JOB DESCRIPTION JOB TITLE: GRADE: International Fellow in Medicine Junior Clinical Fellow (JCF) HOURS: 40 Hours (Band 1A) RESPONSIBLE TO: ACCOUNTABLE TO: Dr Joble Joseph, Clinical Director for Medicine Dan Gibbs, Interim Divisional Manager, Trauma, Emergency and Medicine (TEaM) Posts are at the Princess Royal University Hospital (BR6 8ND) and Orpington Hospital working within Medicine. JCF postholder will have rotations through the Acute Medicine General Internal Medicine wards gaining experience of the services. Whilst on the Acute Medicine rota, the focus will be on acute medical take and management of acutely unwell patients within the first 48 hours of admission. If the patient requires a hospital stay of longer than 48 hours then they will be transferred to a post-amu ward. This post would be suitable for any trainee who has, or are on course to, successfully complete a 2-year Foundation School programme or has achieved equivalent competencies. Ideally trainees will have an up to date certification for Adult Life Support training. Although this appointment is not accredited for training, the appointee will be expected to participate fully in the educational and training programmes within each department and the hospital. The appointee will have a named clinical/ education supervisor. Annual leave and study leave is commensurate with other post foundation doctors. The experience and opportunities offered would be excellent experience for applicants planning a career in medicine. Previous postholders have been successful in gaining entry to training programmes upon completion as well as completing their Royal College membership exams.
PERSON SPECIFICATION ESSENTIAL EDUCATION/QUALIFICATIONS Eligible for full registration with the GMC. MB BS (or equivalent). PREVIOUS EXPERIENCE Experience in general medicine. SKILLS/KNOWLEDGE/ABILITY Knowledge and experience of general medicine. Successful completion of a Foundation School Training Programme in the UK (or able to prove equivalent competencies). Competent to work without direct supervision where appropriate. Clear, logical thinking showing an analytical/ scientific approach. Ability to prioritise clinical need. Ability to organise oneself and own work. Experience and ability to work in multi-professional teams. Shows knowledge of evidence-informed practice. Shows awareness of own limitations. Understanding of clinical risk management. The ability to communicate with clarity and intelligibility both written and spoken. Empathise with patients and work co-operatively with others. Uses a non-judgemental approach to patients and colleagues. Able to change and adapt, respond to changing circumstances. Able to operate under pressure, cope with setbacks, self-aware. Is well prepared, shows selfdiscipline/ commitment, is punctual and meets deadlines. Displays honesty, integrity, aware of ethical dilemmas, respects confidentiality. PHYSICAL REQUIREMENTS Meets professional health requirements. DESIRABLE MRCP part 1 (or equivalent). Academic honors or prizes. Other degrees/ qualifications. Valid ALS (or equivalent). Understanding of NHS and Clinical Governance. Information technology skills. Demonstrate use of evidence-informed practice. Shows initiative/ drive/enthusiasm (selfstarter, motivated, shows curiosity, initiative). Evidence of teaching experience; involvement in organised teaching.
KING S COLLEGE HOSPITAL NHS FOUNDATION TRUST EDUCATION PROGRAMME FIRM/SPECIALTY GRADE YOUR POSTGRADUATE DEAN/ CLINICAL TUTOR Medicine Junior Clinical Fellow Mr T.J. Lasoye Although these posts are not approved for training they will provide excellent experience for general professional training at Core Medical Training Level. All appointees will have a designated clinical/educational supervisor who they will be expected to meet regularly to support their professional development. PART 1: HOSPITAL POSTGRADUATE FACILITIES 1. The PGMDE Department is based within the Education Centre at the Princess Royal University Hospital. The Education Centre also hosts a library and a restaurant. In addition there is the Education Annex which has a Simulation Suite. Both the Simulation Suite and Education Centre run a range of courses, teaching sessions, clinical skills practice and Simulation courses. 2. Weekly Grand Round takes place every Friday from 1pm 2pm in the Education Centre with lunch provided. 3. Appointees will be welcome at the Core Medical Training weekly sessions Wednesday or Thursday 1-2pm and MRCP Paces teaching sessions. 4. The Teaching the Teachers Course run across the Trust would be available to appointees. 5. Study Leave arrangements and funding are available and advice and guidance is available through the PGMDE department. PART II: SPECIALTY EXPERIENCE Each specialty at King s has their own educational program for junior staff, including weekly educational meetings, audit meetings, x-ray meetings etc. PART III: EDUCATIONAL OBJECTIVES Core Medical Training Curriculum. http://www.jrcptb.org.uk/specialties/documents/2009%20cmt%20curriculum%20- %20with%20major%20revision%202011.pdf ASSESSMENTS WITH YOUR EDUCATIONAL SUPERVISOR Assessments occur at the beginning of the post and at least once more during, or at the end of the post.
