Docstoc

Specialty Acute and Metabolic Medicine - 2010 Hospital Harrogate

Document Sample
Specialty Acute and Metabolic Medicine - 2010 Hospital Harrogate Powered By Docstoc
					Specialty:        Acute and Metabolic Medicine - 2010


Hospital:         Harrogate & District NHS Foundation Trust


Brief Description of Department: This post is an opportunity to become involved in both
metabolic and acute medicine and learn about pathophysiological process and the interpretation
of clinical pathological data as well as direct clinical exposure to patients with metabolic and
endocrinological conditions It provides an opportunity to work with multi-disciplinary teams within
chemical pathology, diabetes and endocrinology, and intensive care. The post holder will also be
expected to complete a clinical audit project within the four month attachment.

The Department of Chemical Pathology
The department is led by a Consultant Chemical Pathologist and a Consultant Clinical Scientist and has nine
Biomedical Scientists. A wide repertoire of tests is provided by the laboratory which is CPA accredited,
specialised tests are sent away to other CPA-Accredited laboratories. Consultant support is available for
interpretation of test results and clinical advice. The laboratory has a special interest in testing outside the
laboratory and in the methodology of decision support. The consultant chemical pathologist is also an active
member of the Diabetes and Endocrinology team and the department is fully involved in the clinical
meetings of this unit. The department is housed in new and spacious laboratory accommodation in the
Fewston Wing of Harrogate District Hospital.

The Department of Diabetes and Endocrinology
The department is led by two Consultant Physicians supported by diabetes nurse specialists.
Each week there is a general diabetes clinic, endocrine clinic, insulin pump clinic, diabetic foot
clinic, diabetic/endocrine pregnancy clinic and twice monthly young adult clinics. On Wednesday
mornings there is a team meeting, at which in-patients with metabolic problems and results of
complex endocrine investigations are discussed.

Intensive Care
The metabolic/endocrine team provide advise to ITU on metabolic problems. There is the
opportunity for the trainee to attend the morning ITU ward round when other commitments allow.




Clinical care:
 Care of inpatients admitted under the diabetes team. You will have CMT/Middle grade support.
 Clerking and assessment of new and follow up out patients with diabetes/metabolic problems. You will
     be supernumery in clinic and attendance will be to suit your training needs.
 Attend ITU ward rounds to learn about metabolic problems in critical care.
 Assist the in-patient diabetes nurse specialist in managing referrals from other teams of in-patients with
     diabetes.
 Assist the consultant chemical pathologist with assessment and management of in-patient referrals with
     metabolic problems
 Supervise / perform dynamic metabolic function tests.
 Assist with interpretation and reporting of biochemical tests under the supervision of the consultant
     chemical pathology and begin the principles of clinical leadership.
FY2s are expected to be flexible in their working arrangements.
D:\Docstoc\Working\pdf\1e1fb16a-d1c6-4ad0-abca-bc40f1f43810.doc
 Educational Opportunities:
 1. Experience in the assessment and treatment of the acutely ill patient
 2. To understand the importance of comprehensive geriatric assessment
 3. To understand the working of the multidisciplinary team caring for the elderly and each individual’s
    role and input
 4. Departmental educational meeting every Wednesday lunchtime
 5. X-ray meeting every Thursday lunchtime
 6. Clinical governance session monthly covering audit, guidelines, incident reporting etc
 7. Regular meetings with educational supervisor

 Most departments 6 FY1 elderly care, diabetes/endocrinology also have weekly educational meetings.
Staffing: There are such asand 6 FY2 posts, 6 CMT’s, 2 GP_VTS posts and 11 SpRs, 2 speciality doctors,
and 27 consultants in various medical specialties. Visiting consultants from York and Leeds provide cover
for renal medicine, vascular surgery, out patient dialysis and oncology.




