Registrar in Same day emergency care ST3+

Job overview

This post is based at the Same Day Emergency care unit at St Mary’s hospital Paddington and is part of the urgent and emergency care service in Imperial College healthcare NHS Trust (ICHT). The unit is unique in that it is run by emergency medicine and see a wide range of adult patients. We have been trailblazers in accepting patients direct from the London Ambulance service. 111 as well as from General practitioners. Our staffing includes Advanced Clinical practitioners and we have a consultant based in the department during weekday hours. The post is suitable for doctors looking to extend or consolidate their emergency medicine and acute medicine skills and who wish to develop improvement or leadership skills alongside the clinical care. It is suitable for doctors who have completed at least six months of emergency medicine, ideally in the UK, and who have worked in the NHS for a minimum of 6 months.

Main duties of the job

The postholder will work in the unit on a shift basis, with days, evenings or weekends. The rota is flexible and we welcome those who wish to work less than full time for personal or professional reasons. The case mix is varied and includes assessment and management of selected patients streamed from the emergency department, those referred from PG or other sources and interval review of a number of patients thus avoiding admission. We work closely with the acute medicine team who are present during the week within the unit as well as other acute specialties.

Detailed job description and main responsibilities

• Assess and manage patients referred from the Emergency department “front of house”
• Receive, assess and manage patients referred by LAS, 111 and their GP
• Provide support for nurse led pathways such as hyperemesis gravidarum and DVT diagnosis
• Arrange relevant follow up including virtual clinic for specific patients
• Utilise diagnostics appropriately including access to imaging (CT, MRI) and laboratory testing, and review and act on results accordingly
• Refer to and seek guidance from specialties
• Undertake improvement projects in conjunction with the clinical team to support the quality of care for patients
• Provide support and guidance to Advanced clinical practitioners and less experienced residents as required