Trust Clinical Fellow, Paediatrics

Job responsibilities

All Junior Trust Clinical Fellow appointments are made in accordance with our local Terms and Conditions of service, are designed to offer experience and training to doctors who wish to pursue further training in acute or specialty medicine in the UK.

Posts advertised as full-time will be contracted at 40 hours per week. The actual hours of work will be as per your departmental rota and may include up to an additional 8 hours per week average. Your actual working pattern will include providing 24 7 medical cover. The Trust is committed to flexible working and welcomes invitations from applicants seeking to work on a flexible or part-time basis.

Applicants will have completed at least two years full-time postgraduate training (or equivalent gained on a part-time or flexible basis). Clinical training and experience equivalent to that required at CT/ST1 in a relevant specialty from other medical grades including from overseas will also be accepted including time within a relevant training programme. You should also hold full registration with the GMC prior to commencing employment in this post.

The typical candidate should have taken or be preparing for Part I of Membership of the Royal College. The successful candidates should be planning to take Part II membership examinations during the period of employment. Completion of the post should help prepare the candidate for further specialist training in the UK or abroad.

Training will include care of inpatients, ambulatory care clinics, specialty outpatient clinics, and portfolio-based procedures and competencies. Training will be supervised by a named consultant.

References for applicants successfully invited for interview will be sought, including from your current employer.

By submitting your application, you are telling us that you understand, and are happy to accept, your rights and responsibilities as detailed below and the associated Job Description of the post you have applied for. Failure to do so will affect revalidation and pay progression.

This job description, together with the Capabilities Framework and job plan, will be reviewed annually and agreed with the Clinical Director and Divisional Director, on behalf of the Chief Medical Officer, to ensure that it continually reflects the areas of work, clinical responsibility of the post and purchaser requirements.

A suitably experienced post-holder will be expected to:

provide a service to patients of the Worcestershire Acute Hospitals NHS Trust, General Practitioners.

provide a service to patients of the Worcestershire Acute Hospitals NHS Trust, General Practitioners and to attend multi-disciplinary meetings. The successful candidate will be expected to work within multi-disciplinary team in providing high quality clinical care. It is anticipated work will be undertaken on three sites and closer to the patients home. The Trust is seeking to extend services to GP surgeries/health centres etc and job plans may be revised in due course.

be responsible for the continuing care and treatment of patients in their charge and personal performance of clinical duties as agreed in your job plan, allowing for all proper delegation to and training of their staff.

provide support to the A&E department and acute medicine to ensure timely appropriate care and patient flow through the hospital.

clerk admissions and prepare patients for planned treatment and procedures, including post-operative care as required.

provide consultation and advisory service to clinical colleagues in the Trust and Primary Care, including discharge summaries.

attend multi-disciplinary meetings, which may be cross county and cross site.

collaborate with colleagues to deliver a high quality, timely service and to work towards meeting the Trusts and departmental objectives.

provide professional supervision, training and management of junior medical staff, carrying out teaching, assessment and accreditation duties as required and contributing to postgraduate and CPD activity locally and nationally as appropriate.

participate in the junior grade on call rota to ensure that both emergency and urgent services are provided out of normal hours, to be shared equally with colleagues in post.

if undertaking non-resident on-call duties, attend the hospital site to review patients when clinically necessary. You must be prepared to attend willingly whenever requested to do so by a member of their medical and nursing team.

participate in clinical audit as part of quality improvement activity under local arrangements.

commit to taking part in annual appraisal process which will be undertaken by a trust approved appraiser.

be responsible for compliance with personal continuing professional development requirements with the support of the Trust. It is mandatory for all Specialists to keep up to date with evidence-based practice.

be responsible for maintaining awareness of & acting in accordance with professional guidelines such as Duties of a Doctor, Good Medical Practice, & the GMC Performance Procedures.

You will join the junior grade rota within the clinical department which will include participating in the on-call shift pattern to provide 24/7 services.

You will be provided opportunities to join specialist out-patient clinics and observe or assist the Consultant or registrars with relevant procedures.

Whilst these posts are not training posts, they are structured to provide a portfolio-based Postgraduate Training Programme similar to the national training programme model. The Trust is committed to providing the medical training content.

The successful candidates will be welcomed to join the weekly teaching sessions and Grand Rounds/Journal Clubs. In-house training will be provided for membership of royal colleges examinations, and study leave will be available to help candidates prepare for the examinations. At the end of the post a Certificate of Postgraduate Training will be available.

Emotional effort

Essential

• Ability to deal with emotional, frightened or hostile patients, sometimes face to face.
• Ability to work under pressure.
• Ability to support patients and relatives in breaking bad news.
• Ability to deal with telephone calls from patients and relatives.
• Deal with patient requests and complaints.

Management and administrative experience

Essential

• Ability to organise and prioritise workload effectively
• Experience of audit management and conducting clinical audit

Desirable

• Ability to use the evidence based and clinical audit to support decision making

Qualifications

Essential

• Eligible for full GMC Registration with a License to practice at the time of appointment.
• MBChB, MBBS or equivalent medical qualification.
• Satisfactory completion of F1 training, or equivalent.

Desirable

• Higher degree.
• ALS Certification.
• ATLS Certification.
• Membership examination with the relevant UK Royal College.

professional values and behaviours

Essential

• Practices with professional values and behaviours expected of all doctors set out in the GMC Good Medical Practice and the Professional Capabilities Framework (set out below).
• Adheres to professional requirements of annual appraisal, job planning and reviews of performance and progression.
• Demonstrates ability to manage patients with complex needs whilst remaining aware of their own limitations.

Experience

Essential

• Completed at least 2 years full time postgraduate training (or equivalent gained on a part time basis) or have equivalent experience and competencies.
• Clinical training and experience equivalent to that required at CT/ST1 level in relevant specialty. Equivalent years experience in a relevant specialty from other medical grades including from overseas will also be accepted.
• Experience of working in multidisciplinary teams.
• Ability to offer expert clinical opinion on a range of problems, both emergency and elective, within specialty and sufficient experience.
• Ability to take full and independent responsibility for clinical care of patients.

Desirable

• Previous experience working in the NHS within the specialty.
• Ability to use evidence based clinical audit to support decision making.
• Experience in Paediatrics/Neonates

Teaching experience

Essential

• Ability to teach clinical skills to medical, nursing staff and other disciplines.
• Experience of teaching clinical skills to undergraduates and postgraduates.

Desirable

• Ability to supervise postgraduate research.

Personal attributes

Essential

• Ability to work effectively as a team member.
• Enquiring, critical approach to work.
• Ability to apply research outcomes to clinical problems.
• Ability to communicate effectively with patients, relatives, GPs, nurses and other agencies.
• Commitment to Continuing Medical Education.
• Flexible approach to work duties.
• Ability to work without supervision.
• Reliable and supportive to other colleagues.
• Ability to work antisocial hours.

Desirable

• Interest in research in medical education.

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.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).