JOB DESCRIPTION

Job Title Junior Specialist Doctor – Medical Rotation

Pay Band Junior Specialist Doctor (FY2/CT equivalent dependent on experience)
Department Medical specialties
Division Medicine
Reports to CSL
JOB SUMMARY

The Junior Specialist Doctors Rotational Programme is a programme designed to provide high quality
training in Medical and Surgical Specialities at University Hospitals of Birmingham (UHB) NHS Trust,
which includes Queen Elizabeth Hospital Birmingham, Heartlands Hospital, Good Hope Hospital, and
Solihull Hospital. The Trust is a regional centre for neurosciences, cancer, burns and plastics, and has
the largest - solid organ transplantation programme in Europe. We have the largest single critical care
unit in Europe. UHB has strong links with The University of Birmingham (UoB). The Trust has a strong
commitment to research. Currently, the UHB/UoB campus has the highest concentration of clinical
trials in Europe, and more clinical researchers are trained in Birmingham than anywhere else in the
UK.

Following a review of UHBFT Medical workforce structure in 2008, the Trust launched the Junior
Specialist Doctor (JSD) grade, a Trust grade training role (outside the HEE/Deanery standards) aiming
to deliver career training and development to doctors in a clear structure with educational support.
The JSD grade has been discussed and agreed with the BMA Local Negotiating Committee and is now
firmly established within the Trust. The specialties available at each of the UHB hospitals are as
follows:

• QEHB: Emergency Medicine, Acute Medicine, Critical Care, Elderly Care, Respiratory Medicine,
Cardiology, Haematology, Oncology, Renal Medicine.

• Heartlands, Good Hope and Solihull: Emergency Medicine, Acute Medicine, Critical
Care/Anaesthetics, Elderly Care, Respiratory Medicine, Cardiology, Haematology, Oncology,
Renal Medicine, Gastroenterology, Genitourinary Medicine, Infectious Diseases.
KEY SKILLS
The programme is fixed term contract which will consist of rotational placements in medical
specialties. The posts will be based at all 4 hospitals within UHB Trust. The post provides with
opportunities to undertake complex and difficult work in a fully supported capacity in a leading edge
teaching hospital. The specialities available in the rotation are:

Medicine: Emergency Medicine, Acute Medicine, Critical Care/Anaesthetics, Elderly Care,

Respiratory Medicine, Cardiology, Haematology, Oncology, Renal Medicine, Gastroenterology,
Genitourinary Medicine, Infectious Diseases.

The rotations are designed to train for core training competencies in the respective areas. Each
placement will be for 6 months before rotating to the next placement for training. Other specialities
could be added in to the rotation depending upon the requirement of training and development of
the Individual and availability.
KEY RESPONSIBILITIES

The JSD grade has 3 levels:

• Foundation = equivalent to FY2 level

• Standard Grade = equivalent in work responsibilities to StR 1-3
• Higher Grade = equivalent in work responsibilities to StR 3+ and above

There is also a Foundation level grade where this may be appropriate.

The Trusts corporate and departmental inductions are compulsory before starting the post. The JSDs
will have access to all UHB courses suitable to their development and training needs.

There are various Ultrasound, Simulation, Literature search, critical appraisal, Radiology, Trauma and
life support courses available in house towards achieving the competences.

Working Arrangements

The JSD will play a crucial role in the clinical teams of the relevant specialties. Where possible the
opportunity to attend outpatient clinics and theatre lists will be made available.

There will be Consultant led ward rounds each week. In addition the post holder will attend regular
ward rounds with the other junior team members. Cover at consultant level is always available.

The post holder will have an identified clinical and educational supervisor. They will be invited to
attend the departmental meetings, as well as an active Post Graduate programme.

All posts are full-time with out-of-hours rota participation, up to a maximum of 48 hours as per the
European Working Time Directive, with prospective cover for annual leave, study leave and bank
holidays.

