Job summary
The Portfolio
Pathway (formerly known as CESR) is the route to specialist registration for
doctors who have not completed a GMC-approved programme in the relevant
specialty, but who can demonstrate that they have the relevant knowledge,
skills and experience. This post would therefore be suitable for Resident
Doctors looking to pursue a portfolio route as an alternative to formal
specialty training.
Depending on
the years of experience in Emergency Medicine, NHS experience and proven
competencies, the successful candidate would start on Tier 2, Tier 3 or Tier 4
rota (dependent on previous experience).
We initially
offer a 1-year contract. Following this period, your contract will be subject to an annual review based on the achievement of specified criteria, including a successful Educational Supervisor and ARCP Faculty Report evidencing completion of WBPAs and other requirements set out at the start of your year. If the review is successful, your contract will be extended for a further 12 months. These extensions will continue annually, supporting your progression through the 4-year programme, and will enable you to complete the Pathway portfolio and secondments. Please note that there is no guarantee of a 4-year contract from the outset.
Placements will
be across both the Alexandra Emergency Department and the Worcester Royal
Emergency Department. There are RCEM Portfolio Programme (CESR) Supervisors and
Assessors at both sites.
Main duties of the job
Participating fully in all the educational activities of the department
Assisting the Consultants in the day-to-day clinical care of the ED patients in all areas of the department including Resus, Majors, Minors, Paediatrics and Ambulatory care.
Participating as a team member in resuscitation teams under supervision
Participating in the Clinical Audit programme and the quality control of the department
Support the Trust in the delivery of a high standard of care and meeting Trust and departmental objectives by timely service and quality led clinical care.
Comply with relevant trust policies including those relating to data protection
Actively pursue professional development maintaining a portfolio of evidence so that you are able to participate satisfactorily the appraisal process in accordance with GMC requirements.
About us
Worcestershire Acute Hospitals NHS Trust is a large
acute and specialised hospital trust that provides a range of local acute
services to the residents of Worcestershire and more specialised services to a
larger population in Herefordshire and beyond.
The Trust operates hospital-based services from
three sites in Kidderminster, Redditch and Worcester
Our workforce is more than 7,000 strong, and our
caring staff are recognised as providing good and outstanding patient-centred
care. You could be one of them.
We are committed to recruiting the best people to
work with us. Our values, which we ask all staff to demonstrate, underpin our
everyday work and remain firmly at the heart of all we do.
Being open and honest
Ensuring people feel cared for
Showing respect to everyone
We are committed to developing a culture of continuous improvement by embedding the principles of our Improvement System.
We are proud to have achieved Timewise
accreditation - this means we are committed to embedding flexible working
within our organisation as a flex positive employer.
DBS Checks and Costs
Any applicants who are offered posts requiring a
DBS check as part of their employment check will have the cost of this check
(at the current rate) deducted from their salary. Please see link in Supporting
Information section for more details on DBS checks and costs.
Job description
Job responsibilities
Worcester
Acute PORTFOLIO PATHWAY
Our
commitment to you
The WAHT
Portfolio Pathway faculty are committed to the progression of the Portfolio
Pathway trainee. We understand that people choose this pathway due to its
flexibility compared to formal deanery training, therefore we work with the trainee
to create an individualised programme; and to provide you with the support you
to achieve your goals through:
Educational Supervision
The Portfolio
Pathway trainee will be assigned a RCEM approved Portfolio Pathway Clinical
Supervisor at the start of the programme. The Clinical Supervisor will help
identify any specific educational needs, design a personal development plan and
provide some guidance on career progression. There will be an Annual Review of
Competency Progression (ARCP), which will include the whole Consultant team.
Curriculum coverage
We are committed to ensure that you are able to access
all areas of the curriculum through clinical experience.
At the end of
the programme, we will support the trainee with submission of their portfolio
to the GMC for consideration for entry to the Emergency Medicine Specialist
Register (to become a Consultant).
