WalsallHealthcare

NHS Trust

JOB DESCRIPTION

Clinical Teaching Fellow - Medicine

JOB TITLE:Clinical Teaching Fellow

GRADE:SHO Level Doctor

LOCATION:ManorHospital, Walsall

ORGANISATIONALDivisional Director

RESPONSIBILITIES

PROFESSIONALLY:Medical Director

RESPONSIBLE TO

ACCOUNTABLE TO:Clinical Director for(Including accountability for IPR and the identification of development needs)

LIAISES WITH:Consultants, Clinical Nurse Specialists, Ward Staff, Director of Division, Junior Medical Staff, Paramedical Staff and Pathology Staff.

JOB SUMMARY

This post has been developed in collaboration with the University of Birmingham Medical School and has been created:

  • To support the undergraduate teaching within the Trust
  • To provide a unique opportunity for a doctor in training to opt for a 12 months period to develop his/her skills and undertake some specialised training prior to joining a training programme. As such, this post is not suited to applicants who prefer a longer term or permanent employment contract.

The post would ideally suit a doctor who has a minimum of FY2 level experience and who wishes to gain further experience in undergraduate teaching prior to progressing to a Specialist Training programme. The candidate will also be given the opportunity to gain the Postgraduate Certificate in Higher Education or an appropriate course of training in medical education.

GENERAL INFORMATION

Walsall Healthcare NHS Trust is a busy acute hospital providing the full range of services normally expected in a DistrictGeneralHospital. We are the only secondary care provider in the local health economy and in 2009/10 had a total income of just over £165 million. The Trust directly employs over 3200 staff making us one of the largest employers in Walsall.

In 2010 the hospital completed a £170 million redevelopment project which provides modern, first class healthcare facilities. Our new Family Health and Diagnostics Centre opened in May 2010, the Manor Learning and Conference Centre opened in July and the Outpatient and Day Case Centre opened in September 2010.

HOSPITAL REDEVELOPMENT 2011

The new WalsallManorHospital is a spectacular, light, airy, high-tech and ecologically-friendly building. The landmark development, in Pleck Road, heralds a new dawn for healthcare in the town

and brings all of the hospital’s services under one roof for the first time.

Around half of the beds in the new building are in single rooms, with the rest in single-sex bays – all en suite – and operating theatres, other treatment areas and equipment being state-of-the-art.

The scheme involved the sequential development of 5 main elements of new build facilities totalling approximately 36,000m 2 of new buildings, and the demolition of the poorest quality building stock, much of which pre dates 1900. Indeed, on completion of the scheme no building on the ManorHospital site will pre-date 1989. The separation of elective and emergency flows into the site also provides the opportunity to develop a landmark building for Walsall.

Developments include:

Family Health & Diagnostics Centre

Built adjacent and linked to the existing Maternity Block and provides:

New Women’s facility to include:

14 bed Gynaecology Ward

8 Day Spaces

Assessment Unit

Outpatient Clinics

3 Theatres (Shared with Children’s)

Children and Younger People’s facility includes:

21 inpatient beds

Paediatric Assessment Unit (6 beds)

Outpatient Clinics

Pathology Services

Blood Sciences (Chemistry, Haematology, Blood transfusion & Immunology)

Microbiology

General Pathology

Outpatient & Daycase Centre

Hospital Based facilities to include:

36 Generic Consultation Rooms

Specialist Outpatients

16 overnight stay beds / 36 day beds/trolleys

4 Theatres

3 Endoscopy Room

Diagnostic Support Facilities (inc 2nd CT scanner)

Manor Learning and Conference Centre:

Library including IT access

Lecture Theatre for 120+

Seminar rooms to accommodate between 10 and 50

Support facilities for junior doctors and medical students

2 Clinical skills laboratories

Clinical IT skills laboratory

Overall, this development aims to facilitate improved functionality of existing services, allowing for a separation of the majority of elective activity from emergency work, increase the capacity for day cases and increase the number of one-stop outpatient clinics. The creation of a hospital street improves the management of patient moves and deliveries. It also means that clinical services are more appropriately linked, e.g. Medical Admissions Wards adjacent to Accident & Emergency.

