consultant physician in clinical pharmacology/toxicology and

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NHS Lothian
University Hospitals Division
Directorate of Medicine
Royal Infirmary of Edinburgh
CONSULTANT PHYSICIAN IN CLINICAL PHARMACOLOGY/TOXICOLOGY AND GENERAL/ACUTE
MEDICINE
1.
Outline of the post
An opportunity has arisen for the post of Consultant Physician in Clinical Pharmacology/
Toxicology providing a clinical commitment to the clinical toxicology service at the Royal
Infirmary of Edinburgh and to the National Poisons Information Service Edinburgh unit. This is
alongside a substantial role to an expanding General Medicine service in the Royal Infirmary
of Edinburgh. The post is one of 3 jointly funded National Poisons Information Service & NHS
Lothian posts providing clinical services to Lothian in Acute Medicine and Clinical Toxicology,
and to the NPIS. The post is wholly based at the Royal Infirmary of Edinburgh. On call
commitments include acute receiving duties (1 in 12) at the Royal Infirmary of Edinburgh.
Edinburgh is a highly desirable place to live with affordable accommodation, excellent
amenities and home to the internationally renowned Edinburgh Festival but plenty to do all
year round in the city and surrounding areas. It has excellent transport links.
2.
NHS Lothian
NHS Lothian is an integrated NHS Board in Scotland providing primary, community, mental
health and hospital services. Tim Davison is Chief Executive and Dr David Farquharson is
Medical Director.
The NHS Board determines strategy, allocates resources and provides governance across
the health system. Services are delivered by Lothian University hospitals division, the Royal
Edinburgh hospital and Associated mental health services, 4 community health (and social
care) partnerships (CH(C)Ps) in City of Edinburgh, West Lothian, East Lothian and
Midlothian, and a Public Health directorate.
NHS Lothian serves a population of 850,000.
2.1 University Hospitals Division
The University Hospitals Division provides a full range of secondary and tertiary clinical
services to the populations of Edinburgh, Midlothian, East Lothian and West Lothian. The
Division is one of the major research and teaching centres in the United Kingdom.
Hospitals included in the Division are:
The Royal Infirmary of Edinburgh
The Western General Hospital
The Royal Hospital for Sick Children, Edinburgh
St Johns Hospital
Royal Victoria Hospital
Liberton Hospital
The Princess Alexandra Eye Pavilion.
Page 1 of 12
The Royal Infirmary (RIE) is a major teaching hospital on a green field site in the South
East of the city of Edinburgh built in 2003. It comprises 25 wards, 869 beds, and 24
operating theatres, and is equipped with modern theatre and critical care equipment and
monitoring. Within the main building is a dedicated, multidisciplinary, 5 theatre day
surgery complex. The hospital provides for most specialities and is the centre for:
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General surgery with a focus on the upper GI tract
Vascular surgery
Hepato-biliary and Transplant medicine and surgery
Cardiac and Thoracic surgery
Elective and trauma Orthopaedics surgery
Neonatology
Obstetrics & Gynaecology
Cardiology
Renal Medicine
Sleep Medicine
Regional major Accident and Emergency centre.
The Acute Medical Unit (AMU) is an assessment unit which takes unselected GP or direct
emergency referrals, and from A&E. AMU includes the Dept of Liaison Psychiatry and the
clinical toxicology ward. There are full supporting Laboratory and Diagnostic Radiology
Services (including CT, MR, Ultrasound and NM and PET scanning). There is a full range
of lecture theatres, a library and AV facilities.
The Western General Hospital (WGH) has 600 beds and 5 operating theatres and is
equipped with modern theatre and critical care equipment and monitoring. The Anne
Ferguson building was completed in 2001. The hospital provides for most specialties and
is the centre for:
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Neurology, Neurosurgery and neuropathology
UK CJD unit
Colorectal Surgery
Urology and Scottish Lithotriptor Centre
Breast Surgery and Breast screening
Gastro-Intestinal disease
Rheumatology
Infectious Diseases
Haematology Oncology
Medical Oncology
Radiation Oncology (including 6 LINACs)
Dermatology (Inpatient)
Medicine of the Elderly/Stroke Medicine
There is an Acute Receiving Unit, which accepts GP referrals and 999 ambulance
medical cases on a zoned basis within the city, and a nurse led Minor Injuries Unit. There
is no trauma unit at this hospital. There are full supporting Laboratory and Diagnostic
Radiology Services (including CT, MR, Ultrasound and NM).There is a full range of
lecture theatres, a library and AV facilities.
