HSE Consultant Emergency Medicine – Trauma & Resuscitation in Munster 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 – Munster Region (Clare, Cork, Kerry, Limerick, Tipperary, Waterford)
***Speciality: Emergency Medicine – Trauma & Resuscitation

*** 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

*** Pay rate: €217,235 to €261,051 Euro’s (dependent on experience) basic salary (allowances paid extra)

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

Our client’s hospital is a Major Trauma Centre for isolated head injuries and thus has close links to the Helicopter Emergency Medical Service (HEMS). They are undergoing significant further development as a tertiary referral centre for the region, including additional critical care capacity.

Emergency Care:

Emergency Care at the hospital is provided in its Emergency Departments (EDs) across two sites, By dint of their geographical locations, the departments see a broad spectrum of pathologies across both urban and rural settings. Combined patient numbers approach 250,000 and reach in excess of 170,000 type 1 patients per annum. The larger of the two EDs at hospital is comprised of an 8 bayed Resuscitation Room and a 25 bayed Majors area. The Resus Room has dedicated trauma, stroke and paediatric bays due to persistent demand. In addition to these areas are Majors LITE, Paediatric ED, Urgent Care Centre and a Rapid Assessment and Treatment Area. The smaller ED at the secondary hospital retains the more conventional structure of Triage, Minors, Paeds, Majors and Resus. The present team of consultants have a keen interest in further developing the following areas of the department: Trauma, Critical Care, Education, Research and Paediatric Emergency Medicine. Our Paediatric unit underwent a transformation in 2014 and our vision is to become one of regions leading paediatric emergency units.

Ambulatory Care:

Ambulatory Emergency Care (AEC) started as a small advisory service to facilitate discharges from the wards. This was initially a consultant advisory service, whereby patients were discharged home from a ward and followed up as an outpatient by our virtual ward team. Following from the success of this service, the hospital  have continued to grow and now offer a seven days a week 08:00-20:00 consultant led service taking direct referrals from the ED department and GP’s out in the community. In developing our service even further, they have also recently joined the AEC network. The AEC helps in managing patients that have been phoned through by GP’s or direct referrals by the Emergency Department. The AEC is consultant led and is supported by adequate medical, nursing and clerical staff. The unit has the capacity to hold 20 patients and currently planning on expanding the service to take 50 patients a day

Assessment Units:

The hospital has two assessment units. The Medical Receiving Unit (MRU) is a 30 bed unit, situated at main site. The Clinical Assessment Unit (CAU) is a 15 bed unit situated at the secondary site. Both have good sized seminar room where we have programmed activities such as business meetings, junior doctor teaching with daily case of the day and audit presentation. The consultant offices are located within both assessment areas. The units are both within a minutes walking distance from Emergency Radiology, ED Majors and Resuscitation and High Dependency Unit (HDU), Intensive Therapy Unit (ITU) areas. All areas are fully integrated to ensure a smooth and efficient experience for our patients.

Please note that full IMC registration and license to practice is an essential for this role. If you do not currently have IMC registration, but you are in the process of applying, please use the supporting information section of the application form to provide an update about the status of your IMC application.

Candidates without IMC registration at the time of shortlisting will not be considered- as per hospital requirements.

Additional Information

You will be able to take advantage of the excellent Consultant contract for the Republic of Ireland. The basic salary range for this post is euros 120,000 per annum to euros 160,893 per annum plus a further euro 26,672 per annum available in Commitment Awards.

Specific Duties

Our client is seeking highly motivated consultants who will join our team to share the vast improvements that we have achieved and will continue to achieve in our emergency departments on our journey to outstanding.

During 2020/21
The emergency departments underwent a comprehensive program of re-structuring that included the creation of the urgent care centre and establishing the re-direction of services. Their improvements directive also resulted in a restructured governance infrastructure, the creation of the academic unit and the re-structuring of our education and training programs for both medical and nurses workforce. Each consultant agrees a Job Plan annually as part of the appraisal process with the Clinical Director of Emergency Care, on behalf of the Chief Executive.

