Senior Leadership Fellow in Ambulatory Care & Acute Medicine

Job overview

Applications are invited for a Clinical Fellowship programme embedded within a well-established, innovative Departments of Ambulatory Care and Acute General Medicine. The applicant would be one of a team of twelve ambulatory and general medicine fellows working in a well-resourced unit lead by a team of 44 consultants and a large experienced multidisciplinary team. They will also spend a block of their time working in Acute General Medicine which is a unique firm-based model and includes experience in acute take and inpatient medical care, including out of hours work and hospital at night. They will also be able to work across both of our acute medical sites, although these posts are pre-dominantly based at the John Radcliffe site.

Main duties of the job

The post is aimed at senior medical doctors in training (ST3+) or equivalent experience if not on training program. and is designed around the needs of the modern medical registrar. It can be performed Out of Programme or recognised as training (contingent on Deanery approval).

Detailed job description and main responsibilities

This is an exciting opportunity for an energetic, forward-thinking trainee who wishes to develop core clinical skills in ambulatory care in one of the leading ambulatory care units in the country.  The role would involve a mixture of banded clinical practise but also has one non-clinical day per week set aside where the candidate would be expected to gain experience in service development and quality improvement. If clinical needs are extremely high fellow might be asked to work clinical on specific weeks.

Consideration will be given to applicants who have completed Core Medical Training or IMT but have not yet been accepted onto a speciality training programme. The Fellowship will be tailored to individual requirements.

Successful applicants will develop a job plan in conjunction with a senior Fellowship supervisor which will compose:

Successful applicants will develop a job plan in conjunction with a senior Fellowship supervisor which will compose:

80% (0.8WTE) Clinical Work: to include Ambulatory experience across the John Radcliffe (mainly)/ and subject to discussion with supervisor may involve activity in other acute and ambulatory medicine settings in the Trust. This will include short days, long days on call,  out of hours weekend work. Specifically, within a < 48 hour average working week, it is currently proposed that the fellow  will contribute to the weekend rota and to one late evening /long day per week, but not to overnight care (beyond midnight or before 7am).

The clinical role gives a great   opportunity to work with a wide range of excellent consultants with special skills in ambulatory care. Also will allow to the candidate to collaborate and familiarise with pathways team such as Acute hospital at home.

20% (0.2WTE) leadership/ research/quality improvement : – this would give a great opportunity to the candidate to develop leadership skills and to become involved in projects on service development. Those days ambulatory fellow will work close with the AAU clinical lead/matron and the rest of the team to design and complete projects with impact on ambulatory care.

All activities will embrace the Trust’s vision of patient-centered service transformation and be aligned with the Future Hospital Commission’s recommendations for ambulatory care: with greater vertical and horizontal integration of acute services transcending traditional hospital-community and intra-hospital barriers. Such activities will complement Trust service improvement initiatives and will have patient safety and the delivery of high-quality, better safe, compassionate care at their core.

• The development and embedding of comprehensive ambulatory care pathways for
• common and less common discrete ‘medical’ presentations
• complex and/or frail patients, complementing existing services
• conditions with existing dedicated pathways but where further embedding, development or a complementary approach is needed to deliver best outcomes and resource use (eg DVT and TIA/minor stroke).
• Evaluating care through the development and embedding of relevant patient-centred outcome measures, and useful measures of whole pathway resource use
• Developing systems to support clinicians outside hospital (GPs, ambulance teams) to deliver effective care in the home
• Introduction and evaluation of pragmatic telemedicine systems
• Resident Doctor Forum and engagement
• Be a point of escalation of issues within Acute General Medicine and Geratology from the resident doctor workforce.

The AAU is embedded within the research and innovation infrastructure forming the Academic Health Sciences Centre (AHSC). Supervision and support is readily available to support projects that are aimed at improving clinical outcomes through changes in service models.