Consultant Anaesthetics- ICU/ ITU in Connacht Region - Republic of Ireland on a fixed term / permanent basis; working for our client via Workplace Doctors

*** Must have IMC (Specialist Division) Registration (Irish Medical Council) - Essential
*** Location: Republic of Ireland – Connacht Region (Galway, Leitrim, Mayo, Roscommon, Sligo, Donegal)
***Speciality: Anaesthetics- ICU/ ITU
*** Pay rate: €217,235 to €261,051 Euro’s (dependent on experience) basic salary (allowances paid extra)

*** Role: Consultant (6+ years post graduate experience)

*** Duration: 12 months (FREE visa & work permit + relocation package offered)

*** Role: Consultant (6+ years post graduate experience)

*** Start date: ASAP

***IELTS Score of 7.0 Overall (minimum) – Essential

***Exact location details provided on application

Irish Teaching Hospitals and Medical Universities receive great international acclaim & recognition throughout the world, doctors with experience and training in Ireland typically enjoy great success in terms of professional career development & job satisfaction.

Overview

The post holder should be a specialist in Intensive Care and Anaesthesia and on the specialist register. You will work in intensive care unit and also provide anaesthetic cover for a variety of surgical subspecialties. You will participate in a 1:7 non-resident on call rota in intensive care with prospective cover for annual and study leave. Flexible working patterns are seen as essential to the smooth running of the department, therefore Consultants are expected to have a degree of flexibility in their weekly job plan.

The post holder will be expected to follow the job plan and manage their own work programme, within HSE Trust policy & procedures. A sample job plan is included in the job description. This post is based at a hospital in the Connacht region with anaesthetic sessions in at the nearby hospital. Working Hours: As per job plan On-call: 1:7 Non Resident in Intensive Care Unit at the main hospital.

Department of Anaesthesia and Intensive Care

The Anaesthetic department is part of the Division of Surgery and Critical Care there is the Clinical Director for the Surgical Division & a Clinical Lead for Anaesthetic and Critical Care Bay. There are pleasant office facilities and secretarial support for consultants directly adjacent to the Theatres and Intensive Care Unit. There is a large seminar room housing an extensive anaesthetic library with a broad range of textbooks, journals and other teaching aids. Multimedia computer facilities are also available.

Intensive Care and High Dependency Care

Critical Care is part of the Division of Surgery and Critical Care. The Intensive Care Unit at the hospital provides the intensive, there is a medical CCCU and a surgical PPU. The ICU consultant may be requested to review their cases. The unit is situated in the main hospital building, adjacent to the Operating Theatres and Department of Anaesthesia. A full range of services is provided in a modern purpose-built ICU with gantry service provision. There is an integrated Fukuda Denshi patient monitoring system allowing central station monitoring. Our current ventilators are Servo I. Renal support is provided by 3 automated Renal Support Systems using citrate. The unit is equipped with Vividi ultrasound-echo machine.

There are on-site facilities for MRI Scan, CT, Transoesphageal and trans-thoracic Echocardiography, Ultrasound and Gamma Camera Imaging. The ICU participates fully in the ICNARC audit program. The have a hospital-wide Early Warning Scheme. Plans for the development of a new HDU unit, adjacent to the existing ICU, are being actively worked up and form part of the restructuring of consultant work and expansion. The ICU sometimes admits critically ill children, whilst awaiting the arrival of the local paediatric transfer team. The unit is currently funded for 6 ICU. Seven consultants currently provide full day-time cover (10 sessions per week). The majority of patients are medical with some surgical and trauma. The CCCU is run independently by the physicians, however some anaesthetic involvement is required.

Anaesthesia

The Trust supports all the surgical specialties of a General Hospital including General Surgery, Colo-rectal, Urology, Trauma and Orthopaedics, Obstetrics, Gynaecology, ENT and Maxillofacial surgery. Paediatric elective and emergency surgical patients are treated, but critically ill children are stabilised before transfer to the Regional Paediatric Intensive Care centre. There are 7 modern theatre suites including one for emergency obstetrics. There is a 24 hr on call theatre team, including recovery staff. All anaesthetists are accompanied by trained anaesthetic assistants (ODA, ODP or Anaesthetic Nurse). At the nearby hospital there are four operating theatres. No emergency surgery is undertaken at the General Hospital.

Pain Services

The Acute Pain Service is well established and based around the extensive use of Regional Anaesthesia/Analgesia and Patient-Controlled Analgesia. This is supported by a Consultant Anaesthetist as well as a Clinical Nurse Specialist in Acute Pain Management, who is responsible for education of ward staff as well as the supervision and monitoring of patients on the wards. Four consultants are responsible for the Chronic Pain Service, supported by two Clinical Nurse Practitioners in Chronic Pain and a Senior Physiotherapist.

Duties of the post

·       Provide consultant cover for the intensive care unit at the main hospital based in the Connacht region.

·       Provide anaesthetic sessions at the main hospital and associate nearby hospital.

·       On call duties will be covering intensive care unit on a 1:7 on Non-resident basis with

prospective cover.

·       During the on-call support the resident shift senior anaesthetist who is covering theatre and

maternity unit.

·       Involvement in undergraduate and post-graduate medical education

·       Assessment and preparation of patients for theatre and provision of immediate post-operative

care.

·       Participate in clinical audit & demonstrate evidence based practice where appropriate.