St John’s Hospital opened in 1989 and is located in the centre of Livingston, a new town
about 30 minutes drive west from Edinburgh. The hospital provides for most common
specialties but does not have emergency general surgery or orthopaedic trauma
operating. The hospital has a paediatric ward and is the centre for:
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General Medicine with specialists in Cardiology, Diabetes & Endocrinology,
Gastroenterology, Respiratory Medicine and Care of the Elderly
Page 2 of 12
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Obstetrics & Gynaecology
Child Health including Paediatrics and community child health
The regional Burns and Plastic Surgery unit for SE Scotland
Oral and Maxillofacial Surgery
ENT
Critical Care (ITU, HDU and CCU)
Accident and Emergency
General Surgery
Orthopaedics
Anaesthetics
Mental Health including ICCU and ICPU
Since 2005, general surgery and orthopaedics have been reconfigured in NHS Lothian
with SJH being developed as a major elective centre for the region. Lothian’s ENT service
was relocated to SJH to create an integrated head and neck unit with OMFS and Plastic
Surgery.
Recent developments at SJH include a new endoscopy suite, an Intensive Psychiatric
Care Unit, a digital mammography unit, an oncology (cancer care) day centre, a satellite
renal dialysis unit and a £2.75m reprovision of A&E, and the Regional Eating Disorders
Unit, which opened in February 2012. There are full supporting Laboratory and
Diagnostic Radiology Services (including CT, Ultrasound and NM).
The hospital has been accredited full teaching hospital status by the University of
Edinburgh. There is a full range of lecture theatres, a library and AV facilities.
The Royal Hospital for Sick Children (RHSC) is a 141 bedded hospital providing
general and specialist services for children. The hospital is situated in a residential area
close to the centre of Edinburgh and is approximately 3 miles from the site of the New
Royal Infirmary and the co-located University of Edinburgh Medical School and 3 miles
from the Western General Hospital. The RHSC is a 151-bedded Hospital, and is the main
paediatric teaching hospital for the South-East of Scotland providing general and
specialised services on a local, regional and national basis. It acts as the local paediatric
referral centre for the children of Edinburgh and surrounding areas, and as a tertiary
referral centre for intensive care patients; gastroenterology, hepatology & nutrition;
respiratory medicine; cardiology; nephrology; neurology; oncology; haematology; neonatal
surgery; plastic surgery; orthopaedic surgery; urological surgery and aspects of general
surgery.
Hospital accommodation encompasses five theatres, a critical care unit comprising a 6/8
bedded Paediatric Intensive Care Unit, 4/6 bedded High Dependency Unit and a 3
bedded Neonatal Intensive Care Unit. There is an excellent library facility and a modern
lecture theatre with a full range of audio-visual equipment.
All services are supported by comprehensive radiology, neurophysiology, laboratory and
therapy services. The local radiology department provides on site Magnetic Resonance
Imaging, CT Scanning, nuclear scanning and ultrasound. On site laboratories provide
biochemistry, haematology, pathology and neuropathology services
2.2 Community Healthcare Partnerships
The four established Lothian Community Health (and Social Care) Partnerships serve the
population of Edinburgh, Midlothian, East Lothian and West Lothian.
Hospitals in the CH(C)Ps include:
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The Astley Ainslie Hospital in Edinburgh
Midlothian Community Hospital in Midlothian
Rosslynlee Hospital in Midlothian
Herdmanflat Hospital in East Lothian
Roodlands Hospital in East Lothian.
The four CHPs are coterminous with Edinburgh, Midlothian, East Lothian and West
Lothian Councils, bringing together those responsible for planning, managing and
providing community-based health services for the population of Edinburgh and the
Lothians.
There are 7,500 members of staff. In addition, there are approximately 1,000
independent contractors in General Medical and Dental Practice, as well as pharmacists
and opticians. A population of 850,000 people is served across health board area. The
range of services care of the elderly, medical rehabilitation, community mental health,
substance misuse and learning disability, district nursing and health visiting, family
planning, well woman, comprehensive dental care and those provided by Professions
Allied to Medicine, such as physiotherapy, pharmacies and optometrists. Specialist
services provided include brain injury rehabilitation, bio-engineering and prosthetics,
drugs and alcohol misuse and harm reduction, AIDS/HIV and Children and Family
Psychiatric Services.
