Senior Leadership Fellow in Ambulatory Medicine

Job overview

This is an exciting opportunity for an energetic, forward thinking trainee who wishes to develop higher level clinical skills in a university teaching hospital and take full advantage of the links held with other Oxford institutions. The role would involve a mixture of banded clinical practise but also has two non-clinical days per week set aside where the candidate would be expected to gain experience in leadership, quality improvement, research, teaching and point of care ultrasound.

The post is aimed at senior medical doctors in training (ST3) and is designed around the needs of the modern medical registrar. It can be performed Out of Programme

Main duties of the job

The post is aimed at senior medical doctors in training (ST3 to ST5) and is designed around the needs of the modern medical registrar.

Working for our organisation

Oxford University Hospitals NHS Foundation Trust (OUH)

• quality research
• bringing innovation from the laboratory bench to the bedside
• to the delivery of high-quality education and training for doctors.

OUH delivers acute emergency care on two of its four hospital sites (the John Radcliffe Hospital in Oxford and the Horton General Hospital in Banbury), supports the urgent care pathway across distributed community settings, and is working towards comprehensive application of the Future Hospitals Commission principles.

Detailed job description and main responsibilities

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

60% (0.6WTE) Clinical Work: to include acute ambulatory care in the Ambulatory Assessment Unit, and subject to discussion with supervisor may involve activity in other acute and ambulatory medicine settings in the Trust

40% (0.4WTE) Leadership and Management Portfolio: to be decided in conjunction with supervisor according to applicant interests. Should include:

1. Quality Improvement Methodology and Training
2. Using OUH Quality Improvement toolkit
3. In-house QI development programme with support in project design, data, change management and sustainability.
4. Engagement wider multidisciplinary team in QI work
5. Presentation of projects at the OUH QI forum
6. A structured project relevant to ambulatory and acute medicine. The project will be developed in collaboration with Fellowship supervisors, with the successful applicant leading on project delivery. The project will be expected to be substantially delivered within the time period of the Fellowship, and submitted for dissemination at Trust, regional and/or national level.
7. Completion of a formal qualification chosen in conjunction with Fellowship supervisor. Formal qualifications offered by partner institutions are encouraged though those provided by other organisations will be considered. The Fellowship will fund part or all of the qualification.
8. Training in point of care ultrasound will be available and participation in this training is encouraged
9. A number of portfolio research projects are run out of the ambulatory unit and the candidates would be expected to actively recruit patients to these studies as well as encouraged to take on a role of assistant principle investigator on one study. Further opportunities to undertake other research of the applicants choice in the department would be supported and encouraged.

Support will be given from the consultant body as well as from key leaders within the Trust.

Person specification

GMC

• Full GMC registration and licence to practise

Qualifications

• Be fit to practice
• Experienced in Acute medicine
• Should be ST4 and above
• Should not hold a CCT
• Satisfactory progress throughout training, including ARCP outcomes

• Additional degree (intercalated, masters or doctorate)

Clinical Skills

• Clinical competency in own medical specialty appropriate for their stage in training
• Appropriate knowledge base, and ability to apply sound clinical judgement to problems
• Ability to prioritise clinical need
• Ability to maximise safety and minimise risk
• Ability to work without supervision where appropriate Demonstrable experience in ambulatory care

• Demonstrable outcomes in ambulatory care
• Experience in management of frailty syndromes
• Evidence of skills in management of acute medical emergencies (eg ALERT, IMPACT certification, ALS Instructor)

Research

• Understanding of research, including awareness of ethical issues
• Understanding of research methodology
• Knowledge of evidence-based practice

• Evidence of involvement in a formal research project
• Evidence of relevant academic achievements, including publications / presentations

Leadership and management

• Effective team working and leadership skills, supported by MSF or WBAs
• Self-awareness, with knowledge of personal strengths and weaknesses, impact and areas for development
• Interest in and knowledge of the importance of leadership and management for clinicians

• Effective leadership skills in and outside medicine (eg evidence of leading innovations or improvements)
• Understanding of NHS management and resources
• Understanding of the local and national context in which the trust operates, including economic and political influences

Quality / Service improvement

• Understanding of clinical governance
• Active involvement in QIP/audit, research or other activity that focuses on patient safety and clinical improvement and innovation
• Interest in / knowledge of the delivery of safe, effective healthcare services

• Evidence of completed audit/Quality improvement projects
• Evidence of learning about the principles of change management
• Insight into issues facing UK healthcare services

Education and Teaching

• Interest in and experience of teaching
• Evidence of excellent feedback on teaching

• Teaching diploma or degree
• Development of teaching programmes
• Participation in teaching courses

Personal Skills

• Clarity in written and spoken communication
• Capacity to use logical/lateral thinking to solve problems/ make decisions, indicating an analytical/scientific approach and where appropriate, creativity in problem solving
• Capacity to manage/prioritise time and information effectively
• Ability to work effectively under pressure
• Capacity to manage conflicting demands
• Self-motivation, and resilience
• Initiative and ability to work autonomously

• Leadership skills gained within the NHS or elsewhere
• Writing experience:
• clinical and/or non-clinical topics
• peer-reviewed publications and/or communication
• Evidence of achievements outside medicine
• Evidence of altruistic behaviour (e.g. voluntary work)