We have an exciting opportunity to welcome full-time consultants in the newly developed Department of General Internal Medicine and the successful applicants will join our expanding team of motivated consultants. Candidates with a CCT or CESR in General medicine are encouraged to apply. Those working towards the CESR qualification who already have experience working at consultant level are encouraged to contact the department to discuss other options. We are also keen to support colleagues’ professional clinical areas of interest (e.g. Rheumatology or Respiratory to name a few) and are open to negotiations on your individual job plan.
You will be supported by a team of junior doctors (of training and non-training grades), advanced practitioners, nurses, therapists, and in reach of specialists across the hospital. Higher Specialty Trainees working toward Single specialty CCT and Senior Clinical Fellows working toward a CESR in GIM via our internal training programme will be attached to the department. Our aspiration is to provide a team able to meet the needs of complex, comorbid patients, that is patient centric in an environment that is rich with educational opportunities for the entire team resulting in a happy and valued team.
Main duties of the job
Clinical Duties Include:
- Diagnosing and treating a wide spectrum of clinical problems, ranging from the acutely ill young person to the elderly patients with multiple complex co morbidities.
- Looking after patients that do not fall into the remit of a specific medical speciality or are deemed to have complex medical problems involving multiple symptoms and co morbidities.
- Provide continued care both in the inpatient and outpatient setting for this patient group. The Internal Medicine physician would both direct treatment of such patients and the orchestrate specialist care where needed.
- Clinics activity as outlines below.
- Supporting a complex patient MDT.
- Support our links into community care including supporting virtual ward environments.
- Supervision of Higher Specialty Trainees in Internal Medicine, IMT stage 0ne trainees and Clinical fellows working towards CESR in GIM. Formal Education and Clinical Supervisor roles available with suitable training.
- To develop enhanced clinical skills, especially in the assessment and management of acutely ill patients.
- To have excellent team-working skills with the abilities and professional attitude to work well in a multi-professional team.
- To deliver clinical and quality targets agreed both nationally and locally with clinical teams and commissioners.
- To follow patients throughout their clinical pathways.
Working for your organisation
The Shrewsbury and Telford Hospital NHS Trust (SaTH) is the main provider of acute hospital services for around half a million people in Shropshire, Telford & Wrekin and mid Wales.
Encompassing some of the most picturesque parts of England and Wales, the Trust’s catchment stretches from the Cambrian Mountains in the west, to Newport and the fringes of the Black Country in the east. The main towns include: Bridgnorth, Ludlow, Market Drayton, Oswestry, Shrewsbury and Whitchurch (in Shropshire); Newport, Telford and Wellington (in Telford & Wrekin); and Newtown and Welshpool (in Powys) – all beautiful and unique.
Our main service locations are the Princess Royal Hospital (PRH) in Telford and the Royal Shrewsbury Hospital (RSH) in Shrewsbury which are located 20 minutes’ drive apart. Together they provide 99% of our activity. Both hospitals provide a wide range of acute hospital services including accident & emergency, outpatients, diagnostics, inpatient medical care and critical care.
We also provide services such as consultant-led outreach clinics at the Wrekin Community Clinic, Telford, the Robert Jones and Agnes Hunt Orthopaedic Hospital, Gobowen and the Bridgnorth, Ludlow and Whitchurch Community Hospitals.
Detailed job description and main responsibilities
The consultant team would be responsible for ward rounds on the General Internal medical wards 5 days a week with prospective cover when the other is on leave with support of the medical division as required. The consultant team would be responsible for managing the ward team and developing the junior doctors within the team.
General Medical Clinics
Consultants will offer 2 outpatient clinics a week. Referrals will come from 2 key sources- directly from GP’s and directly from patients being discharged requiring early follow up before being completely discharged or assimilated into specialty follow up. For a standard 4-hour clinic the clinic template would 3 new patients and 8 review patients with 30 minutes to complete paperwork.
Direct referrals from primary care should include patients where the primary disease is unclear e.g. breathless patient who would of previously been referred to cariology and respiratory.
These clinics will be excellent training opportunities for IMT doctors and consultants should expect to support an IMT stage 1 and 2, GPVTS or SCF doctor in their clinic.
Opportunity to increase community links with community in reach clinics and potentially symptom based triaging clinics. That link could include the support of virtual wards.
The post comes with a 1 in 14 on-call commitment for acute unselected take for weekdays and weekend working. The on call 1/14 template includes:
- Monday to Thursday on call on site from 5 to 8pm with overnight off site on call and post take ward round form 8 until 9:30am.
- Friday onsite on call 5-8pm, off site on call overnight and post take ward round 9am-1pm
- Saturday am post take ward round 8am-12pm to support Friday post take
- Saturday-Monday on-call, on site Saturday 2-8pm, Sunday 8am-2pm and 5pm-8pm. This shift includes a day off in lieu nominally Tuesday.
The Acute Unselected Take is supported daytime by Acute Medical Team and the evening by an Acute medical Physician covering SDEC and supporting rest of the take.
Additional opportunities will be available according to individual interests. These may include undergraduate teaching, postgraduate teaching, in situ sim development, MRCP and PACES teaching, quality improvement and research.
- Participate in the handover of patients within the service and when leaving the service
- The post-holder will be expected to participate in our monthly morbidity and mortality meetings, departmental and directorate meetings including preparation of cases for review in these governance settings
- Participate in audit and quality improvement work that is ongoing in the department
- Participate in mortality review process
- Research interests within Internal Medicine will be encouraged
- Participate in Appraisal and Revalidation
- Ensure their mandatory training is kept up to date