Speciality Doctor in Emergency Medicine

Job overview

We are recruiting for a 6 month fixed term Speciality Doctors in Emergency Medicine,  to support the Trust’s strategy in developing and supporting the delivery of excellent emergency clinical care in West London.

We are looking for someone who wants to work in a dynamic, innovative and evolving team.

We are absolutely focused on ensuring that our hospitals provide high quality, safe and compassionate care, while driving forward the building of the new Hillingdon Hospital, which is due to be built by 2027.

This is a full-time post but less than full time applicants willing to job share are welcomed.

Main duties of the job

The Department focuses on the provision of evidence based emergency medicine, teaching, training and excellence, while maintaining operational standards.

A co-located GP-led Urgent Care Centre delivers care for both adults and children with minor illness and injury. There are stringent and well-defined clinical criteria for streaming individual patients either to the Urgent Care Centre or Emergency Medicine. Patients may also be referred from the Urgent Care Centre to Emergency Medicine, where appropriate.

The Emergency Department adheres to key performance indicators (KPIs) and the appointee will be expected to work toward these operational standards.

With this in mind, these posts will help in achieving these operational standards while maintaining excellent care in the Emergency Department; furthermore, these posts  complying with the new Specialty doctor contract changes of 2021

Education and training is at the forefront of the departmental philosophy. There is regular teaching and training opportunities, both informal (including bedside teaching from consultants, board rounds), and formal (including regular internal training days, journal clubs and secondments to other specialties) and these have contributed to the success of both trainees and Trust doctors in RCEM examinations.

Furthermore, the Emergency Department is committed to research involvement, and quality improvement methodology in order to constantly improve the treatment delivered to our patient population.

Detailed job description and main responsibilities

The post-holder will:

• provide excellent direct clinical care for patients presenting to the ED, while working to maintain operational standards
• be responsible for the initial assessment, management and discharge or referral of patients to specialist teams
• provide timely and effective review of those patients initially assessed by the post-holder (or handed over by junior or Consultant colleagues), both in the main department and of those patients subsequently admitted to the Clinical Decision Unit.
• provide clinical advice and support to the one FY1, Senior House Officers and nursing staff on the management of individual patients and ensure appropriate prioritisation of patient care
• assume the role of Trauma Team Leader when the Trauma team is activated
• assume the role of Team Leader for cardiac arrests occurring in Emergency Department
• respond to a major incident call out and deliver clinical care in accordance with the Trust’s Major Incident Plan
• Be responsible, with the Nursing Shift Leader, for efficient floor management including deployment of junior medical staff
• ensure that accurate, timely and sufficiently comprehensive information is communicated to our patients, their carers and General Practitioners. This includes the clinical coding of every patient episode and the provision of discharge letters for all patients and for those sent to CDU
• liaise with colleagues within the Department, specialist teams providing inpatient care, the Clinical Site Practitioners, the Psychiatric Liaison Team, Rapid Response Service and the statutory, voluntary and other bodies involved in the provision of patient care within the community
• review pathology and imaging reports and initiate appropriate action as required
• participate in the Clinical Governance role of the Department, including quality improvement, risk management and the investigation of formal complaints and incidents

Educational

The post-holder will be expected to actively participate in:

• the clinical supervision and education of final year medical undergraduates attached to the department of Emergency Medicine
• Regular teaching and induction programmes for Emergency medicine SHOs
• Educational activities for ED nursing staff, where appropriate

Continuous Professional Development

The post holder will be expected to:

• continue his/her own professional development in line with national guidance on revalidation as well as guidance from his/her professional body and the Royal College of Emergency Medicine
• comply with the Trust’s mandatory training requirements
• Maintain valid life support provider status for ALS, ATLS and APLS (or EPLS or equivalent)
• Actively participate in and contribute to the ‘Senior EM Training Programme’.

Successful applicants will participate in a rolling rota with their Speciality Doctor and Specialist Registrar colleagues, delivering direct clinical care on a 24-7 basis, with full internal cover for annual leave, study leave, and Bank and Public Holidays.

The rota will comply with current national guidance and specialty doctors will be contracted for 10 programmed activities per week comprised of:

9 PA – for direct clinical care

1 PA – for supporting professional activity.