Job Overview

Join the Health and Community Services in Jersey as a Clinical Fellow in General Medicine. This is an exciting opportunity for a doctor interested in pursuing a career in medicine or gaining valuable experience. As one of the General Medicine Clinical Fellows, you will be a core member of the team, gaining hands-on experience with acute and chronic conditions. The role involves assessing and managing patients with various conditions and working alongside a full medical and nursing team. There is also potential involvement in aero-medical transfers and the chance to contribute to the development of clinical guidelines and pathways.

The successful applicant will start as soon as possible, pending completion of all pre-employment clearances and compliance. 

Key Responsibilities:

• Assessment and management of patients presenting to the department
• Involvement in aero-medical transfers to UK tertiary centres
• Participation in clinical audit, research, and the development of clinical guidelines

Who We're Looking For:
We are seeking a motivated individual who has completed foundation training or its equivalent and is enthusiastic about advancing their experience. The role is ideal for doctors looking to further their career in medicine and enhance their medical expertise in a supportive and innovative environment.

For an informal discussion please contact Dr M Finn on m.finn@health.gov.je.

The Post

This post consists of attachments in Acute and General Medicine with the following subspecialties:

1. General Medicine

2. Cardiology/Respiratory (Cardiology not available for 2024)

3. Haematology/Oncology

4. Palliative care

5. Rehabilitation

6. Gastroenterology

7. Neurology

The successful candidates will be able to combine service commitment with significant professional development through a rotational program between clinical specialties. To support the post holder’s continuous professional development and career aspirations participation in a consultant led clinic of 1 session per week will be facilitated.

Duties

A) General Medicine & Acute Medicine

The posts are designed to support the FY1 and Middle Grade doctors (Staff Grade and Associate Specialists) in the management of acute medical admissions on their respective wards. The three main medical wards look after general medical admissions – Bartlett Ward, Rozel Ward, Corbiere Ward. Attachments to these firms and a dedicated period of experience on the Acute Medical Admissions Unit in one of the rotations will provide comprehensive training in all the key medical sub-specialties. The role of the on-call twilight and weekend cover is to act as an effective second on-call (the first on-call being the Medical Registrar). This involves taking calls for admission from GP’s, reviewing admissions on their arrival in the Acute Admissions Unit and Emergency Department and providing additional support to the FY1 when needed. In hours work will be Monday to Friday 8am to 5pm. Out of hours working is 6 pm to 8am weekdays and 24 hours on Saturday and Sunday, worked in a shift rota pattern.

Duties

B) Flight transfer

Patients being transferred acutely to tertiary centres such as the Cardiothoracic Unit in Oxford and to the Neurosurgical Unit in Southampton for further specialist treatment are accompanied by a doctor and a trained nurse. Courses in in-flight transfers are provided and post holders will be on a rota of 1:7 for such activity during normal working hours and at weekends, if rostered on-call. Accompanying transfers that take place out of hours will be on a voluntary basis and will command additional remuneration.

Duties

C) Additional Professional Development

Medical students from Southampton University are attached for 8-week rotations in their final year. Clinical Fellow post holders have enjoyed interaction with these enthusiastic trainees and have provided bedside teaching in addition to that provided by Consultants and Middle Grade Doctors. Clinical Fellows have organised mock OSCE in the 7th and 8th weeks of their attachment in preparation for their final examinations. This has been a mutually beneficial exercise. The Education Centre is a shared facility for Health & Social Services Department and is equipped with a newly built Clinical Skills Lab which has assisted Clinical Fellows in self-learning, particularly in procedural work and optimising their cardio-respiratory resuscitation skills, and in teaching their more junior colleagues both medical students and nursing staff. The medical library is well stocked with books, journals and computer facilities, including internet access. The following is an example schedule of a typical working week. The duties of the post holder are expected to be flexibly worked, as inevitably a number of activities run concurrently.

