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Detailed job description and main responsibilities

We are a friendly, genuinely supportive and active department looking to recruit an enthusiastic individual who will take part in the high quality delivery and development of the anaesthetic services on the Isle of Wight. Many of our current specialty doctors have trained overseas and successfully undertaken their first NHS post with us. We are committed to providing all new staff a safe and well supported settling in period. We are keen to support development in anaesthetic sub specialities the applicant may be less confident in.

We are seeking applicants to join our middle grade rota. The appointee will be expected to provide anaesthesia for elective and emergency cases in all the surgical specialties represented on the Island and also contribute to the resident on call speciality doctor rota.

The on call specialty doctor rota provides anaesthetic cover for intensive care, anaesthetic support to labour ward and anaesthesia for emergency surgery. Specialty doctors may choose to work either 12 or 24 hour shift when assigned to the on call rota.

The Specialty doctor job plan is based on a 10 session (PA) contract. Applicants wishing to work less than full time are welcomed. The job plan includes 1.5 sessions for continuing professional development to facilitate revalidation. Further professional responsibilities will receive appropriate SPA remuneration when agreed at annual job planning.

The anaesthetic rota is organised 6 weeks in advance so duties are known well ahead of time.

SAS support & development.

This Trust values its SAS doctors and is keen to support & engage them, the role is well developed in all specialities and excellent opportunities exist for education and personal development.

The Trust Board supports and is actively implementing the SAS charter. There is an active SAS Committee, SAS Chair, SAS Advocate & SAS Tutor. All SAS staff have the same core SPA for revalidation & annual leave accrual as their consultant colleagues. All newly appointed Specialty doctors will be appointed a Consultant mentor to allow familiarisation with local ways of working and to act as a point of contact for any settling in issues.

There is also a well organised CESR programme linked with PUHT & many other development opportunities.

The Medical Team

Consultants, special interest

Dr Muriel Prager, Director of ICU

Dr Oliver Cramer, ICU

Dr Gabor Debreceni, ICU

Dr Antina Michalou, ICU

Dr Obaid Tarin, ICU

Dr Sanyal Souvik, ICU

Dr Mike Pearson, Obstetrics Deputy Departmental Lead

Dr Mariam Rice, Paediatrics. Deputy Departmental Lead

Dr Michael Luckmann, Chronic Pain

Dr Isobel Rice, Chronic Pain. Department Lead

Dr Gosia Pirga, Acute Pain

Dr Piotr Pirga IT

Dr M Kaminski Regional anaesthesia

Dr Andrea Leinenkugel. Trauma

Dr Mandi Mortier. Paediatrics and QIP

Associate Specialists and Speciality Doctors

Dr Gay Francis

Dr Fiona Henderson

Dr Sunil Saxena

Dr Raymond Foster

Dr Michal Nadstawek

Dr Vasil Kiryazov

Dr Magdalena Tsoneva

Dr Michael Nadstawek

Dr Aneel Thakurdas

Dr Dominic Jesudos

Dr Wael Elsayed

Dr Anju John

Dr Raleke Okoye

Dr Muhammed Akram

Allied services

We have 6 operating theatres (4 main, 2 in a separate day case unit) and a dedicated obstetric theatre.

Pre Assessment

The nurse led pre assessment process of all elective patients is well established at St Marys Hospital. There is a daily consultant anaesthetic clinic available to review anticipated difficult cases and to communicate potential problems to colleagues. We run an Enhanced Recovery Program for orthopaedic, colorectal and gynecological surgery.

Obstetrics

The Maternity unit has about 1200 deliveries per year with an epidural rate of approximately 25% and a caesarean section rate of around 17%.The Anaesthetic department provides Consultant cover in hours to the labour ward. Out of hours there is a dedicated specialist doctor to provide anesthesia for obstetrics. This role would be included in the applicants regular work once they had been assessed as being competent to work on labour ward with distant supervision.

Acute Pain Service (APS)

The APS is provided by a consultant anaesthetist and a full-time acute pain nurse, supported by ward based link nurses. Apart from the clinical service, it provides teaching and education for medical and nursing staff. Post-operative pain is managed in a variety of ways including PCA and PCEA. Ultrasound guided nerve and plexus blockade are also commonly employed techniques. We have recently invested in several state of the art ultrasound machine and developed a protocol for local anaesthetic wound/nerve catheter infiltration postoperatively.

Intensive Care Unit (ICU)

The unit admits about 400 patients a year. The majority (70%) are critically ill adult medical patients. Paediatric ICU services and the regional neurological unit are based in Southampton. Initial assessment and resuscitation of these patients involves the anaesthetic team. Critical care outreach is well established and this nurse delivered service also lead the hospital at night team.

In hours the medical staffing of the unit consists of one of six dedicated ICU consultants supported by a resident specialty doctor. Out of hours the resident speciality doctor staffs the unit (included in this post) and is supported by the general on call consultant in anaesthesia. Weekend ICU ward rounds are undertaken by dedicated ICU consultants.

CPD, Teaching, Revalidation and Leave

CPD

The post-holder will need to undertake CPD to develop their own learning in line with the needs of the department. These aims should be discussed and documented during the appraisal process. The trust supports 30 days study leave /3 years and allocates each doctor a £800 study leave budget a year.

Appraisal and revalidation

The Trust has the required arrangements in place to ensure that all doctors have an annual appraisal with a trained appraiser and supports doctors going through the revalidation process. Annual appraisal is currently undertaken by senior medical colleagues with the Medical Director as Responsible Officer for revalidation.

The trust actively supports senior (consultant and speciality doctor) medical staff who wish to undertake appraisal training so that they may act as appraisers for their colleagues, this attracts a separate SPA remuneration.

Teaching and training

The post-holder will be expected to play his/her part in postgraduate activities with responsibility for carrying out teaching for junior medical and nursing staff.

The anaesthetic department runs monthly educational meetings for teaching, M and M and QI work. All anaesthetic staff are expected to attend and contribute.

We have close links with the Medical School at Southampton. Acute care students (4th year) are allocated three times a year to the anaesthetic department and final year students often choose to undertake a specialty block in anaesthesia at SMH.

The Resuscitation department runs APLS, ALS, NLS and EPALS courses throughout the year. Anaesthetic involvement is encouraged and supported by the department.

Leave

Specialty Doctors are entitled to 5.4 weeks (27 working days) holiday per year plus 8 Bank Holidays. This increases to 6.4 weeks (32 working days) after 2 years service for the NHS.

Holiday must be requested at least six weeks but not more than a year in advance. It is expected that the majority of the leave is taken in week or longer blocks.

A calendar week shall remove 5 days holiday from the total allocated and no weekend work shall be allocated to the weekends either side of the requested 5 working days.

The leave year is 1 April to 31 March. All authorised absence must be taken in accordance with departmental leave protocols.

Appointment and Selection Process

This post is advertised through a range of routes, including external website, BMJ, NHS Jobs, Social Media including LinkedIn. However, all adverts will advise to apply directly through NHS Jobs (Vacancy Number 47470-xx-xxx-xx). Successful applicants will be notified by Medical HR and invited for interview.

Should you have any questions regarding applying online contact the Medical HR Team directly by email: [email protected]

For an informal discussion please contact:

Deputy Lead Clinician: Dr Mariam Rice: via email [email protected]

To arrange an informal visit please contact:

Assistant Operations Manager: Charlene Summerfield via 01983 822099 ext 2262 or via email: [email protected]

Applicants are strongly advised to visit the island, the Division and wider trust, family visits are encouraged. All visitors will be given a warm welcome.