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Gorleston-on-Sea

    Clinical Fellow in Emergency Medicine - Gorleston-on-Sea, United Kingdom - James Paget University Hospitals NHS Foundation Trust

    James Paget University Hospitals NHS Foundation Trust
    James Paget University Hospitals NHS Foundation Trust Gorleston-on-Sea, United Kingdom

    3 weeks ago

    Default job background
    Fixed-Term
    Description

    Job summary

    This is an exciting opportunity to join an excellent Emergency Department team in a Trust that genuinely sees Emergency Medicine as a major priority.

    The Hospital was rated "Good" by the CQC in February 2022 and the Emergency Department was rated "Outstanding" for leadership and "Good" in all other areas.

    The Emergency Department has recently seen a significant expansion with a new majors department built in 2021 and a new paediatric area completed this year. Ongoing building work will see improvements to our remaining areas.

    The position provides an excellent opportunity to undertake an educational role for the medical and nursing staff. The Emergency Department receives medical students from the UEA Medical School.

    Main duties of the job

    The James Paget University Hospitals NHS Foundation Trust is seeking to appoint a new Clinical Fellow in Emergency Medicine,

    The position provides an excellent opportunity for suitably qualified doctors to develop their skills in Emergency Medicine within this highly regarded Trust with its wide range of acute and community services.

    Main Duties

    1. To provide 24 hour Emergency Medicine presence (as part of a 15-person junior tier rota)2. To treat patients as they arrive in conjunction with To participate in the educational and audit activities of the department.

    About us

    The Trust has been selected as one of the sites for a new hospital build by the government, with construction beginning in the next five years.

    The Trust provides comprehensive acute care for the population of Great Yarmouth, Lowestoft and the South Waveney area and for many visitors to the area. This acute care provided from the James Paget University Hospital site at Gorleston is supported by other community services at the Newberry Centre, Kirkley Rise North Lowestoft and outreach clinics.

    The Trust serves a population of approximately 230,000. We are a University Hospital with a medical school, training the next generation of health professionals and developing research.

    The Hospital is based in the coastal town of Gorleston between the resorts of Great Yarmouth and Lowestoft. Other coastal resorts such as Southwold, Caister and Hemsby also lie within the Trust's catchment area along with several Broadland villages/towns such as Beccles, Acle and Oulton Broad. The historic city of Norwich is a short journey away. The North Norfolk coast and Southern Suffolk coast are also within easy reach.

    Job description

    Job responsibilities

    The Post

  • The post will be designated Clinical Fellow (Emergency Medicine). The post will be on a fixed term 12 month contract. Extension to this may be considered by mutual agreement.
  • This post will be full time, taking part in a full shift rota of 15 junior tier doctors, and paid according to the NHS Junior Doctor contract at ST1-2 level, with appropriate enhancements for out of hours work and average hours in excess of 40/week and a full allocation of time for study leave and annual leave.
  • The employer will be the James Paget University Hospitals NHS Foundation Trust.
  • The Trust is willing to consider any requests for flexible working arrangements according to individual circumstances.
  • The post holders will have a named supervisor and will be supported in developing their CV for whatever careers plans they have. Where appropriate, this may include paid time for special interest activities away from the ED.
  • Rota

    The Emergency Medicine Department works a full shift system, with Junior Doctors rostered to provide 24 hour presence. Weekends will be on a 1 in 3 basis. Total hours per week are variable, but average 42hrs/week of clinical work. Night shifts will be on a 2 in 15 basis.

    Emergency Medicine Department

    The Department sees around 75,000 patients per year. It receives major trauma and is a designated Trauma Unit with a dedicated helipad in the grounds. It serves a population of 230,000 people across Great Yarmouth, Lowestoft and the surrounding rural communities. The area is also a major tourist resort resulting in increased attendances in summer months.

    The Department currently consists of-

  • 4 adult resuscitation rooms
  • 2 Paediatric Resus rooms
  • 14 adult majors cubicles opened in Jan 2021
  • 3 RATS spaces for initial assessment of ambulance arrivals
  • 6 paediatric cubicles
  • 8 adult minors spaces
  • See and treat area with 4 spaces
  • Mental Health assessment area
  • Triage Room
  • Relatives room
  • Dedicated ED teaching room within the department
  • Staff room
  • Doctors office
  • Recent developments

  • New 14 bedded majors area opened Jan 2021
  • New Paeds area opened Jan 2023
  • EDIS computer system resulting in a near paperless system
  • Many changes to working practices have taken place: the unit utilises Clinical Support Practitioners, Clinical Support Assistants and Emergency Advanced Nurse Practitioners and now has on-site Mental Health Assessors for 24 hours per day. The department has taken an active role in the UEA Physician Associate training scheme. The first graduates started working with us in Feb 2018. We have an established ACP training programme.
  • Successful introduction of senior-clinician delivered RATS process for ambulance arrivals
  • Co-located GP streaming service 12hrs a day, 7 days per week
  • Significant uplift in nursing and medical staff establishment
  • Planned developments

    Redesign of minors area

    The team of dedicated, approachable and supportive Emergency Medicine consultants provide direct shop-floor cover 8am-10pm on weekdays and for at least 8 hrs each day at weekends. They also run a review clinic four days a week. There is 24/7 Senior Doctor presence provided by our team of Specialty Doctors and Higher Trainees.

    The department sees a full casemix of Emergency Medicine presentations including major trauma. We currently see around 80,000 patients per year, of which a significant proportion are holidaymakers during the summer months.

    We are an extremely friendly and supportive department and will reward hard work with support in developing your knowledge and skills. We provide training in Emergency Ultrasound, and run ALS, ATLS and PILS courses. The post-holders will be encourages to attend our weekly departmental teaching, and we can offer focused support and time in developing other special interests.

    Person Specification

    Education and Qualifications

    Essential

  • MBChB or equivalent
  • Desirable

  • Distinctions/Honours
  • Experience & Knowledge

    Essential

  • Completion of UK Foundation Programme or Overseas Equivalent
  • Ability to organise and prioritise work effectively
  • Ability to make good medical notes
  • Desirable

  • ALS
  • ATLS, APLS
  • Previous Emergency Medicine experience
  • Key Skills

    Essential

  • Ability to communicate clearly with patients, colleagues, laboratory staff
  • Energy and enthusiasm and an ability to work under pressure
  • Commitment to continuing professional development
  • Desirable

  • Commitment to a career in Emergency Medicine


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