Portfolio Pathway / CESR (Specialty Doctor) in Geriatrics/DME

Job overview

We are advertising posts in our well established CESR programme at the University Hospitals of Derby and Burton NHS Foundation Trust.

We would expect the CESR programme to require 3-5 years for completion in most cases. The contract is initially for 12 months, but will be reviewed annually and extended on a mutually agreed basis, based on successful completion of required competencies at annual review.

The posts are intended to offer the clinician access to the support and training required to complete all aspects of the CESR process pending successful progression through the programme. It will be possible to provide specific secondment-style modules in the CESR programme, to address relevant educational and competency needs.

This post will usually rotate through both Royal Derby Hospital (RDH) and Queens Hospital Burton (QHB) to give a breadth of training experience.  For significantly less than full time positions this can be negotiated as to be being based at RDH but may occasionally involve some cross site working dependent upon the service need.

Main duties of the job

Duties will be split between winter pressure services in winter and specific training needs in the other months. This might include Orthogeriatrics, mental health liaison or surgical liaison. However, the following timetable can be flexible and tailored to the successful applicant's training needs and requirements:

The post will participate in an out of hour’s rota supporting acute medicine and the HOOH service at the QHB and RDH sites.

Detailed job description and main responsibilities

Clinical Activities

Inpatient

RDH 4 base wards and outliers/winter ward

QHB 2 base wards and outliers/winter ward

Support wards with senior cover, in particular during winter. Lead board round on the winter ward daily (Mon-Fri) as well as providing daily senior ward reviews when consultants are unavailable. Provide support to the other DME wards when base team SpR’s are on on-call or on leave.

Referrals

Provide at least one session a week to supporting the liaison service and inpatient referrals. This can be increased when there are no winter pressures to provide an adequate training experience to progress to the specialty register via the CESR route. Outpatient clinics

When not on winter pressures provide one falls/frailty clinic a week.

Clinical duties will include taking a lead role in the management of acutely ill frail older patients. The qualities of leadership required as head of an elderly team are key to the role, and it is anticipated that these qualities will be gradually developed through the process of supervision of more junior doctors and involvement in their education - both formal and informal.

The post holder will be expected to prioritise and time-manage effectively according to the activity of the department and to utilise appropriately the available senior staff for advice.

We would encourage the post holder to complete work based placed assessments to allow documentation of their own development.

Education is an important part of the role. The post holder will be fully involved in supporting the training of all levels of staff: medical; nursing; allied healthcare professions. Among groups who regularly attend the Departments are Student Nurses, Doctors, ACPs, Therapies, & Pharmacy students.