2.3 Royal Edinburgh Hospital and Associated Services
The Royal Edinburgh and Associated Services provides a range of Mental Health
services to the population of Lothian and other Boards within Scotland.
The Royal Edinburgh Hospital is located on the south side of the City of Edinburgh. It
comprises some 20 wards, 420 beds, day hospitals and outpatient facilities. The hospital
provides the following range of specialities:
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Acute Mental Health
Rehabilitation
Psychiatric Emergency Team 24/7
Outpatients
Assessment Phychiatry of Old Age
Forensic Medium Security Unit
Inpatient facilities for under 18s
Psychotherapy Service
Psychology Services
Services for Eating Disorders
Day Hospitals – Psychiatry of Old Age
There are an additional 46 beds and a day hospital for Psychiatry of Old Age in the north
of the city at the Royal Victoria Hospital.
The hospital is currently housed in a mix of accommodation ranging from 19th century to
present. There is a major project now in place to take forward a reprovisioning
programme in line with the strategic vision outlined in the Scottish Executive publication
“Delivery for Mental Health” in 2006.
2.4 Department of Public Health Medicine
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The aim is to improve the health of the people of Lothian in collaboration with many other
partners. Using our range of knowledge, experience and networking capability, our distinctive
contributions are:
 the promotion of specific measures to monitor and improve health;
 the collation and interpretation of health related information.
The following objectives have been agreed as the basis for the Department’s work plans:
1. To monitor the health status and health needs of people in Lothian;
2. To promote improvements in the health of people in Lothian directly, and by providing
information and advice to the public on health matters;
3. To assist Lothian NHS Board to fulfil its statutory obligations;
4. To contribute to strategic changes within the NHS in Lothian by providing information on
clinical effectiveness;
5. To facilitate improvements in health and health care services directly, and through ‘managed
clinical networks’ and wider alliances;
6. To contribute on a 24 hour basis to the control and prevention on communicable diseases
and environmental hazards;
7. To maintain commitments to teaching, training, professional development, audit and research.
To enable efficient management of the Department: there are at present four groups in the
Directorate. These are; Healthy Communities, Healthcare; Health Protection and Health
Information.
3.
University of Edinburgh
The University of Edinburgh was established in 1582 and is one of the largest in the United
Kingdom located on a number of prominent sites in Scotland’s capital city. It is Scotland’s
premier research University and within the top 5 Universities in Europe for its Biomedical
Sciences.
The University of Edinburgh’s College of Medicine and Veterinary Medicine (CMVM; Head
Professor Sir John Savill) is an internationally leading force in basic-to-clinical translational
research. The College has a consistent 30-year strategy of interdisciplinarity and integration
of basic and clinical sciences. In the most recent Research Assessment Exercise (2008), the
University of Edinburgh was top in the United Kingdom within the UoA4 category of Hospitalbased Clinical Subjects. In 2008/9, CMVM attracted over £120 million in external peerreviewed grant funding.
4.
NHS Library and Postgraduate Facilities
There are excellent facilities on all sites.
5.
Acute and General Medical Unit
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Acute Medicine was granted subspecialty status in 2005 and Edinburgh is one of the leading
centres where training takes place in this specialty in the UK. The Acute Medical Unit is one
of the busiest receiving units in the United Kingdom, and its work is considered the primary
service priority for the directorate with an average medical take of 65 patients within a 24 hour
period. There is a strong ethos and drive to provide high quality safe patient care providing
real time consultant led assessment, diagnosis and treatment of patients to facilitate early
discharge or prompt referral to the appropriate specialty. One of the strengths of the unit is
well integrated multidisciplinary working. Having multiple disciplines involved in the patient’s
journey from the time of admission ensures that over 50% of patients are safely discharged
within 24 hours. NHS Lothian is investing substantially in the expansion of Acute and General
Medicine capacity.
