West Suffolk NHS Foundation Trust

Clinical Fellow ST3+ Level in General Medicine - Rotational

Information:

This job is now closed

Job summary

Applications are invited for the post of Clinical Fellow (ST3+ Level) in General Medicine. Each post holder will rotate within general medicine to gain experience in 2 sub-specialties from those listed.

This is a fixed term post (August 2023 September 2024).

West Suffolk Hospital is a busy and popular hospital, serving a population of 280,000 and is run by a forward-thinking Foundation Trust. The General Medicine Department has a supportive structure in place to ensure development within the department and will work with the successful candidates to gain experience and core competancies within both the NHS framework and Intermal Medical Training curriculum. We have an excellent track record of successful appointment to training programmes by our Clinical Fellows following a period of employment with us.

This is a great opportunity to work in an award-winning Trust and to build on an already high level of patient satisfaction, staff engagement and public confidence for the quarter of a million people served by the West Suffolk NHS Foundation Trust.

The Trust has close links with Papworth Hospital, Cambridge, and Cambridge University Medical School. Situated in the heart of East Anglia, the cathedral town of Bury St Edmunds is a pleasant place to live and work, providing sophisticated facilities in a traditional and unspoilt rural town setting. There is also easy access to the Midlands, London and the East Coast.

Main duties of the job

  • General ward work and on-going care of in-patients
  • Support and supervise foundation year trainees
  • Maintenance of ward lists.
  • Handover of patients to on call and hospital at night teams.
  • Consultant ward rounds.
  • Attendance at MDTs and board rounds.
  • Attend outpatients
  • On call as per rota including night shifts.
  • Participate in ward and medical directorate clinical governance
  • Issue death certificate and provide statement for coroners referral or evidence

The duties of the post will be carried out in conjunction with the Consultant by means of daily ward rounds and follow-up care. The Post holder is expected to undertake appropriate investigations and therapeutic procedures (under supervision). They will also maintain adequate medical records of the patients stay in hospital and dictate discharge summaries and enquiries so that they are promptly sent out to the General Practitioner. Patients are admitted via the Acute Admissions Unit to the medical wards some of which are: a ward based non-invasive ventilation bay on the respiratory ward, a Cardiac Centre, gastroenterology, stroke unit including a HASU, and diabetes and endocrinology.

For further information please see Job Description attached

About us

#BeKnown at West Suffolk NHS Foundation Trust. By us. By our patients. By our community

We are a busy, friendly, rural NHS Trust providing high-quality care and compassion to more than a quarter of a million people across west Suffolk. We care for, treat and support people in hospital, at home and in various community settings.

The West Suffolk Hospital in Bury St Edmunds provides acute and secondary care services (emergency department, maternity and neonatal services, day surgery unit, eye treatment centre, Macmillan unit and children's ward). It has 500+ beds and is a partner teaching hospital of the University of Cambridge.

Adult and paediatric community services, provided in collaboration with West Suffolk Alliance partners, include a range of nursing, therapy, specialist, and ongoing temporary care and rehabilitation, some at our Newmarket Community Hospital.

We do our utmost to achieve outstanding clinical outcomes for patients and our values of fairness, inclusivity, respect, safety and team work guide how we work and behave as a team.

With nearly 5,000 staff, from all over the world, we strive to make our organisation a great place to work. Whatever your role or ambition, we want to help you be the best you can be.

We promote a diverse and inclusive community where everyones voice counts and you can #BeKnown for whoever you are.

Join us. What will you #BeKnown for?

Details

Date posted

04 September 2023

Pay scheme

Hospital medical and dental staff

Grade

Foundation Doctor

Salary

£51,017 a year

Contract

Fixed term

Duration

13 months

Working pattern

Full-time

Reference number

C9179-MSJ28-23

Job locations

Harwick Lane

Bury St Edmunds

Suffolk

IP33 2QZ


Job description

Job responsibilities

This placementis for a doctor who wantsto undertake elements of specialty medical registrartrainingto acquire specifictraining and experience. The shortlisting will be undertaken usingthe Person Specification, butsome emphasis will be placed onthetraining requirements of individual candidates andtheir career aims.

