LAS Specialty Registrar in Acute Medicine

Join our team and get the support you need, in line with our Organisational Values and ‘Proud to Lead’ competence framework.

Enjoy being part of working with engaged leadership at all levels, and be assured we are committed to promoting equality and diversity, and are proud to welcome applicants under the “Disability Confident Employer” scheme. We also offer a number of family-friendly benefits, including work-life balance policies.

Please check your email account regularly. Successful applicants will receive all recruitment related correspondence via the email account registered on the application form.

Applications may be submitted in Welsh. Applications submitted in Welsh will not be treated less favourably than an application submitted in English.

The salary scale above has been agreed as part of the NHS Agenda for Change pay award for 2024/2025 and will be implemented in November 2024 backdated to 1st April 2024 where applicable.

Job overview

The average daily emergency “take” in Adult Medicine is 35 patients (+25 for Care of the Elderly) and the average length of stay of < 4-5 days. Consultant post-take ward rounds are carried out continuously in the EQ (Emergency Quadrant) There are over 6,000 emergency admissions each year to Adult Medicine, with a further 4,000 annual admissions to Care of the Elderly.

A core curriculum is taught to Foundation Year Ones and SHOs/FY2’s, and there are also regular MRCP tutorials. There is a dedicated Clinical Governance Unit and Audit Office with permanent staff.

Main duties of the job

The candidate will be responsible, both professionally and managerially, to Dr H Nair clinical lead for acute medicine. You will also be supervised by a team of consultant’s hrs within acute medicine

He/she will:

1. Provide support to Consultant and Associate Specialist, in managing the department in-patients and out-patients (ambulatory patients)
2. Provide leadership and education to the junior doctors on the team.

1. Provide On Call as a Middle Grade.
2. Contribute to local postgraduate activity.
3. Participate in Clinical Audit and CPD, which is fully supported by the Health Board.
4. Participate in research projects as necessary.

Shared Office accommodation and access to intranet/internet will be provided.

Working for our organisation

Postgraduate facilities are excellent, with a dedicated centre and a large, state-of-the-art, award-winning Library within the hospital complex. There are six community hospitals within the hospital’s main catchment area and peripheral out-patient clinics are held in most of these.

Detailed job description and main responsibilities

A full job description and person specification can be found in the additional documents within the advert.

Person specification

Health

• Meets professional health requirements (in line with GMC standards / Good Medical Practice)

Career Progression

• Ability to provide complete details of employment history. Evidence that career progression is consistent with personal circumstances
• At least 24 months experience in medicine or an ACCS programme or equivalent (not including Foundation modules)

Application Completion

• ALL sections of application form completed FULLY according to written guidelines

Qualifications

• MBBS or equivalent medical qualification
• MRCP (UK) Part 1 or equivalent at time of application or work toward obtaining Part 1 within 6 months of being appointed.

• MRCP (UK) full diploma or equivalent
• Intercalated BSc or equivalent
• Higher degrees including MSc, PhD or MD (where research thesis not part of first medical degree

Eligibility

• Eligible for full registration with the GMC at time of appointment and hold a current license to practice
• Evidence of achievement of Foundation competencies from a UKFPO affiliated Foundation Programme of equivalent by time of appointment in line with GMC standards/Good Medical Practice including: -  Make the care of your patient your first concern  Protect and promote the health of patients and of the public  Provide a good standard of practice and care  Treat patients as individuals and respect their dignity  Work in partnership with patients  Be honest and open and act with integrity
• Evidence of achievement of CT/ST1 competences in medicine at time of application and CT/ST2 competences in medicine (as defined by the curricula relating to Core Medical training) supported by evidence from work-based assessments of clinical performance (DOPS, Mini-CEX, CBD, ACAT) and Multi-Source Feedback or equivalent, ARCP or equivalent
• Eligibility to work in the UK
• Not previously relinquished, released or removed from a training programme in the specialty except under exceptional circumstances

Fitness to Practice

• Is up to date and fit to practice safely

Language Skills

• All applicants to have demonstrable skills in written and spoken English adequate to enable effective communication about medical topics with patients and colleagues demonstrated by one of the following: -  That applicants have undertaken undergraduate medical training in English; or  Have achieved the following scores in the academic International English Language Testing System in a single sitting within 24 months at time of application – Overall 7, Speaking 7, Listening 7, Reading 7, Writing 7. If applicants believe they have adequate communication skills but do not fit into one of these examples they must provide supporting evidence

Clinial skills

• Appropriate knowledge base and ability to apply sound clinical judgement to problems
• Awareness of the basics of managing cardiovascular disease
• Able to demonstrate proficiency in a range of medial procedures (as defined by the CMT curriculum) as an indication of manual dexterity and hand-eye coordination
• Evidence of competence in management of medical emergencies and in-patients through continuous work-based assessments, portfolio evidence, including log book documentation if applicable
• Evidence of competence to work without direct supervision where appropriate
• Demonstrate current ALS certification or equivalent

• Demonstrates awareness of the basics of managing general medical emergencies
• Evidence of some competences in the specialty as defined by the relevant curricula
• Evidence of skills in the management of acute medical emergencies (e.g. ALERT, IMPACT certification)
• Evidence of ST3 equivalent procedural skills relevant to medical patients (clinical independence in central venous cannulation, chest drain insertion, joint aspiration, DC Cardioversion, abdominal paracentesis)

Research and Audit Skills

• Demonstrates understanding of research, including awareness of ethical issues
• Demonstrates understanding of the basic principles of audit, clinical risk management, evidence based practice, patient safety and clinical quality improvement initiatives
• Demonstrates knowledge of evidence-informed practice

• Demonstrates an understanding of research methodology
• Evidence of relevant academic & research achievements and involvements in a formal research project
• Evidence of relevant academic publications
• Evidence of involvement in an audit project, a quality project, formal research project or other activity: o Focusing on patient safety and clinical improvement o That in addition to the mandatory curriculum demonstrates an interest in and commitment to the specialty
• Evidence of a portfolio of audit projects including where the audit loop has been closed and there is evidence of learning of the principles of change management
• Demonstrates an understanding of clinical governance
• Evidence of exceptional achievement in medicine
• Evidence of involvement in teaching students, postgraduates and other professionals, with feedback
• Evidence of participation in a teaching course

If you are eligible for the Health and Care visa, application costs are lower and you do not need to pay the annual Immigration Health Surcharge.