MYDoc Clinical Fellow (ST3-5 equivalent) Elderly Medicine
The Medical Division at Mid Yorkshire Teaching NHS Trust provides acute care across the range of medical specialties in a large modern purpose-built hospital in Wakefield. This includes a large Acute Assessment Unit, Acute Elderly Assessment Unit, Coronary Care, and Acute (Respiratory) Care Unit. We also provide care for Acute Elderly Admissions and step-down care for patients in a less acute phase of their admission at Dewsbury & District Hospital.
Successful applicants will support the Elderly specialty team in the management of their in-patient & outpatient workload and will participate in the Trust-wide out-of-hours cover across both hospital sites.
Our Elderly Medicine team plays a crucial role for the Trust and our local community by striving to achieve excellent patient care and experience every time. The team provides care for approximately 250 inpatient beds spread across 2 sites and cares for the frailest and most vulnerable in society, as well as supporting other medical colleagues in caring for older patients. We have grown our team to be able to run a dedicated Elderly Care out-of-hours roster separate from general medicine.
Providing such varied roles also allows us the flexibility to offer bespoke careers; if you have a specialist interest that you wish to develop, we can work with you to make that happen.
Main duties of the job
The main duties of the post will include:
1. Provision of care with responsibility for the management of patients with acute and chronic conditions including complex cases.
2. Referral of patients to other specialties as appropriate.
3. Involvement in specialty and cross-specialty multi-disciplinary teams and meetings.
4. Teaching and supervision of junior medical staff and other clinicians as appropriate.
5. Active involvement in audit and clinical governance including service improvement activities.
About us
We are an acute trust caring for over half a million people in Wakefield and Kirklees. Our 10,000 staff work in patients' homes, the community, and our three hospitals in Pontefract, Dewsbury, and Pinderfields (Wakefield). We prioritize our people and values to deliver the best possible care to patients. Our team is friendly, passionate, and innovative, always seeking better ways to work.
We support work-life balance and foster a diverse, inclusive environment where everyone belongs. Our staff networks offer safe spaces to share ideas and concerns to increase awareness and appreciation of equality, diversity, and inclusion. We welcome applicants from all backgrounds and especially encourage members of the LGBTQ+ community, ethnic minority groups, and people with disabilities or neurodivergence to apply, as they are currently underrepresented in the Trust.
If you value caring, high standards, improvement, and respect, join the MY team to make a difference every day.
Job responsibilities
The Medical Division at Mid Yorkshire Teaching NHS Trust provides acute care across the range of medical specialties in a large modern purpose-built hospital in Wakefield. This includes a large Acute Assessment Unit, Acute Elderly Assessment Unit, Coronary Care, and Acute (Respiratory) Care Unit. We also provide care for Acute Elderly Admissions and step-down care for patients in a less acute phase of their admission at Dewsbury & District Hospital.
Successful applicants will support the Elderly specialty team in the management of their in-patient & outpatient workload and will participate in the Trust-wide out-of-hours cover across both hospital sites.
Our Elderly Medicine team plays a crucial role for the Trust and our local community by striving to achieve excellent patient care and experience every time. The team provides care for approximately 250 inpatient beds spread across 2 sites and cares for the frailest and most vulnerable in society, as well as supporting other medical colleagues in caring for older patients. We have grown our team to be able to run a dedicated Elderly Care out-of-hours roster separate from general medicine.
We run a broad number of specialist areas across the trust as follows:
On our Wakefield (Pinderfields) site:
1. A 40 bedded acute frailty unit (ACE) supported by a Rapid Elderly Assessment Care Team (REACT) focused on comprehensive geriatric assessment (CGA), with a view to getting patients home in a very timely fashion.
2. A 40 bedded Orthogeriatric unit caring for frail patients following fracture neck of femur and aiming for rehabilitation transfer or leaving hospital within 5 days - the vast majority of patients now meeting best practice standards and operated upon within 36 hours of admission to our Emergency Department.
3. A 40 bedded base ward with consultants having a specialist interest in nutrition, Parkinson's disease, and falls.
On our Dewsbury site:
1. A 20 bedded acute frailty unit (ACE) supported by the acute frailty team, providing CGA assessment and early discharge.