ORGANISATIONAL STRUCTURE

There are eleven Clinical Directors each responsible for one of the clinical areas (Integrated Medicine, Respiratory & Elderly Medicine, General Surgery, Trauma & Orthopaedics, Women’s Services, Paediatrics, Accident & Emergency, ENT, Anaesthesia, Pathology and Imaging. Services are managed through Specialty Management Groups (SMG is a triumvirate of Clinical Directors, Business Manager and Financial Advisor). There are 3 divisions which are Unplanned Care, Planned Care, and Family Health & Diagnostics.

Clinical Directors are responsible for leading Clinical Governance and undertaking appraisals for Medical Staff within their clinical area. They are professionally accountable to the Medical Director and managerially accountable to the Divisional Director. The Medical Director and Director of Operations are Executive Directors of the Trust Board.

The Medical Advisory Committee meets monthly and is chaired by the Medical Director, Clinical Directors, Postgraduate Tutor and Lead Clinician for Cancer Services

DEPARTMENT OF ACUTE MEDICINE

General Information

There are 271 beds in Integrated Medicine provided at the Manor Hospital including a 5 bedded Coronary Care Unit, a 47 bedded emergency assessment ward for all emergency medical admissions and a 8 bedded High Dependency Unit.

There is a purpose built Endoscopy Unit providing inpatient and outpatient diagnostic and therapeutic services together with a Genito-urinary Medicine specialist department. Outpatient Service facilities are available within the Department of Acute Medicine and are provided from both the main Out Patients Department together with specialist services within Clinical Measurement and Day Hospital.

WARDS

Ward 1 - Stroke Unit

Ward 3 - General Medicine and Isolation Unit

Ward 4 - Acute Elderly Medicine

Wards 5 and 6 – Acute Medical Unit – all acute/emergency admissions

Ward 7 - Cardiology including coronary care beds

Ward 14 – General Medicine

Ward 15 - General medicine/Diabetology/Haematology/Rhematology

Ward 16 - Gastroenterology/Acute Liver Disease

Ward 17 - Respiratory Medicine

Cardiac Care Unit

Critical Care - ITU/HDU

Staffing in the Department

Consultants

Dr I Agarwal (Acting Consultant)Rheumatology

Dr A Al-AllafCardiology

Dr AwasthiGastroenterology

Dr R BrooksElderly Care

Dr BabatolaChronic Pain

Dr V P BalagopalRespiratory Medicine

Dr M CoxGastroenterology

Dr A HamaadCardiologist

Dr E EpsteinAcute Stroke

Dr D FrancisNeurology

Dr M Vega GonzalezHaematology

Dr A Hughes (Acting Clinical Director)Gastroenterology

Dr J GuptaCardiology

Dr R JaumdallyCardiology

Dr N Khan (Locum) General/Elderly Care/Medicine

Dr S SamaranayakeRheumatology

Dr K JavaidAcute Stroke

Dr ManjunathaGastroenterology

Dr M MatonhodzeRespiratory Medicine

Dr S Nadeem Respiratory Medicine

(Clinical Director Elderly care, Respiratory)

Dr R Padinjakara Diabetes

Dr D RaskauskieneDiabetes

Dr S RizviFrail Elderly Care

Dr S SaeedAcute Medicine

Dr V SenthilElderly Care

Dr V TandonHaematology

Dr P A WaraichElderly Care

Dr K YugambaranathanAcute Medicine

Middle Grade Doctors

11SAS/Specialty Doctor

11SpR/StR

12 ST1/ST2

6FY2

11 FY1

3Trust Doctors

BACKGROUND INFORMATION

Walsall Healthcare NHS Trust has a long tradition of undergraduate teaching in association with the University of Birmingham Medical School. The following groups of students attend the ManorHospital for clinical teaching:

