Job summary This is an exciting opportunity for a senior clinical fellow (SCF) to gain experience in Acute Medicine. It is suitable for doctors who are considering a career within the specialty or in a related medical specialty, or who simply wish to develop their skills and knowledge in adult medicine at a senior level. You will be part of the Acute Medicine team who deliver high quality care to patients at the front door of the hospital and will have the opportunity to practice procedural skills, develop your clinical acumen and leadership, reflecting the HST generic and GIM curriculum. This post has become available due to a training gap in the IMT3 rotation, and as such, your opportunities will mirror those within the IMT3 programme within the department and hospital. You will be allocated a consultant supervisor to support your career development. You will be encouraged to grow as a clinician and participate in governance including mortality reviews, QIPs, departmental and trust-wide educational activities. Please note this post may close early if sufficient applications have been received. Main duties of the job You will work with a dynamic multidisciplinary team and play a role in teaching medical students and junior doctors, work collaboratively with the START team (accelerated discharge therapy team), Virtual ward, frailty team as well as the other hospital based specialties and tertiary services. Effective communication skills form a key part of this role, and this is an excellent opportunity to step up to the next level of clinical leadership and decision making from an SHO level role. There is a large team of consultants with a spread of interests within and outside Acute Medicine, including Geriatrics, ITU, Oncology, Clinical Pharmacology, Education, and Maternal Medicine. You will have the opportunity to link in with these other interests if you wish as part of your training. About us Whittington Health serves a richly diverse population and works hard to ensure that all our services are fair and equally accessible to everyone. Nowhere is this more obvious than in the way we look after our staff. We aim to employ a workforce which is as representative as possible of this population, so we are open to the value of differences in age, disability, gender, marital status, pregnancy and maternity, race, sexual orientation, and religion or belief. The Trust believes that as a public sector organisation we have an obligation to have recruitment, training, promotion and other formal employment policies and procedures that are sensitive to these differences. We think that by doing so, we are better able to treat our patients as well as being a better place to work. Date posted 28 October 2024 Pay scheme Hospital medical and dental staff Grade Doctor - other Salary £61,825 to £70,425 a year per annum Contract Fixed term Duration 6 months Working pattern Full-time Reference number 220-EIM-MED-6728820 Job locations Whittington Hospital London N19 5NF Job description Job responsibilities The postholder will work across the following 3 areas as outlined in the work schedule below: the Acute Assessment Unit (AAU), Mary Seacole North and South wards the Acute Medical Take the Ambulatory Emergency Care Unit (AEC) to facilitate same day emergency care (SDEC) Acute Assessment Unit (AAU) This is a 34-bed unit based across two adjacent wards (Mary Seacole North and Mary Seacole South). This is staffed on a daily basis by 2 Consultants, a registrar, 2-4 SHOs and 2-3 FY1s with daily Consultant led ward rounds. Wider AMU staffing includes a dedicated and highly trained nursing, physiotherapy, occupational therapy and MDT team, a frailty team, pharmacy and a full complement of support staff. There are full cardiac monitoring facilities and isolation facilities, and patients may receive non-invasive ventilatory support on the AAU as well as chest drains, management of level 0 and level 1 patients and a close working relationship with the intensive care, cardiology, respiratory and gastroenterology teams who all in reach to AAU regularly. Ambulatory Emergency Care (AEC) The award-winning Ambulatory Emergency Care Unit is staffed by a dedicated team of senior and junior doctors and Advanced Clinical Practitioners who see acutely unwell patients, in an outpatient same day emergency care (SDEC) setting, providing an alternative to admission for many patients. The ambulatory care unit has a dedicated Consultant and Senior Nurse who supervise the diagnosis, management and treatment of patients on the unit and provide teaching and support for the many procedures (chest drains, ascitic drains, lumbar punctures, infusions and diagnostic imaging) which take place there. Acute Medical Take This is staffed by 1 SpR, 2 SHOs and 1 FY1. There is an average intake of 30 patients over 24 hours. During the day, there is a continuous consultant post take ward round providing the opportunity for immediate feedback and learning. Overnight, Consultant advice is available by telephone, and patients are reviewed on the morning post take ward round. Job description Job responsibilities The postholder will work across the following 3 areas as outlined in the work schedule below: the Acute Assessment Unit (AAU), Mary Seacole North and South wards the Acute Medical Take the Ambulatory Emergency Care Unit (AEC) to facilitate same day emergency care (SDEC) Acute Assessment Unit (AAU) This is a 34-bed unit based across two adjacent wards (Mary Seacole North and Mary Seacole South). This is staffed on a daily basis by 2 Consultants, a registrar, 2-4 SHOs and 2-3 FY1s with daily Consultant led ward rounds. Wider AMU staffing includes a dedicated and highly trained nursing, physiotherapy, occupational therapy and MDT team, a frailty team, pharmacy and a full complement of support staff. There are full cardiac monitoring facilities and isolation facilities, and patients may receive non-invasive ventilatory support on the AAU as well as chest drains, management of level 0 and level 1 patients and a close working relationship with the intensive care, cardiology, respiratory and gastroenterology teams who all in reach to AAU regularly. Ambulatory Emergency Care (AEC) The award-winning Ambulatory Emergency