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Consultant in Intensive Care & Respiratory Medicine

NHS, Trenton, New Jersey, United States,


Consultant in Intensive Care & Respiratory Medicine

Gloucestershire Hospitals NHS Foundation Trust

Gloucestershire Hospitals NHS Foundation Trust wishes to appoint a new substantive consultant with a combined interest in Intensive Care and Respiratory Medicine. This post will be a cross county appointment with activities on both sites.The Department of Respiratory Medicine has specialist clinics for sleep, ventilation, tuberculosis, bronchiectasis, pleural disease, lung cancer, severe asthma, interstitial lung disease, and COPD. Bronchoscopy services have been consolidated at GRH. Close links exist with the thoracic surgical centres in Birmingham and Bristol, the Bristol interstitial lung disease MDT, and the Birmingham severe asthma MDT. Endobronchial ultrasound and local anaesthetic thoracoscopy are provided on site.Our Critical Care services are delivered across two units, one on the Gloucestershire Royal Hospital site and one on the Cheltenham General site. The two units admit approximately 1,500 patients a year. We support elective surgical services including Upper GI resection work, head and neck cancer services, three counties Gynae-Oncology services, and a busy vascular unit. We have a busy medical admissions workload supporting all specialties including interventional cardiology, haematology, oncology, respiratory, and renal medicine. We also support the emergency general surgical services and are one of the busiest centres for emergency laparotomies nationally. We have the greatest number of paediatric admissions outside of PICU in the South West.Main duties of the job

The respiratory component of the job plan will include regular subspecialty and general respiratory outpatient clinics and a rotational contribution to the weekday respiratory departmental 'hot' rota, which provides 9-5 consultant support for respiratory patients attending ED, same day emergency care, inpatients under other specialties, and GP advice via telephone and electronic advice and guidance. Development of a respiratory subspecialty interest will be supported, particularly within the domiciliary ventilation service.The Critical Care component will also be split across both our sites with a slightly higher proportion of time spent supporting the Critical Care unit in Gloucestershire Royal Hospital. You will be expected to support the running of the Critical Care units, work collaboratively with the MDT, and actively manage admission and discharges to and from the unit to support adequate flow.Good leadership and decision-making skills will be essential to facilitate daily work, as will the ability to work calmly in periods of high stress.About us

The Department of Respiratory Medicine currently has twelve substantive consultants, 5 specialty registrars, 7 respiratory specialist nurses, and 4 lung cancer nurses. We have a reputation for being a friendly, supportive, and forward-thinking department.The Critical Care department has 18 Consultants who work collegiately together to provide comprehensive 24hr cover. The nursing team is led by a Matron and Deputy Matron with a highly functioning Senior Band 7 group of nurses. In total, there are over 140 nurses working in Critical Care. We have excellent AHP staff and have developed a true MDT approach to our patients. We are proud of our flat hierarchy regarding MDT working relationships.Job responsibilities

Respiratory Medicine: Clinical activities will include assessing patients attending acute services, managing inpatients, conducting outpatient clinics, undertaking investigations such as bronchoscopy, and supervising junior doctors. The PA allocation for respiratory work will be 3.75PA (including 0.75 SPA).Critical Care: The Critical Care component will also be split across both our sites with a slightly higher proportion of time spent supporting the Critical Care unit in Gloucestershire Royal Hospital. The on-call component of this will all be in support of the Critical Care on-call, on a 1 in 8 basis. The PA allocation for critical care work will be 6.25PA (including 0.75 SPA).The daily work pattern will involve undertaking a minimum of twice daily ward rounds, the assessment and admission of appropriate patients from all areas of the hospital including ED, AMU, theatres, and wards. In addition, the role is expected to support junior residents, ACCPs, and Advance trainees working on the Critical Care units.You will be encouraged to attend a number of MDT meetings that include weekly radiology and rehab meetings along with alternate monthly M+M and business meetings.The successful applicant will be encouraged to further develop the already excellent working relationships with our Respiratory colleagues and also take a lead on updating and maintaining the Critical Care team's knowledge and expertise on respiratory-based pathologies in our critically unwell patients. An interest in developing policies and protocols for managing conditions such as Severe Adult Respiratory Failure would be beneficial.Person Specification

Qualifications

Full GMC registration and a licence to practiseMBBS or equivalentEntry on the GMC Specialist Register for General or Respiratory Medicine via CCT or CESR (CP) (proposed CCT/CESR (CP) date must be within 6 months of interview) or European Community RightsClinical Experience

Critical Care training as per Intensive Care Training programme.Respiratory and G(I)M experience through most or all of training.Demonstrated additional interest in Respiratory specific illness in Critical Care and development of protocols supporting this, e.g., Severe Adult Respiratory Failure management.Demonstrated additional experience and interest in interstitial lung disease or Respiratory integrated care.Evidence of participation in Audit and Clinical Governance Programmes.Ability to manage and lead a clinical team.IT skills including database management and word processing skills.Attendance on a management course.Teaching Experience

Evidence of ability to teach clinical and generic skills.Evidence of ability to apply research outcomes to clinical and organisational problems.Training in teaching skills.Certificate of education.Evidence of involvement in undergraduate education.Evidence of experience in teaching clinical skills to undergraduates and postgraduates.Evidence of ability to supervise postgraduate research.Research Experience

Ability to appraise research critically and apply research outcomes to clinical and organisational problems.Ability to supervise junior staff undertaking research projects.Personal Attributes

Evidence of effective team working.Conscientiousness and empathy.Able to take responsibility, show leadership, and make decisions.Use a non-judgemental approach to patients and colleagues regardless of sexuality, ethnicity, disability, religious beliefs, or financial status.Flexible and resilient.Initiative, drive, and enthusiasm.Committed to lifelong learning.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.Gloucestershire Hospitals NHS Foundation TrustAddress

Gloucestershire Hospitals NHS Foundation TrustConsultant Intensivist and Clinical LeadGloucestershire Hospitals NHS Foundation Trust

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