International Clinical Fellow in Anaesthetics (MTI)

Job responsibilities

This job description reflects the present requirements and objectives of the post; it does not form part of your contract of employment. As the duties of the post change and develop, the job description will be reviewed and will be subject to amendment, in consultation with the post holder.

Duties of the post include:

• Pre-operative assessment, management of pre-medication of patients scheduled to undergo routine and emergency surgery
• Administration of anaesthesia (local and general)
• Post-operative assessment and management of postoperative problems in conjunction with surgical colleagues
• Administration of epidurals and general anaesthetics for the obstetric department.
• Deliver ICU-based care on the Department of Critical Care. Escalate to on-call ICM consultant when situation is out with post holders skill and knowledge set. Review of DoCC patients on twice daily ward rounds along with review and assessment of deteriorating patients in ED and wards (including paediatrics). To assist ad work closely with the trust rapid response tea
• Transfer of level 3 patients both within the trust and between hospitals for time-critical treatment
• Communicate effectively with fellow medical staff, nursing and all members of the multi-disciplinary team. Deliver compassionate, accurate and timely information to patients and their relatives
• Participation in the 1 in 8 or 1 in 9 on-call rota. This rota is shared with trainees in ICM and anaesthetics from the Oxford deanery, and Trust Doctors locally. Cover will be provided to ICM, obstetrics and theatres
• Sharing supervision of junior anaesthetists when covering emergency out of hours work with the on-call Consultant Anaesthetist.
• To participate in annual appraisal and job plan reviews
• The post holder will be required to undertake educational activities and support both personal and Trust CME/CPD. As a MTI (medical training initiative) trainee, they will be expected and supported to undertake training and accreditation as detailed by the RCoA.
• Due responsibility for arranging leave after prior discussion and agreement with the doctor responsible for maintaining the rota and with permission from the supervising Consultant and Clinical Director.
• The post holder will be expected to share fully in all aspects of the work of the department, including the formal and informal teaching of junior staff members and training of medical nursing and paramedic staff.
• The post holder will be expected to share fully in the audit and quality improvement activities of the department and to attend the monthly audit meetings.
• Direct line communications of disputes, distress or need to work outside routine must be cleared/ approved by the Clinical Director or in their absence, the Clinical Tutor

Please refer to the Job Description and Person Specification for further details

MTI Scheme Eligibility (set by Royal College)

Essential

• provide evidence of living in one of the MTIeligible countries for the last 12 months. We will only consider you if you live in DFID countries or Low Income, Lower Middle Income. If you live in an Upper Middle Income country we may consider you for MTI, but priority will be given to applicants from DFID and low and middle income countries
• provide Evidence of at least three years within the last five years anaesthesia/ICM training outside of the UK and European Union
• provide evidence of a postgraduate qualification acceptable to the College;
• have your postgraduate qualification (along with your Primary Medical degree) verified by the Educational Commission for Foreign Medical Graduates
• must not have British or European citizenship (including dual national status)
• provide a written statement of intend to return to their home country upon completing the MTI post in the UK
• not be in possession of any part of PLAB or have attempted to sit it (Please see below for further details)

MTI Scheme Eligibility (set by GMC)

Essential

• have a basic medical qualification acceptable to the GMC
• have completed at least one year in an internship post (pre-registration House Officer)
• have been qualified as a doctor for at least three years
• have your qualifications verified by the Educational Commission for Foreign Medical Graduates. More information can be found on the GMC website
• provide evidence of being engaged in medical practice for a minimum three years out of the last five years outside of the European Union, including the most recent 12 months
• provide evidence of good standing from the applicant's local Medical Regulatory Council
• demonstrate knowledge of English by obtaining an overall score of 7.5 (with minimum scores of 7.0 in each section) in speaking, listening, reading and writing in the 'Academic' test of the International English Language Testing System (IELTS), or a minimum grade 'B' in each testing area (speaking, listening, reading and writing) in the Occupational English Test (OET). Please note IELTS and OET certificates are valid for only two years
• must not have previously failed any part of the PLAB Test.

PLAB and MTI Eligibility

Essential

• a candidate who has sat and passed part 1 of PLAB over five years ago would be considered for MTI
• a candidate who has sat and passed part 1 of PLAB between four and three years ago would be considered providing that they provide a satisfactory reason for the change in route to GMC registration
• a candidate who has sat and passed part 1 of PLAB within the last three years would not be accepted for MTI.

Criteria for Overseas Qualification acceptable for MTI scheme

Essential

• the postgraduate qualification must be in anaesthesia, pain medicine or intensive care medicine
• the minimum duration of the course leading to this qualification is two years
• the candidate or institution should be able to provide the RCoA with a curriculum covering the training leading to the qualification
• the qualification must be recognised by a university or health authority in the country of origin
• the candidate must have completed the qualification and produce a certificate from relevant authority
• if a qualification has more than one part, the candidate must have successfully completed all parts
• if the parent country recognises first part as a separate qualification in its own right, the qualification may be acceptable provided the curriculum is acceptable and the minimum duration of training leading to that qualification is two years

Clinical skills

Essential

• Acute care safe: it is expected that the postholder should be acute care safe. This can be demonstrated by an upto-date ALS certificate or equivalent.
• Capacity to apply sound clinical knowledge relevant to the job.
• Minimum of 5 years experience of anaesthetics in an acute care setting including elective and emergency work.
• Experience of obstetrics anaesthesia including epidural analgesics
• experience in making clinical decisions and managing risk. Knows when to seek help, able to prioritise clinical need
• Shows aptitude for practical skills, required in the job.
• Proven ability to work effectively in different clinical settings required in the job.

Specialty specific skills related to the post

Essential

• The ability to undertake pre-operative assessment, obtain consent for anaesthetic procedures and prescribe premedication.
• Be responsible for the routine induction, maintenance and recovery from general anaesthesia of ASA grade I or II patients and their safe discharge.
• Understand the safe use or anaesthesia equipment and the use, interpretation and limitations of monitoring equipment.
• The ability to recognise ASA III, IV and V patients, understand the difficult intubation and the timing and the need to call for senior help.
• The ability to assess, resuscitate and manage a trauma patient, and when necessary to stabilise the patient and prepare for transfer.
• The ability to resuscitate a patient following a respiratory or cardiac arrest to the standards set by the Resuscitation Council (UK) and to describe the management of critical incidents.
• Ability to establish and manage sub-arachnoid and epidural blockage and some simple peripheral nerve blocks.
• Understand the implications of pregnancy, childhood (above age of 5), old age and infectious diseases in the pre, intra and postoper ative periods.
• Understand the principles of intensive and high dependency care, and which groups of patients can benefit from them.
• Understand the safe use of anaesthetic and other drugs with regard to possible drug errors.

Clinical Governance

Essential

• Track record of engaging in clinical governance: reporting errors, learning from errors
• Capacity to be alert to dangers or problems. Demonstrates awareness of good decision making.
• Aware of own limitations.

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).