The position is in general medicine with an interest in gastroenterology. The post is on-take for unselected acute medical emergencies on a 1:5 rota. When the post holders on-take, routine outpatients duties are cancelled as the post holder is expected to take a lead role in coordinating the assessment and review of patients referred by General Practitioners, the Emergency Department and other Hospital services. This will involve the post holder in initial assessment of some patients as well as senior review of patients previously assessed by more junior members of the team. The Acute Medicine Consultant and/or the on-call General Medical Consultant will perform a post-take ward round during the on-take period which the post holder will attend and during which all acutely admitted patients will be reviewed. There is an Emergency Admissions Unit on which the majority of acute medical admissions are assessed and on which short-stay patients (generally under 48hrs) are also treated through to discharge. A Staff Grade, a Clinical Fellow, an FY2 House Officer in Acute Medicine and an FY1 House Officer in Acute Medicine are available to assist on the Emergency Admissions Unit. Longer-stay patients are transferred to the acute general wards. The post holders on-call duties are organised in 13-hour full shifts (including handover periods) including one week of night duties in every 8-week cycle. There are flexible arrangements to take time-off in compensation for on-call and night duties, which can be taken during the 3-week period out of every 8-week cycle when the post holder has no inpatient or on-call responsibilities. Routine ward duties during the 4-week period in every 5-week cycle that the post holder has inpatient responsibilities include: attendance on 2 Consultant ward rounds per week of the firms patients on host ward, the ICU and general wards. The post holder will also lead this ward round on non-consultant presence days and fulfil the role of senior decision maker. The post holder is expected to perform some routine ward work as well as supervising the Clinical Fellow and F1 House Officer in the performance of their duties. The post holder will undertake specialist clinics within gastroenterology. Where applicable and competencies and achieved endoscopy sessions will be undertaken. Specific duties and timetabling will be subject to an annual job-plan review. The post holder will be expected to participate in the training of Medical Staff for whom he/she is responsible and ensure that training and learning needs are identified and facilitated. Junior doctors will be appraised at appropriate intervals. The post holder will be expected to take part in management and audit activities and represent the service at Hospital meetings, as agreed with colleagues. The post holder will be expected to be fully involved in Risk Management programme and support the Governance agenda.