About this role
Job summary
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Locally Employed Doctor (ST3+) Anaesthetics (Simulation Fellow)Fixed term for up to 12 months
We have posts available across York and Scarborough. The clinical duties of this role include providing a comprehensive anaesthetic and critical care service to patients, primarily based in Scarborough.
The postholder must comply at all times with the General Medical Council's Duties of a Doctor, maintaining the highest standards of professional conduct and patient care. Strict patient confidentiality must be upheld at all times in accordance with Trust policies and information governance requirements.
The postholder will undertake duties as set out in the job description, in agreement with the Clinical Director, and will be responsible for the safe and effective clinical management of inpatients and outpatients under their care. They will also be managerially accountable for the appropriate and efficient use of Trust resources and professionally accountable to the Medical Director.
On commencement, the postholder is required to attend the Trust's Corporate Induction and participate fully in all statutory and mandatory training programmes. Full compliance with Trust policies and procedures is expected throughout the duration of employment.
The postholder must also ensure that all intellectual property rights of the Trust are respected and will work collaboratively within multidisciplinary teams to support the delivery of high-quality, patient-centred care.
Main duties of the job
The duties of the post include the provision of Critical Care & Anaesthetic services at York Hospital, delivered in line with Trust policies & clinical standards. The postholder will undertake pre-operative assessment, optimisation & pre-medication of patients undergoing elective & emergency surgery, ensuring safe & effective preparation for anaesthesia & operative intervention.
The role includes administration of local & general anaesthesia across a range of specialties, with responsibility for intraoperative monitoring & management of complications. The postholder will also contribute to post-operative care, working collaboratively with surgical teams to assess & manage complications and support patient recovery.
A significant component of the role involves providing anaesthetic services within the Obstetric Department, including elective & emergency neuraxial & general anaesthesia. The postholder will also support the Intensive Care Unit & Critical Care Outreach Team in the management of critically ill patients.
The postholder will participate in a 1:8 resident on-call rota covering theatres, ICU or labour ward, and contribute to the cardiac arrest team. Cross-site working across York, Scarborough and Bridlington.
The role includes participation in audit, clinical governance, teaching, and continuous professional development. The postholder will deputise for colleagues where necessary and undertake additional duties in emergencies to ensure continuity of patient care.
About us
Our benefits
We offer a range of benefits to support our staff including:
Access to the NHS Pension Scheme, providing generous benefits upon retirement, as well as a lump sum and pension for dependants 27 days holiday rising to 33 days (depending on NHS Trust service) A variety of different types of paid and unpaid leave covering emergency and planned leave Confidential advice and support on personal, work, family and relationship issues, 24/7, from our Employee Assistance Programme NHS Car Lease scheme and Cycle to Work scheme An extensive range of learning and development opportunities Discounts on restaurants, getaways, shopping, motoring, cinema and finance from a range of providers
For further information on the fantastic range of benefits we offer please visit the Trust's dedicated Staff Benefits pages.
Job description Job responsibilities
THE SIMULATION POST
York and Scarborough Hospitals have an active simulation program both within the anaesthetic department and throughout the wider hospital. In York there is a dedicated anaesthetic simulation room located in the theatre complex complete with high fidelity 3G Laerdal simulation manikin.
The successful applicant would be expected to contribute to the planning and delivery of simulation sessions alongside the Simulation Leads and College Tutors. This would take place cross site in both York and Scarborough Hospitals.
Examples of current simulation programmes for participation:
Monthly Consultant sessions in General Anaesthetic, Paediatric and Obstetric Emergencies
CRUMPET course (four times/year)-MDT simulation care of the critically ill child including ED and Paediatrics
Resident teaching programme; including novice introductory simulation course and critical incident course
MDT training of theatre staff (PACU nurses, ODPs, scrub nurses, TSWs) in Clinical Governance sessions
Within the anaesthetic department there are also other postgraduate teaching opportunities outside of simulation including organising and running weekly resident teaching sessions on anaesthetic and ICU topics as well as undergraduate teaching.
There would also be an opportunity to collaborate with the Trust Simulation Lead in delivering postgraduate sessions to the wider hospital audience.
