Trust Grade Doctor (SHO level) in Respiratory Medicine

Job overview

We are looking for an enthusiastic capable doctor to join our fantastic respiratory team at St Mary’s Hospital, Imperial College Healthcare NHS Trust, at a Foundation Year 2 (FY2) or Internal Medicine Training year 1 or 2 (IMT1/2) level. It will suit a doctor with at least one year’s experience working clinically and previous experience of working in the NHS as a doctor. Respiratory experience is not essential and will be gained during the post.

This role will be based day-to-day on the Respiratory and Acute Medicine wards at St Mary’s Hospital. They will have the opportunity to clerk sick patients on the medical take (in normal working hours). There is an opportunity to upskill in many aspects of respiratory medicine including COPD, asthma, tuberculosis, bronchiectasis, lung cancer, interstitial lung disease, pleural disease, non-invasive ventilation and more. The applicant will be well-supported by our knowledgeable and approachable consultant team at all times. This is a great training opportunity and a chance to be part of a fantastic team.

For further information please contact Dr Laura Martin or Dr Hugo Farne, Respiratory Consultants and co-Unit Training Leads for Respiratory at St Mary’s Hospital ([email protected] or [email protected]).

Main duties of the job

As part of the respiratory team, the post holder (along with the registrars, other SHOs and FY1s) will be responsible for the ward-based care of 33 patients on Manvers ward, including an 8-bedded acute respiratory unit. They will also periodically work on the Acute Medicine ward, looking after recently admitted patients. The post holder will not be on the on call rota or work outside of normal hours, although they may be able to clerk new admissions in hours.

There will be opportunities in this post to build on the skills and experiences developed earlier in their career and to lead independent ward rounds, independently assess unwell patients, and be supported in the transition to more senior medical roles.

This is an academic respiratory unit and the post holder will be expected to take an active role in education and research. This will involve teaching junior medical staff and medical students, and completing one audit or research project. They will have opportunities to present at the weekly departmental educational meeting.

The post holder will be expected to attend the structured teaching programmes provided by the department and regular SHO teaching (FY2 or IMT1/2 as appropriate).

Detailed job description and main responsibilities

The post holder will work as part of a consultant-led team looking after inpatients on the respiratory ward (Manvers). The 33 patients on the respiratory ward (Manvers) are looked after by a minimum of 2 registrar grade and 4 other (SHO/FY1) staff members at all times, divided into two teams led by a separate consultant. There are often more clinical staff on the wards depending on annual leave, study leave and on call commitments. These patients have conditions such as lung cancer, COPD, asthma, respiratory infections (e.g. pneumonia, TB, bronchiectasis), pleural disease (pneumothorax, effusions and empyaemas), respiratory failure, interstitial lung disease and other general medical conditions.

The post holder will participate in daily board and ward rounds, complete jobs from the ward round, and attend weekly radiology meetings. They will be expected to be able to:

• Take a history and examine a patient
• Identify and synthesise problems
• Prescribe safely
• Keep an accurate and relevant medical record
• Manage time and clinical priorities effectively
• Communicate effectively with patients, relatives and colleagues
• Use evidence, guidelines and audit to benefit patient care
• Act in a professional manner at all times
• Cope with ethical and legal issues which occur during the management of patients with general medical problems
• Educate patients effectively
• Teach junior colleagues and medical students

See attached job description for further details.