Trust Doctor in Acute General Medicine

The successful candidate will be assigned a clinical supervisor and will receive experience in Acute General Medicine during a two-year period. Candidates may also have the opportunity to engage in rotations in Geriatric Medicine, Ambulatory care and Intensive care at the John Radcliffe Hospital. The appointee will be expected to undertake audit and quality improvement projects, as well as to attend clinical governance meetings, mortality and morbidity meetings, regional and national educational meetings. Research activity is encouraged. The close links with the University of Oxford and Oxford Brookes University will further enhance research engagement., The post-holder will join a group of residents and consultants who lead one of the eight Medical Firms, all of which are well staffed with a core team of 3 residents at any one time. The resident rotas support 7 day working including Bank Holidays., Clinical: The appointee will be responsible, together with other residents, for both inpatient and outpatient work. 1. Inpatient: The in - patient arrangement in acute general medicine will be based on a firm system. Each medical firm comprises of a consultant, SpR, SHO and a F1 doctor. The rota cycle for each firm is 8 weeks. The consultants in charge of the firms in acute general medicine have a wide range of special interests including geriatrics, endocrinology, infectious disease, nephrology, and peri-operative medicine. 2. Outpatient: The post holder will do also be expected to review outpatients referred to the daily diagnostic unit (DDU), under each medical firm and discuss with the allocated consultant. 3. On call rota: The post holder will be on call based on the allocated rota. This includes blocks of 3-4 nights/8 weeks, where they will be responsible for night admissions and emergencies/referrals from in patient units at the John Radcliffe Hospital. On these nights the trainee will also be expected to answer calls for medical opinions and SpR triage from other hospitals within the trust, out of hours GPs and paramedics. Decisions on admission will also be considered by the trainee at these times. 4. The post holder will also be on - call for medical referrals and cardiac arrest calls within the hospital based on rota allocations on take days. Administration Duties: These include responsibility for inpatient discharge summaries, outpatient letters etc and the management of other resident staff on the team.

• Full GMC registration and licence to practise, Be fit to practice
• Experienced in Acute General Medicine
• Should have completed CMT and MRCP
• Satisfactory progress throughout training, including ARCP outcomes
Desirable criteria
• Additional degree (intercalated, masters or doctorate)
Clinical SkillsEssential criteria
• Clinical competency in own medical specialty appropriate for their stage in training
• Appropriate knowledge base, and ability to apply sound clinical judgement to problems
• Ability to prioritise clinical need
• Ability to maximise safety and minimise risk
• Ability to work without supervision where appropriate Demonstrable experience in ambulatory care
Desirable criteria
• Experience in management of frailty syndromes
• Evidence of skills in management of acute medical emergencies (eg ALERT, IMPACT certification, ALS Instructor)
ResearchEssential criteria
• Understanding of research, including awareness of ethical issues
• Understanding of research methodology
• Knowledge of evidence-based practice
Desirable criteria
• Evidence of involvement in a formal research project
• Evidence of relevant academic achievements, including publications / presentations, Effective team working and leadership skills, supported by MSF or WBAs
• Self-awareness, with knowledge of personal strengths and weaknesses, impact and areas for development
• Interest in and knowledge of the importance of leadership and management for clinicians
Desirable criteria
• Effective leadership skills in and outside medicine (eg evidence of leading innovations or improvements)
• Understanding of NHS management and resources
• Understanding of the local and national context in which the trust operates, including economic and political influences, Understanding of clinical governance
• Active involvement in QIP/audit, research or other activity that focuses on patient safety and clinical improvement and innovation
• Interest in / knowledge of the delivery of safe, effective healthcare services
Desirable criteria
• Evidence of completed audit/Quality improvement projects
• Evidence of learning about the principles of change management
• Insight into issues facing UK healthcare services, Interest in and experience of teaching
• Evidence of excellent feedback on teaching
Desirable criteria
• Teaching diploma or degree
• Development of teaching programmes
• Participation in teaching courses, Clarity in written and spoken communication
• Capacity to use logical/lateral thinking to solve problems/ make decisions, indicating an analytical/scientific approach and where appropriate, creativity in problem solving
• Capacity to manage/prioritise time and information effectively
• Ability to work effectively under pressure
• Capacity to manage conflicting demands
• Self-motivation, and resilience
• Initiative and ability to work autonomously
• Can build effective teams and partnerships
• Ability to work well in multidisciplinary teams
• Understands and values contributions of others
• Ability to show leadership, make decisions, organise and motivate other team members through, for example, quality improvement
• Excellent computer literacy
Desirable criteria
• Leadership skills gained within the NHS or elsewhere
• Writing experience: - clinical and/or non-clinical topics - peer-reviewed publications and/or communication
• Evidence of achievements outside medicine
• Evidence of altruistic behaviour (e.g. voluntary work), You must have appropriate UK professional registration.
  
  The Oxford University Hospitals NHS Trust is one of the largest NHS teaching trusts in the country. It provides a wide range of general and specialist clinical services and is a base for medical education, training and research.
The Trust comprises of four hospitals - the John Radcliffe Hospital, Churchill Hospital and Nuffield Orthopaedic Centre in Headington and the Horton Hospital in Banbury. Our values, standards and behaviours define the quality of clinical care we offer and the professional relationships we make with our patients, colleagues and the wider community. We call this Delivering Compassionate Excellence and its focus is on our values of compassion, respect, learning, delivery, improvement and excellence. Many of our recruitment programmes use values-based interviewing to identify those who have the skills we seek, who share our values and who are able to deliver compassionate excellence from the outset. We know that this makes a significance difference to your job satisfaction and above all the outcomes and experience of our patients and their families.