The Specialty

The Medical Service

Medicine in Jersey is fully age and specialty integrated. There are four medical wards, Bartlett, Plemont, Rozel and Corbiere. There is a sixteen bed Acute Assessment Unit situated on a separate ward. Currently there are four Acute Consultant Physicians who run the Acute Admissions Ward, and the remaining eight Consultants are responsible for in-patient care, ably supported by 8 Staff Grades/Associate Specialists, Clinical Fellows (the advertised posts) and 8 FY1/FY2 doctors. The timetable shows that a ward round is conducted on a daily basis by senior clinical staff, either Consultant or Middle Grade and so Clinical Fellows and Foundation Doctors are well supported in their day-to-day work. There should be a maximum of 3 junior doctors per team. If there are more, then they will be asked to support other colleagues and teams to cover shortages and workload. Whilst on call, the SAS doctor is responsible for seeing patients referred by the Emergency Department and reviewing patients admitted to the AAU by GPs in conjunction with the AAU FY2. Clinical Fellows tend to see new patients admitted through the ED but support the Clinical Fellow on the Admissions Unit when it is particularly busy, and FY1 on the wards.

Department statistics

• There are 60 medical beds.

• 5 bed enhanced care area

• There are 10 -20 acute medical admissions on average during each 24-hour period on call.

• Median stay of 2½ days

• There are approximately 4,500 medical admissions annually

Future New Hospital

We are well advanced in the process of securing planning permission for a future new hospital. In preparation for this working practices will change, and a key element will be the development of an Acute Assessment Unit inclusive of an Enhanced Care Area for level 1 patients. This exciting new project may lead to some alteration in the job plans for Clinical Fellows.

Specialty Medical Staff

The Emergency Medicine service sits within the Medical Services Care Group which comprise the following range of services, a full structure chart of the care group can be found in the appendix:

Ambulatory Emergency Care

Cardiology

Dermatology

Diabetes

Emergency Admissions Unit (EAU)

Emergency Department

Haematology

Medical Day Unit

Medical outpatients

Medical Wards - Bartlett, Corbiere and Rozel Wards

Neurology

Oncology

Palliative Medicine

Pathology

Rehabilitation Ward – Samares at St Ewolds

Renal Medicine

Respiratory

Rheumatology

Sexual Health

Medical Services Care Group

Medicine in Jersey is fully age and specialty integrated. There are 4 medical wards, Bartlett, Plemont, Rozel and Corbiere. A 5-bedded Enhanced Care Area is sited on EAU and there is a separate intensive care unit led by intensivists. There is a 20 bed Acute Assessment Unit. Currently there are 11 consultants, 10 SAS doctors including this post, and 30 resident doctors (9 FY1 and 2 FY2 and 19 Clinical Fellows covering the medical services in the hospital). SAS doctors are responsible for the day-to-day management of their patients on the wards with the help of clinical fellows, FY1 or FY2 doctor whom they closely supervise. On call, the SAS doctor is responsible for seeing patients referred by the Emergency Department and reviewing patients admitted to the EAU by GPs in conjunction with the EAU team. A core responsibility of the Division of Medicine is the provision of a safe acute medical service. The Division provides named Consultant supervision for non-Consultants at all times and ensures that prompt review and treatment is provided for acute medical emergencies referred by General Practitioners or the Emergency Department. The Consultants share on-call cover for the general medical take on a rolling 24hr rota, 8am-8am. Consultant-led post take ward rounds take place at 5pm and 8am. Being on an Island, the physicians need to be able to cover the full range of medical emergencies while on call. Consultants are responsible for producing and updating guidelines for the management of acute medical emergencies in their specialist area.

Care Group Statistics

There are 63 medical beds. 15-25 acute medical admissions on average during each 24-hour period on call within a range of approximately 6-24. There are approximately 4,500 medical admissions annually

Specialty Medical Staff

There are currently the following Consultants providing acute and specialist medical care to the island population.