Acute Medicine Consultants
This post
Dr Andrew Coull
Dr Casey Stewart
Dr Alan Patrick
Dr Alan Jaap
Dr Matthew Young
Dr Nicola Zammitt
Dr Fraser Gibb
Dr Anna Dover
Dr Pauline Jones
Dr Kathy Strachan
Dr Ross Murphy
Dr Lynn McCallum
Dr Simon Dummer
Dr Johanne Simpson
Dr Ann Lockman
Dr James Dear
Dr Arvind Veiraiah
Dr Euan Sandilands
Dr Simon Hart
Dr Jo Renton
Clinical Pharmacology/Toxicology and General/Acute Medicine
Clinical Director
General Medicine
Diabetes/Endocrinology
Diabetes/Endocrinology
Diabetes/Endocrinology
Diabetes/Endocrinology
Diabetes/Endocrinology
Diabetes/Endocrinology
Diabetes/Endocrinology
Acute Medicine
Acute Medicine
Acute Medicine
Acute Medicine
Acute Medicine
Acute Medicine
Clinical Pharmacology & Toxicology
Clinical Pharmacology & Toxicology
Clinical Pharmacology & Toxicology
Stroke
Medicine of the Elderly
Senior Nursing Staff
Linda Macintosh
Debby McIlquham
The Acute Medical Unit aims to provide safe and high quality care with rapid and real time
consultant led assessment. The post-holder will be expected to support the Clinical Director in
delivering the operational and strategic planning needs of the service.
The new post-holder will be one of a group of 24 Consultant Physicians contributing to the
acute medical intake on a 1 in 12 basis. When on take the consultant is present throughout
the day (12.30 – 21.30) providing both real time senior decision making support but also close
mentoring and supervision of junior staff. Two consultants lead the take for a 48 hour period
with one consultant on call overnight (1 in 24 overall). The rota also requires input into 5
weekends per year. The rota is a ‘firm’ based system with a dedicated group of junior staffing
to improve continuity of care and reduce handovers. The post holder will also take part in
cover for the general medical wards at the weekend. This is an additional two weekends per
year (0900 – 12.30). They will also have ongoing care commitments to patients admitted
under their care for at least 48 hours after their on call period. Up to 80% of patients are
discharged by this time and any patients requiring a longer length of stay are handed over to
colleagues within the same ‘firm’ of consultants with ongoing general medical care
Page 6 of 12
responsibility. The successful candidate would be expected to maintain a highly visible
consultant presence at the front door whilst on call supporting junior staff in real time
facilitation of management plans, discharge and speciality referrals.
The successful applicant will also contribute to providing a rapid access medical and
ambulatory care clinic supporting the delivery of unscheduled care. This is part of a range of
initiatives to support General Practice with a same or next day responsive service to convert
unscheduled care activity to scheduled activity.
The contract for the post is based on a 10 PA commitment but this is subject to negotiation
through early job planning.
6.
Public Health England
In 2013, the Health Protection Agency was incorporated into Public Health England (PHE)
which took on the role of commissioning the NPIS through its Centre for Radiation, Chemical
and Environmental Hazards (CRCE). Detailed working arrangements for collaboration
between NPIS centres and PHE are in place. These include a CPD programme and working
groups on service activity. The appointee will be expected to play a significant role in the UK
structure of the PHE funded NPIS in respect of delivery of Clinical Toxicology advice and
clinical management, and participate in a UK national rota for providing advice on the
management of poisoning, and other relevant toxicological issues. The Edinburgh unit
contributes extensively to the overall UK provision of service. This post is funded by the PHE
for 5-programmed activities.
NPIS Edinburgh also collaborates with the Health Protection Scotland and the Scottish
Government in respect of clinical toxicology advice and advice on chemical incidents or
contamination that occur within Scotland.
National Poisons Information Service and Clinical Toxicology
The clinical toxicology service at the Royal Infirmary comprises both the clinical facility
described and the Edinburgh unit of the National Poisons Information Service (NPIS)
(established in 1963 as the Scottish Poisons Information Bureau). This centre is responsible
to the NPIS for the editorial oversight and management of the UK's clinical toxicology
database TOXBASE. There are presently three Consultant Clinical Toxicologists who
contribute to the work of the unit, and this post will replace an existing member of Consultant
staff. NPIS Edinburgh is also responsible for provision of a telephone enquiry service for the
NPIS, primarily in Scotland, and for supporting the management of clinical cases of poisoning
throughout Scotland, and with colleagues in the rest of the UK for the whole country.
There were in excess of a 550,000 database logons to TOXBASE in 2012-13, with over 1.3
million individual product accesses. Development of TOXBASE is regarded as a key part of
poisons management in the United Kingdom and is one of the key responsibilities of NPIS
Edinburgh.
