Junior Clinical Fellow in Acute Medicine

Job overview

This is a stand alone IMT1/ ST1 equivalent post which has become available due to an unexpected rotational vacancy. It is particularly suitable for someone applying for IMT in the coming year.  You will work within the Acute Medicine service which includes both Acute /GIM on calls (day and night), Ambulatory care/SDEC and the Acute Medicine wards/ AAU. You will have the same opportunities for learning and clinical experience as the IMT1-2 resident doctors within Acute Medicine which include Ambulatory care clinic experience, Acute Unselected Take, procedural training (with the opportunity to develop your bedside ultrasound skills) and participation in the departmental governance work which includes QIP work and participation in ongoing research projects within the Trust. The most recent GMC training survey gave a ‘green rating’ for experience within rotational IMT training in the Whittington and in Acute Medicine in particular. You will join an enthusiastic and dynamic team of consultants and resident doctors across a range of training programmes who are passionate about patient care, clinical excellence and medical education at post graduate and undergraduate levels. We have a large number of medical students within Acute Medicine and a dedicated Teaching Fellow who supports the wider team of resident doctors in teaching on the job. Please note, this post may close early if sufficient applications are received.

Main duties of the job

Please see the full Job Description and the Persons Specification for further details about the job role. If you are unable to access the PDF, the main duties of the job description can also be found in the 'Detailed Job Description and Main responsibilities' section.

Detailed job description and main responsibilities

1.    Acute Medicine

The postholder will work across the following 3 areas as outlined in the work schedule below:

• The Acute Medicine ward (AAU), Mary Seacole North and South wards
• The Acute Medical Take
• The Ambulatory Emergency Care Unit (AEC) to facilitate same day emergency care (SDEC)

Acute Medicine ward (AAU)

This is a 34-bed unit based across two adjacent wards (Mary Seacole North and Mary Seacole South).  This is staffed on a daily basis by 2 Consultants, a registrar, 2-4 SHOs and 2-3 FY1s with daily Consultant led ward rounds.

Wider AMU staffing includes a dedicated and highly trained nursing, physiotherapy, occupational therapy and MDT team, a frailty team, pharmacy and a full complement of support staff.

There are full cardiac monitoring facilities and isolation facilities, and patients may receive non-invasive ventilatory support on the AAU as well as chest drains, management of level 0 and level 1 patients and a close working relationship with the intensive care, cardiology, respiratory and gastroenterology teams who all in reach to AAU regularly.

Ambulatory Emergency Care (AEC)

The award-winning Ambulatory Emergency Care Unit is staffed by a dedicated team of senior and junior doctors and Advanced Clinical Practitioners who see acutely unwell patients, in an outpatient same day emergency care (SDEC) setting, providing an alternative to admission for many patients.

The ambulatory care unit has a dedicated Consultant and Senior Nurse who supervise the diagnosis, management and treatment of patients on the unit and provide teaching and support for the many procedures (chest drains, ascitic drains, lumbar punctures, infusions and diagnostic imaging) which take place there.

Acute Medical Take

This is staffed by 1 SpR, 2 SHOs and 1 FY1.  There is an average intake of 30 patients over 24 hours.  During the day, there is a continuous consultant post take ward round providing the opportunity for immediate feedback and learning.  Overnight, Consultant advice is available by telephone, and patients are reviewed on the morning post take ward round.

Work Schedule: 14 person rota (full shift)

You will work a full shift rota with nights and days on call as well as periods on the AAU and in SDEC. There is a parallel GIM rota which operates alongside the Acute Medicine SHO level rota to provide the full complement of staff across the medical take and on calls.