Detailed job description and main responsibilities

Emergency Medicine (50%):

50% of the post will be Emergency Medicine clinical care allowing doctors to develop in not just managing patients, but managing the department.

Great Western Hospital is a busy DGH Emergency Department and Trauma Unit that sees a wide variety of presentations (in both adult and paediatric). We deal with medical, surgical, orthopaedic, paediatric and trauma patients. These patients can present and be assessed in resus, majors, minors or paediatric ED. The successful applicant will be expected to see patients across these areas as required.

·       Ensure safe and timely emergency patient care

·       Prescribe safely

·       Keep an accurate and relevant medical record (electronic notes)

·       Manage time and clinical priorities effectively

·       Communicate effectively with patients, relatives and colleagues

·       Use evidence, guidelines and audit to benefit patient care

·       Teach peers and junior colleagues, as well as medical students attached to the department.

·       Act as Emergency Physician in Charge (EPIC) in the Emergency Department, including overnight supported by a consultant non-resident oncall.

·       Engage in Quality Improvement activity to improve processes and patient care within the department.

Pre-Hospital Emergency Medicine (50%):

SCFs joining us will be supported to complete the National PHEM Induction course, complete a period of fully supervised practice before then going on to remote supervised practice with a minimum 20% Consultant supervised shifts. SCFs will be encouraged to attend the national PHEM training days and appropriate courses and study days relevant to the specialty. SCFs will be expected to maintain a portfolio of workplace-based assessments, cases and reflections to mirror the educational practice of nationally recruited IBTPHEM trainees, with the intent of supporting doctors to gather the evidence necessary to apply for eligibility to sit the Fellowship in Immediate Medical Care examination in the future.

Our current shift system is centred on a day shift (0800-1800) and a late/night shift (1700-0300) at our Semington base, with clinical governance days on a monthly basis (0900-1700). The rota is written on a quarterly basis, and supports self-rostering practices so long as supervised shift quota expectations are achieved.

SCFs, whilst primarily being employed by GWH, will be expected to comply with the policies and procedures of our region’s ambulance service (South West Ambulance Service NHS Trust) with whom you will have an Honorary Contract, and WABA, with whom you will also have a contract. There is the expectation that study days will also be used to complete mandatory annual training requirements for the aforementioned such as Aviation, Fire Safety, Major Incident and Medical Advisor training (this list is not exhaustive).

At WABA, the clinical team are co-located with our charity staff, and PHEM Fellows will also be expected to support and engage with the charity and our stakeholders as representatives of WABA.

Main duties and responsibilities:

 ·      To work as a trainee Critical Care Doctor at WABA (and on an Honorary basis for SWAST) providing pre-hospital emergency medical care including weekends/bank-holidays/night shifts

·      To engage with trainers, educational supervisor(s) and medical director

·      Attend regional training days for EM and regional/national training days in PHEM

·      Comply with training requirements that mirror the IBTPHEM national training programme

·      Maintain a portfolio in line with the IBTPHEM curriculum requirements

·      Complete the DipIMC examination (if not already held)

·      Progress towards the FIMC eligibility certificate and subsequent examination

·      Attend and participate in WABA’s clinical governance meetings

·      Contribute to WABA’s organisational development through audit, quality improvement and project work

·      Comply with all policies and procedures of WABA and SWAST respectively

·      Support the ongoing development of SWAST seconded APCCs at WABA

·      Work in conjunction with SWAST personnel under the auspices of WABA to deliver education, training and mentoring.

·      Work as part of a multidisciplinary team

·      Participate in and support SWASFT clinical governance.

·      Where appropriate, provide enhanced medical skills.

·      Actively participate in the delivery of education and development of enhanced pre-hospital care.

·      Maintain an understanding JRCALC and SWASFT clinical guidelines and be aware when operating out side of these guidelines.

Should you have any further queries regarding the PHEM component of this SCF post, please contact:

Dr Shah M. Rahman ([email protected]) or Dr Maria Smith ([email protected]), Medical Director

Further details can be found on the attached job description.