• Ability to appraise research critically
• Ability to supervise juniors undertaking research projects.

Desirable

• Evidence of improvement of service delivery in previous posts
• Undergone training in teaching and willingness to organise relevant audit activities.
• Evidence of recent research and development activity

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).