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Detailed job description and main responsibilities
The Senior Clinical Fellow will be expected to cover the General surgical unit at middle grade (registrar) level. On call he/she will be supported by an FY1 and either an FY2 or a CT trainee and will answer to the on-call consultant. On call they will be required to cover the specialities of General Surgery and Urology and in turn will be covered by the respective consultants in those specialities. The post-holder must respond promptly to calls from A&E and the wards (medical and surgical) to give advice and/or see and manage patients.
They would be expected to see urgent and emergency referrals from other disciplines/wards within the hospital. He/she must confer with the consultant on call and keep a record of such patients in the admission diary so that the patients could be appropriately followed up.
The Senior Clinical Fellow will keep an accurate and meticulous record in patient's case notes and will supervise junior medical staff to do so. All entries in the case notes should be signed (with time, date and contact number). In addition he/she will provide clinical supervision and support to the junior medical staff.
They must keep accurate record of emergency admissions and referrals and formally handover to the on call team at the end of their shift. Handover must be formal, should follow the SBAR pattern (Situation, Background, Assessment and Recommendation). Similarly they must make sure that they have understood the patient's problems and needs when receiving handover from somebody else.
They will supervise juniors in writing comprehensive but succinct discharge letters and summaries. They must ensure that VTE prophylaxis assessment is undertaken and that prophylaxis is given.
They must supervise, guide and teach junior members of the team in such skills as time management and team working.
The Senior Clinical Fellow will be expected to participate in departmental academic activities and audit of mortality and morbidity.
They must demonstrate a willingness to learn and avail all opportunities to advance their clinical and operative skills. They will be expected to attend, assist and perform operations and procedures within their ability.
The Senior Clinical Fellow will undertake duties in occasional emergencies and unforeseen circumstances at the request of the appropriate Consultant(s), in consultation where possible with colleagues both senior and junior. Additional commitments arising under this paragraph are exceptional. In particular, the doctor will not be required to undertake work of this kind for prolonged periods or on a regular basis.
They must read and follow any protocols of medical cover laid down (either in writing or verbally) for the firm in which they are working.
In case of any difficulty ensure that advice is sought from a senior colleague.
NOTE: Specific duties may vary from time to time with the circumstances existing and the developing competence and interests of the members of the firm.
The post-holder will be expected to cover for absent colleagues in an emergency situation (e.g. sickness, injury, instances where an arranged locum does not arrive at short notice and similar situations).
1. a) General Duties:
2. i) Patients to be seen and assessed on the ward prior to surgery or admission to Intensive Care.
3. ii) Keeping such records as may be required. These must be dated and initialled, together with any other related administrative duties, including discharge and Clinic letters.
iii) Duties in occasional emergencies and unforeseen circumstances at the request of the appropriate Consultant(s) in consultation where possible with colleagues both senior and junior. Additional commitments arising under this paragraph are exceptional. In particular, the doctor will not be required to undertake work of this kind for prolonged periods or on a regular basis.
(iv) To read and follow any protocols and clinical guidelines laid down (either in writing or verbally) for the anaesthetic department.
(v) In case of any difficulties, either clinical or administrative, to ensure advice is sought from a senior colleague. (vi) To accurately gather data required for clinical audit and to participate in audit meetings. Keep a log book (electronic or written) of the cases anaesthetised. NOTE: Specific duties may vary from time to time with the circumstances existing and the developing competence and interests of the members of the Department.
All applicants will be expected to have a working knowledge of the English language. Applications are invited from all suitably qualified candidates, regardless of age, sex, marital status, race, religion, creed, sexual orientation, colour or disability. All Bedford Hospital NHS Trust posts are suitable for part-time/job share arrangements.
All disabled applicants who meet the minimum criteria for the job will be invited for interview.
Please include your referees email address as this is how they will be contacted.
Only shortlisted candidates will be contacted. This will be via your NHS Jobs account and via e-mail.
Person specification
Registration
Essential criteria
* Full GMC Registration with a Licence to Practice.
Qualifications
Essential criteria
* MBBS or equivalent medical qualification. MRCP Part 1 or equivalent.
Desirable criteria
* MRCP Part II Written or PACES or equivalent.
Eligibility
Essential criteria
* Evidence of achievement of Foundation competencies in line with GMC standards in Good Medical Practice.
* Evidence of achievement of ST1/CT1 and ST2/CT2 competencies in a relevant specialty at time of application by the start date of the post.
* To be eligible to work at this grade the appointee will have a minimum of 2 years clinical experience in this specialty.