Your commitment
to the Portfolio Pathway Programme will be evidenced by
Attending
regular Clinical Supervisor meetings
Attendance
at departmental teaching
Enrolment
and engagement with RCEM Kaizen ePortfolio
Work
place based assessments (WPBA)
Reflective
learning evidenced in the ePortfolio
Maintaining
a procedural log-book
Attending
a POCUS course
Engagement
with the examinations process
Involvement
with Audit/Quality Improvement Projects/Research
Successful
Annual Review Competency Progression (ARCP)
Secondments
Secondment
placements will only be available to those who have successfully completed the
first 12 months of the program and evidenced satisfactory progression.
We have created
a Portfolio Pathway Programme that is 4 years (WTE) duration following the
initial 12 month period of working in one of the WAHT Emergency Departments.
The programme will support all of the secondments that are required for the
Emergency Medicine Portfolio Pathway.
The secondments
will be tailored to the needs of the doctor but generally would appear as below
for a doctor who is full time:
Year 1: 12 months Emergency Medicine (unless 12 months
in EM at WAHT has already been completed)
Year 2: 9 months Emergency Medicine and 3 months
Paediatric Emergency Medicine (WRH)
Year 3: 9 months Emergency Medicine and 3 months
Anaesthetics (Initial Anaesthetic Competencies IAC) (WRH/AGH)
Year 4: 9 months Emergency Medicine and 3 months
Intensive Care Medicine (WRH/AGH)
Year 5: 9 months Emergency Medicine and 3 months Acute
Medicine (WRH/AGH)
For those based
at the Alexandra Hospital Emergency Department, we will also offer a Trauma
placement at WRH to help with the Major Trauma aspects of the curriculum.
Job description
Job responsibilities
Worcester
Acute PORTFOLIO PATHWAY
Our
commitment to you
The WAHT
Portfolio Pathway faculty are committed to the progression of the Portfolio
Pathway trainee. We understand that people choose this pathway due to its
flexibility compared to formal deanery training, therefore we work with the trainee
to create an individualised programme; and to provide you with the support you
to achieve your goals through:
Educational Supervision
The Portfolio
Pathway trainee will be assigned a RCEM approved Portfolio Pathway Clinical
Supervisor at the start of the programme. The Clinical Supervisor will help
identify any specific educational needs, design a personal development plan and
provide some guidance on career progression. There will be an Annual Review of
Competency Progression (ARCP), which will include the whole Consultant team.
Curriculum coverage
We are committed to ensure that you are able to access
all areas of the curriculum through clinical experience.
At the end of
the programme, we will support the trainee with submission of their portfolio
to the GMC for consideration for entry to the Emergency Medicine Specialist
Register (to become a Consultant).
Your commitment
to the Portfolio Pathway Programme will be evidenced by
Attending
regular Clinical Supervisor meetings
Attendance
at departmental teaching
Enrolment
and engagement with RCEM Kaizen ePortfolio
Work
place based assessments (WPBA)
Reflective
learning evidenced in the ePortfolio
Maintaining
a procedural log-book
Attending
a POCUS course
Engagement
with the examinations process
Involvement
with Audit/Quality Improvement Projects/Research
Successful
Annual Review Competency Progression (ARCP)
Secondments
Secondment
placements will only be available to those who have successfully completed the
first 12 months of the program and evidenced satisfactory progression.
We have created
a Portfolio Pathway Programme that is 4 years (WTE) duration following the
initial 12 month period of working in one of the WAHT Emergency Departments.
The programme will support all of the secondments that are required for the
Emergency Medicine Portfolio Pathway.
The secondments
will be tailored to the needs of the doctor but generally would appear as below
for a doctor who is full time:
Year 1: 12 months Emergency Medicine (unless 12 months
in EM at WAHT has already been completed)
Year 2: 9 months Emergency Medicine and 3 months
Paediatric Emergency Medicine (WRH)
Year 3: 9 months Emergency Medicine and 3 months
Anaesthetics (Initial Anaesthetic Competencies IAC) (WRH/AGH)
Year 4: 9 months Emergency Medicine and 3 months
Intensive Care Medicine (WRH/AGH)
Year 5: 9 months Emergency Medicine and 3 months Acute
Medicine (WRH/AGH)
For those based
at the Alexandra Hospital Emergency Department, we will also offer a Trauma
placement at WRH to help with the Major Trauma aspects of the curriculum.