Careers Guidance via half day workshop on Careers planning and subsequently interview practice. ENQUIRIES AND ARRANGEMENTS TO VISIT Interested applicants are invited to contact:- Dr Joble Joseph, Clinical Director for Medicine Dr Deepak Rao, Respiratory Consultant BACKGROUND KING S COLLEGE HOSPITAL NHS FOUNDATION TRUST The Trust is now located on multiple sites serving the economically diverse boroughs of Southwark, Lambeth, Bromley and Bexley. As a major employer with over 11,500 staff based across 5 main sites in South East London including Princess Royal University Hospital (PRUH) and Orpington Hospital, we play an important part in helping reduce local, social and health inequalities. The Trust will provide a broad range of secondary services, including specialist emergency medicine (e.g. trauma, cardiac and stroke). It also provides a number of leading edge tertiary services, such as liver transplantation, neurosciences, haemato-oncology, fetal medicine, cardiology and cardiac surgery, on a regional and national basis. King s College Hospital NHS Foundation Trust has an enviable track record in research and development and service innovation. In partnership with King s College London the Trust has recently been awarded a National Research Centre in Patient Safety and Service Quality. It is also a partner in two National Institute for Health Research biomedical research centres. The first is a Comprehensive centre with King s College London and Guy s and St Thomas NHS Foundation Trust and the second is a Specialist centre with the South London and Maudsley NHS Foundation Trust and the Institute of Psychiatry. King s College Hospital NHS Foundation Trust has also recently strengthened its research and development infrastructure in order to better support clinical researchers across the organisation. Further information about King s College Hospital NHS Foundation Trust can be found on its website www.kch.nhs.net. The enlarged Trust has an annual income of nearly 1 billion, around half of which is derived from Clinical Commissioning Groups. However, education and research are also important sources of income, currently contributing around 8% of the total. The Trust is embarking on a strategy to achieve greater diversification of its income, with growth anticipated in tertiary referrals, research and commercial services activities. There is also a developing fund raising partnership within King s Health Partners. King s College Hospital NHS Foundation Trust offers a family friendly working approach for all staff to ensure a good work-life balance. It is an environment where family life is promoted and this will be a feature of your annual appraisal. The Trust provides childcare advice and nursery facilities in conjunction with a supportive mentoring and career planning programme. Applicants for job sharing are welcome.
KING S HEALTH PARTNERS ACADEMIC HEALTH SCIENCE CENTRE (AHSC) King s Health Partners (KHP) is a pioneering collaboration between King s College London, Guy s and St Thomas, King s College Hospital and South London and Maudsley NHS Foundation Trusts. This unique combination brings together one of the world s leading research-led universities and three of London s most successful NHS Foundation Trusts. The driving purpose behind KHP is to continually seek and bring about swifter and more effective improvements in health and well-being for patients and people everywhere, by combining the best of basic and translational research, clinical excellence and world-class teaching to deliver ground-breaking advances in physical and mental healthcare. KHP is one of only five AHSC in the UK accredited by the Department of Health. This followed as selection process carried out by a panel of internationally renowned clinicians and researchers. Further information on KHP can be found on its website www.kingshealthpartners.org. PRINCESS ROYAL UNIVERSITY HOSPITAL (PRUH) ACUTE MEDICINE There is a 56 bedded acute medical unit comprising of two wards (EAU and M9) that take all acute medical admissions. It is run by eight Acute Medicine Consultant Physicians each supported by junior teams. The majority of medical admissions (either from primary care or the emergency department) are admitted through this unit. There are daily Consultant led ward rounds for all patients. Each ward is supported by multidisciplinary teams of nurses, therapists, pharmacists, clinical administrators and social workers. There is an Ambulatory care clinic which facilitates early discharges and provides an opportunity to manage complex patients in an outpatient setting. This is a valuable opportunity to provide ongoing continuity and learn about the natural history of the conditions that present to the PRUH. The Acute geriatric service comprises of a 40 bedded ward. This is run by three Consultants who provide an in-reach service onto the acute medical unit. Patients with a length of stay of less than 5 days are transferred to this ward. There is daily in-reach from cardiology, gastroenterology and respiratory teams. There will also be opportunities to acquire skills in practical procedures including ultrasound skills and focused echocardiography under the supervisor of the Acute Medicine Consultants. It is a dynamic unit with extensive opportunity to learn from Acute physicians with specialist interests e.g. Renal, Gastroenterology, Cardiology and Endocrine/Diabetes. There is a weekly teaching session and development of professional portfolio whilst under close supervision by Consultants. Patients who are identified as requiring an admission of longer than 48 hours will be moved to one of the post-amu wards in either General Internal Medicine or to one of the specialist clinical gerontology wards. We also have close working relationships with acute stroke care, neurology and critical care.
