Job summary
This is an innovative idea to give newly qualified or more experienced Physician Associates the chance to work across different areas of Trauma and Orthopaedic Surgery. The PA will spend time within Trauma and Orthopaedics and will have Educational Supervision along with appraisal set by the CPD handbook for PA's. The role also has the scope to include exposure to Emergency Medicine and Clinical Education including simulation. There is the potential to rotate through different subspecialties with Orthopaedics at both Guy's and St Thomas' hospital sites.You will assess and examine patients, manage a specific caseload of patients, present them, initiate and interpret investigations and recommend treatment, whilst exercising a high level of professional judgment and expertise when delivering care. You will be supervised by a designated consultant and work alongside a highly-trained and committed team of doctors and nurses, working collaboratively with other members of the clinical team within the Trust's policies and clinical guidelines.Successful applicants will undergo an induction programme to help them adapt their skills and knowledge to the service, under the supervision of the Physician Associate training consultant. This post would suit Physician Associates looking to work in a very exciting, very rewarding but demanding environment. Quick thinking, flexible and thorough professionals will find the post to their liking.
Main duties of the job
The key duties and responsibilities will include:? Assess and examine orthopaedic patients, order appropriate investigations, interpret investigation findings, form a list of differential diagnoses and recommend management/treatment accordingly.? Attend consultant and/or SpR ward rounds and provide continuing care for patients on their ward(s)? Coordinate patients on the management pathways related to their specialty.? Maintain timely and appropriate documentation.? Perform diagnostic/therapeutic procedures, subject to appropriate training and experience. These include, but not exclusively:o Venepunctureo Cannulationo Arterial blood gaseso Joint Injectionso ECGo Urethral catheterisationo Assisting in theatreo Application of simple plaster of Paris techniques
About us
The Department of Orthopaedics provides trauma services on the St Thomas' Hospital site and elective services on the Guys site. There are currently 22 Consultants contributing to the delivery. We have effectively four adult orthopaedic wards (2 trauma and 2 elective). We also support paediatric trauma services but elective orthopaedic paediatrics is sited within another division. There are currently around 110 elective operative procedures performed each week.
The Orthopaedic department is a 24/7 service delivering high quality care to a variety of patient groups. Orthopaedics is a consultant led and delivered service, supported by training and non-training SpR, ST1/2 and FY1/2 grade doctors. 8 of the consultants form the Trauma on call rota. There is an active and ongoing teaching and education programme for junior medical staff, and monthly morbidity/mortality and clinical effectiveness meetings, which all staff are encouraged to attend.To support the existing staff, and to address changes in staffing levels, we have decide to expand by recruiting five Physician Associates to support the medical and nursing teams.
Job description
Job responsibilities
Instruct and counsel patients and their relatives with regard to mental and physical health issues. Have, develop and maintain specialist medical knowledge related to orthopaedics. Keep up to date with current guidelines and maintain best practice. Contribute to achieving and maintaining performance within the hospital and department. To contribute to the development of efficient pathways of care in accordance with current best practice and national guidelines. Develop clinical guidelines within their specialist area for use with the Trust by other staff. To be accountable for the care given and to comply with the Fitness to Practice and Code of Conduct standard as established by the UK Managed Voluntary Register for Physician Associates (and subsequently the appropriate statutory regulating body, when this is in place). To work within the framework of the scope of professional practice. Work within the multidisciplinary team to ensure effective team working in the provision of medical care to patients on a day-to-day basis Support and contribute to timely discharge planning including completing discharge summaries and support optimising bed capacity. Abide by the Clinical and Corporate Governance policies of the Trust. Take part in the administration of the department and the involvement in the management of resources. Fully document all aspects of patient care, and complete all required paperwork.
The Physician Assistants role will initially be developed in collaboration with the relevant Service/Clinical Leads. The job plan will be subject to review in line with service developments.
Job description
Job responsibilities
Instruct and counsel patients and their relatives with regard to mental and physical health issues. Have, develop and maintain specialist medical knowledge related to orthopaedics. Keep up to date with current guidelines and maintain best practice. Contribute to achieving and maintaining performance within the hospital and department. To contribute to the development of efficient pathways of care in accordance with current best practice and national guidelines. Develop clinical guidelines within their specialist area for use with the Trust by other staff. To be accountable for the care given and to comply with the Fitness to Practice and Code of Conduct standard as established by the UK Managed Voluntary Register for Physician Associates (and subsequently the appropriate statutory regulating body, when this is in place). To work within the framework of the scope of professional practice. Work within the multidisciplinary team to ensure effective team working in the provision of medical care to patients on a day-to-day basis Support and contribute to timely discharge planning including completing discharge summaries and support optimising bed capacity. Abide by the Clinical and Corporate Governance policies of the Trust. Take part in the administration of the department and the involvement in the management of resources. Fully document all aspects of patient care, and complete all required paperwork.
The Physician Assistants role will initially be developed in collaboration with the relevant Service/Clinical Leads. The job plan will be subject to review in line with service developments.
Person Specification
Knowledge/Qualifications
Essential
- BA/BSc level Degree prior to undertaking PA program
- PG Dip in Physician Associate Studies from a UK training programme
- Valid certification of Physician Associate National Exam
- Registration with the UK Managed Voluntary Register
Desirable
- BLS/ILS/PILS/ALS certification
- Teaching qualification
Experience
Essential
- Clinical training/experience in general medicine.
- Experience of clinical audit.
Desirable
- Experience in specialty related to post applied for
- Design of audit projects.
- Research Experience
- Experience of teaching.
Skills
Essential
- Ability to apply research outcomes to clinical problems
- Ability to take responsibility for clinical care of patients under the supervision of Consultants.
- Demonstrates clinical leadership.
- Advanced Organisational Skills
- Ability to drive change.
- Ability to work in teams
- Excellent interpersonal skills
- Demonstrates commitment to CME.
- Creates good working relationships
- Demonstrates initiative/drive
- Commitment to GSTT
Person Specification
Knowledge/Qualifications
Essential
- BA/BSc level Degree prior to undertaking PA program
- PG Dip in Physician Associate Studies from a UK training programme
- Valid certification of Physician Associate National Exam
- Registration with the UK Managed Voluntary Register
Desirable
- BLS/ILS/PILS/ALS certification
- Teaching qualification
Experience
Essential
- Clinical training/experience in general medicine.
- Experience of clinical audit.
Desirable
- Experience in specialty related to post applied for
- Design of audit projects.
- Research Experience
- Experience of teaching.
Skills
Essential
- Ability to apply research outcomes to clinical problems
- Ability to take responsibility for clinical care of patients under the supervision of Consultants.
- Demonstrates clinical leadership.
- Advanced Organisational Skills
- Ability to drive change.
- Ability to work in teams
- Excellent interpersonal skills
- Demonstrates commitment to CME.
- Creates good working relationships
- Demonstrates initiative/drive
- Commitment to GSTT
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).