Out of hours commitments and responsibilities: A 3 tier on-call system is in operation out of hours for
new admissions and ward responsibilities. Tier 2 is on call 1:14 and covers admissions (during day) and
ward duties (night time only). During normal hours Mon-Fri all requests for medical admissions, and
initial triage and management are dealt with by an acute medicine on call team and CAT consultant.




Supporting professional activities
 Participate in and contribute towards the training programme of colleagues, students and other health
   care professionals e.g. ad hoc training and supervision, tutorials and lectures.
 Have a teaching responsibility for supervision and training of F1 doctors and medical students.
 Keep up-to-date records to satisfy continuous professional development requirements.
 It is expected that the postholder will complete and write up an audit project
 Work within the clinical governance framework as agreed within the Trust.
 Ensure regular appraisal with educational supervisor.
 Attend generic skills training programme




List of Consultants
Dr Deidre Maguire                                            CAT
Dr Mark Appleby                                              Cardiology
Dr Ravish Katira                                             Cardiology
Dr Anthony Fennerty                                          Respiratory Medicine
Dr Claire Taylor                                             Respiratory Medicine
Dr Peter Hammond                                             Endocrinology/Diabetes
Dr Sutapa Ray                                                Endocrinology/Diabetes
Dr Gareth Davies                                             Gastroenterology/CAT
Dr Jo Ridpath                                                Gastroenterology
Dr Faheem Butt                                               Gastroenterology - locum
Dr Umesh Sharan                                              Care of the Elderly
Dr John Whittaker                                            Care of the Elderly
Dr Rebecca Leigh
D:\Docstoc\Working\pdf\1e1fb16a-d1c6-4ad0-abca-bc40f1f43810.docCare of the Elderly
Dr Rebecca Watt                                              Community Geriatrician/CAT
Dr Sean Brotheridge                                          Stroke Physician
Additional information
The Doctor will be entitled to Annual and Study leave in accordance with the Terms & Conditions of
Service. Dates of leave must be approved by the management team at least 6 weeks in advance. The
Doctor may be required to deputise from time to time for absent colleagues, and exceptionally to perform
additional duties in occasional emergencies and unforeseen circumstances to ensure the safe running of the
Department.

This appointment shall be governed by the Terms and Conditions of Service for Hospital Medical and
Dental Staff, as amended from time to time.

The post holder is expected to adhere to Trust policies and procedures and relevant legislation including the
requirements of any professional bodies attend mandatory training as identified by the Trust.
                             SPECIALTY OF CLINICAL SCIENCES
The post holder must maintain the confidentiality of information about patients’ staff and Trust business in
accordance with the Data Protection Act 1998 and Caldicott principles.
                                    JOB DESCRIPTION

In order to comply with the Health Act 2006 (Code of Practice for the Prevention and Control of Health
Care Associated Infections) it is the responsibility of every member of staff to prevent and control the
spread of infection following the Trust’s infection control policies. These are available on the intranet in the
                                                        Foundation Year
POST: library under clinical policies and guidelines, infection control. 2
document

                                          Acute and metabolic medicine
AREA COVERED: equal opportunities policy and all employees must be aware of their obligations to
The Trust has adopted an
abide by the spirit and nature of the policy to avoid direct and indirect discrimination.
ACCOUNTABLE TO:                                        CONSULTANT CHEMICAL
You will have a duty to familiarise yourself with the relevant Policies and Procedures, i.e.
                      o Health & Safety Policies PATHOLOGIST AND CONSULTANT
                      o Risk Management PoliciesIN DIABETES AND
                      o Infection Control Policies ENDOCRINOLOGY
                         o    Data Protection and Confidentiality Policies
KEY WORKING RELATIONSHIPS:                                  Consultants, biomedical scientists,
clinical




D:\Docstoc\Working\pdf\1e1fb16a-d1c6-4ad0-abca-bc40f1f43810.doc
                               SPECIALTY OF ORTHOPAEDICS

                                          JOB DESCRIPTION



POST:                                                              Foundation Year 2

AREA COVERED:                                                      Orthopaedics

ACCOUNTABLE TO:                                                    CONSULTANT

KEY WORKING RELATIONSHIPS:                                         SHO colleagues, Nursing
                                                                   staff, Middle grade medical
                                                                   staff, General Manager,
                                                                   Medical Staffing,

JOB SUMMARY

To work as part of a team in order to support and help to provide a
comprehensive orthopaedic service within the Trust.