The department supports individually designed job plans that fulfil the clinical responsibilities while allowing for each consultant to develop and enhance academic and other professional interests both within and external to the trust. The Job Plan takes into account the requirement regarding the number of fixed and flexible commitments.

Whilst it also reflects as much as possible individual consultant’s special interests, and on call commitment, priority is given to direct patient contact. There is prospective cover for annual leave and study leave. This presently is remunerated with payment for an extra PA. Sick leave cover will be covered by a locum out of hours.

The appointee will:

·       Have a continuing responsibility for the care of patients in his/her charge and for the proper functioning of the department.

·       Be part of a team responsible for providing appropriate cover to patients in the first 48 hours in the critical care area (of which the Emergency Department is a component). At the secondary site, the contribution of MAU consultant and the Consultant Physicians to this process has already been mentioned.

·       Undertake administrative duties associated with the care of patients and the running of a clinical department.

·       Be continually involved in teaching junior staff and medical students.

·       Undertake quality and risk improvement activities. The appointee will be expected to participate in:

·       The development of quality improvement schemes, risk management and clinical audit

·       Planning and delivering the provision of the service. This will include planning how work will be organised.

·       The appointment of junior medical staff and such other staff as appropriate for the department.

·       The selection of equipment for the department, ensuring appropriate standards for its monitoring and maintenance.

·       Training of nursing, ancillary and junior medical staff. All consultants are expected to assume responsibility both singly and corporately for the management of junior medical staff. They are also expected to concern themselves with the professional development, both clinical and personal of their trainees. Consultants must be aware of Trust polices & targets and provide a role model in achieving these corporate objectives.

In the Emergency Medicine Service the appointee will be expected to:

·       Provide a level of medical service that meets the various requirements of the National Service Framework and Reforming Emergency Care.

·       Be responsible for the supervision of clinical care of each patient during the diagnostic and treatment process as required in the Emergency Medicine Service.

·       Be responsible, together with the lead consultant, for developing the medical input into the establishment of an integrated Critical Care/Emergency Medicine Service.

·       Participate in multi-disciplinary meetings to review patients.

·       Investigate clinical incidents and SUI’s as well as engage with the RCA and roundtable system.

On-Call Responsibilities:

1 in 8 weekend, and 1 in 4 weekdays, weekend on call excludes Friday. At weekends the consultant on call will be expected to provide 6 - hour shop floor presence of direct clinical care on each of the 2 days.

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.

Job Plan

A formal job plan will be agreed between the appointee, the Operational Medical Director and Lead Emergency Medicine 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 Responsibilities:

1 in 8 weekend, and 1 in 4 weekdays, weekend on call excludes Friday. At weekends the consultant on call will be expected to provide 6 - hour shop floor presence of direct clinical care on each of the 2 days.

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

Essential 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 Emergency Medicine

Office Accommodation

The post holder will undertake administrative work associated with their clinical and other professional duties.  Adequate time and facilities for clinical administration, including appropriate office space, secretarial support and access to a personal computer, software & internet access, will be available.

Service Provision and Cover during Absences

The consultant has a continuing responsibility for the care of patients in his/her charge and for the proper functioning of the service allowing for appropriate delegation for the training of his/her staff.

He/she must be available by telephone and able to attend the hospital in a timely fashion when on-call (40 minutes journey time).

Consultant staff must ensure that services are covered during his/her planned absences. Where fixed commitments need to be cancelled during planned absences appropriate notice (8 weeks) must be given. Absences must be co-ordinated with other consultant staff in the specialty to ensure senior cover is always available.

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
***Assistance provided with relocation

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

The hospital welcomes all applications irrespective of age, disability, gender, sexual orientation, race or religion- essentially the applicant must meet the criteria mentioned above

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.***