Job Description

The successful candidate will be assigned a clinical supervisor and will receive experience in Acute General Medicine during a two year period. Successful candidates will rotate through Acute General Medicine and Ambulatory Care during this year.



The appointee will be expected to undertake audit and quality improvement projects, as well as to attend clinical governance meetings, mortality and morbidity meetings, regional and national educational meetings. Research activity is encouraged. The close links with the University of Oxford and Oxford Brookes University will further enhance research engagement. The appointee will actively participate in the local educational programme of teaching undergraduates as well as postgraduates.



Provision of Acute General Medicine Services within the Trust with responsibility for the prevention, assessment, diagnosis and treatment of illness within the Acute General Medicine department. Close working with medical, nursing and allied health professionals to assist in providing high quality patient care.

The post holder will be accountable to Dr. Mridula Rajwani as Clinical Lead of the department.



Oxford University Hospitals NHS Foundation Trust (OUH)



OUH is one of the largest NHS teaching trusts in the UK and a renowned centre of clinical excellence. Each year, OUH has over one million patient contacts including nearly 100,000 emergency admissions. The Trust has a strong collaboration with the University of Oxford, which underpins the quality of care that is provided to patients, from the delivery of high-quality research - bringing innovation from the laboratory bench to the bedside - to the delivery of high-quality education and training for doctors.



OUH delivers acute emergency care on two of its four hospital sites (the John Radcliffe Hospital in Oxford and the Horton General Hospital in Banbury), supports the urgent care pathway across distributed community settings, and is working towards comprehensive application of the Future Hospitals Commission principles.

Clinical:

The appointee will be responsible, together with other residents, for both inpatient and outpatient work.

1. Inpatient:

The in - patient arrangement in acute general medicine will be based on a firm system. Each medical firm comprises of a consultant, SpR, SHO and a F1 doctor. The rota cycle for each firm is 8 weeks. The consultants in charge of the firms in acute general medicine have a wide range of special interests including geriatrics, endocrinology, infectious disease, nephrology, and peri-operative medicine.



2. The post holder will be expected to do an acute general medicine take based on rota allocations. In general, these takes are divided into day (9am to 4pm), evening (4pm to 9pm). They will also be expected to join the consultant for the post night take, where he/she will review patients admitted overnight (9pm to 9am). In general, an 8 week rota consists of 6 day takes, 7 evening takes and 5 post - night takes.



The post holder will also be expected to attend consultant ward rounds 5 days/week and will perform personal ward rounds on the patients admitted on call under the supervising consultant(s).

3. Outpatient:

The post holder will do also be expected to review outpatients referred to the daily diagnostic unit (DDU), under each medical firm and discuss with the allocated consultant.

4. On call rota:

The post holder will be on call based on the allocated rota. This includes blocks of 3-4 nights/8 weeks, where they will be responsible for night admissions and emergencies/referrals from in patient units at the John Radcliffe Hospital. On these nights the trainee will also be expected to answer calls for medical opinions and SpR triage from other hospitals within the trust, out of hours GPs and paramedics. Decisions on admission will also be considered by the trainee at these times.



5. The post holder will also be on - call for medical referrals and cardiac arrest calls within the hospital based on rota allocations on take days

Administration Duties:

These include responsibility for inpatient discharge summaries, outpatient letters etc and the management of other resident staff on the team.