Care Unit is staffed by a dedicated team of senior and junior doctors and Advanced Clinical Practitioners who see acutely unwell patients, in an outpatient same day emergency care (SDEC) setting, providing an alternative to admission for many patients. The ambulatory care unit has a dedicated Consultant and Senior Nurse who supervise the diagnosis, management and treatment of patients on the unit and provide teaching and support for the many procedures (chest drains, ascitic drains, lumbar punctures, infusions and diagnostic imaging) which take place there. Acute Medical Take This is staffed by 1 SpR, 2 SHOs and 1 FY1. There is an average intake of 30 patients over 24 hours. During the day, there is a continuous consultant post take ward round providing the opportunity for immediate feedback and learning. Overnight, Consultant advice is available by telephone, and patients are reviewed on the morning post take ward round. Person Specification Education / Qualifications Essential Full GMC registration MB BS or equivalent medical qualification ALS provider status Desirable BSc, MSc, MD, PhD (or equivalent) Teaching Essential Experience of undergraduate/postgraduate medical teaching Desirable Formal training in teaching skills Evidence of innovation in teaching Health Essential Meets professional health requirements (in line with GMC standards in Good Medical Practice) Research skills Essential Interest in research Desirable Formal research, experience or training in research methodology Published author IT Skills Essential Excellent skills in Word, Excel and PowerPoint Familiar with Patient information and picture archiving systems Communication skills Essential 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 Some previous experience of behaviour change training. PERSONAL QUALITIES Essential Team working: demonstrated experience working in a team, values the input of other professionals in the team. Coping with pressure: capacity to operate under pressure. Demonstrates initiative and resilience to cope with setbacks & adapt to rapidly changing circumstances. Problem solving & decision making: capacity to use logical/lateral thinking to solve problems & make decisions. Organisation & 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 Clinical Skills Essential At least 6 months experience of working in Acute Medicine or Emergency Medicine Completed UK Foundation Programme (or equivalent) Full MRCP Completed at least 2 years of Core Medical training (at SHO level) or equivalent Commitment to clinical governance/ improving quality of patient care Essential Evidence of involvement in multi-disciplinary audit Understanding of clinical governance Desirable Formal audit training Commitment to ongoing professional development Essential Learning and personal development: Demonstrates interest in the specialty required for the job. Demonstrates a commitment to maintaining professional skills and knowledge. Demonstrates a willingness to fully engage in appraisal. Self-awareness and ability to accept and learn from feedback. Desirable If no previous experience of behaviour change training, demonstrates willingness to develop skills in this area. Person Specification Education / Qualifications Essential Full GMC registration MB BS or equivalent medical qualification ALS provider status Desirable BSc, MSc, MD, PhD (or equivalent) Teaching Essential Experience of undergraduate/postgraduate medical teaching Desirable Formal training in teaching skills Evidence of innovation in teaching Health Essential Meets professional health requirements (in line with GMC standards in Good Medical Practice) Research skills Essential Interest in research Desirable Formal research, experience or training in research methodology Published author IT Skills Essential Excellent skills in Word, Excel and PowerPoint Familiar with Patient information and picture archiving systems Communication skills Essential 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 Some previous experience of behaviour change training. PERSONAL QUALITIES Essential Team working: demonstrated experience working in a team, values the input of other professionals in the team. Coping with pressure: capacity to operate under pressure. Demonstrates initiative and resilience to cope with setbacks & adapt to rapidly changing circumstances. Problem solving & decision making: capacity to use logical/lateral thinking to solve problems & make decisions. Organisation & 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 Clinical Skills Essential At least 6 months experience of working in Acute Medicine or Emergency Medicine Completed UK Foundation Programme (or equivalent) Full MRCP Completed at least 2 years of Core Medical training (at SHO level) or equivalent Commitment to clinical governance/ improving quality of patient care Essential Evidence of involvement in multi-disciplinary audit Understanding of clinical governance Desirable Formal audit training Commitment to ongoing professional development Essential Learning and personal development: Demonstrates interest in the specialty required for the job. Demonstrates a commitment to maintaining professional skills and knowledge. Demonstrates a willingness to fully engage in appraisal. Self-awareness and ability to accept and learn from feedback. Desirable If no previous experience of behaviour change training, demonstrates willingness to develop skills in this area. Disclosure and Barring Service Check This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions. Certificate of Sponsorship Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab). From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab). UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). Additional information Disclosure and Barring Service Check This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions. Certificate of Sponsorship Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab). From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab). UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). Employer details Employer name Whittington Hospital NHS Trust Address Whittington Hospital London N19 5NF Employer's website https://www.whittington.nhs.uk/ (Opens in a new tab)