TRUST VISION & VALUES

The Trust is clear on its vision and values and aims to make sure that they are reflected in all areas of
activity. Our vision is simple; building healthier lives. Our values apply to every member of staff and
help us in all we do and how we do it. They are:

Kind: The kindness that people show to each other every day
Connected: The connections we build with everyone around us
Bold: The ability to be bold in how we think, speak and act
ADDITIONAL INFORMATION
This job description is designed to assist post holders with understanding what is expected of them
in their role. University Hospitals Birmingham NHS Foundation Trust may ask them to undertake
other duties, as required, which are not necessarily specified on the job description but which are
commensurate with the grade of the post.

The job description itself may be amended from time to time in consultation with the post holder,
within the scope and general level of responsibility attached to the post.

All post holders must take responsibility to ensure that they are aware of and adhere to all Trust
policies, procedures and guidelines relating to their employment regardless of their position within
the Trust.
EDUCATION

E- Portfolio
We provide an e-portfolio and portfolio support through our dedicated Medical Education team.

Education and Training

University Hospitals Birmingham NHS Foundation Trust (UHB) is committed to providing excellent
teaching and developmental support for all our staff, students and trainees to ensure we have a
workforce able to provide the best in care. UHB has as dedicated multi professional Education Team
with expertise to ensure education and training is tailored to meet your identified development
needs, and delivered in appropriate ways, from lectures and academic programmes to simulated and
hand on skills training.

In addition to the clinical/ education supervision you will receive and which will include an annual
appraisal and support for revalidation. You will also have access to the Trust’s very broad range of
education and training opportunities for its junior medical staff and which include access to the
following:

Teaching and Training facilities available

• Access to weekly speciality and departmental based ‘shop floor teaching’ sessions including
teaching ward rounds
• Protected time to attend the bi-weekly bespoke JSD medical and surgical teaching
programme
• ALS / APLS / ATLS
• Level 1 and 2 ultrasound courses

Research and Audit

• Participation in a wide range of weekly MDT meetings
• Attendance at Medical Grand Round which includes an annual JSD prize
• Opportunity to undertake audit or research projects supported by the Trust renowned and
extensive research infrastructure
• Literature review and writing for publication
• Research and audit design
Leadership masterclasses
• Negotiating and influencing
• Managing performance
• Coaching for success
• Using data to drive quality
• Service improvement and project management
• Human Factors training designed to develop communication and team working
• Critical incident and root cause analysis training
Simulation Training
• Advanced Trauma Simulation Course (ATSC)
• Procedural Safe Sedation Simulation Course
• Procedural skills training under simulated conditions
• ACCS Simulation Training
• Rapid sequence induction assistants course
• Simulation faculty development course
• Acutely ill patient - year 5 medical student and preceptorship nurses multidisciplinary
simulation programme
• Multidisciplinary Healthcare Simulation PG Certificate

Library resources
There are library facilities in all four hospitals associated with the Trust which provide access to a
wide range of online evidence-based resources. The majority of Library resources can be accessed
on-site and from home with an NHS Athens account. Staff can register for a free account using the
registration link or contact the Library. User guides and training are also available to help you make
the most of the Library resources. The Library holds following regular training days every year.

Searching Healthcare Databases

The first part of this session explains the valuable role of literature searching in clinical governance
and evidence based healthcare. Trainees will be taught how to search specific health research
databases and be given plenty of opportunity to experiment for themselves in a supervised setting.

Introduction to Critical Appraisal

Our training helps you develop the necessary skills to systematically assess the evidence and review
its relevance and validity of the results.
• Evaluate quantitative and qualitative types of research inc Randomised Controlled Trials and
Systematic Reviews
• Evidence Based Practice tools including the hierarchy of evidence
• Overview of p-values, confidence intervals, absolute and relative Risk
• Discussion and use of CASP (Critical Appraisal Skills Programme)

How to Use Electronic Journals

Many thousands of articles are freely available to you on the Internet with an ATHENS account. This
training will help you to access these articles yourself:

Cochrane Library
The systematic reviews written by the Cochrane Library are all available in full text for your
convenience. Informal and hands on sessions are available about how to search Cochrane Library.

