Speciality Doctor in Stroke Medicine

Job responsibilities

The Post holder could expect to cover the following duties:

Management of inpatients on the 43-bed Stroke Unit at RBH including Hyper Acute Stroke patients

Attend and participate in TIA and Stroke outpatient clinics and the Neurovascular SDEC once it is established.

Participate in the Stroke Ambulatory service.

Support to Early Supported Discharge service.

Participate in the weekend HASU rota at 1 in 8 frequency

• Clinical administration, included in the sessional time allocation expected to be approx.1 DCC per week
• Other duties as may be identified to meet the needs of the service
• Cover for colleagues during periods of absence.
• Support in-patient care in conjunction with departmental colleagues.
• Teaching duties as required and take an active part in the Postgraduate Medical Education programme and in the teaching of junior medical & nursing staff, General Practitioners, and other clinical professions.
• Take part in department, regional and national audits.
• Management and development of the service using Quality Improvement Methodology.
• Domiciliary visits where agreed appropriate

If desired developing a research portfolio with Bournemouth University could be facilitated.

ON CALL

There will be opportunities to develop skills in thrombolysis and thrombectomy decision making and work towards participation in the on-call thrombolysis rota if desired.

The weekend work consists of a hyper acute Ward Round on site and supervision of a TIA clinic (on site or remote).

TEACHING

There is an active postgraduate programme. There are daily educational lunchtime meetings for Stroke, Medicine for Older People, Neuroradiology, and all physicians take part in the Thursday or Friday Grand Round (site dependent). There is a rolling programme of education for Core Medical Trainees and Foundation doctors. Both sites host the WESTEC training programme for Specialist Registrars in Geriatric medicine in Wessex once or twice a year.

There are formal postgraduate teaching programmes for the MRCP and the Royal Bournemouth Hospital is an MRCP Part II examining centre. Undergraduates from Southampton Medical School attend for their medical attachments and we also receive many elective students from within the United Kingdom and other parts of Europe.

There are close links with the departments of Medicine and Geriatric Medicine at Southampton University and there is close co-operation over matters of teaching and research.

The Trust takes the training of training and non-training grade doctors very seriously, with time set aside for all aspects of specialist training including health service management. Doctors are provided with support and resources to pursue research, including one half day per week free of clinical work.

RESEARCH

Stroke research is highly active, supported by dedicated whole time equivalent research nurses, funded by NHS R&D funds. The department recruits to a broad range of trials, including prevention, acute care, rehabilitation, and community care.

The wider department of Medicine for Older People also has an active research programme.

The appointee will be encouraged to pursue research and to act as Principle Investigator in selected NIHR trials.

CLINICAL GOVERNANCE AND AUDIT

There is a robust and workable framework for Clinical Governance and Audit. There are Departmental Mortality and Morbidity meetings, stroke performance and quality meetings as well as the wider Directorate and Trust governance.

POSTGRADUATE MEDICAL EDUCATION

There is a Postgraduate Centre at the Royal Bournemouth Hospital and Poole Hospital. The successful candidate will be expected to provide teaching for the doctors in training in their department. He/she will be expected to share with Consultant colleagues the role of Educational Supervisor. This will involve the provision of supportive formal appraisals to doctors in training at regular intervals, induction at the beginning of their contracts and career advice as appropriate. Advice on the role of Education Supervisor can be obtained from the Clinical Tutor. There are exceptional libraries based in the Postgraduate Centres of both Bournemouth and Poole and meetings of general and specialist medical content are held regularly during the week. There is an active Medical Audit Committee supervising Medical Audit within the Hospital. The Dorset Research and Development Unit (RDSU) is based within Poole Hospital.

Qualifications

Essential

• MB BS or equivalent

Desirable

• Additional Postgraduate qualification

Eligibility

Essential

• Shall have completed at least four years' full-time postgraduate training (or its equivalent gained on a part-time or flexible basis) at least two of which will be in a specialty training programme in a relevant specialty or as a fixed term specialty trainee in a relevant specialty or shall have equivalent experience and competencies.
• Eligible for full registration with the GMC at time of appointment.
• Evidence of achievement of Foundation competencies by time of appointment in line with GMC standards in Good Medical Practice including: ogood clinical care omaintaining good medical practice ogood relationships and communication with patients ogood working relationships with colleagues ogood teaching and training oprofessional behaviour and probity odelivery of good acute clinical care
• Evidence of achievement of ST1/CT1 competences in general/geriatric/stroke medicine (or equivalent) at time of application and likelihood of achieving ST2/CT2 competences in general/geriatric/stroke medicine by the start date of the post.
• Eligibility to work in the UK.

Desirable

• MRCP

Fitness to Practice

Essential

• Applicant's knowledge is up to date and fit to practise safely

Language Skills

Essential

• All applicants to have demonstrable skills in written and spoken English that are adequate to enable effective communication about medical topics with patients and colleagues, which could be demonstrated by one of the following: oapplicants have undertaken undergraduate medical training in English oapplicants have scores in the academic International English Language Testing System (IELTS) or equivalent equal to those required for recruitment to MMC specialty training programmes.

Clinical Skills

Essential

• Stroke Medicine clinical knowledge: capacity to apply sound clinical knowledge relevant to the job,
• Clinical judgement: experience in making clinical decisions and managing risk. Knows when to seek help, able to prioritise clinical need.
• Practical skills: shows aptitude for practical skills, required in the job.
• Proven ability to work effectively in different clinical settings required in the job.

Desirable

• Experience in stroke medicine including acute assessment of stroke and TIA, NIHSS accreditation

Personal Skills

Essential

• Team working: demonstrated experience working in a team, values the input of other professionals in the team.
• Managing others & team involvement: capacity to work co-operatively with others and demonstrate leadership when appropriate. Capacity to work effectively in multi-professional teams.
• Coping with pressure: capacity to operate under pressure. Demonstrates initiative and resilience to cope with setbacks & adapt to rapidly changing circumstances.
• Problem solving & decision making: capacity to use logical/lateral thinking to solve problems & make decisions.
• Organisation & planning: capacity to organise oneself and prioritise own work. Demonstrates punctuality, preparation and self-discipline. Understands importance of information technology.
• Flexible approach to work: able to adapt and work with employers to deliver improved patient care.
• Equality and diversity: promotes equality and values diversity.

Probity

Essential

• Professional integrity and respect for others: capacity to take responsibility for own actions and demonstrate a non-judgmental approach towards others. Displays honesty, integrity, awareness of confidentiality and ethical issues.

Commitment to ongoing professional development

Essential

• Learning and personal development: demonstrates interest in the specialty required for the job. Demonstrates a commitment to maintaining professional skills and knowledge relevant to the job
• Demonstrates a willingness to fully engage in appraisal. Self-awareness and ability to accept and learn from feedback.

Communication Skills

Essential

• Effective communication skills: demonstrates clarity in written/spoken communication and capacity to adapt language as appropriate to the situation.
• Empathy and sensitivity: capacity to listen and take in others' perspectives.
• Works in partnership with patients: always considers patients preferences when discussing treatment options. Always considers the full impact of clinical decisions on the patients, Practice shared decision making. Directs and supports patients to access the information they need to support decision making.

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).