NPIS Edinburgh currently employs 5.5 full-time Information Officers and four clerical/
administrative staff, together with two specialist poisons nurses. Lecturers and SpRs training
in Clinical Pharmacology in Edinburgh rotate through the unit, and there is a dedicated
training post in Clinical Toxicology funded by the Postgraduate Dean. There is active
research collaboration between the unit and the Department of Clinical Pharmacology and
Therapeutics (Professor DJ Webb, Prof S Maxwell and Prof M Eddleston [Director of NPIS
Edinburgh]). Prof Maxwell also heads the Yellow Card Centre (YCC) Scotland, the MHRA
Adverse Drug Reaction Reporting Centre for Scotland and there is liaison between the YCC
and the clinical toxicology unit. There are therefore opportunities for basic, clinical and
pharmacoepidemiological studies on all aspects of Clinical Toxicology and health information
technology.
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The unit has an active research programme and publishes regularly in national and
international journals.
Current Staffing of NPIS Edinburgh
1. Prof Michael Eddleston (Director)
2. Consultant Physician (Dr Aravindan Veiraiah)
3. Consultant Physician (Dr James Dear)
4. Consultant Physician (Dr Euan Sandilands)
5. Consultant Physician in Emergency Medicine (Dr Jonathan Wraight)
5. Information Services Manager (Dr G Jackson)
6. Deputy Information Services Managers (Dr C McGrory, Dr Catherine Crawford)
7. Information Officers (Mr WJ Laing, Mr RD Adams, Dr Victoria Eagling, Mr Liam Perry)
8 Database officer (Mr David Lupton)
9. Specialist Nurses (Sisters Margaret Dow and Janice Pettie )
10. Office Manager (Ms LD Gordon)
11. Clerical Officers (Ms A Bicknell, Mr A Bennet)
*
Details of the Post (Clinical Toxicology)
The appointee will participate in NPIS Consultant duties for NPIS Edinburgh (in collaboration
with colleagues). This will include participation in the UK NPIS on call rota (currently 1 in 16)
providing appropriate clinical advice to the UK as a whole. Specific responsibilities within PHE
may also be negotiated.
Consultant responsibility, with colleagues, for clinical management of patients with
toxicological problems admitted to the Royal Infirmary of Edinburgh. In particular this will
include responsibility for patients admitted to the acute toxicology area, a 10 bedded
dedicated unit.
The post holder will be expected, together with the other Consultants, to support and develop
the TOXBASE database within the context of the National Poisons Information Service. The
on-call commitment will be undertaken by the three NPIS consultants supported by NHS
trainees, and academic colleagues in Clinical Pharmacology. The NPIS is essentially
functioning as a Supra-Regional clinical network. NPIS Consultant staff are expected to
participate in, and contribute to, the regular NPIS CPD programme. Attendance at these is
expected as part of the job plan.
The post holder will, where appropriate, participate in the development of strategic plans for
management of poisoning and chemical incidents in Scotland. This will include involvement in
"outreach" activities to relevant health care facilities involved in the management of poisoning
in Scotland, including NHS 24, the Scottish public access telephone service. The objective of
these activities is to develop and facilitate the delivery of optimum care in the management of
poisoned patients in Scotland.
5.
Research and Development
Research activities in Clinical Toxicology, Clinical Pharmacology and Acute Medicine will be
encouraged. There are well-established links to the academic Department of Clinical
Pharmacology and appropriate academic status would be sought for suitably qualified
candidates.
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6.
Teaching
Teaching activities are expected within the University of Edinburgh Medical School. In
addition NPIS Consultant staff participate in teaching programmes at a postgraduate level to
medical and allied staff.
The successful applicant will be expected to contribute to a strong ethos of improvement and
redesign in the Acute and General Medical unit. This will include attendance at weekly
Medical Unit Meetings and monthly Acute Medicine Consultant meetings. The post-holder will
also be expected to contribute to supervision of junior staff subject to the interests of the
applicant and job planning.
Page 9 of 12
7.
Job Plan
See attached
8.