The department

There are 7 Consultants Surgeons in Trauma and Orthopaedic Surgery


Mr J Conroy                                              Hip, Knee and Revision surgery

Mr N J London,                                           Knee surgery

Mr R J Newman,                                           General Orthopaedics with specialist
                                                         interest in shoulder and elbow surgery

Mr G K Sefton                                               Lower Limb Arthroplasty

Mr A Collier                                                General Orthopaedics with special
                                                            interest in hand and wrist surgery

Mr J Mitchell                                               Hip surgery

Mr D Lavalette                                              Specialist interest in foot and ankle
                                                            surgery



D:\Docstoc\Working\pdf\1e1fb16a-d1c6-4ad0-abca-bc40f1f43810.doc
Mr N Tellisi                                                 Locum General Orthopaedics with
                                                             special interest in foot and ankle surgery


The junior orthopaedic surgical staff establishment in the department is currently 3
Senior House Officers, 3 FY2‟s, 3 SpR‟s, 1 Knee fellow, 3 staff grades and 2
Associate specialists.

The assessment examination of acute emergencies and arrangements for
admissions should be undertaken where possible in the Accident & Emergency
Department. All cases must be properly assessed by the Senior House Officer who
should complete the Orthopaedic Accident Sheet before the patient is transferred to
the ward. The Senior House Officer must not delegate this to the House Officer.

MAIN RESPONSIBILITIES:

Direct Clinical Care

    To ensure their consultant's patients are reviewed daily

    To clerk and initiate investigation and management of admissions

    To dictate a discharge summary, for those patients allocated by consultant
     within 5 days of discharge

    To attend consultant ward rounds, including post-take ward rounds when
     on-call

    To attend and participate in departmental meetings

         To attend outpatient clinics as specified by consultant

         To attend theatre as specified by Consultant

         To attend daily trauma meetings


FY2‟s are expected to be flexible in their working arrangements.

Supporting Professional Activities

         Participate in and contribute towards the training programme of
          colleagues, students and other health care professionals e.g. ad hoc
          training and supervision, tutorials and lectures.

         Keep up-to-date records                       to        satisfy   continuous   professional
          development requirements.

         Contribute to medical audit projects.




D:\Docstoc\Working\pdf\1e1fb16a-d1c6-4ad0-abca-bc40f1f43810.doc
         Work within the clinical governance framework as agreed within the
          Trust.

         Undertake research as directed by the consultant for the speciality.

         Ensure regular appraisal with educational supervisor.

Additional Responsibilities

         Participate in the hours of work monitoring.

         Elect a „tier representative‟ to represent views in management
          discussions as required.

Out of Hours Working

         The rota is full shift.

         Day/evening shifts covered will include 07:30 – 16:30 and 07:30 –
          19:30

         From 16:30 the SHO / FY2 on call will cover orthopaedics, surgery and
          urology.

         The Doctor may be required to deputise from time to time for absent
          colleagues, and exceptionally to perform additional duties in occasional
          emergencies and unforeseen circumstances to ensure the safe running
          of the Department.

Additional Information

         The Doctor will be entitled to Annual and Study leave in accordance
          with the Terms & Conditions of Service. Dates of leave must be
          approved by a Consultant and for the majority of the time be
          incorporated into the rota.

Conditions of Service

The Doctor must be appropriately registered with the General Medical Council
for work in medicine.

