This is a full-time (9am-5pm) appointment working within the Medicine Division team, with additional participation in the medical registrar on-call rota to provide acute medical take and out-of-hours ward cover. This is a fixed term, backfill deanery post.
Working alongside Specialty Doctors, Consultants, and the wider multidisciplinary team (MDT), the post holder will provide high-quality care for general inpatients on the Care of the Elderly wards. These wards are well supported with daily consultant-led ward rounds and a team of junior doctors.
Responsibilities
* The Registrar will play a key role in organising ward rounds, reviewing unwell patients, identifying those fit for discharge, and leading the MDT in the absence of the Consultant.
* Provide middle grade supervision and clinical support to junior doctors, active participation in decision‑making, and ensuring safe, effective, and patient‑centred care both during normal hours and while on call.
* Lead and coordinate consultant ward rounds, ensuring effective prioritisation of patients.
* Review acutely unwell patients promptly and elevate as necessary.
* Identify patients fit for discharge and support timely discharge planning.
* Lead the MDT in the consultant's absence, ensuring collaborative working and effective communication.
* Provide middle grade cover for junior doctors, offering guidance, supervision, and teaching.
* Participate in the medical registrar on-call rota, including acute medical take and ward cover for general medical patients.
* Liaise with MDT members, attend and lead family meetings, and provide patient and relative updates.
* Act as the medical team lead during on-call periods, coordinating patient flow from admission to transfer or discharge.
* Work closely with nursing, allied health professionals, and other specialties to ensure patient safety and continuity of care.
* Contribute to clinical governance, morbidity and mortality reviews, and root‑cause analyses where applicable.
Quality Improvement & Audit
* Participate in and, where appropriate, lead audits and service improvement projects in rotation specialties.
* Engage in evidence‑based practice, applying up‑to‑date clinical guidelines in decision‑making.
Administrative Duties
* Ensure accurate and timely clinical documentation in both paper and electronic records.
* Complete discharge summaries, clinic letters, and investigation requests promptly.
* Manage clinic follow‑up arrangements and inter‑specialty referrals.
Working for Your Organisation
With a new hospital planned for Watford and upgrades underway at St Albans City Hospital, this is an exciting time to join us. We are building on the success of our award‑winning virtual hospital, reimagining models of care, and embracing digital healthcare innovations.
We are committed to staff wellbeing, professional development, and fostering an environment that encourages innovation to improve clinical care, patient outcomes, and experience.
Our vision is Excellent patient care, together, underpinned by our values of being empowered, compassionate, professional, and inclusive. We offer a range of flexible working options to support work‑life balance.
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