·       Demonstrate evidence based practice where appropriate.

·       Undertake and participate in the appraisal process and job planning.

·       Contribute to service development in areas of special interest and expertise.

·       Actively participate in continuing medical education.

·       Undertake personal appraisal and job-planning.

Standard Duties and responsibilities

a) To participate in development of and undertake all duties and functions pertinent to the Consultant’s area of competence, as set out within the Clinical Directorate Service Plan  and in line with policies as specified by the Employer.

b) To ensure that duties and functions are undertaken in a manner that minimises delays for patients and possible disruption of services.

c) To work within the framework of the hospital / agency’s service plan and/or levels of service (volume, types etc.) as determined by the Employer. Service planning for individual clinical services will be progressed through the Clinical Directorate structure or other arrangements as apply.

d) To co-operate with the expeditious implementation of the Disciplinary Procedure 

e) To formally review the execution of the Clinical Directorate Service Plan with the Clinical Director / Employer periodically. The Clinical Directorate Service Plan shall be reviewed periodically at the request of the Consultant or Clinical Director / Employer. The Consultant may initially seek internal review of the determinations of the Clinical Director regarding the Service Plan.

f) To participate in the development and operation of the Clinical Directorate structure and in such management or representative structures as are in place or being developed. The Consultant shall receive training and support to enable him/her to participate fully in such structures.

g) To provide, as appropriate, consultation in the Consultant’s area of designated expertise in respect of patients of other Consultants at their request.

h) To ensure in consultation with the Clinical Director that appropriate medical cover is available at all times having due regard to the implementation of the European Working Time Directive as it relates to doctors in training.

i) To supervise and be responsible for diagnosis, treatment and care provided by non-Consultant Hospital Doctors (NCHDs) treating patients under the Consultant’s care.

j) To participate as a right and obligation in selection processes for non-Consultant Hospital Doctors and other staff as appropriate. The Employer will provide training as required. The Employer shall ensure that a Consultant representative of the relevant specialty / sub-specialty is involved in the selection process. 

k) To participate in clinical audit and proactive risk management and facilitate production of all data/information required for same in accordance with regulatory, statutory and corporate policies and procedures.

l) To participate in and facilitate production of all data/information required to validate delivery of duties and functions and inform planning and management of service delivery

Teaching Commitments

·       regular commitments to ward based teaching of undergraduates.

·       participation in the lecture programmes for 2^nd and 4^th & 5^th year medical students.

·       teaching of other groups as required including other specialty juniors and specialist nurses & FRCA candidates

Job Plan – example purposes only

A formal job plan will be agreed between the appointee, the Operational Medical Director and Lead Anaesthetics- ICU/ ITU Consultant, on behalf of the Trust’s Medical Director, based on the provisional timetable. This will be signed by the Chief Executive and will be effective from the commencement date of the appointment.

It will be reviewed at 3 months & thereafter annually or at any time, but no less than 3 months after a previous review, as requested by the appointee, Operational Medical Director or Clinical Lead & adjusted accordingly to the agreement of both parties.

On Call

During on-call ICU consultant will be non-resident and cover the intensive care unit & also support the resident shift senior anaesthetist who is covering theatre and maternity unit. There will be one senior anaesthetist doing resident shift covering theatres & maternity, but also provides immediate airway cover to the intensive care unit. There is also a third on-call non-resident anaesthetist who helps in stabilisation of sick patients & transfer. Degree of flexibility and team working is expected between the on-call team to cover the emergency services out of hours.

Compensatory rest will be given in line with European Working Time Directive Regulations and agreed Trust guidelines.

Supporting Professional Activity (SPA)

Within the job plan 1.5 PAs of core SPA is provided, additional one SPA will be allocated with the allocation of specific responsibilities in relation to education, research & service development. With agreement SPA's may exceed 2.5 PAs for specific roles eg Clinical Leadership. The allocation of SPA time will be discussed with the successful candidate upon appointment so that their aspirations can be considered & supported.

All SPA time within the job plan will be allocated and accounted for.

Requirements

This post is open to doctors who hold Registration as a Specialist in the Specialist Division of the Registrar of Medical Practitioners maintained by the Medical Council in Ireland in the specialty of Clinical and Anaesthetics- ICU/ ITU.

Office Accommodation

Office accommodation will be provided for the appointee with secretarial support.

Management Responsibility

All Consultants are required to attend the monthly Directorate Meetings. Post holders will be expected to share in administrative duties allocated by mutual agreement within the Directorate. As part of the Consultant Team, the consultant  will offer mentoring support and lead the existing clinical team through; joint clinics, one-to-one support, individual case management and complex cases, identifying development needs and suggesting CPD (Continuous Professional Development) opportunities and responding to clinical enquiries via e-mail and telephone.

If you are interested in working in growing your career and increasing your income, then talk to our healthcare team today. If you can fill the above requirements, we will give you the following benefits:

*** Visa & Work Permit for FREE!

*** Guidance, Training & Career Development

*** Dedicated & Supportive team- Consultant available when you need.

*** Excellent Basic Pay, Overtime paid for extra hours

We look forward to helping you progress your career and find you the ideal position.

Doctors Guide to working in the Republic of Ireland – Click here

Call us today on +44 (0) 1234 889213 to discuss this vacancy or email your CV to info@workplacedoctors.co.uk  or apply online today (see below).

***Please note due to the high number of applications, we do answer every application in turn.***