HYPER ACUTE STROKE UNIT (HASU) The post holder will contribute to the operation of the 14 bedded HASU as part of a multidisciplinary team of doctors, nurses and therapists, and also provide out of hours cover for stroke. Responsibilities will involve management of HASU patients, and attendance for acute stroke calls in A&E with a Band 6 stroke nurse and a stroke consultant. Ward rounds are carried out each day, including weekends, lead by a stroke consultant. This HASU attachment is an excellent opportunity to gain extensive experience in various aspects of hyper acute stroke care, including brain imaging and delivery of thrombolysis. GENERAL INTERNAL MEDICINE These wards are staffed by a team of Consultants and junior medical staff (from F1 to specialist register level) for the ongoing care of patients who require a hospital stay of longer than 48 hours. Multidisciplinary team working with nurses, therapists and other professions allied to medicine is expected of all doctors within General Medicine. Each day starts with a multidisciplinary board round to check and confirm expected discharge arrangements and identify acute clinical need. There are ward Clinical Governance and Multidisciplinary Performance Meetings to ensure quality of patient care and the appointees would be expected to participate in these processes. These wards encompass the following specialties Cardiology, Gastroenterology, Respiratory, Stroke and Gerontology. BROCKLEHURST UNIT, ORPINGTON HOSPITAL This is a new development of two clinical areas (38 beds/chairs) on the Orpington Hospital site is in progress. This facility will form part of the service offered to frail older people (Integrated Health Care) assisting in admission avoidance (including step-up beds) and a step down service, for people requiring a further period of rehabilitation/recovery once medical stable. The medical support to this will be from Consultants in Geriatric Medicine, and may also be supported though a combined approach with GPs with a specialist interest in Older People. This aims to provide seamlessly integrated, innovative care for frail patients. GENERAL The postholder has a general duty of care for their own health, safety and wellbeing and that of work colleagues, visitors and patients within the hospital, in addition to any specific risk management or clinical governance accountabilities associated with this post. To observe the rules, policies, procedures and standards of King s College Hospital NHS Foundation Trust together with all relevant statutory and professional obligations. To observe and maintain strict confidentiality of personal information relating to patients and staff. To be responsible with management support, for their own personal development and to actively contribute to the development of colleagues. This job description is intended as a guide to the general scope of duties and is not intended to be definitive or restrictive. It is expected that some of the duties will change over time and this description will be subject to review in consultation with the postholder.
All employees must hold an nhs.net email account which will be the Trust s formal route for email communication. You are therefore required to check this regularly and to deal with such communication promptly. INFECTION CONTROL STATEMENT The postholder has an important responsibility for and contribution to make to infection control and must be familiar with the infection control and hygiene requirements of this role. These requirements are set out in the National Code of Practice on Infection Control and in local policies and procedures which will be made clear during your induction and subsequent refresher training. These standards must be strictly complied with at all times. All medical staff are expected to comply with and follow the Trust s infection control policies, which includes appropriate antibiotic use following the Trust s antibiotic formulary and observance of appropriate infection control procedures at all times. Appointees will be trained and assessed for IV line competencies. TRAINING OPPORTUNITIES AND SUPERVISION Although these appointments are not accredited for training the appointees will be expected to participate fully in the educational and training programmes within each department and the hospital. Appointees will have a named clinical/educational supervisor. ANNUAL LEAVE Annual leave (27 days per annum) and study leave (30 days per annum) is commensurate with other post foundation doctors; the rota has been redesigned and fixed leave is in place.