Year 3 / Medicine and Surgery / Currently 30 students each allocation
Year 4 / Anaesthetics, Intensive Care and Resp Medicine / Currently 4 students each allocation
Year 5 / Medicine / Currently 5 students each allocation
Surgery / Currently 5 students each allocation
Obstetrics and Gynaecology / Currently 5 students each allocation
Paediatrics / Currently 2 students each allocation
Student Selected Activities / Currently 5 students each allocation
G U Medicine, ENT and A&E / Currently 4 students each allocation
Postgraduate Diploma in Physician Assistant Studies / Currently 12 students in each allocation.

KEY DUTIES OF THE POST

This post is designed to provide support to the undergraduate teaching in the department of medicine and to facilitate the individual post holder to gain further clinical experience in their chosen speciality.

The duties of this post will be split as follows:

  • 50% supporting the undergraduate teaching programme within the Department of Medicine, particularly the teaching of medical students in years 3 and 5 and Physician Assistant students. A regular teaching commitment will be developed with each of the firms and the post holder will work with each group of students to help them achieve clearly defined learning objectives. The post holder will also be involved in the ILS courses provided for students together with course development, evaluation and co-ordination of the teaching programme, in conjunction with the Head of Academy. In addition, the post holder will be required to undertake some training in education, either by attending several short courses or by registering for a more prolonged programme of learning, such as the Postgraduate Certificate in Higher Education.
  • 50% Speciality Training. In order to provide further training in preparation for application to a Specialty Training scheme an attachment will be arranged within the Department of Medicine, to provide further clinical experience appropriate to the postholder’s anticipated specialty (e.g. attendance at clinics, ward rounds and/or investigation sessions such as endoscopies, cardiac catheterisation). There will be opportunities for audit and/or research depending on the candidate’s interest.
  • To actively contribute to the delivery of clinical teaching of undergraduate students.
  • To be familiar with the teaching objectives for the delivery of teaching to students in Years 3 and 5 and Physician Assistant students.
  • To contribute to the organisation of student examinations and assessments as necessary.
  • To liaise with staff in the medical school and Trust as appropriate, including clinical colleagues,undergraduate co-ordinators, teaching fellows in other Trusts and medical school education developers
  • To undergo training in teaching methods as agreed with the Head of Academy
  • To undertake clinical commitments appropriate to the development of specialist training.
  • To be familiar with the electronic curriculum and to be available to facilitate student’s self-directed learning.
  • To ensure that clinical practice is up to date and to undertake a programme of continued professional development.
  • To comply with all relevant Trust policies and procedures.

On-Call Commitment

There is no on call commitment for this post

CLINICAL SUPPORT SERVICES

Radiology

The Imaging department provides a diagnostic imaging service comprising of all major specialties. There is a hot reporting system for inpatient and A & E plain films. There is a comprehensive ultrasound service including vascular ultrasound. The department has a spiral CT scanner (installed 1999) and there is an MRI service provided in conjunction with Lister Bestcare which was started in October 2001. There is also a limited intervention service, mainly consisting of vascular and some renal intervention.

Pathology

There are excellent fully developed services in all Departments of Pathology, e.g., clinical Biochemistry, Haematology, Microbiology and Histopathology.

Paramedical Staff

Physiotherapist, Occupational Therapist, Speech Therapist and Dietetic services are available on site.

Clinical Measurement Unit

There is a well-established Clinical Measurement Unit providing specialist cardiology, respiratory and neurophysiology support on both an in patient and out patient basis.

CLINICAL GOVERNANCE

To have responsibility for a commitment to maintaining a high quality of services to patients by continual development of practice in the light of research evidence and by audit based against clinical relevant standards.

In addition individual staff have a major role in suggesting and implementing improvement to services and in exercising professional responsibility for both themselves and their peers within an open ‘no blame’ culture.