Person Specification
Qualifications
Essential
- Eligible for full GMC Registration with a Licence to practise at the time of appointment.
- MB ChB, MBBS or equivalent medical qualification.
- ALS Certification.
- Basic competence in resuscitation and initial management of acutely ill adults, with experience of managing children and trauma under supervision.
Desirable
- Full MRCEM
- FRCEM SBA/OSCE
- ATLS/ETC/EPALS/APLS
Experience
Essential
- 4+ years post registration
- Minimum of 12 months WTE Emergency Medicine experience obtained post-Foundation training.
- For Tier 2 : 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.
- For Tier 3 & 4: clinical training and experience equivalent to that required at CT/ST3 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, both emergency and elective, within the scope of level of training and experience, whilst remaining aware of their own limitations.
Desirable
- Additional experience in ICU and Anesthetics.
- Exposure to / training in POCUS.
- Experience in teaching, clinical supervision or formal education roles.
- Previous UK NHS experience
- Involvement with audit/QIPs
Management and Administrative Experience
Essential
- Ability to organise and prioritise workload effectively
Personal Attributes
Essential
- Demonstrable commitment to a career in Emergency Medicine.
- Evidence of engagement with portfolio, WBAs and reflective practice.
- Good communication skills and ability to work within a multidisciplinary team.
- Ability to work under pressure and adapt to changing clinical situations.
- Willingness to work a full-time rota including nights, weekends and bank holidays as required.
- Ability to work effectively as a multidisciplinary team member, including under periods of pressure.
- Ability to apply research outcomes to clinical problems. An awareness of current specialty specific developments and initiatives.
- Enquiring, critical approach to work with a commitment to continuing Medical Education and Professional Development.
- Ability to communicate effectively with patients, relatives, GPs, nurses and other agencies.
- Flexible approach to work duties and reliable and supportive to other colleagues.
- Ability to work antisocial hours.
Desirable
- Evidence of innovation
- Understands self (strengths and weaknesses) and impact of behaviour on others.
- Evidence of continuous professional development.
- Interest in research in medical education.
Person Specification
Qualifications
Essential
- Eligible for full GMC Registration with a Licence to practise at the time of appointment.
- MB ChB, MBBS or equivalent medical qualification.
- ALS Certification.
- Basic competence in resuscitation and initial management of acutely ill adults, with experience of managing children and trauma under supervision.
Desirable
- Full MRCEM
- FRCEM SBA/OSCE
- ATLS/ETC/EPALS/APLS
Experience
Essential
- 4+ years post registration
- Minimum of 12 months WTE Emergency Medicine experience obtained post-Foundation training.
- For Tier 2 : 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.
- For Tier 3 & 4: clinical training and experience equivalent to that required at CT/ST3 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, both emergency and elective, within the scope of level of training and experience, whilst remaining aware of their own limitations.
Desirable
- Additional experience in ICU and Anesthetics.
- Exposure to / training in POCUS.
- Experience in teaching, clinical supervision or formal education roles.
- Previous UK NHS experience
- Involvement with audit/QIPs
Management and Administrative Experience
Essential
- Ability to organise and prioritise workload effectively
Personal Attributes
Essential
- Demonstrable commitment to a career in Emergency Medicine.
- Evidence of engagement with portfolio, WBAs and reflective practice.
- Good communication skills and ability to work within a multidisciplinary team.
- Ability to work under pressure and adapt to changing clinical situations.
- Willingness to work a full-time rota including nights, weekends and bank holidays as required.
- Ability to work effectively as a multidisciplinary team member, including under periods of pressure.
- Ability to apply research outcomes to clinical problems. An awareness of current specialty specific developments and initiatives.
- Enquiring, critical approach to work with a commitment to continuing Medical Education and Professional Development.
- Ability to communicate effectively with patients, relatives, GPs, nurses and other agencies.
- Flexible approach to work duties and reliable and supportive to other colleagues.
- Ability to work antisocial hours.
Desirable
- Evidence of innovation
- Understands self (strengths and weaknesses) and impact of behaviour on others.
- Evidence of continuous professional development.
- 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).
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.
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
