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About the role

wE We are seeking seven enthusiastic, experienced and highly motivated Trust Grade Registrars to join our Anaesthesia and Critical Care departments at London North West University Healthcare NHS Trust (LNWHT). These are exciting new posts created by the merger of our previously separate Ealing Hospital and Northwick Park/Central Middlesex rotas into a single unified, three-site rota. This change represents a significant expansion in clinical breadth for post holders, and a unique opportunity to work across one of the largest and most diverse Intensive Care and Anaesthesia departments in North West London. The posts are primarily designed for doctors with established experience in Intensive Care Medicine who are capable of functioning as the senior resident registrar within a consultant-led critical care service. Successful applicants will participate in resident on-call rotas covering Intensive Care and Enhanced Care services across all three hospital sites. During out-of-hours periods, post holders will frequently act as the most senior resident doctor within the Critical Care service, supported at all times by an on-call Intensive Care Consultant. Thi

The post holder will be expected to participate fully in the provision of a comprehensive Intensive Care and Anaesthetic service across all three hospital sites, accountable to the Clinical Directors?. Critical Care Responsibilities Participate in the resident on-call rota covering Intensive Care and Enhanced Care services across Northwick Park, Ealing and Central Middlesex Hospitals. Function as the senior resident registrar within the Critical Care service, supported at all times by an on-call Intensive Care Consultant. Assess, investigate and initiate management of critically ill patients presenting with respiratory, cardiovascular, neurological, renal, metabolic and infectious pathologies. Anaesthetic Responsibilities Provide anaesthesia and analgesia for patients undergoing elective and daytime CEPOD surgery across all Trust sites, exclusively under the direct, immediate supervision of an allocated Anaesthetic Consultant. Post holders will not hold an anaesthetic on-call bleep. Out-of-hours commitments are entirely within Intensive Care and Enhanced Care services. Undertake pre-operative assessments and provide post-operative care in the recovery room. Advise surgical and pre-operative assessment teams on the preparation of patients for surgery.

Person specification

Essential

ooPrimary medical qualification acceptable to the GMC (MBBS, MBChB or equivalent) oFull GMC registration with Licence to Practise oEvidence of good standing from current medical regulatory body (where applicable) oAdvanced Life Support (ALS) provider certificate or equivalent
ooMinimum of 4 years postgraduate clinical experience oMinimum of 2 years experience working in an Intensive Care Unit, with the clinical capability to function as the senior resident registrar in a consultant-led ICU, in conjunction airway management experience set out below, which is required to carry the outreach and ICU resident bleeps oExperience managing critically ill patients with respiratory failure, septic shock, multi-organ dysfunction and major perioperative complications oExperience managing patients requiring invasive and non-invasive ventilation oExperience managing patients with circulatory failure requiring vasopressor or inotropic support, including the ability to recognise, initiate and titrate vasopressor and inotropic therapy oExperience of advanced airway management including tracheal intubation, including the ability to independently lead and manage induction and intubation of a critically unwell patient oExperience of arterial and central venous catheter insertion oExperience of intra-hospital and inter-hospital transfer of critically ill patients oExperience managing tracheostomised patients oExperience managing patients receiving renal replacement therapy oExperience supervising junior medical staff
oooCoherent, confident, diplomatic and decisive in verbal and written communication oCommunicates effectively with the multidisciplinary team, patients and their families oAwareness of own limitations, need to ask for help and escalate as necessary
Experience of teaching (formal/informal)
Ability to manage own workload/time and train medical staff.
Participation in clinical audit Understanding of audit principles and commitment to its use as a tool for raising and maintaining standards.
Able to appraise scientific publications and perform literature searches.
oAppropriate knowledge and practical skills to recognise and manage high-risk patients in the ICU and perioperative environment oAbility to prioritise workload and make sound clinical decisions in a busy acute environment
Initiative and drive. Able to conduct self-directed learning
oExperience of teaching junior colleagues (formal or informal)

Desirable

Final FRCA, FFICM, EDIC or CICM
Further experience in anaesthetics or intensive care or acute medical specialties Awareness of specialty developments. IT skills including use of databases, spread sheets, Word, PowerPoint etc. and willingness and aptitude to learn how to use CERNER (electronic patient record system).
Demonstrable presentation skills in educational or scientific settings
Formal teaching experience
Evidence of ability to lead a team.
Ability to develop and lead on audit project.
Evidence of research undertaken, presentations at meetings, publications in peer reviewed journals.
oPoint-of-care ultrasound or critical care echocardiography skills oIT skills including use of electronic health records oAwareness of current developments in Intensive Care Medicine and Anaesthesia

Trust Registrar in Anaesthetics

About the role

Person specification