PROTECTION OF CHILDREN ACT 1999

This post involves regular, direct contact with children up to 18 years of age.
Under arrangements introduced by the Department of Health for the
protection of children when receiving care, the Trust must check your name
against a list of “people not fit an proper to work with children”. If you are
subsequently successful in being offered employment with the Trust, you will




D:\Docstoc\Working\pdf\1e1fb16a-d1c6-4ad0-abca-bc40f1f43810.doc
be required to give your written permission to check your details against this
list.


REHABILITATION OF OFFENDERS ACT 1974

Because the nature of the work, this post is exempt from the provision of
Section 4(2) of the Rehabilitation of Offenders Act 1974 (Exceptions) Order
1975. Applicants for the post are not entitled to withhold information about
convictions which for other purposes are „spent‟ under the provisions of the
Act and in the event of employment, any failure to disclose such convictions
could result in disciplinary action or dismissal by the Authority. Any
information given will be completely confidential and will be considered only in
relation to an application for a position to which the order applies.

Educational Activities

     1.   Trauma meeting daily at 8 am
     2.   X ray meeting Monday lunchtime 12.45pm
     3.   Post graduate centre meeting Tuesday lunchtime
     4.   Department education programme Thursday lunchtime

There is a purpose built postgraduate medical centre with a good medical library and
a large selection of current journals.

The recommended study leave is allowed either on a day-release basis or for periods
of one or two weeks to attend courses.        Five days leave for private study
immediately prior to an examination will be allowed, with any more at the
Consultant's discretion.

Audit Projects

Medical audit is an area in which junior staff, particularly those applying for Specialist
Registrar posts, are expected to have experience. We hope the House Officers and
Senior House Officers will be able to co-operate in a number of small audit projects.
You will be required to attend the Foundation Professional Development Programme
and to maintain the Foundation Portfolio.

Note

This job description is intended as a guide to the duties/responsibilities that
are required of the post holder and hence is not meant as an exhaustive list.
Any amendment to this job description may take place after consultation with
the post holder.




D:\Docstoc\Working\pdf\1e1fb16a-d1c6-4ad0-abca-bc40f1f43810.doc
                            SPECIALITY OF EMERGENCY MEDICINE

                                           JOB DESCRIPTION



POST:                                                       Foundation Year 2

AREA COVERED:                                               Emergency Medicine

ACCOUNTABLE TO:                                             CONSULTANT

KEY WORKING RELATIONSHIPS:                                 SHO and FY1 colleagues, Nursing staff,
                                                           Middle grade medical staff, General
                                                           Manager, Medical Staffing,

JOB SUMMARY

To work as part of a multi-disciplinary team in order to support and help to provide a
comprehensive Emergency medicine service within the Trust.

The department
The Emergency department (ED) sees in the region of 39,000 new patients per year.
This includes adults and children. The medical staffing consists of 4 consultants, 6
Senior Staff Practitioners, 1 Specialist Registrar, 6 SHO – level doctors (including 2
F2 posts) and 2 F1 doctors. There are also a number of Emergency Nurse
Practitioners within the department. Senior staff are in the department from 0800-
midnight during the week and 0900-midnight at weekends. At other times they are on
call for advice and assistance. There is a trauma team for major trauma. There is a
weekly teaching programme for junior medical staff and a library of reference books
in the department. In addition there is access to extensive medical resources on the
hospital intranet and internet.

MAIN RESPONSIBILITIES:

Direct Clinical Care

    To undertake the initial assessment, diagnosis and management of patients in
     the Emergency Department

    To facilitate safe discharge or onward referral of these patients form the ED

    Liaison with other specialties and agencies including Primary Care within this
     process

    Requesting diagnostic tests (such as X-Ray and laboratory investigations) and
     taking biological samples, manually and through the Trust‟s computerised
     systems


D:\Docstoc\Working\pdf\1e1fb16a-d1c6-4ad0-abca-bc40f1f43810.doc
    To provide advice and support to other junior staff and nursing staff within the
     departments

    Act in accordance with the policies of the ED and seek advise and assistance
     from ore senior medical and nursing staff where appropriate

    Provide medical care for patients on the wards under the care of the consultants.