The intended working pattern would be 3 days direct clinical care and 2 days in an educational role (plus the on-call commitments described above).
Opportunities for the successful applicant could include:
Demonstrating independence in facilitating a simulation session
Developing skills in feedback and debrief
Understanding how to plan, organise and run an educational programme
Recognising the role of technology in medical education
Developing skills as an educator by attending a course in simulation deliver e.g. Train the Trainer in Simulation at Hull Institute of Learning and Simulation
On appointment, discussion about enrolling in the PGMCE at Hull York Medical School would be possible.
TRUST SUPPLEMENTARY INFORMATION
The Anaesthetic Department is part of the Theatres, Anaesthetics and Critical Care Directorate.
At York Hospital there are 12 operating theatres in our main suite (including one dedicated to vascular imaging assisted work). We have a dedicated day unit with 6 theatres and an ophthalmology operating area with two theatres. These are supported by two Post-Anaesthetic Care Units (PACUs). There are also two separate obstetric theatres.
Surgical services currently supported include general surgery (including colorectal and upper GI), orthopaedics and trauma, obstetrics and gynaecology, ENT, maxillo-facial, oral surgery, ophthalmology, urology and vascular. Enhanced recovery programmes are well advanced in colorectal and orthopaedic surgery and are being rolled out in other specialties. Preoperative assessment sessions are provided as well as a full nurse-led pre-assessment service. We also have a well established and highly regarded perioperative programme running alongside our successful CPET service.
We have a 22 bedded Critical Care Unit on the York site
Scarborough Hospital
The Anaesthetic Department comprises of a 6 bedded Intensive Care Unit, a main theatre suite of six theatres, and separate maternity and ophthalmology theatres.
Surgical services currently supported include general surgery (including colorectal), orthopaedics and trauma, obstetrics and gynaecology, ENT, dental, oral surgery, ophthalmology and urology. Enhanced recovery programmes are well advanced in orthopaedics and are being rolled out in other specialties.
Preoperative assessment sessions are provided as well as a full nurse-led pre- assessment service.
The labour ward delivers approximately 1500 babies per year with a 19% caesarean section rate. An on-demand epidural service is provided.
Additionally, anaesthetic services are provided in Bridlington Hospital, approximately 20 miles from Scarborough. The post-holder may be required to work in Bridlington as well.
Person Specification
Experience and Knowledge Essential
Able to demonstrate a high level of clinical experience and skill Knowledge of good medical practice and GMC requirements Commitment to Continuing Medical Education and the requirements of Clinical Governance and audit Experience in teaching & supervising medical students and junior trainees, able to teach clinical skills and able to critically review and apply research to clinical situations Experience of undertaking audits and presenting their findings Written and spoken English adequate to enable effective communication about medical topics with patients & colleagues Able to communicate effectively with multi-disciplinary with multi-disciplinary team members, patients, relatives, GPs and other agencies Able to work effectively despite pressures, and to cope with stressful situations in a calm and reflective manner Understanding of current NHS issues, understands the wider organisation and values the need for efficient use of resources.
Desirable
Substantive NHS experience (12 month continuous experience ) Experience of setting up and/or developing clinical services, experience of supervising SpRs/specialist trainees Research experience & peer-reviewed journal publications, experience in designing & implementing audit programmes Familiarity with issues of service organisation and development Willingness to undertake additional professional responsibilities to local, regional or national levels.
Qualifications and Training Essential
Has achieved MBChB or equivalent medical qualifition Eligible for full GMC registration with license to practice European ALS Satisfactory completion of Foundation Year 1 and Foundation Year 2 post or equivalent 24 months experience working in the specialty Is up to date and fit to practise safely
Desirable
MD or equivalent higher degree or evidence of relevant research Higher teaching qualification
Disclosure and Barring Service Check This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
Certificate of Sponsorship Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).
Employer details Employer name York and Scarborough Teaching Hospitals NHS Foundation Trust
Address York / Scarborough Hospital
Woodlands Drive
Scarborough
YO12 6QL
United Kingdom
Employer's website https://www.yorkhospitals.nhs.uk (Opens in a new tab)