Locally Employed Doctor / Trust Grade Registrar LED - Acute Medicine

Job overview

This is a fantastic opportunity to join the Acute Medicine department at Torbay Hospital, working alongside a dynamic and enthusiastic clinical team.

Applicants will be offered a 12-month post at registrar level in Acute Medicine. Working on the specialty doctor rota on AMU, with a commitment to the GIM registrar on-call rota.

Main duties of the job

The successful candidate would be working at IMT3-equivalent level within the Acute Medicine department. The role includes participation in the 1:15 General (Internal) Medicine registrar rota, if desired by the successful candidate.

Detailed job description and main responsibilities

Responsibilities in Acute Medicine include:

• Taking telephone referrals for medical admissions: Providing clinical advice over the phone Suggesting alternatives to admission where appropriate Directing caller to specialist teams if available Deciding appropriate admission destination (ED/AMU)
• Providing clinical advice over the phone
• Suggesting alternatives to admission where appropriate
• Directing caller to specialist teams if available
• Deciding appropriate admission destination (ED/AMU)
• Identifying and reviewing patients from the take that could be rapidly discharged
• Daily review of admitted patients who have already been seen by a consultant (post-PTWR)
• Opportunistic bedside teaching and assessments for junior clinicians/medical students
• Supporting nursing staff on the unit with clinical or management queries
• Assisting with procedures as required e.g lumbar punctures
• Manage flow through the unit by monitoring the O drive and admissions board
• Ensuring effective handover between medical and nursing teams and evening clerking doctors
• Supporting junior clinicians in ensuring effective communication with colleagues in primary care
• Working alongside consultant colleagues as senior decision makers and to oversee the running of the unit.

The rota is a fixed cycle incorporating blocks of nights (4 maximum), on call long days, weekends and Specialty Days.  The weekend commitment is approximately 3 weekends in every 12 weeks.

On-call shifts are 12.5 hours long – either day shifts or night shifts. As the on-call registrar, you are expected to manage the medical take, which consists of around 60 medical referrals over a 24-hour period. You will have a junior team of medical trainees working with you (F1 to CT2 grade), and you will be supported by a consultant in Acute or General Medicine between 8am and 8.30pm. In the later evening and overnight, the consultant will be on call from home.