Trust Doctor ST3+ in Acute Medicine
The closing date is 20 April 2026.
We are pleased to offer exciting opportunities for ST3-8 doctors to join our Acute Medicine Department at the Royal United Hospital. These posts provide outstanding exposure to all aspects of acute care and offer excellent learning and development opportunities within a supportive, hands‑on environment.
About the Department
Acute Medicine at the RUH is a dynamic and fast‑paced service centred around:
* 25‑beded Medical Assessment Unit (MAU), working closely alongside the Emergency Department
* A newly refurbished Medical Same Day Emergency Care (SDEC) area
* 18‑beded Medical Short Stay Ward (MSS)
Our teams provide front‑door assessment, rapid diagnostics and early treatment for patients presenting with a wide range of acute medical conditions.
Training & Support
You will work under close day‑to‑day supervision from our Consultants in Acute Medicine and be supported by a large, experienced team that includes 2 Specialist Doctors, 3 Registrars, 8 SHOs, 7 F2/F1s and 7 MNP/ACPs. Together, this team manages the acute take Monday to Friday and provides overnight ward cover for medical patients across the hospital, supported by ward‑based teams.
Main Duties of the Job
Emergency admissions between 08:00 and 17:00 are managed by our Acute Physicians, with out‑of‑hours admissions overseen by a team of 24 general medical consultants, including those in Acute Medicine. Frail and elderly patients are cared for by our dedicated Frailty Flying Squad, Medical Nurse Practitioners (MNPs) and Care of the Elderly consultants. The on‑take Specialist Registrar plays a key role in coordinating and running the integrated medical take, working closely with the wider acute medicine team.
You will be part of a full shift rota providing comprehensive cover for both the acute medical take and inpatient wards, supported by experienced ward‑based medical teams. This structure ensures excellent clinical exposure, consistent consultant support and a strong learning environment across all areas of acute care.
Job Responsibilities
Responsibilities include clinical assessment, diagnosis, management of acute medical admissions, coordination of the take, supervising junior staff, and ensuring safe patient care in an acute environment.
Person Specification
* MBBS or equivalent medical qualification Full MRCP ALS
* Experience in an acute speciality at STR level (or equivalent outside UK)
* Training in the initial assessment and care of the acutely ill patient.
Ability, Knowledge, Clinical Skills and Technical Skills
* Knowledge of own limitations.
* Experience in a range of acute medical specialties, including managing patients on unselected medical take during core training or equivalent.
* Good general medical knowledge and ability to supervise the acute medical take at STR level.
* Awareness of the basics of managing acute medical conditions, including emergencies, in patients and outpatients.
* Appropriate knowledge base, and ability to apply sound clinical judgement to problems.
* Able to work without direct supervision where appropriate.
* Able to prioritise clinical need.
* Able to maximise safety and minimise risk.
* Evidence of skills in the management of patients not requiring hospital admission.
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
Royal United Hospitals Bath NHS Foundation Trust
£65,048 to £73,992 a year (pro rata if part time).
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