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TRUST DOCTOR EMERGENCY MEDICINE

(Foundation Doctor Year 2 Level)

Candidate Information Pack

Trust Doctor/Emergency Medicine (F2)

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About the Post:

This post will be in busy, exciting and friendly Emergency Department in beautiful Cumbria,
and will allow for a broad base of experience and clinical exposure. Access will be given to
the eportfolio to enable doctors to collect evidence of their development and competencies.
All will be allocated an Educational Supervisor to oversee their development and a clinical
supervisor will be allocated to oversee work in an individual placement. By working through
the competencies outlined in the Foundation Programme Curriculum 2016 successful
candidates can work towards achieving competency in all 20 Professional Capabilities.

Trust Doctor in Emergency Care

The Department

Emergency medicine is an exciting specialty and is the front door of the hospital.

North Cumbria Integrated Care NHS Foundation Trust operates full Emergency Departments.
This is the patient’s first port of call into hospital and attendances cover a wide span of
presentations from minor injuries and ailments to cases requiring resuscitation. The Trust
Doctors in Emergency Care will be based in the Emergency Department at Cumberland
Infirmary, Carlisle (CIC) and or West Cumberland Hospital, Whitehaven (WH).

You will work across all areas of the Emergency Care Centre – the Emergency Department,
Minor Injuries Unit and the Rapid Assessment and Treatment Unit (RAT) under the
supervision of Consultants and registrars in Emergency Medicine and Medicine.

The type of work to expect and learning opportunities

 Reception of all cases: GP, Ambulance, self-presentations, all age groups, medical,
surgical, paediatric.
 Initial diagnosis, investigation and treatment.
 Close working with other in patient teams and specialities.

Educational opportunities
Specific Skills
 Learn to take a directed history
 Understand team-working, and the roles of all members of the team
 Understand the role of investigations, and their limitations
 Understand the role of rule-in and rule-out criteria
 Learn to, prioritise tasks, and to bring together the history, results of investigations,
the views of other members of the team, and the carers’ thoughts to allow the team
to reach decisions in a timely manner
 Learn the safe assessment of all patient groups, including children, the elderly and
people with mental health issues.
 Develop confidence in safely discharging patients

Trust Doctor/Emergency Medicine (F2)

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 Develop decision-making skills.

 Learn the management of ‘minor’ injuries.
 Develop practical skills such as cardiopulmonary resuscitation, chest drain insertion
and pleural aspiration.
 Develop radiological interpretation skills, including chest films, orthopaedic films,
and CT
 Develop confidence in participation in cardiac resuscitation and be exposed to
trauma and paediatric resuscitation
 Develop critical care skills and knowledge in the resus room.
 Understand the need for, and contribute to measures to improve clinical
governance in the acute setting
 Develop an understanding of ethical and legal issues as they apply to Emergency
Medicine.

Generic Skills
 Team working including handovers and presentations.
 Communication skills with specialities, patients and carers
 Customer-care skills.
 Liaison with the wider hospital teams such as laboratories, pain team, infection
control, palliative care and oncology.
 Note keeping
 Medico-legal issues.
 Ethical issues surrounding treatment of disabled and elderly patients, for example
 DNR orders, nutrition and end of life issues.

There will be the opportunity to attend F2 teaching and countless shop floor teaching from
seniors.

Working pattern

Doctors work in the Emergency Department providing 24/7 care. There is Emergency
Medicine Consultant cover from 8am-midnight 7 days a week (then on call cover). There will
be a junior Rota, including day shifts, late shift, twilights and nights.

Trust Doctor/Emergency Medicine (F2)

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Main Terms and Conditions of Service

This post is a Trust appointment and will be subject to the new Terms and Conditions – for
NHS Doctors and Dentists (England) 2016.

Any offer of employment with the Trust will be subject to satisfactory pre-employment checks
as defined in Health Service Circular 2002/008

 references
 qualification/registration verification
 occupational health clearance
 DBS clearance
 identity verification
 eligibility to work in the U.K

and in accordance with Department of Health guidelines relating to ‘Health Clearance for
Tuberculosis, Hepatitis B, Hepatitis C and HIV: New Healthcare Workers’.

