This is an exciting opportunity to join our welcoming and friendly team within the Acute Medical Unit (AMU) and Department of Medicine. The Acute Medical Unit (previously known as the Combined Assessment Unit) is located in the state-of-the-art new Dumfries and Galloway Royal Infirmary (DGRI) which opened in December 2017.
Applications for permanent and fixed term (12 months) employment are welcome, along with General Medicine Consultants with a special interest in Acute Medicine are also welcome to apply.
The successful applicant will join a team of Acute and General Medical Consultants providing senior presence and clinical leadership within the AMU. This will involve post-take ward rounds, rolling reviews of new incoming patients (including those eligible for Same Day Emergency Care), incorporating support and teaching for junior colleagues and Advanced Nurse Practitioners.
The wider MDT is an essential part of the AMU, represented by Physiotherapy, Occupational Therapy, Frailty Team and Social work on a daily basis and so post-holders are required to work together with these teams and communicate at twice-daily meetings to progress patient care and facilitate early discharge.
The post holder will also be a key part of educating and training the next generation of Medical Students from ScotGEM as well as both Universities of Glasgow and Edinburgh.
There will be an opportunity to maintain or develop an existing specialty interest or special skill as split working subject to negotiation and local service needs. Local interests include education, point of care ultrasound and infection control and prevention/antibiotic stewardship.
The job plan, an example of which is below, is subject to annual review, contains 10PAs, with scope to incorporate SPAs depending upon the time required to support negotiated professional activities.
Detailed job description and main responsibilities:
Undertake the assessment and triage of acute medical patients referred from the Emergency Department or Primary care to the AMU. The successful candidate will be supported in this role by dedicated junior medical staff rostered to the unit and will provide on-site clinical guidance for this team. Establish an initial investigation and clinical management plan within the Society of Acute Medicine’s 8- (in hours) and 14- hour (overnight) of arrival standards. Partake in the general medical on-call rota at a frequency of 1 in 12 (1 in 6 weekends). Work with the existing Acute Medicine Consultants to develop alternatives to in-patient admission, supported by rapid access to dedicated times for diagnostic services. Develop links with the Emergency Department and Intensive Care Unit, as detailed in the Royal College of Physicians of London documents, “The Interface of Accident & Emergency and Acute Care Medicine”, “The Interface between Acute Medicine and Critical Care” and “Acute Medical Care ‘the right person, in the right setting – first time’.” Supervise and train junior medical and Advanced Practitioner staff. Participate in the delivery of undergraduate teaching as a clinical teacher. Ensure that clinical practice is both effective and efficient and that appropriate monitoring of clinical care takes place. Ensure the provision of good standards of practice and care as described in the GMC Guidance Duties of a Doctor are followed at all times; and that bad practice is reported. Actively participate in audit / quality improvement. Provide continuing responsibility for the care of the patients in their charge whilst in the AMU or High Dependency Care area, and for the proper organisation and functioning of their clinical practice. Take responsibility for ensuring that critical clinical incidents, as defined in the Trusts Critical Incident Policy, are reported in a timely manner. Undertake Mandatory & Statutory training as determined by the Trust and Clinical Management Group. Dumfries and Galloway offers beautiful countryside, from rugged cliffs and sandy beaches to forests, hills and rolling plains. There is a wide range of activities on offer, with watersports, fishing, birdwatching, golf, mountain-biking or cycling along the network of rural roads and much more. House prices are reasonable, schools are good and you are within 2 hours of Edinburgh, Glasgow, Lake District and Newcastle. NHS Dumfries and Galloway offer a full relocation package. For any further details please contact Dr Sian Finlay, Acute Medicine Consultant (01387 241009) e-mail address - sian.finlay@nhs.scot; Dr Alex McDonald, Acute Medicine and Critical Care Consultant (01387 246246) ext 31528, email address – alexander.mcdonald2@nhs.scot.
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Undertake the assessment and triage of acute medical patients referred from the Emergency Department or Primary care to the AMU. The successful candidate will be supported in this role by dedicated junior medical staff rostered to the unit and will provide on-site clinical guidance for this team. Establish an initial investigation and clinical management plan within the Society of Acute Medicine’s 8- (in hours) and 14- hour (overnight) of arrival standards. Partake in the general medical on-call rota at a frequency of 1 in 12 (1 in 6 weekends). Work with the existing Acute Medicine Consultants to develop alternatives to in-patient admission, supported by rapid access to dedicated times for diagnostic services. Develop links with the Emergency Department and Intensive Care Unit, as detailed in the Royal College of Physicians of London documents, “The Interface of Accident & Emergency and Acute Care Medicine”, “The Interface between Acute Medicine and Critical Care” and “Acute Medical Care ‘the right person, in the right setting – first time’.” Supervise and train junior medical and Advanced Practitioner staff. Participate in the delivery of undergraduate teaching as a clinical teacher. Ensure that clinical practice is both effective and efficient and that appropriate monitoring of clinical care takes place. Ensure the provision of good standards of practice and care as described in the GMC Guidance Duties of a Doctor are followed at all times; and that bad practice is reported. Actively participate in audit / quality improvement. Provide continuing responsibility for the care of the patients in their charge whilst in the AMU or High Dependency Care area, and for the proper organisation and functioning of their clinical practice. Take responsibility for ensuring that critical clinical incidents, as defined in the Trusts Critical Incident Policy, are reported in a timely manner. Undertake Mandatory & Statutory training as determined by the Trust and Clinical Management Group. Dumfries and Galloway offers beautiful countryside, from rugged cliffs and sandy beaches to forests, hills and rolling plains. There is a wide range of activities on offer, with watersports, fishing, birdwatching, golf, mountain-biking or cycling along the network of rural roads and much more. House prices are reasonable, schools are good and you are within 2 hours of Edinburgh, Glasgow, Lake District and Newcastle. NHS Dumfries and Galloway offer a full relocation package. For any further details please contact Dr Sian Finlay, Acute Medicine Consultant (01387 241009) e-mail address - sian.finlay@nhs.scot; Dr Alex McDonald, Acute Medicine and Critical Care Consultant (01387 246246) ext 31528, email address – alexander.mcdonald2@nhs.scot.
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