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Detailed job description and main responsibilities

•    The primary duties of the post are to see new patients within the ED, and to be an on-site source of advice and help for more junior doctors in the ED.

•    This is a senior post and specialty doctors will be the doctor in charge of the department at night with a consultant on call from home after midnight.

•    On duty 1 in 3 weekends.

•    Applications from doctors who wish to work less than full time are welcomed.

Teaching and Audit

•    As an academic centre who prides itself on teaching we have an exciting in-house ED training programme to supplement shop floor supervision, supporting each doctor to acquire the knowledge and skills required in emergency medicine. This includes lecture-room teaching, full immersion simulation sessions and the opportunity to attend relevant clinics and courses. Special focus is given towards the passing of the Royal College of Emergency Medicine examinations.

•    There is regular non-clinical academic time built into the rota and job plan.  This is 1PA per week (wte or pro-rata equivalent) taken as a whole day every 2 weeks.

•    Study leave can usually be arranged, subject to notice, for educational activities relevant to emergency medicine. Relevant study-leave includes life-support courses, other emergency medicine courses, and preparation for exams.

•    Funding is available for educational activities such as the courses outlined above, College of Emergency Medicine e-learning, and e-portfolio access.

•    As a forward-thinking department, interested in reviewing outcomes and improving quality we encourage involvement in clinical audit

Continuing Professional Development

•    The post holder will be expected to achieve a high level of familiarity with emergency management and to keep abreast of developments in the field of Emergency Medicine.

•    The post holder will be supported and expected to fulfil the CPD requirements of the Royal College of Emergency Medicine

•    There will be regular appraisals and mentoring with an engaged and motivated Emergency Medicine Consultant.

•    The post-holder will be strongly encouraged to work towards post-graduate examinations (if not already held)

Certificate of Equivalent Specialist Registration (CESR)

•    Post-holders who are interested in pursuing the CESR will be fully supported in doing so by the ED consultant body.  Support, teaching and advice will be available to prepare for the FRCEM.

•    Secondments in all the key specialties are available depending on the post-holders learning needs.  This includes Anaesthetics, Critical Care, Acute Medicine and Paediatrics.

THE EMERGENCY DEPARTMENT

Introduction

The workload of the Emergency Department is typical for a suburban hospital, with a particular emphasis on medicine and paediatrics. The Emergency Department receives about 80, 000 attendances per year, with another 40,000 attending the Urgent Care Centre. 

Reception and Ambulatory Area 

The Emergency Department shares a front door with a co-located Urgent Care Centre which provides an initial streaming service for all patients not arriving by ambulance. 

The Emergency Department Reception and Adult Waiting Area gives access to a Nurse Triage room, a phlebotomy room and an ambulatory assessment and treatment area.

Majors 

Following refurbishment, the majors area has 21 single cubicles including an isolation room with lobby and en-suite toilet. 

Resuscitation Room 

There are four fully equipped Resuscitation bays with full invasive monitoring facilities. One bay is specifically equipped for the treatment of children.

Paediatric Area 
This area was recently refurbished to provide separate facilities for nurse triage, a children’s waiting area, and 7 cubicles including one high dependency room. 

Clinical Decision Unit 

This unit is immediately adjacent to the Emergency Department and has nine beds and six chairs. Patients are admitted under the care of the ED consultants on pre-defined clinical pathways for observation, treatment, or further diagnostic evaluation to support a safe discharge. 

Diagnostic Imaging 

The imaging department is located immediately behind the Emergency Department, with facilities for plain films and CT (24 hours) and Ultrasound and MRI (limited hours). Advanced imaging is a Consultant delivered service 24/7. A mobile Ultrasound machine is available for the exclusive use of trained Emergency Department doctors. 

Administration and Teaching

Offices for Emergency Medicine Consultants and senior nurses, and administrative and support staff are co-located with the Emergency Department. There is an Emergency Department Seminar Room with audiovisual and IT equipment. 

Relatives Room 

There is a relative’s room for family members of critically ill patients.

4.    CLINICAL ORGANISATION

Medical students in the ED 

There is active undergraduate teaching (KCL medical students at different stages of their training and elective medical students from all over the world) in both departments.
 
Undergraduate medical student teaching is provided in the following ways in addition to shop floor teaching: 
1. Twice weekly sessions (year 4) for those in EMTL module 
2. Supervision of student Selected Components (year’s 2,3 & 4) 
3. Facilitating Problem Based Learning (Scenarios-year 3) 
4. Examining for OSCEs (year 3 – 5) 
5. Acting as Clinical Adviser to students (year 3 – 5) 

Postgraduate teaching and training in the ED
 
There are protected weekly teaching sessions for all grades of doctors. Higher specialist training in Emergency Medicine includes weekly teaching sessions, regional monthly meetings, a journal club, and participation in clinical audit both in the department and Trust-wide. There are protected weekly teaching sessions for Junior and Middle Grade doctors with input from Emergency Medicine Consultants and others. 

Interdisciplinary teaching and learning 

Interdisciplinary and multi-professional teaching and learning is actively encouraged in the department. Nursing students, Radiography students and other Allied Health Professionals rotate through the department as part of their training. In addition, London Ambulance Technicians and Paramedics are regularly seconded to the Department as part of their initial and/or refresher in-hospital training.

Resuscitation training 

The Resuscitation Teaching Programme for staff of King's College Hospital NHS Foundation Trust and students of the allied professional schools is organised by Resuscitation Training Officers. The Department offers training on all life support courses- ATLS, ALS, ILS and APLS are run several times a year. 

Emergency Department team 

Consultants:
Dr Claire Gray                    Clinical Lead and Frailty
Dr Mitesh Davda         Cardiology and Recruitment
Dr Khalid Pervaiz         Appraisal
Dr Shayan Shah        Clinical Governance 
Dr Giles Cattermole                 Research 
Dr Sam Thenabadu        Paediatric Emergency Medicine and Staff Well-being 
Dr Hua Luk             Major Incident and College Tutor
Dr Tim Scott             Major Trauma 
Dr Gemma Walker         Medical Education and Simulation 
Dr Tahseen Ansari        Audit and High Frequency Users
Dr Paul Schofield         Research and IT
Dr Qadir Adelasoye        Paediatric Emergency Medicine
Dr Thomas Obermaier    Rota and Ambulatory
Dr Arif Ahmad                    US and UCC
 

Medical Staff Establishment 
Consultants  13 wte 
Associate Specialist  2
Specialist   2 
ST4-6   4  
Specialty Doctor  12 
CT1 ACCS  1 
ST1-2 GPVTS   3 
Junior Clinical Fellow  14 
F2  18
ACP  4

The Local Area

Bromley offers the ‘best of both worlds’ due to the close proximity and good transport links into central London and its leafy suburban feel. It is a great location for families and anyone that would enjoy a calmer pace and ‘town life’ while benefiting from all the amenities of the capital. The Trust promotes family life and encourages a good work-life balance. Therefore, we provide childcare advice and nursery facilities in conjunction with a supportive mentoring and career planning programme.  Applications for job sharing are welcome.