Consultant in Acute Medicine
Posted 17 hours 13 minutes ago by NHS
We are seeking an enthusiastic physician to join our team of 16 Acute Physicians to participate in the ongoing development and evolution of our Acute Medical Unit (AMU), Medical SDEC (Same Day Emergency Care), Acute Dependency Unit (ADU) & G&A bed base, and to play a key role in the management of emergency admissions.
Main duties of the jobThis post has been developed to deliver a sustainable model of acute care. The London Quality Standards recognize the importance of a dedicated Acute Physician team leading acute care. This post presents an excellent opportunity for a clinician, with experience and considerable understanding of all aspects of acute medicine with or without a specialist interest, to join a dynamic team of physicians committed to the delivery of the highest standard of patient care. This individual will be expected to contribute to the ongoing development of the clinical interface with both Primary Care and the Emergency Department at St George's.
About usThe Acute Medicine Care Group has continually evolved in recent years to meet the demand for acute care. This has increased consultant input within the initial 24-48 hours following admission. This post is pivotal to the assessment and management of acutely unwell adult patients. We are also striving to continually improve geriatric and frailty services, which most recently has seen integration across the acute and community-based teams.
The current job plan has been designed to provide a sustainable post in Acute Medicine with or without a complementary specialty. The job plan is designed on an annualized basis which allows some flexibility. There will be an expected commitment to all aspects of the service including the acute medicine on-call rota, physician of the week and Amyand ward rotas, weekend working, and the medical SDEC (Same Day Emergency Care).
The appointee is expected to participate in undergraduate, postgraduate, and multi-disciplinary education programmes and to play a full part in Clinical Governance.
Job responsibilitiesThe Acute Medicine rota will be based on a 14 WTE model, all of whom are dedicated acute physicians. We operate an Acute Physicians of the day model. The post-night consultant period begins with non-resident on-call, followed by a post-night ward round commencing at 08:00, and then an MDT triage meeting and an afternoon ward round. The on-call Physician starts at 08:30 and is then responsible for admissions until 21:00hrs. All referrals from primary care and SDEC are received by the on-call consultant and are triaged to ambulatory care or admission avoidance clinics, which run daily. Referrals from the Emergency Department are taken by the on-call SpR, with support from the consultant where required. We currently operate a process model for patients from the Emergency Department to maximize productivity and avoid admission where possible. Our ambulatory care team consists of nurse practitioners, nurse coordinators, triage nurses, and bay nurses alongside the on-call team.
On day two of a patient's stay, we attempt to preserve continuity with the on-call consultant from the previous day being responsible for the ongoing care of the patients admitted in the prior 24 hours.
Person Specification Qualifications- Entered on the Specialist Register for General/Acute Medicine +/- complementary medical specialty
- MRCP or Equivalent
- Full registration with GMC
- Higher specialist training with CCT in General/Acute Medicine +/- another medical specialty
- Advanced Life Support Certificate
- Demonstrable experience in Clinical Governance activities
- Demonstrable experience in teaching
- Demonstrable experience in research with an appropriate publication record
- Detailed knowledge of Acute Medicine
- Understanding of modern medical curricula and of learning assessment tools
- Detailed knowledge of the specialist skills required for this post
- Ability to take on independent clinical responsibility whilst working as part of a multi-disciplinary team
- Ability to organize and manage staff and resources effectively
- Ability to communicate effectively with GPs and other professionals in hospital and community
- Ability to teach medical students and junior medical and nursing staff
- Ability to engage busy clinicians in the ongoing development of the acute medical service
- Ability to develop research projects and supervise trainees in their research
- Caring attitude to patients
- Flexible and co-operative approach to colleagues and team members
- Demonstrable ability to cope under pressure
- Demonstrable commitment to continuing medical education
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.
St George's University Hospitals NHS Foundation Trust
General Manager - Acute Medicine & Senior Health