KEY TASKS:

Work as part of team to provide best medical management to patients under your care

Supervise and teach more junior staff on the ward

Liaise with relatives and carers

Liaise with other members of the multidisciplinary team

The department of Medicine is run on an integrated acute medicine and care of the elderly ward based system, with most wards having at least three consultants, two Specialty Registrars, three Specialty Registrars/F2 trainees and three F1 trainees. F1 trainees are regularly rostered to clerking shifts on AAU under the supervision of the physician of the day. In the evenings and at weekends medical wards are covered by two F1 trainees, with support from the rest of the on call team. At night the hospital is covered by a hospital at night team run by the specialist registrar and including F2 trainees and enhanced trained nurses. F1 trainees no longer work at night within the hospital. Formal handover to the hospital at night time is an important component of the post for the on call F1 trainees.

Each ward has their own ward based team of juniors including combinations of FY1, FY2, ST1 and ST2 trainees. Each ward also has ward based StR(s) and a combination of medical and COE consultants. The division runs a physician of the day system, to cover the acute on call and provide a daily post take ward round of those admissions not retained in AAU or the short stay facilities.

Each ward operates a daily consultant multidisciplinary red to green board round to facilitate early discharge and to ensure all patients have daily consultant input.

Our Acute Admissions Unit (AAU) is in operation and comprises of short stay trolleys and a dedicated Same Day Emergency Care (SDEC) area.

Job description

Job responsibilities

This placementis for a doctor who wantsto undertake elements of specialty medical registrartrainingto acquire specifictraining and experience. The shortlisting will be undertaken usingthe Person Specification, butsome emphasis will be placed onthetraining requirements of individual candidates andtheir career aims.

KEY TASKS:

Work as part of team to provide best medical management to patients under your care

Supervise and teach more junior staff on the ward

Liaise with relatives and carers

Liaise with other members of the multidisciplinary team

The department of Medicine is run on an integrated acute medicine and care of the elderly ward based system, with most wards having at least three consultants, two Specialty Registrars, three Specialty Registrars/F2 trainees and three F1 trainees. F1 trainees are regularly rostered to clerking shifts on AAU under the supervision of the physician of the day. In the evenings and at weekends medical wards are covered by two F1 trainees, with support from the rest of the on call team. At night the hospital is covered by a hospital at night team run by the specialist registrar and including F2 trainees and enhanced trained nurses. F1 trainees no longer work at night within the hospital. Formal handover to the hospital at night time is an important component of the post for the on call F1 trainees.

Each ward has their own ward based team of juniors including combinations of FY1, FY2, ST1 and ST2 trainees. Each ward also has ward based StR(s) and a combination of medical and COE consultants. The division runs a physician of the day system, to cover the acute on call and provide a daily post take ward round of those admissions not retained in AAU or the short stay facilities.

Each ward operates a daily consultant multidisciplinary red to green board round to facilitate early discharge and to ensure all patients have daily consultant input.

Our Acute Admissions Unit (AAU) is in operation and comprises of short stay trolleys and a dedicated Same Day Emergency Care (SDEC) area.

Person Specification

Qualifications

Essential

  • MBBS or equivalent medical qualification

Desirable

  • MRCP

Eligibility

Essential

  • Hold full registration and licence to practise with the GMC
  • Evidence of achievement of Foundation competences from a UKFPO affiliated Foundation Programme or equivalent by time of appointment in line with GMC standards/ Good Medical Practice including:
  • good clinical care
  • maintaining good medical practice
  • good relationships and communication with patients
  • good working relationships with colleagues
  • good teaching and training
  • professional behaviour and probity
  • delivery of good acute clinical care

Desirable

  • Evidence of completion of CT/ST1 or equivalent competences in medicine at time of application, and CT/ST2 competences in medicine by time of appointment, supported by evidence from work-based assessments of clinical performance and Multisource Feedback (DOPS, Mini-CEX, CBD, ACAT) or equivalent.
  • Previous clinical experience in Elderly Medicine

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:
  • that applicants have undertaken undergraduate medical training in English;
  • or have the following scores in the academic International English Language Testing System (IELTS)-Overall 7.5 Speaking 7, Listening 7, Reading 7, Writing 7.
  • If applicants believe that they have adequate communication skills, but do not fit into one of the examples they need to provide evidence.

