Specialty Doctor Anaesthesia and Critical Care
University Hospitals Dorset NHS Foundation Trust
We have a vacancy for a specialty grade doctor in Anaesthesia and Intensive Care at University Hospitals Dorset to support the continuing expansion of service. This is an ideal opportunity for an anaesthetist with 3 or more years' experience to consolidate their expertise with an on-going commitment to career development and education. The successful applicant will provide anaesthesia for theatre work with onsite distant supervision by a Consultant Anaesthetist. There will also be a commitment to critical care and/or obstetric anaesthesia both in and out of hours with off-site supervision from a consultant anaesthetist or intensivist. The timetable is based around a 10 PA contract with the option to take an additional PA if desired.
As a department we are proud to have received Anaesthesia Clinical Services Accreditation (ACSA) from the Royal College of Anaesthetists after an extensive Peer review in recognition of our commitment to quality and patient care.
Main duties of the job
To provide resident cover for the Critical Unit and/or obstetric unit in office hours, as well as shifts of out of hours cover with non-resident supervision by a Consultant Intensivist or anaesthetist. Additionally, he/she/they will provide anaesthesia during daytime hours for the surgical and interventional specialties within the Trust, again with indirect (onsite) supervision from Consultants. There will be opportunities for career development which the department will support. The department is able to accommodate different levels of experience; however, newly appointed post holders will be expected to at least provide overnight Intensive Care cover, including airway skills.
Job responsibilities
Undertake advanced clinical assessment of the patient, analysing complex clinical signs, findings from physical examination, patient history and investigation results to diagnose medical/surgical conditions. Works autonomously in recognised situations and provide anaesthetic care independently to appropriate patients and surgical cases, including obstetric patients. Utilises professional judgement in managing complex and unpredictable care events and captures the learning from these experiences to improve patient care and service delivery. To develop and maintain effective communication with the patient, relatives and MDT where required. Use advanced communication skills to impart sensitive, complex and potentially distressing information to patients and carers. To provide accurate and effective clinical handovers across all professional boundaries. Make and receive patient referrals to/from other medical specialities, health care professionals or agencies, ensuring accurate written and verbal communication. Solo transfers of patients both intra and inter hospital where applicable. Documents in medical notes, history, clinical findings, physical examination, interpretation, plan of care and treatment provided. Undertakes reviews of critical care patients and formulates and discusses plans on Consultant ward rounds. To actively support the discharge planning process of patients and communicates with the receiving area/team discharge in collaboration with the healthcare team. Recognises own limitations and effectively seeks appropriate help from a range of multiagency and interprofessional resources in their practices. Maintains confidentiality of patient; discerning when confidential information should be shared in order to maintain safe conditions for healthcare practice.
Person Specification
Qualifications
* Recognised basic Medical Degree
* Full GMC registration
* 3 years' experience in the speciality at Senior House Officer/Core Training level or higher or its equivalence
* Successful completion of ALS (or equivalent) in last 3 years
* Part 1 FRCA or equivalent
* Completed a suitable program of training in anaesthesia recognised by the Royal College of Anaesthetists. Three years minimum training in Anaesthesia
* Final FRCA or equivalent
Knowledge
* Clinical training and experience equivalent to that required to enter UK Anaesthesia Speciality Training
* Ability to deliver anaesthesia care for (with distance supervision) of ASA 1-3 cases
* Clinical training and experience to act as Critical Care Unit resident doctor with non-resident Consultant Supervision
* Sound general medical knowledge
* Ability to perform within a multidisciplinary team
* All round general experience in anaesthesia, obstetric anaesthesia and intensive care
* An understanding of the NHS management structure and clinical governance
* Willing to work as part of a team and share management and administrative responsibility
* Completion of equivalent of SHO/CT2 level competency based programme
* Evidence of involvement in research projects and presentation at professional meetings and an understanding of the research process
Skills
* Demonstrable interest in risk management and patient safety
* Evidence of interest in preoperative care with aim of optimising patient pathway
* Evidence of interest in quality assurance and improvement
* Understands the principles of medical audit and research
* An understanding of CPD and evidence of its existence
* An understanding of the process of medical education and current approaches to this. An understanding of the needs of trainees
Personal Attributes
* Honesty and reliability
* Good organisational skills and time management
* Enquiring, critical approach to work
* Resilience and remain calm under pressure
* Caring attitude to patients
* Good written and verbal communication skills
* Commitment to Continuing Medical Education
* Willingness to work in partnership with management
* Willingness to accept the need to implement trust, directorate and departmental priorities
Language
* Able to speak English as necessary to undertake the role
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.
University Hospitals Dorset NHS Foundation Trust
Consultant Anaesthetist - Deputy Clinical Director
£55,825 to £90,000 a year Per annum (10 PA's)
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