Job summary
We are looking to appoint a clinical fellow (ST3 equivalent) in Acute Medicine on a full-time fixed-term service appointment until March 2024.
The successful candidate will be responsible for assisting, as well as supervising the Foundation Year 1 Trainees and Foundation Year 2 Trainees in the management of patients in Acute and General Medicine.
He or she will be expected to take an active part in the management of acute admissions according to the pre-determined shift pattern.
The appointee will participate in a Full Shift system.
Please see attached Job description & personal specification
Main duties of the job
The successful applicant will join the General Medical Team and
will be clinically responsible to Dr Banim (Assistant Medical Director).
The successful candidate will be responsible for assisting, as well
as supervising the Foundation Year 1 Trainees and Foundation
Year 2 Trainees in the management of patients in Acute and
General Medicine.
He or she will be expected to take an active part in the
management of acute admissions according to the pre-
determined shift pattern.
It is expected, according to identified training needs, that the post
holder will be encouraged to develop specialty skills/interests
according to the current G(I)M curriculum.
The appointee will participate in a Full Shift system including day
and night on-call commitment. This is on a 1 in 16 basis
About us
The Trust provides comprehensive acute care for the population of Great Yarmouth, Lowestoft and the South Waveney area and for many visitors to the area. This acute care provided from the James Paget University Hospital site at Gorleston is supported by other community services at the Newberry Centre, Kirkley Rise North Lowestoft, Lowestoft Hospital and outreach clinics. The Trust serves a population of approximately 230,000, with 500 beds, 3,370 members of staff, both full and part time and a budget of £129 million per annum. We are a University Hospital with a medical school; training the next generation of health professionals and developing research.
Job description
Job responsibilities
Acute Medicine
We have a dynamic team within Acute Medicine. EADU has been significantly redeveloped recently to place more emphasis on ambulatory care and acute clinics. The award winning AmbU service uses point of care testing and early consultant review to achieve an average stay length of 110 minutes.
The EADU is a 34-bedded unit encompassing 2 high dependency (level 2) bays (totalling 8 patients), 4 level 1 bays and 4 side rooms. We manage most non-invasive ventilation at initiation and use ward-based OptiflowTM for many of our patients in these bays.
There is consultant presence on the EADU 08:00-20:00 7 days per week; including two consultants until 13:00 every day. The average number of medical admissions through this unit is around 40 per 24 hours.
The EADU services are the essential part of the emergency patients journey.
EADU has two point-of-care ultrasound machine. We encourage the use of ultrasound in emergency medical care.
The unit is also a very important area for the teaching, training and assessment of Junior Doctors as well as an important area for the teaching and training of Medical Students and other staff.
We are very proud of our purpose-built Ambulatory Unit and take referrals from GPs and ED, directly streamed patients from ED and direct referrals from Paramedics. We see a large range of ambulatory patients in this unit; amounting to a further 40 patients per day. We manage our outpatient intravenous antibiotic service through this unit as well as the venous thromboembolism (VTE) service. We utilise point of care testing to fast-track patient care. The Ambulatory Unit has consultant presence 09:00-17:00 Monday to Friday. We are looking to extend this to the weekend as our numbers expand. The unit itself is open 08:00-20:00 7 days per week.
The Short Stay Medical Unit moved down to the Emergency Footprint in 2016. This 22-bedded unit encompasses 6 side rooms and has the capability to isolate cases of infectious diseases, most recently COVID-19 infections. The Acute Medical Team run the Short Stay Medical Unit and staff it at consultant level on a two-week rotation. There is consultant presence every morning 09:00-13:00 which facilitates a rapid diagnostic-treatment pathway. Our previous average length of stay in this unit was 2.9 days.
The James Paget University Hospital operates a Hospital at Night team, the aim of which is to provide a safe and supported framework to optimise patient care and junior doctor supervision. The Hospital at Night team relies on generic working of team members. This means that a team of doctors and nurses will have appropriate skills as a whole to manage most problems arising overnight. Hospital at Night covers five specialties: Medicine, Surgery, Urology, Orthopaedics, ENT and Obstetrics & Gynaecology. The EADU takes a central role in the Hospital at Night Programme.
