Resident Doctor - Private Hospital in London

Resident Shifts Available - Leading London Private Hospital

As the resident fellow you will provide on-site medical support to admitting Consultants, Clinicians and Nursing Staff and will ensure that patients experience the highest level of care and service. You will be joining a team of 3 Resident Fellows (RMOs) to provide 24/7 provision for all the non-cancer/non haematology patients, alongside the other non-resident fellows. You will be working with the non-resident fellows (8am-5pm) Monday-Friday who cover specific ward areas such that all patients are provided with regular review.

Duties and Responsibilities

• Work closely with the Clinical Site team, clinical nursing teams, the Non-resident Fellows, Speciality Clinical Fellows and ITU Fellow.
• Always carry the Resuscitation bleep and radio when required. Attend and lead all cardiac arrest calls on 20 Devonshire place apart from ITU where the cardiac arrest call is led by the ITU fellow unless they are intubating in which case the Resident Fellow will lead the resuscitation.
• Carry out regular ward rounds to ensure the non-residents are supported as needed.
• Attend calls from Endoscopy, Day surgery, MITU and main recovery for patient support and review out of hours - After 5pm or if non-resident fellow is not available or asks for support.
• Assess patients at the request of Senior Nurses / Ward Managers and manage any emergency that may arise with the guidance of the consultant in charge if the non-resident fellow is not available for that ward.
• As per Martha’s Law, be aware of any patients with a NEWS > 3 and ensure they are reviewed.
• Review unwell patients and liaise directly with the admitting consultants and help facilitate investigations, chase or hand over with plan of action.
• Clerk/Admit emergency admissions, discuss with admitting consultants and facilitate any instructions/management plan.
• In the event you need urgent advice and the responsible consultant is not reachable call the ITU fellow and if required ICU consultant and/or medical director as well as Clinical Site Officer.
• In the event of a clinical emergency all fellows are able to request any investigation (CT scan, MRI, X-ray and blood tests) as they deem appropriate without the need for consultant approval.
• If there are drug or alcohol dependency concerns please escalate to clinical site team and the consultant.
• Ensure clear documentation in medical notes following patient review, change in management plan or discussion with consultants/healthcare professionals.
• Undertake medical procedures and assessments where required, such as inserting a urinary catheter, arterial blood sampling, ECGs etc.
• Responsible for checking take home medicine requirements as well as dose checking protocols and approving medication.
• Liaise with microbiology and antimicrobial policy for advice and ensure appropriate antibiotic stewardship.
• Ensure regular medications are prescribed for in-patients, day cases and all admissions.
• Ensure Drug charts are checked daily and re-charted/re-written.
• Discharge medications (TTO’s) to be prescribed day before patient discharge.
• Only prescribe for patients you have personally assessed and have adequate knowledge of.
• Opiate prescribing should be clear and always prescribe rescuer drugs i.e. naloxone.
• If night sedation is required use Zopiclone as the drug of choice, not benzodiazepines.
• Refer appropriately to the relevant specialties if any concern, e.g. Pain team, psychiatry, dependency teams, chest physio etc.
• Ensure written appropriate communication and handover to the Resident Fellow.
• Be flexible and work as part of a team, you may be asked to cross-cover other wards depending on patient demand, sickness and annual leave cover.
• Be aware of the needle stick injury policy and deal with needle stick injuries when requested.

Education and Development

As a doctor, continual professional development (CPD) is essential to maintaining and improving your knowledge, skills and performance to provide the best possible care for patients. It is important to stay up to date with medical advancements, guidelines and best practices through regular learning and reflection.

There will be ample opportunity to engage in clinical audits, training sessions, participate in MDT meetings and seek feedback to enhance your practice. You will be provided access to L2P and assigned a clinical supervisor for your annual reviews. Attendance/presentation at monthly Fellow learning in-house sessions (2nd Tuesday of each Month). Attend/Present at 2 weekly Journal club (Tuesdays). Mandatory attendance and presentation at monthly M&M meetings (Wednesdays). Engage in teaching and learning opportunities including contributing to clinical/service audits.

Criteria

• GMC registered doctor with 2 years' NHS or equivalent UK experience.
• Confident managing acute medical and surgical post-operative patients.
• Strong communication and decision-making skills.
• Comfortable working independently overnight and out-of-hours.
• Valid ALS.

Why Join?

• Prestigious Central London private hospital environment.
• Competitive locum rates.
• Collaborative multidisciplinary team culture.
• Excellent exposure to complex private patient care.
• Ongoing CPD, teaching, journal clubs and M&M meetings.
• Opportunity to work with leading Consultants across multiple specialties.