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Trust Grade Doctor in Acute Medicine | Imperial College Healthcare NHS Trust

Job details
Posting date:	10 July 2024
Salary:	Not specified
Additional salary information:	£37,068 - £57,570 pa+ London Weighting
Hours:	Full time
Closing date:	10 August 2024
Location:	London, W2 1NY
Company:	IMPERIAL COLLEGE HEALTHCARE NHS TRUST
Job type:	Contract
Job reference:	6469582/290-TDPA-115

Summary

The post holders will be attached to Medicine for the Elderly for 6 months, during which time they will spend 4 months carrying out additional duties in General Medicine and 2 months gaining additional experience in Dermatology.

Please note, that we reserve ourselves the right to close this vacancy early if sufficient amount of applications will be received for this role.

The posts are approved for specialty training in General Practice. Ward-based clinical commitments of the post are based exclusively at St Mary’s Hospital.

1. Daily to review all patients admitted in their ward areas and to supervise the FY1 and FY2’s.

2. Provide medical cross-cover to the all patients in the elderly care department where necessary

3. To attend multidisciplinary meetings and lead these meetings in the absence of the consultant or registrar

4. To review daily, dermatology inpatients (in addition twice weekly ward rounds with the SpR and attend and present patients at a weekly at a weekly consultant ward round on a Thursday).

5. To attend Dermatology outpatient clinics as specified on the timetable.

6. To clerk in acute Dermatology admissions including organisation of investigations and handover to the on-call ward ST.

7. To cover the on-call Dermatology bleep every Thursday afternoon (SpRs at teaching). ST not expected to see patients but to hand over referrals to the SpR on Friday morning.

8. To take part in the General (Internal) Medical on call rota

9. To teach junior medical/paramedical staff and Year 3 and Year 5 medical students of Imperial College School of Medicine.

10. GP STs may be asked to work outside their work plan from time to time to ensure the above general duties are covered.

11. To participate in the educational activities of the department and the GP STS as outlined in the educational section above.

At Imperial College Healthcare you can achieve extraordinary things with extraordinary people, working with leading clinicians pushing boundaries in patient care. Become part of a vibrant team living our values - expert, kind, collaborative and aspirational. You’ll get an experience like no other and will fast forward your career. Benefitsinclude career development, flexible working and wellbeing, staff recognition scheme. Make use of optional benefits including Cycle to work, car lease schemes, season ticket loan or membership options for onsite leisure facilities.

The statutory requirement to be fully Covid-19 vaccinated as a condition of employment from April 2022 is subject to legislative review. At Imperial College Healthcare NHS Trust, we strongly encourage and support vaccination uptake as this remains the best line of defence against COVID19.The successful applicant may have contact with patients and service users and as part of our pre-employment checks and risk assessments, we will ask all candidates to confirm whether or not they have been fully vaccinated or have a medical exemption.

As part of our continued response to Covid19 we are still conducting the majority of our interviews virtually.

We are committed to equal opportunities and improving the working lives of our staff and will consider applications to work flexibly, part-time or job share. Please talk to us at interview.

Please add your description here.Minimum of 100 characters and maximum of 1500 characters, including spaces.

Rotational Workplans

Month 1&2

Month 3&4

Month 5&6

GPVTS A

Workplan 1:

Geriatrics (Thistle)

+/- GIM on-call

Workplan 2:

Dermatology

+ GIM on-call

Workplan 3:

Acute Frailty

+ GIM on-call

GPVTS B

Workplan 2:

Dermatology

+ GIM on-call

Workplan 3:

Acute Frailty

+ GIM on-call

Workplan 1:

Geriatrics (Thistle)

+/- GIM on-call

GPVTS C

Workplan 3:

Acute Frailty

+ GIM on-call

Workplan 1:

Geriatrics (Thistle)

+/- GIM on-call

Workplan 2:

Dermatology

+ GIM on-call

Work Plan1: Thistle SHO working on GIM on-call Rota (3rd on ST)

Thistle Wardhas 20 patients. New patients are transferred to the ward either from the medical admission wards or from outlying wards under the direction of the Medicine for the Elderly consultants, and are often handed over directly from the care of the Frailty teams. A comprehensive geriatric assessment/clerking for new patients is performed on arrival to the ward and then presented to the registrar/consultant. The ST does other ward work as needed and completes a Health Needs Assessment.

The nominal ward schedule is as follows (each ward will vary slightly):

· Monday. Consultant ward round followed by CMT teaching in the College Lecture Theater 13:00. 2pm MDT meeting which at least one junior doctor should attend with the Consultant to take notes/present patients at the team meeting.

· Tuesday. Registrar led ward round/but also split into smaller groups if well staffed so that STs/juniors have experience in leading the ward round. Departmental teaching from 1300-1400

· Wednesday. Morning ward round with registrar. Falls clinic in the afternoon (optional)

· Thursday. Registrar/junior led ward round. 13.15-XRay meeting on Teams.

· Friday.Consultant Ward Round with Grand round at lunchtime.

Acute Medical On Call Rota: There may be no out of hours work during this 2 month block, although ad-hoc and locum on-call shifts are likely to be available. When on-call, the SHO is the first or second on-call medical SHO on the Rota. First on-call attends patients referred via A&E from 9am. The SHO will be required to attend the post take ward round the next day and may be required for post-take duties all day. Second on-call attends patients in A&E in the afternoon/evening however they can be called sooner if required.

Monday

Tuesday

Wednesday

Thursday

Friday

AM

Ward Round

Consultant Ward

Round

Own Round / Ward Work

Ward round / Community Session

Consultant Ward

Round

13:00

CMT Teaching

Dept. Ed Meeting

Radiology Meeting

Grand Round

PM

MDM

Ward work

Falls Clinic

Ward work

Ward Work

Work Plan 2: Dermatology ST/General Internal Medicine (GIM) Rota

Acute Medical On Call Rota: The SHO is the first or second on-call medical SHO on the Rota. First on-call attends patients referred via A&E from 9am. The SHO will be required to attend the post take ward round the next day and may be required for post-take duties all day. Second on-call attends patients in A&E in the afternoon/evening however they can be called sooner if required.

Dermatology:

Dermatology commitments include:

· Paediatricclinic on Mondays (check with Registrar when this is happening)

· Biopsy clinic with registrar on Tuesday pm

· Thursday: general clinic (special clinic every third Thursday) followed by histopathology meeting, dermatology teaching and ward round. Then cover the dermatology registrar bleep in the afternoon whilst they go to teaching.

· Friday pm biopsy clinic

· Clerk/review any dermatology inpatients on a daily basis

Monday

Tuesday

Wednesday

Thursday

Friday

AM

0900-0930 Review inpatients

Paediatric Dermatology Clinic

0900-0930 Review inpatients

0900-0930 Review inpatients

0900-0930 Review inpatients

General Derm Clinic

0900-0930 Review inpatients

Lunchtime

Dermatology Departmental Teaching

Grand Round

PM

Referrals

Biopsy clinic /

Rapid Access Derm Clinic (Clinic B OPD)

HDR

Dermatology Consultant WR

Admissions / inpatient referrals

Biopsy clinic

This advert closes on Sunday 14 Jul 2024