Job summary
Applications are invited for a Clinical Fellowship programme embedded within a well-established, innovative Departments of Ambulatory Care. The applicant would be one of a team of twelve ambulatory and general medicine fellows working in a well‑resourced unit led by a team of 44 consultants and a large experienced multidisciplinary team. This is an exciting opportunity for an energetic, forward‑thinking trainee who wishes to develop core clinical skills in ambulatory care in one of the leading ambulatory care units in the country. The role involves a mixture of banded clinical practice and one non‑clinical day per week set aside for experience in service development and quality improvement. If clinical needs are extremely high the fellow may be asked to work clinical on specific weeks.
The post is aimed at senior medical doctors in training (ST3+) or equivalent experience if not on a training program and is designed around the needs of the modern medical registrar. It can be performed Out of Programme or recognised as training (contingent on Deanery approval).
Main duties of the job
The post is aimed at senior medical doctors in training (ST3 to ST8) and is designed around the needs of the modern medical registrar.
About us
Oxford University Hospitals NHS Foundation Trust (OUH)
OUH is one of the largest NHS teaching trusts in the UK and a renowned centre of clinical excellence. Each year OUH has over one million patient contacts including nearly 100,000 emergency admissions. The Trust has a strong collaboration with the University of Oxford, which underpins the quality of care that is provided to patients, from the delivery of high‑quality research – bringing innovation from the laboratory bench to the bedside – to the delivery of high‑quality education and training for doctors.
OUH delivers acute emergency care on two of its four hospital sites (the John Radcliffe Hospital in Oxford and the Horton General Hospital in Banbury), supports the urgent care pathway across distributed community settings, and is working towards comprehensive application of the Future Hospitals Commission principles.
Job description – responsibilities
Successful applicants will develop a job plan in conjunction with a senior Fellowship supervisor which will include:
* 80% (0.8 WTE) Clinical Work: ambulatory experience across the John Radcliffe (mainly) with potential activity in other acute and ambulatory medicine settings in the Trust. This includes short days, long days on call, out‑of‑hours weekend work. Within a < 48‑hour average working week the fellow will contribute to the weekend rota and to one late evening/long day per week, but not to overnight care (beyond midnight or before 7 am).
* 20% (0.2 WTE) Leadership / research / quality improvement: an opportunity to develop leadership skills and to become involved in projects on service development. The fellow will work closely with the AAU clinical lead/matron and the team to design and complete projects with impact on ambulatory care.
The development and embedding of comprehensive ambulatory care pathways for:
* common and less common discrete medical presentations
* complex and/or frail patients, complementing existing services
* conditions with existing dedicated pathways but where further embedding, development or a complementary approach is needed to deliver best outcomes and resource use (e.g. DVT and TIA/minor stroke)
Evaluating care through the development and embedding of relevant patient‑centred outcome measures and useful measures of whole pathway resource use.
Developing systems to support clinicians outside hospital (GPs, ambulance teams) to deliver effective care in the home.
Introduction and evaluation of pragmatic telemedicine systems.
Resident Doctor Forum and engagement.
Act as a point of escalation for issues within Acute General Medicine and Geriatrics from the resident doctor workforce.
The AAU is embedded within the research and innovation infrastructure forming the Academic Health Sciences Centre (AHSC). Supervision and support are readily available for projects aimed at improving clinical outcomes through changes in service models.
Person Specification
GMC Essential
* Full GMC registration and licence to practise
Qualifications Essential
* Be fit to practise
* Experienced in Acute medicine
* Should be ST4 and above
* Should not hold a CCT
* Satisfactory progress throughout training, including ARCP outcomes
Desirable
* Additional degree (intercalated, masters or doctorate)
Clinical Skills Essential
* Clinical competency in own medical specialty appropriate for the stage of training
* Appropriate knowledge base and ability to apply sound clinical judgement to problems
* Ability to prioritise clinical need
* Ability to maximise safety and minimise risk
* Ability to work without supervision where appropriate
* Demonstrable experience in ambulatory care
Desirable
* Demonstrable outcomes in ambulatory care
* Experience in management of frailty syndromes
* Evidence of skills in management of acute medical emergencies (e.g. ALERT, IMPACT certification, ALS Instructor)
Research Essential
* Understanding of research, including awareness of ethical issues
* Understanding of research methodology
* Knowledge of evidence‑based practice
Desirable
* Evidence of involvement in a formal research project
* Evidence of relevant academic achievements, including publications / presentations
Leadership and management Essential
* Effective team working and leadership skills, supported by MSF or WBAs
* Self‑awareness, with knowledge of personal strengths and weaknesses, impact and areas for development
* Interest in and knowledge of the importance of leadership and management for clinicians
Desirable
* Effective leadership skills in and outside medicine (e.g. evidence of leading innovations or improvements)
* Understanding of NHS management and resources
* Understanding of the local and national context in which the trust operates, including economic and political influences
Quality / Service improvement Essential
* Understanding of clinical governance
* Active involvement in QIP/audit, research or other activity that focuses on patient safety and clinical improvement and innovation
* Interest in / knowledge of the delivery of safe, effective healthcare services
Desirable
* Evidence of completed audit/Quality improvement projects
* Evidence of learning about the principles of change management
* Insight into issues facing UK healthcare services
Education and Teaching Essential
* Interest in and experience of teaching
* Evidence of excellent feedback on teaching
Desirable
* Teaching diploma or degree
* Development of teaching programmes
* Participation in teaching courses
Personal Skills Essential
* Clarity in written and spoken communication
* Capacity to use logical/lateral thinking to solve problems / make decisions, indicating an analytical/scientific approach and where appropriate, creativity in problem solving
* Capacity to manage/prioritise time and information effectively
* Ability to work effectively under pressure
* Capacity to manage conflicting demands
* Self‑motivation and resilience
* Initiative and ability to work autonomously
Desirable
* Leadership skills gained within the NHS or elsewhere
* Writing experience: clinical and/or non‑clinical topics, peer‑reviewed publications and/or communication
* Evidence of achievements outside medicine
* Evidence of altruistic behaviour (e.g. voluntary work)
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and requires submission for Disclosure to the Disclosure and Barring Service to check for any previous criminal convictions.
Certificate of Sponsorship
Applications from job seekers who require current Skilled Worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit UK Visas and Immigration website. From 6 April 2017 skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants.
UK Registration
Applicants must have current UK professional registration. For further information please see NHS Careers website.
Employer details
Oxford University Hospitals NHS Foundation Trust
John Radcliffe Hospital - AAU
Headley Way
Oxford
OX3 9DU
Employer's website
https://www.ouh.nhs.uk/
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