Job overview
The Specialty posts in the Emergency Department are substantive joining a Middle Grade tier of twelve Specialty Doctors and eight Specialty Registrars.
The posts will attract a basic payment of 10 Programmed Activities.
The Department is open 24 hours a day and the workload is not always predictable.
Main duties of the job
The duties of the Specialty doctor are those of a doctor functioning at the middle grade level within the department. Primary duties include the initial diagnosis, resuscitation and overall clinical management of all patients arriving to the A&E Department. Appropriate follow-up, referral for admission, transfer or discharge to GP’s care is an important part of the work along with liaison with colleagues in the community, i.e. GP’s, Health Visitors, and District Nurse for the proper continuity of care.
Working for our organisation
Milton Keynes University Hospital NHS Foundation Trust, in partnership with the University of Buckingham, is a University Teaching Hospital; we conduct research and teaching on site to improve the care of our patients. The hospital is undergoing significant investment, and we are proud to be rated good by the CQC. Visit our website to catch up on our latest news.
We have a busy A&E department that manages all medical, surgical and child health emergencies seeing over 90, patients a year. The Trauma Unit is a registered Level 2 Unit and the department deals with all emergencies. As our local population grows (current catchment is ,), we continue to develop our facilities.
Training grade doctors appointed to posts at MKUH have a wealth of education and training available to them on both a local and regional basis. This includes simulation sessions in our clinical skills and simulation facilities.
We also run a full programme of CPD opportunities for Consultants and SAS grades and have close links with Health Education Thames Valley for external educational opportunities. We have a vibrant SAS Drs Committee with a rolling programme of development.
For those wishing to take on a formal medical leadership role in the future, we are about to launch the ‘Aspiring Clinical Leaders programme’.
Detailed job description and main responsibilities
It is expected that you will supervise the junior doctors in the department whilst working on the “shop floor”, advising and reviewing their patients as necessary.
Clinical audit is well established in the Emergency Department and the Specialty doctor will be expected to take an active part in the process. The Clinical Audit Department along with ED Consultant staff are very happy to provide relevant support.
Specialty doctor will also be expected to take part in departmental research activities along with career grade Registrars and other senior medical staff.
Some clinical administrative duties will be delegated by the ED Consultants as required. This should be completed during support shifts. Guidance/supervision will be available from consultant staff as required.
Specialty doctor will be expected to play an active role in the teaching activities of the department. Current teaching programmes are run for middle grades, junior trainees, and Emergency Nurse Practitioners (ENPs).
Please refer to the attached Job Description and Person Specification for more details.
Person specification
Qualifications/Registration
Essential criteria
1. Entry on GMC Specialist Register
2. Medical degree
3. MRCEM part A/FRCEM Primary
4. 2 up to date life support qualifications
Desirable criteria
5. Postgraduate Qualification/Diploma e.g. MRCEM, MRCP, MRCS
6. ATLS/ALS/ APLS or EPLS Instructor
7. MIMMS
Knowledge
Essential criteria
8. Appropriate level of clinical knowledge in Emergency Medicine
Clinical Experience
Essential criteria
9. NHS Experience in an employed capacity
10. 4 years postgraduate experience
11. 2 years in emergency medicine or a relevant specialty
12. Minimum 12 months emergency medicine experience
13. Relevant specialty clinical knowledge: capacity to apply sound clinical knowledge relevant to the job.
14. Clinical judgment: experience in making clinical decisions and managing risk. Knows when to seek help, able to prioritise clinical need.
15. Practical skills: shows aptitude for practical skills, required in the job.
16. Proven ability to work effectively in different clinical settings required in the job
17. Clinical governance
18. Capacity to be alert to dangers or problems. Demonstrates awareness of good decision making
19. Aware of own limitations
20. Track record of engaging in clinical governance: reporting errors, learning from errors
21. Audit: evidence of active participation in audit
Desirable criteria
22. Anaesthetic initial assessment of competency
23. Experience in intensive care medicine
24. Experience in acute medicine
25. Experience managing paediatric emergencies
Communication Skills
Essential criteria
26. Ability to communicate effectively through good verbal and written skills
27. Evidence of the ability to communicate with patients, colleagues and staff at all levels
Teaching
Essential criteria
28. Evidence of organising and delivering teaching at undergraduate and post-graduate level
Leadership/Management skills
Essential criteria
29. Ability to effectively organise and manage clinical workload
30. Ability to motivate and develop training medical staff
Desirable criteria
31. Interest in medical management
Personal Attributes
Essential criteria
32. Ability to work in a team and cooperate with all staff
33. Enthusiasm & ability to work under pressure
Other Requirements
Essential criteria
34. Ability to work independently as well as part of the Emergency Medicine CSU
35. To balance individual requirements against those of the Directorate and the Trust as a whole
36. Demonstration of immunisation against Hepatitis B plus proof of HbsAg negative status
37. Will be required to maintain full registration with the GMC
Desirable criteria
38. Ability and desire to take part in Clinical Directorate Management
Research and Audit
Essential criteria
39. Able to appraise research
40. Understanding of Evidence Based Medicine
41. Thorough understanding of the principles of audit
Desirable criteria
42. Publications in peer reviewed journals in the field of Emergency Medicine
43. Participation in Emergency Medicine based research