Contact Details
For further information and arrangements to visit contact:
Dr Andrew Coull
Clinical Director
Directorate of Medicine, RIE
Royal Infirmary of Edinburgh
51 Little France Crescent
Edinburgh EH16 4SA
Telephone:
E mail:
0131 242 1294 (secretary) or 01312426927
andrew.coull@luht.scot.nhs.uk
Prof Michael Eddleston
Director of the National Poisons Information Service - Edinburgh unit
Royal Infirmary of Edinburgh
51 Little France Crescent
Edinburgh EH16 4SA
Telephone:
E mail:
0131 242 1383 or 0131 242 9214
m.eddleston@ed.ac.uk
The NHS Structured Application and job description can be obtained by e-mailing
lister.careerrec@luht.scot.nhs.uk
The completed NHS Structured Application together with the names, email and postal
addresses of three referees should be sent to the above email address by the closing date of
ENTER CLOSING DATE HERE, no applications will be considered after this time. Please
quote reference ENTER REFERENCE HERE.
Please note that we no longer accept application by CV.
In accordance with recent Home Office guidelines, doctors who require a work permit will only
be appointed to posts which cannot be filled by UK/EEA applicants or doctors who do not
require work permits
We are working towards Equal Opportunities.
Page 10 of 12
Job Plan
Specialty: Consultant Physician in Clinical Pharmacology/Toxicology and General/Acute
Medicine
Principal Place of Work: R.I.E
Contract: Full Time
Programmed Activities: 10
Availability Supplement: 3%
Managerially responsible to: Dr Andrew Coull
Three PAs are attributed to the Acute Medicine on call rota, one of which is out of hours. On a 10 PA job
plan the successful applicant is due a half-day. When not on call the consultant will provide clinical or
PHE/NPIS commitment displaced because of on call commitments so the timetable is reflective of this
and indicative only and will be subject to job planning. Five PAs are funded by PHE and include work
with the NPIS Edinburgh unit.
DAY
Monday
0900 - 1300
HOSPITAL/LOCATION
TYPE OF WORK
DCC
RIE
Acute Receiving
1
RIE
Administration associated with direct
clinical care
1
0900 - 1300
RIE
Clinical Toxicology ward cover
1
1330 – 1730
RIE
PHE / NPIS
1
0900 - 1300
RIE
PHE / NPIS
1
1330 – 1530
Thursday
RIE
PHE / NPIS
0.5
0900 – 1300
RIE
Acute Receiving
1300 - 1700
RIE
Half-day off in lieu of out of hours
0900 - 1300
RIE
Medical Outpatient Clinic
1330 – 1730
RIE
PHE / NPIS SPA
Saturday
From/To
Sunday
From/To
On call
RIE
Acute Medicine Out of Hours on
call
1
NPIS
NPIS on call commitment (1:16)
0.5
9
1330 –1730
EPA
SPA
Tuesday
Wednesday
1
Friday
Total PAs
Page 11 of 12
1
1
1
9.
Person Specification
REQUIREMENTS
Qualifications and
Training
ESSENTIAL
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Experience
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Ability
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Academic
Achievements
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Teaching and
Audit
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DESIRABLE
GMC registered medical
practitioner
MRCP(UK) or equivalent
Be on, or be eligible for inclusion
on, the GMC Specialist Register in
General (Internal) Medicine or
Acute Medicine within 6 months of
interview
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Wide experience in both General
(Internal) Medicine and Clinical
Pharmacology or Toxicology
Evidence of ability to take full
responsibility for independent
management of patients in
relevant clinical areas
Evidence of research, publications
and presentations
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A specific interest and
experience in Clinical
Toxicology
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A postgraduate degree
Evidence of commitment to formal
and informal teaching and training
of SpRs/StRs, other junior doctors
and medical students.
Participation in audit projects
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Previous experience of
teaching and designing and
effecting audit programmes
Evidence of specific training in
teaching and assessment
methods
Experience of designing and
effecting audit programmes
Clear commitment to
developing services
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Motivation
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Evidence of patient focused care,
learning and continuous
professional development,
effective and efficient use of
resources
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Personal
Attributes
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Able to work in a team with
colleagues in own and other
disciplines
Experience of working in multiprofessional teams
Fluent communication skills
Able to organise time efficiently
and effectively
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Additional post-graduate
qualifications, e.g. MD, PhD
Be on, or be eligible for
inclusion on, the GMC
Specialist Register in Clinical
Pharmacology within 6
months of interview
Able to motivate colleagues
Specific managerial training
and experience
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