Job Title: ST3+ General (Internal) Medicine
Location: NHS Trust Hospital
Grade: ST3+ Specialty Registrar
Contract: Full-time, usually 12 months (with the possibility of extension or rotation)
Reports to: Consultant Physician in General Medicine
Department: General Medicine / Acute Medical Unit (AMU)
Job Purpose:
To provide high-quality care for patients under the supervision of consultant physicians in General Internal Medicine and related specialties. The role involves both acute care of medical patients and longitudinal care of chronic conditions, contributing to the clinical team, medical education, and service development.
Key Responsibilities:
* Clinical Duties:
* Acute Medical Care:
* Participate in the acute medical take, assessing and managing acutely ill patients in the Emergency Department (ED), Acute Medical Unit (AMU), or wards.
* Perform rapid assessments, investigations, and initiation of treatment for a wide range of medical conditions.
* Manage medical admissions under the supervision of a consultant.
* Ward-Based Care:
* Take responsibility for day-to-day management of patients on general medical wards, ensuring timely treatment and discharge planning.
* Lead ward rounds with junior doctors, nurses, and allied healthcare professionals.
* Implement treatment plans, monitor progress, and adjust management as necessary.
* Outpatient Clinics:
* Conduct outpatient clinics in General Medicine, assessing chronic and complex cases, developing care plans, and arranging follow-up.
* Procedures:
* Perform common procedures relevant to General Medicine, such as lumbar puncture, chest drain insertion, and central venous catheter placement.
* Teamwork and Supervision:
* Supervise and support junior doctors (F1, F2, CT1-CT2):
* Provide guidance in clinical decision-making, treatment plans, and patient management.
* Oversee the clinical work of more junior colleagues and provide teaching during ward rounds and in formal educational settings.
* Work collaboratively with nursing staff, allied health professionals, and administrative teams to ensure high standards of patient care.
* On-Call Duties:
* Participate in a rotational on-call rota to provide 24/7 medical cover.
* During on-call shifts, provide care for acutely unwell patients, respond to medical emergencies (e.g., cardiac arrests), and manage deteriorating patients across the hospital.
* Education and Training:
* Participate in formal teaching programs, both as a learner and educator.
* Engage in Continuing Professional Development (CPD) activities to keep skills up to date.
* Actively contribute to the teaching and training of medical students, junior doctors, and other healthcare professionals.
* Clinical Governance:
* Participate in clinical audits, quality improvement projects, and service reviews to enhance the quality of patient care.
* Contribute to Morbidity and Mortality (M&M) meetings, case presentations, and departmental teaching sessions.
* Ensure compliance with clinical guidelines, standards, and protocols set by the hospital and national bodies (e.g., NICE, NHS guidelines).
* Research and Development:
* Engage in research activities relevant to General Medicine and internal medicine subspecialties.
* Participate in clinical trials or service improvement projects as appropriate.
* Publish case reports, reviews, or original research in peer-reviewed journals when possible.
* Administrative Duties:
* Maintain accurate and timely patient records, including electronic documentation.
* Contribute to discharge summaries, referral letters, and other clinical documentation.
* Liaise with other medical teams, departments, and community services for effective patient care and discharge planning.
Requirements:
* Essential Qualifications:
* Full registration with the General Medical Council (GMC) and a valid license to practice in the UK.
* Successful completion of Core Medical Training (CMT) or Internal Medicine Training (IMT).
* Membership of the Royal College of Physicians (MRCP) (or equivalent).
* Desirable Qualifications:
* Experience in a medical subspecialty (e.g., Cardiology, Respiratory Medicine, Gastroenterology, etc.).
* Completion of ALS (Advanced Life Support) or equivalent certification.
* Skills and Attributes:
* Strong clinical knowledge and experience in managing acute and chronic medical conditions.
* Excellent communication and interpersonal skills, with the ability to work effectively within a multidisciplinary team.
* Leadership qualities, including the ability to manage junior staff and clinical teams.
* Strong organizational and time-management skills, with the ability to prioritize tasks and manage busy workloads.
* Other Requirements:
* Ability to work under pressure, particularly in emergency and on-call situations.
* Commitment to ongoing professional development and continuous improvement in clinical practice.
* Evidence of participation in clinical audits and quality improvement initiatives.
Training Opportunities:
* Clinical Development:
* The post offers excellent training in acute and general medicine, with opportunities to gain experience in a broad range of medical specialties.
* Regular supervision and mentorship from experienced consultants.
* Research Opportunities:
* Support for involvement in research projects, particularly in areas of special interest or academic training.
* Educational Development:
* Opportunities to teach and mentor junior doctors and medical students.
* Access to in-house and regional training programs, seminars, and workshops to enhance clinical skills and knowledge.
Working Conditions:
* Hours: Full-time, with a mix of daytime work and out-of-hours on-call commitments.
* Location: The role will be based in the General Medicine Department of the assigned hospital, with possible rotations across different medical wards, outpatient clinics, and the acute medical unit.
Job Types: Full-time, Fixed term contract
Contract length: 12 months
Pay: £75.00-£85.00 per hour
Expected hours: 45 – 50 per week
Benefits:
* Company pension
* Employee discount
* On-site parking
Schedule:
* 10 hour shift
* 12 hour shift
* 8 hour shift
* Monday to Friday
* Night shift
* No weekends
* Overtime
Work Location: In person
Reference ID: MRCP
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