Clinical Fellow ST1-2 in General Internal Medicine

Job description

Job responsibilities

The Department

The post will be based at either The Royal Shrewsbury Hospital or The Princess Royal Hospital, Telford. There will also be an acute medical on call commitment. The teams include a range of Specialist Trainees, Internal Medicine Trainees (IMT) and Foundation level doctors and are supported by physician associates, and advanced clinical practitioners. The post would suit those doctors who have completed their foundation program or trust doctors with some clinical experience who wish to gain further experience in general medical specialties before entering a training program. It is also suitable for foreign trainees with some experience of clinical medicine who are looking for NHS experience before entering a training program at IMT or FY level. It is ideally suited for someone who enjoys working in a stimulating and friendly environment. There is a formal on call commitment with this post that can be tailored to the successful candidates experience.

Educational Supervision and Training

This post is a service appointment, supported by a designated Consultant Educational Supervisor.

The hospital has a number of very experienced educational supervisors and has very close contact with the local deanery. The successful candidate will be provided with an eportfolio and will have a named educational supervisor who is familiar with the foundation and new internal medicine curriculum and will be able to help the successful appointees to achieve their equivalency certificate if desired. The consultant will work with the post holder regarding completion of competencies and career development with PDPs and regular educational meetings. The local Royal College Tutors will supervise the process.

The successful candidate will also be supported through any required MRCP exams and will have access to our PACES teaching program and local IMT and foundation teaching as well as procedural simulation training. We have a high exam pass marks as well as constantly high JEST and GMC survey scores. We have a very high success rate at getting trust doctors into training programs at STRs and IMT level.

There are also weekly educational grand rounds on both sites and weekly acute medical training sessions.

There is a junior doctor meeting at 8.30am on a Monday morning, on both sites, chaired by a Consultant, to address staffing and junior doctor concerns. Medical management and Staffing leads are represented at these meetings.

Developing a Formal Department in General Internal Medicine

The medical needs of the population are changing. The increasing number of elderly patients as well as the growing number of co-morbidities has led to an increase in the number of patients admitted with complex general medical care needs who dont fit easily into a single specialty.

The Joint Committee of Shropshire and Telford & Wrekin Clinical Commissioning Groups has approved plans for the NHS Future Fit. Funding has been approved to develop Acute and General Medical services and modernise facilities with RSH becoming a centre for Specialist Emergency Care and PRH becoming a dedicated Planned Care site.

The national response to this trend towards an ageing population with complex needs and obesity linked multi-pathology has been for training and services to regress from early specialisation and instead emphasise the importance of internal medicine being an integral part of a physicians core role to manage the evolving patient needs.

In creating Internal Physicians, we would provide a more definitive structure for managing unselected medical inpatients beyond the timeframe of an Acute Medicine physician. This in turn would also release current Speciality Consultants providing base ward care in to delivering a mixture of In Reach, Same Day Emergency care and Outpatient clinics instead. Our model includes in house training to ensuring we focus on developing a more robust strategy for creating a strong future workforce.

We are therefore very excited to be developing a formal Department of General Internal Medicine to better care for this cohort of patients. At present we have one Consultant General Internal Physician supported by several competent locum consultants and aim to recruit substantively to build a thriving department. This is a very exciting time to join the team as Health Education England (HEE) funding has been secured for trainees in general internal medicine who will be training towards either their CCT or CESR in General Medicine (a three-year training programme).

Directorate

This is a new department that will be supported from within the directorate:

Dr Saskia Jones-Perrott- Divisional Medical Director

Dr Gordon Wood- Respiratory Physician, Lead physician RSH site, Lead for General Internal Medicine

Dr Jaydip Mukhopadhyay- Consultant in General Internal Medicine

Rota Duties

The post-holder will be expected to contribute to the General Internal Medicine full-shift rota. The rota is compliant with the terms and conditions of the 2016 Junior Doctor Contract and WTD and has been carefully designed to maximise training opportunities for doctors whilst maintaining a safe and efficient service, with an even spread of long days and nights. The post holder will be 1 of the team of doctors contributing to the full shift rota across a variety of medical specialties and is prospectively covered for annual and study leave.

The current work pattern may be subject to change depending on the needs of the service but the below timetable provides an ideal of what to expect.

Person Specification

Qualifications

Essential

• MBBS, MB ChB or equivalent medical qualification
• Basic Life Support
• Advanced Life Support (ALS)

Entry Criteria

Essential

• Full Registration and a licence to practise with the General Medical Council (GMC)
• Achieved the competences equivalent to that of a trainee who has completed an NHS Foundation Training Programme
• Working knowledge medical problems common to the UK including acute emergencies.
• Have undertaken undergraduate medical training in English or academic International English Language Testing System (IELTS) results showing a score of at least 7.0 in each domain (speaking, listening, reading, writing), with an overall score of at least 7.5, to be achieved in a single sitting and within 24 months of the time of application, - OR proof that your primary medical qualification has been undertaken solely in English, that all examinations undertaken were solely in English and that your primary medical qualification has included at least 75% of contact with patients in English, - OR, evidence of employment as a doctor in an NHS organisation for a minimum of 3 months.

Desirable

• Experience at ST1 level equivalent in acute General Medicine

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

The Shrewsbury and Telford Hospital NHS Trust

Address

The Princess Royal Hospital

Apley Castle

Telford

TF1 6TF

Employer's website

http://www.sath.nhs.uk/ (Opens in a new tab)