The Chief Registrar will be responsible for contributing to one or more of the following activities within the Trust: managing services coordination of medical care quality and service improvement education and training service re-design workforce transformation Coordination of medical care The chief Registrar will be expected to attend departmental and divisional management meetings to gain an understanding of management and the wider social, political and economic influences on healthcare delivery. Where appropriate this will also involve trust board meetings. The role will involve leading any sessions on service development, improvement and transformation for which the chief registrar will have direct responsibility. The chief Registrar will also be involved in overseeing the planning of service delivery in relation to junior medical staff deployment. This may include planning and oversight of delegation of specific duties to non-medical staff. The chief registrar will have insight into patterns of out-of-hours working, shift working, safe cover / medical staffing, handover, hospital at night, communication and information technology systems. An important function of the Chief Registrar will be to engage with junior medical staff within the Medical Division, to act as a conduit between them and the senior physicians and senior clinical managers responsible for service delivery. The chief registrar will also engage with allied healthcare professionals and may explore innovative solutions to medical workforce challenges. Quality and service improvement The chief registrar will work closely with senior management and the Project Management Office, to initiate and lead a range of strategic projects, including service re-design and the introduction of new services. The projects selected will be tailored to the needs of the trust and individuals interests however will involve patient flow through the emergency floor and service delivery to reduce hospital admissions. All such activities will have patient safety and the delivery of high-quality, safe, compassionate care at their core. Education and training The appointee will contribute to the junior doctor educational programme. This may include designing teaching programmes, overseeing the delivery and evaluation of teaching, and ensuring the quality of junior doctor education in the Medical Division, particularly with respect to internal medicine. It is envisaged that the Chief registrar will work closely with the Education Fellow in AMU to deliver these programmes and will also contribute to the running of the Leadership Group programme currently run by the Department of Medical Education within the Trust. Clinical responsibilities: The amount of time spent undertaking clinical commitment will be 60%. The chief registrar will ideally be undertaking dual training in internal medicine and a specialty. The chief registrar will be expected to contribute to the acute medical take. Specialty clinics can be arranged according to the trainees requirements. Interested trainees should refer to their TPD / educational supervisor or the contacts below for further information. Discussion with the TPD and educational supervisor is essential. The aims of the clinical component are to: Be part of a team that delivers excellent care at the front door Develop enhanced clinical skills, especially in the assessment and management of acutely ill medical patients Follow patients through emergency clinical pathways Improve all aspects of communication with patients, carers and staff members working within multi-disciplinary teams and primary care Improve competencies in IT skills and critical use of evidence and data Gain competencies in practical procedures In addition the trainee will have knowledge and clinical exposure to the following: Management of Cardiac Arrest Peri arrest management / ITU liaison Management of patients requiring Non Invasive Ventilation Management of Acute Coronary Syndromes The Integrated Discharge Team Same Day Emergency Care Clinic and processes Specialist out-patient clinics