    Ensure accurate and complete documentation as undertaken for all patient
     records in line with Trust protocols. This includes coding of clinical information in
     the ED documentation.

    Undertake consultations with relatives concerning patients when appropriate,
     maintaining confidentiality at all times.


FY2‟s are expected to be flexible in their working arrangements.


Supporting Professional Activities

         Participate in and contribute towards the training of colleagues, students and
          other health care professionals

         Have a teaching responsibility for supervision and training of F1s.

         Maintain e-portfolio as and up-to-date record of continuous professional
          development requirement.

         Contribute to medical audit projects.

         Work within the clinical governance framework as agreed within the Trust.

         Ensure regular appraisal with educational supervisor.


Additional Responsibilities

         Participate in the hours of work monitoring.

         Elect a „tier representative‟ to represent views in management discussions as
          required.


Out of Hours Working

         The rota is full shift.

         Day/evening shifts covered will include 0800-1600, 0900-1700, 1200-2000,
          1600-0100. Night shifts are worked on a 1 in 6 basis. There is a fixed weekly
          timetable.




D:\Docstoc\Working\pdf\1e1fb16a-d1c6-4ad0-abca-bc40f1f43810.doc
         The Doctor may be required to deputise from time to time for absent
          colleagues, and exceptionally to perform additional duties in occasional
          emergencies and unforeseen circumstances to ensure the safe running of the
          Department.

Additional Information

         The Doctor will be entitled to Annual and Study leave in accordance with the
          Terms & Conditions of Service. Dates of annual leave will be approved by
          your supervising Consultant and for the majority of the time will be
          incorporated into the rota.

Educational Activities

This post is recognised by the Royal College of Physicians and is approved by the
Postgraduate Dean for postgraduate training. Study leave is granted in accordance
with the regulations.

There is a regular weekly afternoon teaching session which is compulsory except for
when on leave or night shifts. In addition ad hoc teaching for Junior Doctors takes
place frequently within the department.

You will be required to attend the Foundation Professional Development Programme
and to maintain the Foundation Portfolio.

There is a purpose built postgraduate medical centre with a good medical library and
a large selection of current journals. A number of journals and texts are available on
line.

Conditions of Service

The Doctor must be appropriately registered with the General Medical Council for
work in medicine.

PROTECTION OF CHILDREN ACT 1999

This post involves regular, direct contact with children up to 18 years of age. Under
arrangements introduced by the Department of Health for the protection of children
when receiving care, the Trust must check your name against a list of “people not fit
an proper to work with children”. If you are subsequently successful in being offered
employment with the Trust, you will be required to give your written permission to
check your details against this list.


REHABILITATION OF OFFENDERS ACT 1974

Because the nature of the work, this post is exempt from the provision of Section 4(2)
of the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975. Applicants for
the post are not entitled to withhold information about convictions which for other
purposes are „spent‟ under the provisions of the Act and in the event of employment,
any failure to disclose such convictions could result in disciplinary action or dismissal
by the Authority. Any information given will be completely confidential and will be
considered only in relation to an application for a position to which the order applies.



D:\Docstoc\Working\pdf\1e1fb16a-d1c6-4ad0-abca-bc40f1f43810.doc
Note

This job description is intended as a guide to the duties/responsibilities that are
required of the post holder and hence is not meant as an exhaustive list. Any
amendment to this job description may take place after consultation with the post
holder.




D:\Docstoc\Working\pdf\1e1fb16a-d1c6-4ad0-abca-bc40f1f43810.doc

				
DOCUMENT INFO
Shared By:
Categories:
Tags:
Stats:
views:51
posted:4/17/2010
language:English
pages:11