We are currently advertising for a fixed term Locum Appointment in Service in Adult Inpatient and urgent care based at Peter Hodkinson Centre, Lincoln County Hospital, Lincoln.

Main duties of the job

The role of the Core Trainee is to be a part of the MDT team in assessing and managing the patients and complete the necessary physical healthcare for our patients. Core trainees will be expected to review patients individually on a weekly basis and to present them at MDT clinical review discussions. The trainee would be expected to have awareness in the DoH guidelines in managing mental health in primary care setting and the relevant NICE guidelines.

About us

The medical team comprises of two Consultant Psychiatrists, one Trainee, two GP Trainees, one F2 Trainee and one 1 F1 Trainee.

The ward prides itself on its multi-disciplinary team approach to patient care and, in addition to the above medical staff; we have a full contingent of junior and senior nursing staff, with further input from an activities co-ordinator, occupational therapy, physiotherapy and psychology.

Job description Job responsibilities

Roles and Responsibilities

• Establishing and maintaining therapeutic relationships with patients and those relatives, friends or carers involved in their care
• Undertake clinical assessment of in-patients with acute mental health problems
• Gain experience through observing the Consultant interviewing patients and those involved in their care, during ward reviews.
• Work closely with ward staff, mainly nursing staff, in observing patients in the ward environment and comparing notes.
• Through weekly clinical supervision with the Consultant, the trainee will learn about developing therapeutic relationships. ACE, Mini- ACE, and CbDs will be used to assess this.
• Learn, through supervised clinical work, how to take comprehensive histories. This will include perusing past psychiatric case notes, the information therein incorporated in the history. The trainee will be expected to present these histories during ward reviews, allowing them to practice these skills on a regular basis. The supervision will extend to the weekly one to one supervision sessions where more delicate matters can be discussed. Assessment of risk will be a key aim as part of the history-taking and examination of mental state. This will cover any harm to self and any harm to others.
• Examination of the patient will include not only the mental state but the patients physical state as well, including the carrying out of any relevant investigations such as blood tests or scans.
• Learn that physical healthcare is an integral part of the overall management plan for the patient, especially those chronically mentally ill patients who are unable to look after their physical health needs. ACE, Mini- ACE, and CbDs will be used to assess this.
• Demonstrate the ability to work effectively with colleagues including team working.
• Develop appropriate leadership skills
• Develop the ability to teach, assess and appraise.
• Learn to be alert regarding any risks the patients pose either to other adults or to children. This assessment will form part of the wider overall risk assessment to be undertaken in each case. Any possible risks to children, in particular, will be considered, including not only abuse but neglect. Such risk assessments will be expected as part of the ward round discussions.
• The trainee will be working on an acutely disturbed (all-male) ward where psychiatric emergencies are not infrequent. They will be in the front-line, dealing with such emergencies, with recourse to the Consultant when needed. ACE, Mini- ACE, and CbDs will be used to assess this.
• A substantial proportion of the inpatients will require medicating with psychotropic drugs. The prescribing will be the responsibility of the trainee, appropriately supervised.
• The trainee will be expected to be aware of NICE guidelines regarding prescribing, will be expected to take particular care in prescribing medications on a PRN basis, where such prescribing will be kept under review and discussed at during ward reviews and in the community OP clinics.
• The trainee will be expected, as part of good clinical practice, to explain to patients (and their relatives and carers, where appropriate) the possible side-effects of medications, at the same time giving the patients leaflets on this matter. Safe prescribing will be a priority. ACE, Mini- ACE, and CbDs will be used to assess this.
• Learn about possible psychological therapy options in each individual case. ACE, Mini- ACE, and CbDs will be used to assess this.
• Inpatient ward reviews is fundamentally a team effort and the trainee will be an integral part of that team. The trainee will be expected to demonstrate the ability and skills to work productively with the various team members and, as part of this, to be able to collate the information available to various team members regarding individual patients. This will be assessed through bi-annual Mini-PAT assessments.
• The trainee will be expected to lead during the weekly ward rounds, having collected and collated the relevant information, and to present the case in a manner that is understandable by all team members. The trainee will be expected to include other team members in the subsequent discussions. All this will be done under the supervision of the Consultant.
• The trainee will be expected to participate in the Trust in-house teaching programme. They will have opportunities to chair case conferences and local events. Over and above this, the trainee will supervise medical students who attend ward reviews.
• The trainee will participate in weekly Trust postgraduate teaching/training programme. The programme runs on Thursday morning for three ten-week terms every year. It has a case presentation, presenting the evidence, guest speaker slots and other events. The teaching is currently delivered via Microsoft Teams.
• The trainee can participate in audit and research as agreed with the supervising consultant.

Person Specification Qualifications Essential

• MBBS

Desirable

• Higher Degree in Medical Education, Clinical Research or Management. Additional Clinical Qualifications

Any attachments will be accessible after you click to apply.

274-C9274-22-6935