Clinical Skills

Essential

  • Competence in the immediate management of medical emergencies
  • Appropriate knowledge base, and ability to apply sound clinical judgement to problems
  • Proficiency in a range of medical procedures
  • Able to work without direct supervision where appropriate
  • Able to prioritise clinical need
  • Able to maximise safety and minimise risk

Desirable

  • Personal attributes: shows aptitude for practical skills, e.g. manual dexterity.
  • Experience of managing common presentations of frailty

Career Progression

Essential

  • Evidence that career progression is consistent with personal circumstances
  • Evidence that present achievement and performance is commensurate with totality of period of training
  • At least 24 months experience in medicine or an ACCS programme or equivalent (not including Foundation modules) by the time of commencement of ST3 training

Academic and Research Skills

Essential

  • Demonstrates understanding of research, including awareness of ethical issues
  • Demonstrates understanding of the basic principles of audit, clinical risk management, evidence-based practice, patient safety, and clinical quality improvement initiatives
  • Demonstrates knowledge of evidence-informed practice

Desirable

  • Evidence of relevant academic and research achievements, e.g. degrees, prizes, awards, distinctions, publications, presentations, other achievements.
  • Evidence of active participation in audit.
  • Evidence of involvement in teaching students, postgraduates and other professionals
  • Evidence of participation in a teaching course
Person Specification

Qualifications

Essential

  • MBBS or equivalent medical qualification

Desirable

  • MRCP

Eligibility

Essential

  • Hold full registration and licence to practise with the GMC
  • Evidence of achievement of Foundation competences from a UKFPO affiliated Foundation Programme or equivalent by time of appointment in line with GMC standards/ Good Medical Practice including:
  • good clinical care
  • maintaining good medical practice
  • good relationships and communication with patients
  • good working relationships with colleagues
  • good teaching and training
  • professional behaviour and probity
  • delivery of good acute clinical care

Desirable

  • Evidence of completion of CT/ST1 or equivalent competences in medicine at time of application, and CT/ST2 competences in medicine by time of appointment, supported by evidence from work-based assessments of clinical performance and Multisource Feedback (DOPS, Mini-CEX, CBD, ACAT) or equivalent.
  • Previous clinical experience in Elderly Medicine

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:
  • that applicants have undertaken undergraduate medical training in English;
  • or have the following scores in the academic International English Language Testing System (IELTS)-Overall 7.5 Speaking 7, Listening 7, Reading 7, Writing 7.
  • If applicants believe that they have adequate communication skills, but do not fit into one of the examples they need to provide evidence.

Clinical Skills

Essential

  • Competence in the immediate management of medical emergencies
  • Appropriate knowledge base, and ability to apply sound clinical judgement to problems
  • Proficiency in a range of medical procedures
  • Able to work without direct supervision where appropriate
  • Able to prioritise clinical need
  • Able to maximise safety and minimise risk

Desirable

  • Personal attributes: shows aptitude for practical skills, e.g. manual dexterity.
  • Experience of managing common presentations of frailty

Career Progression

Essential

  • Evidence that career progression is consistent with personal circumstances
  • Evidence that present achievement and performance is commensurate with totality of period of training
  • At least 24 months experience in medicine or an ACCS programme or equivalent (not including Foundation modules) by the time of commencement of ST3 training

Academic and Research Skills

Essential

  • Demonstrates understanding of research, including awareness of ethical issues
  • Demonstrates understanding of the basic principles of audit, clinical risk management, evidence-based practice, patient safety, and clinical quality improvement initiatives
  • Demonstrates knowledge of evidence-informed practice

Desirable

  • Evidence of relevant academic and research achievements, e.g. degrees, prizes, awards, distinctions, publications, presentations, other achievements.
  • Evidence of active participation in audit.
  • Evidence of involvement in teaching students, postgraduates and other professionals
  • Evidence of participation in a teaching course

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).

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.

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).

Employer details

Employer name

West Suffolk NHS Foundation Trust

Address

Harwick Lane

Bury St Edmunds

Suffolk

IP33 2QZ


Employer's website

https://www.wsh.nhs.uk (Opens in a new tab)

Employer details

Employer name

West Suffolk NHS Foundation Trust

Address

Harwick Lane

Bury St Edmunds

Suffolk

IP33 2QZ


Employer's website

https://www.wsh.nhs.uk (Opens in a new tab)

Employer contact details

For questions about the job, contact:

Consultant

Dr William Petchey

William.Petchey@wsh.nhs.uk

Details

Date posted

04 September 2023

Pay scheme

Hospital medical and dental staff

Grade

Foundation Doctor

Salary

£51,017 a year

Contract

Fixed term

Duration

13 months

Working pattern

Full-time

Reference number

C9179-MSJ28-23

Job locations

Harwick Lane

Bury St Edmunds

Suffolk

IP33 2QZ


Supporting documents

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