Fixed Term Internal Medicine Training IMT 1/2 General Medicine

Job overview

This is a 2-year fixed rotation in medicine during which you will have the opportunity to gain competencies of an IMT.

You will be allocated an Educational and Clinical Supervisor.

The first year will comprise of 3 x 4-month rotations in Gastro, Cardiology and Respiratory

The second-year placements are to be confirmed but will differ from the first-year placements and either be 4 months or 6 months in length.

The successful applicant will be required to purchase e-portfolio from the Royal College; however, the Trust will refund this expense.

Should the successful applicant leave before completing the full 2-year placement, the Trust will deduct the cost of e-portfolio from the final pay.

Please see Job Description and Person Specification attached for full details.

We will close vacancies before the stated closing date once the first 50 applications are received. Therefore, please apply as soon as possible.

Main duties of the job

• General ward work and on-going care of in-patients. • Support and supervise foundation year trainees • Maintenance of ward lists. • Handover of patients to on call and hospital at night teams. • Consultant ward rounds. • Attendance at MDTs and board rounds. • Attend outpatients. • On call as per rota including night shifts. • Participate in ward and medical directorate clinical governance. • Issue death certificate and provide statement for coroner’s referral or evidence.

Please see Job Description and Person Specification attached for full details.

Detailed job description and main responsibilities

The department of Medicine is run on an integrated acute medicine and care of the elderly ward-based system, with most wards having at least three consultants, two Specialty Registrars, three Specialty Registrars/F2 trainees and three F1 trainees. F1 trainees are regularly rostered to clerking shifts on AAU under the supervision of the physician of the day. In the evenings and at weekends medical wards are covered by two F1 trainees, with support from the rest of the on-call team. At night the hospital is covered by a hospital at night team run by the specialist registrar and including F2 trainees and enhanced trained nurses. F1 trainees no longer work at night within the hospital. Formal handover to the hospital at night time is an important component of the post for the on call F1 trainees.

Each ward has their own ward-based team of juniors including combinations of FY1, FY2, ST1 and ST2 trainees. Each ward also has ward based StR(s) and a combination of medical and COE consultants. The division runs a ‘physician of the day’ system, to cover the acute on call and provide a daily post take ward round of those admissions not retained in AAU or the short stay facilities.

Each ward operates a daily consultant multidisciplinary red to green board round to facilitate early discharge and to ensure all patients have daily consultant input.

Our Acute Admissions Unit (AAU) is in operation and comprises of short stay trolleys and a dedicated Same Day Emergency Care (SDEC) area.

Please see Job Description and Person Specification attached for full details.