MYDoc Clinical Fellow (ST3-5 equivalent) Cardiology

Job responsibilities

Introduction

An exciting opportunity has arisen for a Clinical Fellow in Cardiology at Mid Yorkshire Teaching Trust (MYTT) on a fixed term basis for 12 months.

This post will participate in the cross site senior trainee General Medicine Registrar On-Call rota. Applicants will have the same educational opportunities as other trainees and have protected SDT timetabled.

These posts are not recognised UK training posts. However, the post-holders will have a named supervisor, and be supported in undertaking scheduled educational opportunities within the Trust and specialties.

An Introduction to the Division / Specialty from Dr Nigel Artis - Divisional Clinical Director

The Medical Division at Mid Yorkshire Teaching Hospitals provides Acute care across the range of medical specialities in a large modern purpose-built hospital in Wakefield, which includes a large Acute Assessment Unit, Acute Elderly Assessment Unit, Coronary Care and Acute (Respiratory) Care Unit. We also provide care for Acute Elderly Admissions and step-down care for patients in a less acute phase of their admission at Dewsbury & District Hospital.

Successful applicants will support the Cardiology specialty team in the management of their in-patient & outpatient workload and will participate in the General Medicine Trust-wide out-of-hours cover across both hospital sites.

Our Cardiology team is made up of a wide range of enthusiastic and passionate individuals including 15 consultants, 2 Specialty Doctors, 4 Specialty Registrars and 3 core trainees and 3 Foundation trainees. We have invaluable support from a team of specialist nurses based both in our trust and in the community.

Our vision is to deliver patient centered, accessible and integrated services, as seamlessly as possible with primary care. With 11 Coronary Care and 26 Cardiology beds, new diagnostic facilities, and access to a full range of non-invasive and invasive cardiac facilities our team has access to exceptional, modern facilities as well as general imaging, including TTE and TOE, CTCA, CMRI (including stress MR) and Interventional radiology services. We have a fully established bradycardia pacing, complex device, and PCI service (excluding PPCI provided in the Tertiary Centre). We have an established Nurse-led heart failure service with community integration.

The Service Role

From a clinical perspective these posts will participate in the cross site senior trainee rota. The senior trainee rota is compliant with the 2016 junior doctor contract averaging 48 hours per week. The illustrative rota pattern is attached to this job description.

Duties will be based primarily on our Pinderfields Hospital site although all our medical staff are involved in delivering care to patients on all our sites.

The main duties of the post will include:

Provision of care with responsibility for the management of patients with acute and chronic conditions including complex cases.

Referral of patients to other specialities as appropriate

Out-patient activities/clinics

Involvement in specialty and cross-specialty multi-disciplinary teams and meetings

Involvement in relevant administration duties

Teaching and supervision of junior medical staff and other clinicians as appropriate

Active involvement in audit and clinical governance including service improvement activities

The above list is not intended to be exhaustive, and it is likely duties may be altered from time to time in the light of changing circumstances and after discussion with the post holder.

The MYDoc Training Programme Educational Input & Recognition

These posts are designed to help you get the experience needed for the national training program application. There are opportunities to develop your specialist knowledge and skills, lead a quality improvement project and partake in departmental teaching. Many of our previous trainees have successfully got onto a national training program with the help we have provided.

Doctors appointed to a MYDoc post will receive relevant educational input. Each doctor will be allocated an Educational Supervisor and will be required to develop a Personalised Work Schedule.

The weekly timetable should include a balance of these activities appropriate to your grade, role, and training requirements. You are required to maintain a dialogue with your Clinical and Educational Supervisor to ensure the balance of these activities meets your developmental needs.

Whilst not a recognised training post Doctors successfully completing their training programme will be awarded a Certificate of Achievement from the Trust. Doctors will use established work-place based assessment (WPBA) tools to chart progress and keep relevant evidence in an electronic portfolio system. There will be an annual review of progress based on evidence within the portfolios including the WPBA, 360 assessment, personal reflections and CPD, covering both clinical, personal, and professional development, and a Certificate of Achievement (appropriate to that year/level of training) will be issued.

Terms & Conditions and Tenure

Employment will be as a MYDoc Clinical Fellow on Trust Terms and Conditions of Service.

The initial tenure of post will be 12 months with the option to extend for a further 2 years by mutual agreement and on satisfactory performance.

Appointment as a MYDoc Clinical Fellow is intended to be for a maximum three-year period as part of an individual development programme for the Doctor.

Pay Scale

These roles are equivalent to a doctor on specialty training programmes and will be paid on the equivalent pay scale.

The salary scale commences at £61,825 per annum.

Appraisal and Revalidation

This post is not recognised for training and brings with it an obligation to engage with the process of revalidation on an annual basis.

