Job responsibilities
JOB SUMMARY:
The existing Emergency
Department staff pride themselves on providing high quality shop floor
clinical presence, together with high standards of education, training,
research and audit. The post holders will work in close co-operation with
nursing, managerial and medical colleagues to provide high quality healthcare
to the Trusts patients.
Integral to the responsibilities of the post are
the following requirements:
To provide a first class clinical service to our patients
To supervise and teach junior clinical staff
To participate in the teaching, research, audit
and governance programmes within the Department
To develop professionally and take part in all service development
To take part in all development
and appraisal processes.
The Post
The post holder will work
with colleagues to ensure middle grade cover 24/7 in the Emergency Department.
A formal job plan will be agreed between the appointee and the Clinical
Director at the commencement date of the appointee.
The 10+2 =12 PA contract
consists of 11 Direct Clinical Care and one professional development (SPA). The
post holder will be expected to show evidence of effective use of the SPA to
develop him/her self or service in the department. The post holder will provide
twenty four hour middle grade cover which includes weekend and night working.
The rota is complaint and is self rostered in line with current RCEM
recommendations to facilitate work life balance in EM.
When
fully staffed, the clinical work will include 1 in 3 weekend work and some
night duties (an average of around four nights every month approximately 1 in
7 nights work). Currently there are 20 middle grade doctors with scope for
further expansion.
The post holder will have
direct consultant support from 09:00-23:00 weekdays and 08:00-17:00 on
weekends. There are daily CDU Consultant led ward rounds and ambulatory care
clinics which the post holder will be expected to run and participate in.
The
post holder will participate in the teaching and training of medical staff
within the department as well as the undergraduate teaching of medical
students, elective students & undergraduates.
There is a weekly middle
grade teaching programme. Study, and other, leave entitlement is as found in
Trust policies. The Speciality Doctors are expected to attend Trust mandatory
training, have annual appraisals and updated development plans.
The directorate is supportive
towards professional development of Speciality Doctors. We are keen to support
non-trainee doctors to progress their Emergency Medicine careers by offering
quality training opportunities and exam preparation. We endeavour to do this
with the development of internal training programmes including inter-specialty
rotations. This will ensure doctors gain the skills and competencies required
to advance in the Emergency Medicine field. Our Consultant group consist of
Educationalists, College Examiners & Deanery TPDs, all of whom would
contribute to the development & progression of the post holders career.
Post holders will have equal standing to ED Trainees within the Dept.
Management experience & exposure will be encouraged & fostered through
scheduled meetings with a designated Educational Supervisor.
We are able to facilitate formalised
inter-specialty secondments in:
Anaesthetics/Intensive Care (ICU)
Acute Care Medicine
Emergency Surgery
Trauma and Orthopaedics
Paediatric emergency medicine
Medical Education/Simulation Training
General Medicine (various specialties)
Management and medical leadership training
Ambulatory care medicine
Ultrasound training beyond level 1
The post holder will
participate in the Education and Training, Clinical Audit, Quality improvement,
Clinical Risk Management and the Clinical Governance activities of the
Department and the Trust and ensure full and proper records are completed for
this purpose. An expected outcome post will be entry to the Specialty Register
through successful completion of FRCEM via the CESR / MG route.
The above duties and
responsibilities are intended to represent current priorities and are not meant
to be a comprehensive list as the role will inevitably vary and develop over
time. You may from time to time be asked to undertake other reasonable duties;
however any changes will be made after discussion with you in the light of the
service needs.
Clinical
The post holder will be expected to share
responsibility for the delivery of high quality care to the patients presenting
to the Emergency Department
To examine and treat patients in the Emergency
Department
To manage patients admitted to the Clinical
Decision Unit and perform ward rounds and other supporting work as required
To complete review clinics, managing cases of
soft tissue injury, wounds, burns etc.
To support the clinical decision making of all
medical and nursing clinicians within the Department
Teaching/Training
(as agreed with Educational Supervisor)
To participate in the under- and post-graduate
medical teaching programme
To participate in the teaching programme for
nursing staff
To participate in the teaching programme for
Emergency Nurse Practitioners
Audit /
Governance / Safety
To liaise with other departments and services as
required
To promote evidence based practice
To develop and review guidelines related to
Emergency Medicine
To change own and others clinical practice in
response to new clinical developments
To respond appropriately to complains and
critical incidents, including investigation and developing action plans to
prevent recurrence
To be involved in all aspects of risk management
in the Department
To remain up to date and engaged in CPD as per
CEM guidelines
Clinical
Governance
To undertake all work in accordance with Trust procedures and operating policies
To attend accredited conferences and meetings to
update personal level of clinical practice, teaching and management skills in
line with CME requirements
To participate in an annual Job Planning Review
process
To participate in the Trusts annual appraisal
process
To adhere to all Trust Policies
Management (as
agreed with Educational Supervisor)
The post holder will be expected to take
responsibility for certain day-to-day management activities such are reviewing
abnormal X-ray results and acting on them, etc.
Teamwork
To work within the Emergency Department team and
accept the framework of team decisions
To work within the wider health community,
particularly with all agencies related
To show initiative, enthusiasm and flexibility
Accountability
The post holder will be immediately accountable
to their educational supervisor and through them to the Clinical Director. The
post holder will be expected to undertake yearly appraisal as per Royal College
of Emergency Medicine / GMC guidelines and to respond to any identified
development needs
Major Incident
Procedure
All medical staff may be
required to perform duties outside their normal sphere in the event of a major
incident in which The Hospital is the designated or supporting
hospital, or is in any other way involved. All medical staff of the grade Registrar
or above should particularly make themselves familiar with the Major Incident
Procedure and with any specific role by virtue of their appointment they may be
called upon to undertake.
The junior doctor accepts
that he will also perform duties in occasional emergencies and unforeseen
circumstances at the request of the appropriate Consultant, in consultation
where practicable with his colleagues both senior and junior. It has been agreed
between the professions and the Department that while junior accept that they
will perform such duties, the Secretary of State stresses that additional
commitments arising under this sub-section are exceptional and in particular
that juniors should not be required to undertake work of this kind for
prolonged periods on a regular basis.