* Eligibility to work in the UK.
* All applicants to have demonstrable skills in written and spoken English that are adequate to enable effective communication about medical topics with patients and colleagues.
* Meets professional health requirements (in line with GMC standards in Good Medical Practice).
Fitness to Practise and Probity
Essential criteria
* Applicant's knowledge is up to date and fit to practise safely.
* Professional integrity and respect for others: capacity to take responsibility for own actions and demonstrate a non-judgmental approach towards others. Displays honesty, integrity, awareness of confidentiality and ethical issues.
Clinical Skills
Essential criteria
* Acute care safe: up-to-date ALS. Hospital at night team working / experience. Out of hours experience relevant to the job.
* Relevant specialty clinical knowledge: capacity to apply sound clinical knowledge relevant to the job, specialty knowledge exam.
* Clinical judgement: experience in making clinical decisions and managing risk. Knows when to seek help, able to prioritise clinical need.
* Practical skills: shows aptitude for practical skills, required for the job. Proven ability to work effectively in different clinical settings required in the job.
Desirable criteria
* ALS instructors certificate.
Specialty specific skills related to the post
Essential criteria
* Ability to offer clinical opinion on a range of problems in general surgery and colorectal disease.
* Excellent diagnostic skills.
* Successful completion of advanced paediatric life support course.
Commitment to clinical governance / improving quality of patient care
Essential criteria
* Clinical governance: Capacity to be alert to dangers or problems. Demonstrates awareness of good decision making. Aware of own limitations. Track record of engaging in clinical governance: reporting errors, learning from errors.
* Audit: evidence of active participation in audit.
* Teaching: evidence of interest and experience in teaching where required in the job.
Desirable criteria
* Research Skills: Demonstrates understanding of the principles of research, evidence of relevant academic and research achievements.
* Teaching: evidence of experience in teaching where required in the job.
Communication skills
Essential criteria
* Effective communication skills: demonstrates clarity in written/spoken communication and capacity to adapt language as appropriate to the situation.
* Empathy and sensitivity: capacity to listen and take in others' perspectives.
* Works in partnership with patients: always considers patients preferences when discussing treatment options. Always considers the full impact of clinical decisions on the patients, Practice shared decision making. Directs and supports patients to access the information they need to support decision making.
Desirable criteria
* 360 feedback.
* Patient survey feedback and reflections.
Personal skills
Essential criteria
* Team working: demonstrated experience working in a team, values the input of other professional in the team.
* Managing others and team involvement: capacity to work co-operatively with others and demonstrate leadership when appropriate. Capacity to work effectively in multi-professional teams.
* Coping with pressure: capacity to operate under pressure. Demonstrates initiative and resilience to cope with the setbacks & adapt to rapidly changing circumstances.
* Problem solving & decision making: capacity to use logical /lateral thinking to solve problems & make decisions.
* Organisation and planning: capacity to organise oneself and prioritise own work. Demonstrates punctuality, preparation and self-discipline. Understands importance of information technology.
* Flexible approach to work: able to adapt and work with employers to deliver improved patient care.
* Equality and diversity: promotes equality and values diversity.
Desirable criteria
* Able to adapt to work with employers to deliver.
* Experience in leadership. Demonstrates skills needed for effective delegation within the team.
Commitment to on-going professional development
Essential criteria
* Learning and personal development: demonstrates interest in the specialty required for the job. Demonstrates a commitment to maintaining professional skills and knowledge relevant to the job.
* Demonstrates a willingness to fully engage in appraisal. Self-awareness and ability to accept and learn from feedback.
Desirable criteria
* Extracurricular activities / achievements relevant to the job.
* Specialty exams.
It is an exciting time to join the newly formed Bedfordshire Hospitals NHS Foundation Trust. We run two busy hospital sites in Bedford and Luton. Our 7,500 staff provide high quality care for a growing population of around 700,000 across Bedfordshire and the surrounding areas.
You will be joining a friendly, high performing Trust committed to ensuring the health and wellbeing of staff. As one of the largest NHS Trusts in our region you will have access to a programme of high quality training and development to help you grow your career. Travel between hospital sites may be required. We have state-of-the art facilities placing us at the heart of cutting edge health care. The Trust continues to be committed to delivering the best patient care using the best clinical knowledge and technology available.
All new staff will be subject to a probationary period covering their first six months in post.
Employer certification / accreditation badges
Applicant requirements
You must have appropriate UK professional registration.
This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.
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