All our Trust appointed doctors are required to engage positively with appraisal and revalidation. The Trust has procedures that comply with national recommendations. As a Trust employed doctor on a fixed term

contract successfully appointed applicants will need to have a prescribed connection with MYTT via GMC Connect and will therefore have Dr Richard Robinson, the Medical Director at the Trust as their GMC Responsible Officer.

Continuing Professional Development

The Trust requires all its doctors to engage with continuing professional development, guided by the relevant professional associations or Royal Colleges. Time and funding is provided according to departmental and Trust policies, subject to approval through the clinical management structures. There is a programme of mandatory training which all relevant staff must complete as required.

Research

Medical staff are encouraged to develop areas of personal and/or research interest. This can be developed in liaison with the Trusts R&D department and in line with prevailing policies and research frameworks. The Trust is developing an expanding and outward-looking research programme.

Educational & Clinical Supervision

The post holder will have a named educational supervisor and be expected to hold regular meetings with them during their tenure to ensure appropriate development during their appointment.

Teaching

The Trust is keen to maintain its reputation for high quality training and to attract the highest calibre of trainee and career-grade doctors. All senior doctors are involved in training our doctors, students and other professions. There are many opportunities to develop training and education roles and many have taken on educational leadership roles within and beyond the Trust.

Audit and Clinical Governance

There is a rolling half-day clinical governance programme and audit meetings are well attended and lively. The Clinical Audit Department assists with setting and supporting an audit programme for the Service with which all colleagues are encouraged to engage. Clinical Audit is considered within objectives as part of job planning.

Qualifications

Essential

• MBBS or equivalent medical qualification Either of the following: MRCP(UK) Part 1 at time of application and MRCP(UK) full diploma by the published deadline Eligibility for the specialist register in general internal medicine by time of application Completion of Irish Basic Specialty Training in medicine and the MRCPI full diploma by time of application

Desirable

• Progress towards or attainment of Royal College Exams ATLS,ALS,APLS or PALS certification Higher qualification e.g. MFARM, MRCP, MRCPG, MRCS, FRCA or equivalent

Personal Attributes

Essential

• Possesses good communication
• skills.
• Applicants must have
• demonstrable skills in written
• and spoken English, adequate to
• enable effective communication
• about medical topics with
• patients and colleagues, as
• assessed by the General Medical
• Council
• Flexibility.
• Willingness to provide and learn
• all aspects of hospitals internal
• systems and processes and
• adhere to local policies
• Physically able to carry out the
• duties as specified in the job
• description and ability to
• evidence competencies
• Disclosure + Barring Service
• (DBS) Clearance

Desirable

• Has personal insight into own
• strengths and weaknesses.
• Ability to contribute to the
• development of the Trust, the
• Unit and its services.
• Evidence of multidisciplinary
• team working
• Specific educational interests and
• evidence of educational ideas or
• project work.

Experience

Essential

• Have evidence of achievement of foundation competences from a UKFPO-affiliated foundation programme or equivalent, by time of application in line with GMC standards - Good Medical Practice Have evidence of achievement of Internal Medicine Stage 1 capabilities, via one of the following methods: Current employment in a programme which leads to successful completion of Internal Medicine Stage 1 Training, via one of these approved routes: UK Internal Medicine Stage 1 Training UK ACCS (Internal Medicine)viii UK Broad Based Training (medicine route) A standalone UK IMY3 programme (following completion of UK core medical training/ACCS (acute medicine)) JRCPTB internationally level 3 accredited equivalent Internal Medicine Stage 1 Training programme Successful completion of one of the programmes listed above, evidenced by ARCP Completion of UK ST3 in General Internal Medicine and satisfactory progress for any subsequent GIM training, evidenced by ARCP Evidence of achievement of Internal Medicine Stage 1 capabilities at time of application. Acceptable evidence is only permitted via the Alternative Certificate to Enter Group 1 Higher Physician Specialty Training Have sufficient experience working in medical specialties (not including foundation level experience). This can be via either: Training completed in: UK Internal Medicine Stage 1 Training UK ACCS (Internal Medicine) UK Broad Based Training (medicine route) A standalone UK IMY3 programme (following completion of UK core medical training/ACCS (acute medicine)) JRCPTB internationally level 3 accredited equivalent Internal Medicine Stage 1 Training programme or Have at least 36 months experience in medical specialties (of which at least 18 months must include the care of acute medical in-patients). Experience in certain acute care common stem specialties can be counted towards the 36 months in some circumstances

Desirable

• Relevant experience from other specialties Experience of teaching clinical skills Clinical research and development

Right to work

Essential

• Eligibility to work in the UK

Management skills

Essential

• Demonstrates intelligent and analytical approach to problem solving. Good time management.

Desirable

• Possess good organisational skills.

GMC Registration

Essential

• Please state full GMC number. Currently holds full GMC Registration with licence to practise OR is eligible for the same and obtained this prior to commencement

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).