Job summary
Gastroenterology & General Internal Medicine (GIM) Registrar
Fixed term 12 months from 2nd September 2024
Applications are invited for the post of Gastroenterology and GIM Registrar, employed by Homerton Healthcare NHS Foundation Trust. This post offers an exciting opportunity to gain experience in gastroenterology and general medicine.
Homerton Healthcare is a Foundation Trust and teaching hospital in East London. It is a trauma unit and was the designated hospital for the 2012 Olympic Games. It is within easy walking distance to Homerton Overground station, with easy access to major transport links.
The post holder will complete 6 months of Gastroenterology and 6 months of Acute Medicine. They will be involved in all aspects of management of Gastroenterology in and outpatients including outpatient clinics, endoscopy, ward work, GIM on call/acute care rota.
In addition, the post holder will be given the opportunity to train in Interventional Endoscopy & Simulation facilitation (dependent on post holder skills/training needs). The Simulation Suite was officially opened in 2011. It is equipped with hi-fidelity mannequins including a Laerdel Sim-Man, Sim-Junior, Sim-Baby and Sim-NewB. The suite also has laparoscopic, GI-Bronch and ultrasound simulators. There is a busy calendar of postgraduate and undergraduate courses being run by a diverse multi-disciplinary faculty, including mobile simulation.
Main duties of the job
6 months Gastroenterology:
The Post holder will be involved in all aspects of management of Gastroenterology in and out patients:
The delivery of 2 outpatient clinics per week
Endoscopy - dependent on post holder skills/training needs
Inpatient duty (shared)
Referral duty (shared)
ACU duty (as per GIM rota), usually as 4 week blocks (2.5 blocks in 6 months)
MDTs (UGI, LGI, IBD) optional attendance (UGI, LGI, IBD, Virtual biologics clinic)
Departmental meetings, Morbidity & Mortality meetings, Endoscopy User Group meetings
Audit & Quality Improvement Projects
6 months Acute Medicine:
The role will be based within the medical team on the acute care unit. The Acute Care Unit provides patients admitted to hospital with safe and compassionate care during the first 48 hours of their admission.
- Consultant Acute Physician
- Dr Letty Dormandy - Clinical Lead,
- 15 Consultant Physicians taking part in the medical 'on call' rota
- Chief Registrar
- One to three 'Acute Care Unit' Registrar for weekdays
- One Duty Medical Registrar per shift
- Four F2/IMT doctors over the day shift
- Two/three F1 doctors for the day shift
- Night team: One Duty Medical Registrar, one F2/CT1/CT2 on medical take, one F2-ST2 deteriorating patient SHO covering medical and surgical inpatients, one F1 working as part of the Hospital At Night Team and one duty Surgical Registrar.
About us
Homerton Healthcare NHS Foundation Trust is an acute hospital located in the east London Borough of Hackney. We are a merged hospital and community service trust. Homerton Healthcare is attached to the St. Bartholomew's and the Royal London School of Medicine and Dentistry (part of University of London).
Homerton became one of the first ten NHS foundation trusts in the country in April 2004. This allows the Trust to secure certain freedoms to facilitate innovation in the way services are developed and provided.
The Gastroenterology Department at the Homerton Hospital provides a comprehensive service for patients with gastroenterological problems whilst being fully committed to developing, teaching, training and research at all levels. There are specialist weekly IBD, Nutrition, Pancreatobiliary and Liver & Hepatitis clinics with support from nurse specialists and dieticians. The department includes 7 full time consultants, 1 nurse consultant, 3 specialist nurses, 2 nurse endoscopists, 2 NE Thames Gastroenterology ST3+ registrars, a SIM gastroenterology Fellow, an Acute Medicine ST3+ registrar, a Core medical trainee and 2 foundation doctors.
Job description
Job responsibilities
The postholder will have the following main duties:
1. Clinical Duties
The post will be split between 2 x 6 month Posts.
6 months Gastroenterology:
The Post holder will be involved in all aspects of management of Gastroenterology in and out patients:
The delivery of 2 outpatient clinics per week
Endoscopy dependent on post holder skills/training needs
Inpatient duty (shared)
Referral duty (shared)
ACU duty (as per GIM rota), usually as 4 week blocks (2.5 blocks in 6 months)
MDTs (UGI, LGI, IBD) optional attendance (UGI, LGI, IBD, Virtual biologics clinic)
Departmental meetings, Morbidity & Mortality meetings, Endoscopy User Group meetings
Audit & Quality Improvement Projects
6 months Acute Medicine:
The role will be based within the medical team on the acute care unit. The Acute Care Unit provides patients admitted to hospital with safe and compassionate care during the first 48 hours of their admission.
Medical Team:
- Consultant Acute Physician
- Dr Letty Dormandy - Clinical Lead,
- 15 Consultant Physicians taking part in the medical on call rota
- Chief Registrar
- One to three Acute Care Unit Registrar for weekdays
- One Duty Medical Registrar per shift
- Four F2/IMT doctors over the day shift
- Two/three F1 doctors for the day shift
- Night team: One Duty Medical Registrar, one F2/CT1/CT2 on medical take, one F2-ST2 deteriorating patient SHO covering medical and surgical inpatients, one F1 working as part of the Hospital At Night Team and one duty Surgical Registrar.
You will work alongside another IMT3 ACU Spr to provide care for the medical patients based on the unit. This may include joining consultant wards, assessing unwell patients, and reviewing patients independently. The post holder may also can work with the Ambulatory Care is the delivery of emergency hospital care without admission to an acute inpatient bed.
Working pattern
Working hours on ACU are 8-4.
In addition, you will be asked to complete several out of hour shifts per month (5). These shifts will be confirmed monthly with co-ordination with the rota team. You will be asked to select the shifts of your choice in advance depending on rota needs.
