Trust Grade CESR Registrar

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Main area: Emergency Care
Grade: MN37
Contract: 12 months (Fixed term 12 months)
Hours: Full time - 40 hours per week (12 Months)
Job ref: 259-MED000596NUH

Site: Newham University Hospital
Town: London
Salary: £41,750 - £64,288 Per Annum
Salary period: Yearly
Closing: 01/04/2025 23:59

Barts Health is one of the largest NHS trusts in the country, and one of Britain’s leading healthcare providers.

The Barts Health group of NHS hospitals is entering an exciting new era on our improvement journey to becoming an outstanding organisation with a world-class clinical reputation. Having lifted ourselves out of special measures, we now have the impetus and breathing space to chart a fresh course in which we are continually striving to improve all our services for patients.

Our vision is to be a high-performing group of NHS hospitals, renowned for excellence and innovation, and providing safe and compassionate care to our patients in east London and beyond. That means being a provider of excellent patient safety, known for delivering consistently high standards of harm-free care and always caring for patients in the right place at the right time. It also means being an outstanding place to work, in which our WeCare values and behaviours are visible to all and guide us in how we work together.

Barts Health supports the Pregnancy Loss Pledge and commits to supporting their staff through the distress of miscarriage.

Job overview

The Emergency Department at Newham is looking to recruit up to five Trust Grade Registrars who wish to enter the GMC Specialist Register via the CESR or “Portfolio” Pathway. They would join a contingent of current CESR Registrars and Higher Trainees in Emergency Medicine in a busy, diverse department in East London with an excellent reputation for education and training.
We are looking for doctors with at least 2-3 years of clinical experience in Emergency Medicine or allied acute care jobs as well as MRCEM or equivalent. All posts are for an initial 6 months with a view to extend as required up to 3 years. Successful applicants will work as a Registrar / ST4+ level in the Emergency Department at Newham Hospital which would include leading the department on Night Shifts.

This post would suit either a UK candidate who has already completed the ACCS Training Programme (or equivalent) seeking entry onto the Specialist Register via an alternative pathway or an international candidate with significant experience in Emergency Medicine (e.g. completion of a training programme) wishing to consolidate their skills and apply for entry on the Specialist Register in the UK.

For more information or an informal chat, please contact Dr Lily Dryburgh-Smith, EM Consultant and Recruitment Lead – lily.dryburgh-smith@nhs.net

Main duties of the job

The post holder will be providing senior clinical leadership and support in all areas of the emergency department. Roles within the department will be developed as experience is gained, working towards achieving all the competencies on the CEM curriculum. These include:

1. Team leader in the resuscitation room for adults, children and trauma
2. Supervising junior doctors
3. See, evaluate and provide treatment to emergency patients in a timely manner
4. Performing emergency procedures
5. Managing patients on the clinical decision unit
6. Assessing ambulance and walk-in patients on arrival and initiating management
7. Working within a multi-disciplinary team
8. Working with other specialties, managing referrals and inter-hospital transfers
9. Delivering management projects and audit
10. Attending and contributing to the departmental teaching programme
11. Engagement and delivery of the departmental governance programme

You will work within the bounds of your level of competence, fully supported by the Emergency Department Consultants.

You will have an Educational Supervisor and will be expected to maintain regular contact with them during your post. You will be supported in delivering your e-portfolio keeping up to date with GMC required appraisal and revalidation.

Working for our organisation

Barts Health is one of the largest NHS trusts in the country, and one of Britain’s leading healthcare providers.

We strive to live by our WeCare values and are committed to promoting inclusion, where every staff member has a sense of belonging. We value our differences and fully advocate, cultivate and support an inclusive working environment.

Detailed job description and main responsibilities

At the start of the post a training needs assessment will be created. The secondments to specialty training (ITU, anaesthetics, paediatrics, acute medicine, major trauma) will be delivered in each year, usually after 6-9 months working in the emergency department and evidence of satisfactory progression (against RCEM curriculum). The duration of the secondment may vary with changes to GMC requirements, but will generally be between 3 and 6 months in each specialty.

Study leave is encouraged, targeting the required resuscitation courses, as well as numerous simulation courses delivered within Barts Health (such as paediatric emergencies, sedation, USS, trauma team leaders, managing miscarriage, acute psychiatric emergencies, nerve blocks).

In-house teaching forms part of your rota, and you will be expected to attend as well as deliver teaching sessions. Sign off for USS competencies and safe sedation will be delivered in the department.

Management days will form part of your rota, focusing on delivering audit, quality improvement projects as well as engagement with the departmental governance programme.

Focused training for all parts of the MRCEM and FRCEM exam will be offered where required.

