Resident Doctor - Private Hospital

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.
• Review unwell patients, elevate and ask for help early.
• In an emergency put out a 2222 call for resuscitation team.
• 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.
• Be aware of any patients with a NEWS > 3 and ensure they are reviewed.
• Support and facilitate the Outreach review process to ensure timely and appropriate escalation of care.
• 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.
• Document past medical history, presenting complaint, systems assessment, drugs and allergies and make a clear plan.
• Highlight safeguarding issues if there are any.
• Call the ITU fellow and if required ICU consultant and/or medical director as well as Clinical Site Officer if urgent advice is needed and the responsible consultant is not reachable.
• Request any investigation (CT scan, MRI, X-ray and blood tests) as deemed appropriate without the need for consultant approval in the event of a clinical emergency.
• Escalate drug or alcohol dependency concerns 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.
• Ensure notes are legible and any entry is signed and your name printed along with GMC number if you do not yet have a stamp.
• Undertake medical procedures and assessments where required, such as inserting a urinary catheter, arterial blood sampling, ECGs etc.
• Check 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.
• Prescribe regular medications for in-patients, day cases and all admissions.
• Check drug charts daily and re-chart/re-write to ensure continuity over the weekend and prevent drug errors.
• Prescribe discharge medications (TTO’s) the day before patient discharge to prevent delays on the day of discharge.
• Anticipate discharges over the weekend and ensure TTO’s are charted on Friday.
• Only prescribe for patients you have personally assessed and have adequate knowledge of.
• Ensure opiate prescribing is 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 arises.
• 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.