Dr David Hopkins, General Medicine, Endocrinology and Diabetes

Dr E Chacko, Consultant in Endocrinology and Diabetes

Dr G Ortiz, Consultant in General Medicine

Dr Mina Hanna, General Medicine, Gastroenterology

Dr M Duku, General Medicine, Gastroenterology

Dr N Charles, Consultant Emergency Medicine

Dr S Chapman, Consultant Emergency Medicine

Dr A Noon, Consultant Emergency Medicine

Dr N Payne, Consultant Emergency Medicine

Dr J McInerney, Consultant Emergency Medicine

Dr K Anderson, Consultant Emergency Medicine

Dr A Varma, Consultant Emergency Medicine

Dr J Terris, Consultant Emergency Medicine

Dr M Finn Consultant Emergency Medicine and Clinical Director

Dr A Mitchell, Consultant Cardiologist

Dr P Le Paige, Consultant Cardiologist

Dr S Tosounidou, General Medicine, Care of the Elderly and Rheumatology

Dr H Gibson, General Medicine, Neurology and Rehabilitation

Vacancy, General Medicine, Respiratory medicine (covered by Dr S Alapati)

Vacancy, General Medicine, Renal Medicine

Dr J Vaz, Acute Medicine with an interest in Respiratory Medicine

Dr I Bodzioch, Acute Medicine

Dr K Dabeedin, Consultant in Acute Medicine

Dr A Mahmoud, Consultant in Acute Medicine

Dr A Kukula, Consultant Dermatologist

Vacancy, Consultant Dermatologist

Vacancy, Consultant in Microbiology

Dr C Langoya, Consultant in Microbiology

Dr N Stefanos, Consultant in Histopathology and Cytopathology

Dr B Lyons, Consultant in Histopathology and Cytopathology

Dr M Perenyei, Consultant in Histopathology and Cytopathology and Clinical Lead

Dr W Nagi, Consultant in Haematology

Vacancy, Consultant in Haematology

Dr M Butt, Consultant in Oncology

Dr E Dos Santos, Consultant in Oncology

Dr R Soomal, Consultant in Oncology

Dr J Grose, Consultant Palliative Medicine

Dr R Hembrom, Consultant Sexual Health Medicine

A well-equipped Clinical Investigations Department providing echocardiography, exercise ECG, respiratory assessment and GI physiology. An endoscopy suite providing a full range of endoscopy and bronchoscopy services. Diabetes Centre providing outpatient care for the diabetic population of Jersey, including retinal photography and specialist nursing support. Renal/Dialysis unit, providing emergency, acute and longer-term renal support as well as management of transplanted patients and assessment and treatment of renal conditions 6 bedded isolation area for infected or neutropenic patients.

Other Hospital Departments

The following Departments are located outside of the medical division:

3 Surgical Wards – Beauport, Surgical Floor and Rayner Ward

7 Critical Care beds which includes Medical and Surgical Intensive Unit

Designated Day Surgery Theatre (2)

Main theatre Suite

Outpatient Dental Department

Outpatient ENT facilities Ophthalmology Department

1 Private Wing Ward (beds with admitting rights)

Private Patient Services

Radiology Department

Physiotherapy Department

Anaesthetic Department

Enid Quenault Centre

Samares Ward – Stroke and Rehabilitation

This job description is intended as a guide to the general scope of duties and is not intended to be definitive or restrictive. It is expected that some of the duties will change over time and this description will be subject to review in consultation with the post holder.

Qualifications and Skills

Essential:

Primary medical degree. 

Full GMC Registration & License to Practice.

Current ALS.

Desirable: 

Computer skills.

MRCP Part 1.

General Experience

Essential: 

General experience: Completion of foundation training or equivalent.

6 months Clinical Experience in Jersey or an NHS environment.

Desirable: 

Enthusiastic Teacher.

Previous Management Responsibility / Leadership Experience.

Specialty experience acute medicine.

Management Skills

Essential: 

Ability to work flexibly with colleagues to provide services.

Ability to work effectively with a Multi-Disciplinary Team, motivating and influencing others through their enthusiasm. Ability to communicate effectively with colleagues, patients, relatives, GPs, nurses, management and other agencies. Highly motivated Able to work within a team.

Ability to prioritise administrative and clinical tasks.

Commitment to learning

Personal Attributes

Essential: 

Good health.

Able to work flexibly in a changing health service.

Hepatitis vaccination

Other

Essential: 

Participation in Clinical Audit & Risk Management Activities.

Demonstrates a commitment to safeguarding young people and vulnerable adults.

Evidence of annual appraisal.