Respiratory Consultant - London, United Kingdom - Imperial College Healthcare NHS Trust
Description
This is an exciting seven-month fixed term locum post within the Imperial College Healthcare NHS Trust Respiratory team.The post-holder will contribute to general respiratory and sleep clinics at Charing Cross Hospital (
CXH) and TB/respiratory infection clinics at St Mary's Hospital (
SMH) as well as Endoscopic Bronchial Ultrasound (EBUS) at
SMH.
The post-holder will also contribute to the acute medical take at
CXH and participate in the respiratory ward consultant rota at
CXH, which includes the care of patients with acute primary respiratory failure requiring non-invasive ventilation on the newly refurbished Acute Respiratory Unit at
CXH.
This post-holder will support acute medicine on the Charing Cross site, which delivers a consultant-led service for all patients admitted under Acute Medicine 24 hours a day, 7 days a week, meeting the national standards for the provision of acute medical services and the 2013 London Quality standards.
The ward areas covered by Acute Medicine/Acute Take are the Acute Medicine Unit (AMU) on the Marjory Warren Ward and the Acute Assessment Unit (AAU).
The Acute Respiratory Unit (ARU) is embedded within the 4 South Respiratory Ward and has 5 beds including one side room.
The post-holder will contribute to general respiratory and sleep clinics at Charing Cross Hospital (
CXH) and TB/respiratory infection clinics at St Mary's Hospital (
SMH) as well as Endoscopic Bronchial Ultrasound (EBUS) at
SMH.
The department has a mixture of clinicians, academics, nurse specialists, specialist physiotherapists, Respiratory physiologists and administrative staff who work closely together.
The hospital is part of the wider Imperial College Healthcare NHS Trust along with the Hammersmith Hospital and Charing Cross Hospital.
There are 12 Consultant Respiratory physicians plus a Senior Lecturer/Honorary Consultant who lead the acute respiratory and general medical inpatient teams
There are two inpatient Respiratory teams, together forming one of five medical firms who participate in the acute medical take and manage admitted patients.
Each team is staffed from a pool of 4 SpRs/STs; 4 SHO grade doctors (2 FY2, 2 IMT) and 4 FY1s.
Staffing varies according to annual leave, study leave and on call commitments but each team will have a minimum of 1 SpR grade and an other staff members at all times.
During acute medicine, all other clinical commitments are cancelled. Respiratory ward commitments never overlap with acute medicine commitments.Table 1 Detailed Draft Individual Annualized Job Plan (
EPA = Educational PA)
Day
AM
/PM
Description of activity
Time
How often
Location
DCC
No. of PAs
Mon
AM
Board Round
1 in 5
CXH
DCC
0.05
AM
Ward Round
:00
1 in 5
CXH
DCC
0.2
AM
Sleep clinic
4 in 5
SMH
DCC
0.8
PM
Resp Education Lunchtime Meeting
weekly
CXH
SPA
0.25
PM
Bronchiectasis vetting
16:00-17:00
weekly
CXH
DCC
0.25
Tue
AM
TB MDT
weekly
SMH
DCC
0.25
AM
Board Round
1 in 5
CXH
DCC
0.05
AM
TB/IRIS clinic
4 in 5
SMH
DCC
0.8
AM
XRM
Weekly
CXH
DCC
0.25
PM
Pleural list/LAT
Weekly
CXH/
SMH
DCC
0.75
Wed
AM
Board Round
1 in 5
CXH
DCC
0.05
AM
Clinic
4 in 5
CXH
DCC
0.8
PM
Year 5 Teaching
Weekly
CXH
EPA
1
Thu
AM
Board Round
1 in 5
CXH
DCC
0.05
AM
Admin
Weekly
CXH
DCC
0.8
PM
CPD
13:00-17:00
Weekly
CXH
SPA
1
Fri
AM
Board Round
1 in 5
CXH
DCC
0.05
AM
Ward Round
:00
1 in 5
CXH
DCC
0.2
AM
EBUS List
4 in 5
CXH
DCC
0.8
PM
Admin
Weekly
CXH
DCC
0.5
Ad hoc
Acute Medical Take
CXH
DCC
1
Total
10
- 1 hour admin for every 4 hours of clinical care; administration time is included in vetting
- Departmental meeting (weekly)
- Weekly
TB MDT - Monthly Sleep meeting
- Acute medical consultants' meeting (monthly).
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