Manor Learning and Conference Centre (MLCC)

The Manor Leaning & Conference Centre (MLCC) in the hospital has seminar and lecture rooms and provides good library facilities. The department is also well equipped with current text books and speciality journals provided. Clinical meetings are held in the MLCC on a daily basis and there is a weekly joint hospital/GP lunch time meeting.

GENERAL INFORMATION

Health And Safety/Risk Management

Walsall Healthcare NHS Trust recognises its duties under the Health and Safety at Work legislation, particularly to provide for, as far as reasonably practicable, the health and safety of all staff within the working environment. All staff are required to comply with health and safety policies and to observe all trust policies relating to health and safety and risk management.

Appraisal

The Trust operates a system of individual performance review/appraisal for the purpose of agreeing performance objectives and discussing development needs in line with requirements of service needs in the operational plan.

Education & Training

This Trust believes that developing good training will enhance the quality of service provision to patients. All consultants will therefore be expected to help train students and staff within their appropriate area. This will be either on a formal or informal basis. Organised undergraduate and postgraduate teaching will be structured by the departmental tutors for medical students and doctors in training. All consultants are expected to comply with the Postgraduate Dean and Royal Colleges’ requirements for training and assessment of the junior staff.

Personal continuing professional development is encouraged and an annual appraisal system is in place to discuss your CPD field and ongoing objectives.

GENERAL CONDITIONS OF SERVICE

1.The post is covered by the Terms and Conditions of Service Dental Staff and Doctors (England) 2003, as amended from time to time.

2.The appointment is subject to satisfactory Occupational Health and Criminal Records Bureau checks.

3.It is the responsibility of all medical staff to ensure that they are appropriately registered with the General Medical Council. If registration lapses employment may be terminated.

4.All employees are expected to comply with appropriate Trust policies and procedures.

5.The postholder is to be aware and observe fully the employee’s duties under the Health & Safety at Work Act and to observe all the Trust’s policies relating to Health & Safety and Risk Management.

6.The Trust operates a no-smoking policy. Employees are not permitted tosmoke whilst on Trust premises and grounds or whilst carrying out business on behalf of the Trust.

7.It is the responsibility of all medical staff to ensure that they are appropriately registered with the General Medical Council. If registration lapsesemployment may be terminated.

SALARYSCALE:MN21 (£27.798 - £38.705) per annum

HOURS OF WORK:40 hours basic plus on-call

ANNUAL LEAVE:5 weeks leave per year plus Bank Holidays

NHS PENSION SCHEME:This post is superannuable. A deduction will be made dependant on salary – average 6.5%. However, if you choose to make your own personal pension arrangements, you may opt out of this scheme

PERSON SPECIFICATION

Clinical Teaching Fellow – Medicine

CRITERIA FOR SELECTION
(Justifiable as necessary for safe and effective performance) / ESSENTIAL REQUIREMENTS
(A Clear Definition For The Necessary Criteria) / DESIRABLE/ADDITIONAL REQUIREMENTS
(Where available , elements that contribute to improved/immediate performance in the job)
Qualifications: /
  • Basic medical qualification (eg MBBS or equivalent

Professional Registration /
  • Full GMC registration with License to Practice

Training and Clinical Experience: /
  • Must have completed an FY2 post (or equivalent)
  • To be at the correct stage of career to benefit from this post
  • Able to demonstrate relevant experience to undertake this position within the Department of Medicine

Flexible Working
Professional and Multi-disciplinary team working /
  • Able to demonstrate knowledge of managing acute medical conditions

Management and Administrative Experience /
  • Ability to organise and prioritise workload effectively
  • Good time management skill

Clinical Effectiveness /
  • Previous audit experience

Research /
  • Papers published or submitted

Innovation and Service Improvement Experience: /
  • Enthusiasm for teaching
  • Ability to communicate in verbal and written English
  • Appropriate Immigration Status

Other Requirements: /
  • Appropriate Immigration Status (where relevant)

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