This post will be an opportunity for those seeking experience in interventional respiratory medicine prior to obtaining a training number in respiratory medicine or for those already in training or at completion of respiratory medicine training wishing to gain further experience in interventional procedures. The successful applicant will have the opportunity to gain experience in thoracic ultrasound (and be expected to gain level 1 competency by the end of the post), indwelling pleural catheters, bronchoscopy, endobronchial ultrasound as well as experience in general respiratory medicine with exposure to the other departmental sub-specialty interests depending on the preference of the successful candidate.

Main duties of the job

Responsibilities of the post are the following:-o To provide effective leadership to all staff engaged in the specialtyo To participate, sustain and develop teaching and research wherever appropriateo To undertake all work in accordance with the Health Board's procedures and operating policieso To conduct clinical practice in accordance with contractual requirements and within the parameters of the Health Board's service planso To utilise core clinical expertise in undertaking routine diagnostic procedures and assessment of patients.o Have experience and knowledge of contributing to a sub-specialty service o Leadership and team building skills as well as working as part of a multidisciplinary teamo Supporting and training multidisciplinary teamso Planning care in the community alongside primary health care and social care teams

o To be responsible for the management of patients under your team's care at Prince Philip Hospital supported by Junior Doctors.o To support the development and delivery of a sub-specialty service in hospital and in the community where appropriate.o To conduct clinical practice in accordance with contractual requirements within the parameters of the Division's and Health Board's agreed objectives.o To contribute to the develop and delivery of a comprehensive service for the specialty.

About us

Hywel Dda University Health Board is the planner and provider of NHS healthcare services for people in Carmarthenshire, Ceredigion, Pembrokeshire and its bordering counties. Our 11,000 members of staff provide primary, community, in-hospital, mental health and learning disabilities services for around 384,000 people across a quarter of the landmass of Wales. We do this in partnership with our three local authorities and public, private and third sector colleagues, including our volunteers, through:

• Four main hospitals: Bronglais General in Aberystwyth, Glangwili General in Carmarthen, Prince Philip in Llanelli and Withybush General in Haverfordwest;
• Seven community hospitals: Amman Valley and Llandovery in Carmarthenshire; Tregaron, Aberaeron and Cardigan in Ceredigion; and Tenby and South Pembrokeshire Hospital Health and Social Care Resource Centre in Pembrokeshire;
• 48 general practices (four of which are managed practices), 47 dental practices (including three orthodontic), 99 community pharmacies, 44 general ophthalmic practices (43 providing Eye Health Examination Wales and 34 low vision services) and 17 domiciliary only providers and 11 health centres;
• Numerous locations providing mental health and learning disabilities services;
• Highly specialised and tertiary services commissioned by the Welsh Health Specialised Services Committee, a joint committee representing seven health boards across Wales.

Job description
Job responsibilities

For full details of the role requirements please see attached Job Description and Person Specification

Person Specification
Qualifications
Essential

• Full GMC registration and licence to practice
• Valid Certified Advanced Life Support Skills
• MBBS or recognised equivalent
• Full membership MRCP
• 4 years full-time postgraduate training (or part-time equivalent), at least 2 of which in a specialty training programme in a relevant specialty Or as fixed term specialty trainee in a relelvant specialty

Desirable

• Paces pending

Clinical Experience
Essential

• - Commitment to team approach and multi-disciplinary working
• - Broad based experience in General Medicine
• - Knowledge and participation in CPD
• - Competence in Acute General Medicine
• - Able to apply knowledge
• - Safe and effective written and verbal communication skills
• - Knowledge and experience of communicating bad news
• - Meet the requirement of the GMC's Good Medical Practice
• - Ability to take independent clinical decisions when necessary and to seek advice from senior doctors as appropriate
• - Ability to manage own time and work load
• - Experience of the assessment of emergencies
• - Liaison with other agencies
• - Able to perform basic bronchoscopy without assistance

Desirable

• -Additional clinical qualification(s)
• To be fully independent at bronchoscopy
• - UK/NHS experience
• Wider experience, research and training in providing sub specialty service
• Evidence of above average performance

Clinical Governance
Essential

• Evidence of participation in clinical audit and understanding role of audit in improving medical practice
• Comprehension of core philosophy and building blocks of Clinical Governance

Desirable

• Knowledge of risk management
• Knowledge of annual job planning/appraisal review process

Research
Essential

• - Experience and knowledge of critical appraisal of evidence so as to improve clinical outcomes

Desirable

• Evidence of initiating, progressing and concluding research projects with publication
• Research degree

Teaching
Essential

• Evidence of organising programmes and teaching medical students and junior doctors
• Willingness to teach all grades of professional multidisciplinary staff

Desirable

• Organisation of further teaching programmes in medical education
• Training the Trainers experience

Management
Essential

• Knowledge of the management and structure of the NHS
• Willingness to participate in clinical management

Desirable

• Evidence of management training

Other Requirements
Essential

• - All applicants to have demonstrable skills in written and spoken English adequate to enable effective communication about medical topics with patients and colleagues
• - Ability to fulfil all duties of post, including on-call commitments and travel to meet requirements of the post

BMJRef: BMJ-116308/100-MED-PPH-078-D