Your private residence shall be maintained in contact with the public telephone service and
shall be not more than 30 minutes or 10 miles by road from the base unit (West Cumberland
Hospital, Whitehaven) unless specific approval is otherwise given by the Trust.

Your principal hospital, for the purposes of reimbursement of travelling expenses, will be West
Cumberland Hospital, Whitehaven.

Professional Registration

It is the responsibility of individual doctors to hold current GMC/GDC Registration with a

current licence to practise.

Professional Code of Practice

As a Registered professional, you are required to abide by the GMC’s ‘Good Medical
Practice’ (Regulating doctors, ensuring good medical practice) or the GDC’s Standards of
Dental Practice. Disreputable behaviour, even if it is not directly connected to your
professional practice, or failure to abide by the principles outlined by your code of practice
mentioned above could put your registration as well as your continuing employment at risk.
You should be aware that any breaches of your code of practice will be investigated in line
with Trust policy, and action taken where appropriate, including reporting the misconduct to
the GMC/GDC/NCAS.

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Health & Safety Management Responsibilities

The Trust recognises it’s duties under the Health and Safety at Work Act 1974 to ensure as
far as reasonably practicable, the health, safety and welfare at work of all employees. In
addition, the business of the Trust shall be conducted so far as to ensure that patients, their
relatives, contractors, voluntary workers, visitors and members of the public having access to
Trust premises and facilities are not exposed to risk to their health and safety.

Managers have a duty to ensure that safe systems of work are used within their areas of
responsibility and must investigate accidents and incidents, arrange annual risk assessments
and ensure all staff attend appropriate health and safety training.

All employees have a duty to take reasonable care for their own health and safety, and that of
others who may be affected by their activities; to co-operate with the Trust by complying with
all health and safety rules and safe systems of work; and to inform their line manager of any
work situation, or practice which may be considered a danger to health and safety.

Travel and Subsistence

Travel and subsistence expenses will be reimbursed for preliminary visits in addition to
interview expenses only to those candidates selected for interview. Reimbursement is
restricted to two such visits, whether they are made before or after the constitution of the
short list is known. In the case of candidates traveling from abroad, traveling expenses are
normally payable only from point of entry to the United Kingdom

Please visit our website to find out more about the exciting opportunities available at
North Cumbria Integrated Care NHS Foundation Trust www.ncic.nhs.uk

Person Specification – Trust Doctor FY2 level

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FACTORS ESSENTIAL DEMONSTRATED BY

QUALIFICATIONS / FORMAL  Full GMC registration Application/ pre-employment
LEGAL REQUIREMENTS MBBS or equivalent screening

EXPERIENCE  At least six months experience working in Application/ pre-employment

the UK as a doctor screening

CLINICAL The applicant must be familiar with and be able to Application/ pre-employment
KNOWLEDGE & SKILLS demonstrate an understanding of the major screening
principles of Good Medical Practice:
http://www.gmc- Clinical
uk.org/guidance/good_medical_practice.asp assessment
including: (where appropriate)
 Good clinical care
 Maintaining good medical practice Interview
 Teaching and training, appraising and
assessing
 Relationships with patients, and can apply
this understanding
 Working with colleagues, and can apply this
understanding
 Probity
 Health
Valid ILS certificate
LANGUAGE & The applicant must have demonstrable skills in Application/ pre-employment
COMMUNICATION SKILLS written and spoken English that enable screening
effective communication about medical topics with Clinical
patients and colleagues, as set out in paragraph 22 assessment
of: (where appropriate)
http://www.gmc-
uk.org/guidance/good_medical_practice.asp Interview

ATTRIBUTES The applicant must demonstrate:

 an understanding of the importance of the Application/
patient as the central focus of care; Pre-employment
 the ability to prioritise tasks and information screening
 an understanding of the importance of
working effectively with others; Interview
 the ability to communicate effectively with
both colleagues and patients;
 initiative and the ability to deal effectively
with pressure and/or challenge
 an understanding of the principles of
equality and diversity

PROBITY The applicant must demonstrate appropriate Application/Pre-employment

professional behaviour, i.e. integrity, honesty, Screening
confidentiality as set out in:
http://www.gmc- Interview
uk.org/guidance/good_medical_practice.asp
The applicant must have criminal records
clearance at the appropriate level subject to
prevailing UK legislation.

Trust Doctor/Emergency Medicine (F2)