Library also holds following : anatomy.tv, Best Practice (BMJ)BMJ learning, electronic books Emerald
Management Journals, Library journal collection, Oxford Medicine Online

Radiology Training
Dedicated sessions with the experienced radiographers.
Terms and Conditions of Service

• The post is covered by the Trusts Terms and Conditions of Service for Junior Specialist
Doctors as amended from time to time.
• Basic salary scales match national StR scales
• Placements are full-time (48 hours)
• The appointment is subject to a satisfactory Occupational Health clearance and Criminal
Records Bureau check. You will be expected to provide evidence of immunity against
Hepatitis B.
• The successful candidate will be expected to reside within a reasonable distance from the
hospital. It is the responsibility of all medical staff to ensure that they are appropriately
registered with the General Medical Council. If registration lapses employment may be
terminated.
• All employees are expected to comply with appropriate Trust Health and Safety policies.

Additional Duties
Where required the post holder will be required to work up to 48 hours per week.
In addition, all medical staff may be required to perform additional duties in occasional emergencies
and unforeseen circumstances at the request of the appropriate consultant/manager.

Mandatory Training
The post holder has to attend all the mandatory training (eg Fire, Clinical Governance etc. as per
trust policy.

Clinical Governance
All medical staff will be expected to participate in all aspects of Clinical Governance. The successful
candidate will be expected to participate in clinical audit.
 PERSON SPECIFICATION
Junior Specialist Doctor (Standard)
CRITERIA ESSENTIAL DESIRABLE HOW EVALUATED

QUALIFICATIONS & • Medical Degree from a recognised University • Other educational Application Form
CLINICAL EXPERIENCE • A minimum of 2 years full time post graduate qualification
training (its equivalent gained on a part time
basis) or equivalent experience and
competencies in medical specialties
• ALS/ATLS as applicable ahead of starting
ELIGIBILITY • Full GMC registration Application Form
• Evidence of achievement of Foundation
competencies in line with GMC Application form
standards/Good Medical Practice
• Eligibility to live and work in the UK Interview

LANGUAGE SKILLS • All applicants to have demonstrable skills in • Has understanding Application Form
written and spoken English that are adequate of the importance
to enable effective communication about of communication Interview
medical topics with patients and colleagues within a clinical
setting
PERSONAL SKILLS • Judgement under Pressure: Capacity to operate • Knowledge of wider Application Form
effectively under pressure & remain objective health debate and
in highly emotive/pressurised situations. NHS Structures, and Interview
Awareness of own limitations & when to ask current media
for help. issues.
• Problem Solving: Capacity to think beyond the • Ability to
obvious, with analytical and flexible mind. acknowledge that
Capacity to bring a range of approaches to behaviour needs to
problem solving modify to the
• Situation Awareness: Capacity to monitor and situation and
anticipate situations that may change rapidly. audience.
• Decision Making: Demonstrates effective
judgement and decision-making skills
• Leadership & Team Involvement: Capacity to
work effectively in a multi-disciplinary team &
demonstrate leadership when appropriate.
Capacity to establish good working relations
with others.
• Organisation & Planning:
Capacity to manage time and prioritise
workload, balance urgent & important
demands, follow instructions. Understands
importance and impact of information systems.
• Career Objectives
Ability to demonstrate an understanding of
current career pathways

PROBITY • Professional Integrity: Takes responsibility for Application Form

own actions, demonstrates respect for the
rights of all. Demonstrates awareness of Interview
ethical principles, safety, confidentiality &
consent. Awareness of importance of being the References
patients’ advocate, clinical governance and
responsibilities of n NHS employee.