2. A 26 bedded unit which we are in the process of converting to a short stay unit.
3. Three 28 bedded elderly care wards, one taking post-operative fracture neck of femur patients for rehabilitation.
We also run a large Movement Disorder Service seeing all patients over 75 with movement disorder problems with 5 clinics per week across the Trust supported by Parkinson disease nurse specialists. We also run a wide range of clinics and provide home visits to the local community.
The Service Role
From a clinical perspective, these posts will participate in the cross-site senior trainee rota. The senior trainee rota is compliant with the 2016 junior doctor contract averaging 48 hours per week. The illustrative rota pattern is attached to this job description.
Duties will be based primarily on our Pinderfields Hospital site although all our medical staff are involved in delivering care to patients on all our sites.
Person Specification
GMC Registration
* Please state full GMC number.
* Currently holds full GMC Registration with licence to practise OR is eligible for the same and obtained this prior to commencement.
Experience
* Have evidence of achievement of foundation competences from a UKFPO-affiliated foundation programme or equivalent, by time of application in line with GMC standards/Good Medical Practice.
* Have evidence of achievement of Internal Medicine Stage 1 capabilities, for the round of application, via one of the following methods:
* Current employment in a programme which leads to successful completion of Internal Medicine Stage 1 Training by the advertised post start date, via one of these approved routes:
* UK Internal Medicine Stage 1 Training
* UK ACCS (Internal Medicine)
* UK Broad Based Training (medicine route)
* A standalone UK IMY3 programme (following completion of UK core medical training/ACCS (acute medicine))
* JRCPTB internationally level 3 accredited equivalent Internal Medicine Stage 1 Training programme
* Successful completion of one of the programmes listed above, evidenced by ARCP.
* Completion of UK ST3 in General Internal Medicine and satisfactory progress for any subsequent GIM training, by the advertised post start date, evidenced by ARCP.
* Evidence of achievement of Internal Medicine Stage 1 capabilities at time of application. Acceptable evidence is only permitted via the Alternative Certificate to Enter Group 1 Higher Physician Specialty Training.
* Trainees in Intensive Care Medicine who are applying with the intention to dual train, will be eligible if they can demonstrate all of the following: completion of UK Core Medical Training or ACCS Acute Medicine; successful completion of ST3 in ICM by the advertised post start date; making satisfactory progress with their ICM training, evidenced by ARCP.
* Be able to provide complete details of their employment history.
* Have evidence that their career progression is consistent with their personal circumstances.
* Have evidence that their present level of achievement and performance is commensurate with the totality of their period of training.
* Have sufficient experience working in medical specialties (not including foundation level experience) by the advertised post start date. This can be via either:
* Training completed in:
* UK Internal Medicine Stage 1 Training UK ACCS (Internal Medicine)
* UK Broad Based Training (medicine route)
* A standalone UK IMY3 programme (following completion of UK core medical training - ACCS (acute medicine))
* JRCPTB internationally level 3 accredited equivalent Internal Medicine Stage 1 Training programme or
* Have at least 36 months experience in medical specialties (of which at least 18 months must include the care of acute medical in-patients). Experience in certain acute care common stem specialties can be counted towards the 36 months in some circumstances.
* Relevant experience from other specialties.
* Experience of teaching clinical skills.
* Clinical research and development.
Management Skills
* Demonstrates intelligent and analytical approach to problem-solving.
* Good time management.
* Possess good organisational skills.
Qualifications
* MBBS or equivalent medical qualification.
* Either of the following:
* MRCP(UK) Part 1 at time of application and MRCP(UK) full diploma by the published deadline.
* Eligibility for the specialist register in general internal medicine by time of application.
* Completion of Irish Basic Specialty Training in medicine and the MRCPI full diploma by time of application.
* ATLS, ALS, APLS or PALS certification.
* Progress towards or attainment of Royal College Exams.
* Higher qualification e.g. MFARM, MRCP, MRCPG, MRCS, FRCA or equivalent.
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.
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