Job description
Job responsibilities
Acute Medicine
We have a dynamic team within Acute Medicine. EADU has been significantly redeveloped recently to place more emphasis on ambulatory care and acute clinics. The award winning AmbU service uses point of care testing and early consultant review to achieve an average stay length of 110 minutes.
The EADU is a 34-bedded unit encompassing 2 high dependency (level 2) bays (totalling 8 patients), 4 level 1 bays and 4 side rooms. We manage most non-invasive ventilation at initiation and use ward-based OptiflowTM for many of our patients in these bays.
There is consultant presence on the EADU 08:00-20:00 7 days per week; including two consultants until 13:00 every day. The average number of medical admissions through this unit is around 40 per 24 hours.
The EADU services are the essential part of the emergency patients journey.
EADU has two point-of-care ultrasound machine. We encourage the use of ultrasound in emergency medical care.
The unit is also a very important area for the teaching, training and assessment of Junior Doctors as well as an important area for the teaching and training of Medical Students and other staff.
We are very proud of our purpose-built Ambulatory Unit and take referrals from GPs and ED, directly streamed patients from ED and direct referrals from Paramedics. We see a large range of ambulatory patients in this unit; amounting to a further 40 patients per day. We manage our outpatient intravenous antibiotic service through this unit as well as the venous thromboembolism (VTE) service. We utilise point of care testing to fast-track patient care. The Ambulatory Unit has consultant presence 09:00-17:00 Monday to Friday. We are looking to extend this to the weekend as our numbers expand. The unit itself is open 08:00-20:00 7 days per week.
The Short Stay Medical Unit moved down to the Emergency Footprint in 2016. This 22-bedded unit encompasses 6 side rooms and has the capability to isolate cases of infectious diseases, most recently COVID-19 infections. The Acute Medical Team run the Short Stay Medical Unit and staff it at consultant level on a two-week rotation. There is consultant presence every morning 09:00-13:00 which facilitates a rapid diagnostic-treatment pathway. Our previous average length of stay in this unit was 2.9 days.
The James Paget University Hospital operates a Hospital at Night team, the aim of which is to provide a safe and supported framework to optimise patient care and junior doctor supervision. The Hospital at Night team relies on generic working of team members. This means that a team of doctors and nurses will have appropriate skills as a whole to manage most problems arising overnight. Hospital at Night covers five specialties: Medicine, Surgery, Urology, Orthopaedics, ENT and Obstetrics & Gynaecology. The EADU takes a central role in the Hospital at Night Programme.
Person Specification
Education and Qualifications
Essential
- MBBS or equivalent
- MRCP
- Full GMC registration and hold a current license to practice
- ALS
Experience & Knowledge
Essential
- Current employment in a UKFPO-affiliated Foundation Programme or evidence of achievement of foundation competencies.
- Appropriate knowledge base and ability to apply sound clinical judgement to problems
- Recognition of and ability to undertake the initial management of an acutely ill patient
Desirable
- Shows aptitude for practical skills, e.g. manual dexterity
Key Skills
Essential
- Able to establish good working relations with patients, carers and multidisciplinary colleagues
- Computer literate
Other
Essential
- Understands the principles of patient confidentiality and data protection
- Eligibility to work in the UK
Person Specification
Education and Qualifications
Essential
- MBBS or equivalent
- MRCP
- Full GMC registration and hold a current license to practice
- ALS
Experience & Knowledge
Essential
- Current employment in a UKFPO-affiliated Foundation Programme or evidence of achievement of foundation competencies.
- Appropriate knowledge base and ability to apply sound clinical judgement to problems
- Recognition of and ability to undertake the initial management of an acutely ill patient
Desirable
- Shows aptitude for practical skills, e.g. manual dexterity
Key Skills
Essential
- Able to establish good working relations with patients, carers and multidisciplinary colleagues
- Computer literate
Other
Essential
- Understands the principles of patient confidentiality and data protection
- Eligibility to work in the UK
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.
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).
Additional information
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.
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).