Non-Clinical Commitments
The ACU prides itself on having an active quality improvement programme and providing a supportive environment for juniors to innovate and lead change. All post holders will be expected to engage with quality improvement work and lead on at least one project during their time here.
2. Teaching
The postholder will participate fully in undergraduate and postgraduate teaching programmes, and will be expected to take a specific lead on teaching, developing and advising junior doctors and nursing colleagues.
3. Audit and Research
The postholder will be expected to take an active part in multi-disciplinary audit and to be involved in attempting to improve the quality of care to patients, timeliness of communications with General Practitioners and clinical risk management.
There is opportunity to participate in translational research with a view to achieving posters/abstracts/publications.
4. Management and Administration
At the Homerton the postholder will be required to take part in the management and administrative duties within the department. He/she will be expected to attend departmental management meetings as required and present cases at our Morbidity & Mortality meetings.
5. Continuing Medical Education
Continuing Medical Education is an integral part of the post. The appointee will be encouraged to ensure that his/her full entitlement to CME/study leave is taken.
Job description
Job responsibilities
The postholder will have the following main duties:
1. Clinical Duties
The post will be split between 2 x 6 month Posts.
6 months Gastroenterology:
The Post holder will be involved in all aspects of management of Gastroenterology in and out patients:
The delivery of 2 outpatient clinics per week
Endoscopy dependent on post holder skills/training needs
Inpatient duty (shared)
Referral duty (shared)
ACU duty (as per GIM rota), usually as 4 week blocks (2.5 blocks in 6 months)
MDTs (UGI, LGI, IBD) optional attendance (UGI, LGI, IBD, Virtual biologics clinic)
Departmental meetings, Morbidity & Mortality meetings, Endoscopy User Group meetings
Audit & Quality Improvement Projects
6 months Acute Medicine:
The role will be based within the medical team on the acute care unit. The Acute Care Unit provides patients admitted to hospital with safe and compassionate care during the first 48 hours of their admission.
Medical Team:
- Consultant Acute Physician
- Dr Letty Dormandy - Clinical Lead,
- 15 Consultant Physicians taking part in the medical on call rota
- Chief Registrar
- One to three Acute Care Unit Registrar for weekdays
- One Duty Medical Registrar per shift
- Four F2/IMT doctors over the day shift
- Two/three F1 doctors for the day shift
- Night team: One Duty Medical Registrar, one F2/CT1/CT2 on medical take, one F2-ST2 deteriorating patient SHO covering medical and surgical inpatients, one F1 working as part of the Hospital At Night Team and one duty Surgical Registrar.
You will work alongside another IMT3 ACU Spr to provide care for the medical patients based on the unit. This may include joining consultant wards, assessing unwell patients, and reviewing patients independently. The post holder may also can work with the Ambulatory Care is the delivery of emergency hospital care without admission to an acute inpatient bed.
Working pattern
Working hours on ACU are 8-4.
In addition, you will be asked to complete several out of hour shifts per month (5). These shifts will be confirmed monthly with co-ordination with the rota team. You will be asked to select the shifts of your choice in advance depending on rota needs.
Non-Clinical Commitments
The ACU prides itself on having an active quality improvement programme and providing a supportive environment for juniors to innovate and lead change. All post holders will be expected to engage with quality improvement work and lead on at least one project during their time here.
2. Teaching
The postholder will participate fully in undergraduate and postgraduate teaching programmes, and will be expected to take a specific lead on teaching, developing and advising junior doctors and nursing colleagues.
3. Audit and Research
The postholder will be expected to take an active part in multi-disciplinary audit and to be involved in attempting to improve the quality of care to patients, timeliness of communications with General Practitioners and clinical risk management.
There is opportunity to participate in translational research with a view to achieving posters/abstracts/publications.
4. Management and Administration
At the Homerton the postholder will be required to take part in the management and administrative duties within the department. He/she will be expected to attend departmental management meetings as required and present cases at our Morbidity & Mortality meetings.
5. Continuing Medical Education
Continuing Medical Education is an integral part of the post. The appointee will be encouraged to ensure that his/her full entitlement to CME/study leave is taken.
Person Specification
Qualifications
Essential
- MBBS or equivalent
- Full registration with a licence to practice from the General Medical Council, and Completion of core training examinations (where appropriate) - MRCP
- Satisfactory progression through training as demonstrated by satisfactory ARCP outcomes
Desirable
- Prizes or distinctions
- Presentation of work at a national or international meeting
- Publications in peer reviewed journals
Knowledge and Expertise
Essential
- Completion of core training competencies
- Evidence of leadership ability
- Familiarity with current IT software packages
- Demonstrated experience in teaching
Desirable
- Team building skills
- JAG certification in upper and/or lower endoscopy
Personal Skills
Essential
- Good organisational skills
- Good communication skills
- Ability to develop good working relationships
- Commitment to continuing personal development
- Good skills working across organisational boundaries
Person Specification
Qualifications
Essential
- MBBS or equivalent
- Full registration with a licence to practice from the General Medical Council, and Completion of core training examinations (where appropriate) - MRCP
- Satisfactory progression through training as demonstrated by satisfactory ARCP outcomes
Desirable
- Prizes or distinctions
- Presentation of work at a national or international meeting
- Publications in peer reviewed journals
Knowledge and Expertise
Essential
- Completion of core training competencies
- Evidence of leadership ability
- Familiarity with current IT software packages
- Demonstrated experience in teaching
Desirable
- Team building skills
- JAG certification in upper and/or lower endoscopy
Personal Skills
Essential
- Good organisational skills
- Good communication skills
- Ability to develop good working relationships
- Commitment to continuing personal development
- Good skills working across organisational boundaries
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).