Person specification

Qualifications

• Full registration with General Medical Council
• MBBS or equivalent
• BLS and ALS
• PLAB if required
• Child Safeguarding Level 3
• 36 months experience emergency medicine or acute specialties, with a minimum of 12 months in emergency medicine
• APLS
• ATLS
• MRCEM or equivalent
• Additional relevant degree (intercalated, masters or doctorate)
• FRCEM or equivalent
• Advanced ultrasound skills
• Experience working at registrar level in emergency medicine

Clinical Skills

• Evidence of clinical competencies appropriate for stage in training
• An appropriate knowledge base, and ability to apply sound clinical judgement to problems
• Ability to prioritise clinical need
• Ability to maximise safety and minimise risk
• Ability to work without supervision where appropriate
• Knowledge of evidence-based practice
• Understanding of research, including awareness of ethical issues
• Experience leading the shift, managing the department
• Evidence of relevant academic achievements, including publications / presentations
• Understanding of research methodology and ability to use basic qualitative and quantitative methods

Leadership and management

• Evidence of effective team working and clinical leadership
• Self-awareness, with knowledge of personal strengths and weaknesses, impact and areas for development
• Interest in and knowledge of the importance of leadership and management for clinicians
• Evidence of involvement in local management systems
• Attendance at leadership courses
• Evidence of effective leadership (e.g. evidence of leading innovations or improvements)
• Understanding of the local and national context of the NHS, including economic and political influences

Quality/Service improvement

• Understanding of clinical governance, including the basic principles of audit, clinical risk management, evidence-based practice, patient safety and quality improvement initiatives
• Evidence of a portfolio of audit / quality improvement projects, including evidence that the audit loop has been closed and evidence of learning about the principles of change management
• Evidence of publications / presentations / prizes in quality improvement or audit

Education and Teaching

• Evidence of interest in and experience of teaching
• Development of teaching programmes
• Participation in teaching courses
• Participation in degree or diploma courses in education
• Action learning sets / simulation instructor

Personal Skills

• Clarity in written / spoken communication
• Capacity to adapt language to the situation, as appropriate
• Active listening and empathy
• Ability to build rapport and communicate effectively with others
• Ability to persuade, influence and negotiate
• Ability to communicate effectively under pressure
• Capacity to use logical / lateral thinking to solve problems / make decisions, indicating an analytical / scientific approach and, where appropriate, creativity in problem solving
• Evidence of thoroughness (well prepared, self-disciplined / committed, punctual and meets deadlines)
• Capability to work with long timescales for delivery within agencies with differing priorities
• Ability to work effectively under pressure
• Capacity to manage conflicting demands
• Self-motivation, and resilience
• Initiative and ability to work autonomously
• Can build effective teams and partnerships
• Ability to work well in multidisciplinary teams
• Understands and values contributions of others
• Ability to show leadership, make decisions, organise and motivate other team members through, for example, quality improvement
• Quick to understand new information and adapt to new environments
• Clarity of thought and expression
• Flexible and adaptable to change
• Self-starter, motivated, shows curiosity, initiative and enthusiasm
• Demonstrates probity (displays honesty, trustworthiness, integrity, awareness of ethical dilemmas, respect for confidentiality)
• Takes responsibility for own actions
• Commitment to personal and professional development
• Leadership skills gained within the NHS or elsewhere
• Writing experience: - clinical and/or non-clinical topics
• peer-reviewed publications and/or other communication (e.g. blog, letters to journals)
• Evidence of altruistic behaviour, e.g. voluntary work

We strive to live by our WeCare values and are committed to promoting inclusion, where every staff member has a sense of belonging. We value our differences and fully advocate, cultivate and support an inclusive working environment where staff treat one another with dignity and respect. We aim to create an equitable working environment where every individual can fulfil their potential.

As an Equal Opportunities Employer we actively support applications from individuals who apply under the Guaranteed Interview Scheme and will process your application as appropriate.

We reserve the right to expire vacancies prior to the advertised closing date once a sufficient number of applications has been received and we regret that we are unable to provide notification if your application is unsuccessful.

Barts Health is committed to safeguarding the welfare of children and to child protection. The Trust aims to ensure as far as is possible that anyone, paid or unpaid, who seeks to work in our organisation and who gains access to children, is safe to do so. As such, you may be required to undertake a Disclosure and Barring Check as part of the recruitment process if appointed to a post with direct access to children or vulnerable adults.

Barts Health promotes active travel as part of its goal to reach Net Zero. Each site is accessible by public transport and the Trust has a cycle to work scheme and some sites have Brompton Hire Pods.