Consultant Republic of Ireland HSE Hepatology Medicine in Leinster Region 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 - Leinster Region (Louth, Meath, Monaghan, Longford, Westmeath, Offaly, Laois, Carlow, Kilkenny, Wexford, Dublin, Wicklow, Kildare, Cavan)
***Speciality: Medicine: Hepatology Physician

*** Role: Consultant (6+ years post graduate experience)

*** Duration: 12 months (FREE visa & work permit + relocation package offered)

*** 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

Applications are invited for the post of Consultant Hepatologist at our clients University Hospitals Group covering health care across Leinster Region- based within two HSE Hospitals.

Your role will incorporate hepatobiliary clinics and endoscopy; out of hours GI bleed commitment as well as inpatient workloads, giving a wide variety to the working day. The hospital can also offer a wide range of opportunity within your job plan to innovate or develop your skills to include training in ERCP, EUS endoscopy, community transplant, teaching or research.

The team comprises of 2 Hepatologists, a Hepatology Nurse Consultant, Clinical Nurse Specialist, Specialist Nurse, Community Viral Hepatitis Nurse, 2 FibroScan technicians, a well embedded Alcohol Liaison service and a Nurse-Led Paracentesis team. The hospital has an outstanding Radiology and Interventional Radiology department, with a cohesive Hepatobiliary cancer multi-disciplinary team and provide locally. The hospital are a fully JAG accredited endoscopy service in a recently refurbished unit consisting of 5 suites with a further suite at our satellite unit at the secondary hospital. Both have a dedicated team, passionate about delivering care.

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 €217,235 to €261,051 Euro’s per annum plus a further euro 26,672 per annum available in Commitment Awards.

Specific Duties

·       Maintenance of the highest clinical standards in the management of Hepatology.

·       To share with colleagues responsibility for the day to day management of the Gastroenterology department.

·       Teaching and training of junior staff and medical students where applicable.

·       To have responsibility for ensuring active participation in continuing medical education (CME).

·       To actively participate in both departmental and Trust matters concerning Clinical Governance and Audit.

·       To attend meetings as appropriate.

·       Fulfill duties of weekly timetable.

·       Undertake on-call duties for both Gastroenterology with some General Medicine.

Associated GI specialties

The unit functions as a multidisciplinary service with close collaboration with upper and lower GI surgery, GI radiology, oncology and pathology.

There are currently ten gastrointestinal surgeons, four with upper GI and six with colorectal sub-specialisation. Upper GI cancer, complex hepato-bilary and pancreatic surgery have recently become centralised at a University Teaching Hospital. Cases are discussed at a regional MDT by video link and RCHT upper GI surgeons travel to the secondary site to operate on these patients. Non-cancer upper GI surgery remains on site at the teaching hospital. Lower GI cancer and complex IBD surgery is provided on site at teaching hospital. Three consultant radiologists have a particular interest in GI interventional and diagnostic radiology. MRI and CT scanners are available on site. Endoscopic ultrasound has been developed jointly between medical gastroenterology and radiology and is used extensively in the staging of upper GI and hepatobiliary cancer.

Daily oncology clinics are currently run on site by five oncologists. One of the oncologists has a specific GI interest and is involved in national and international studies of chemotherapy for oesophageal, gastric and pancreatic cancers. A new linear accelerator for radiotherapy is commissioned and recently a new generation multi slice 4D CT scanner has been acquired that will allow highly accurate radiotherapy targeting. . Two of seven pathologists have a specific interest in GI disease and hepatology.

In-Patient gastroenterology & Hepatology

Medical in-patient gastroenterology deals with all patients presenting to the hospital with acute upper gastrointestinal haemorrhage, acute decompensated chronic liver disease, luminal and hepato-biliary malignant disease. ERCP lists occur three times a week with a limited provision of out of hours emergency ERCP. A 6 day GI bleed list operates each morning. Plans are in underway to expand this to a 7 day service within the next 12 months.

The hospital nutrition team is led by a consultant gastroenterologist and consultant biochemist. The medical wards are specialty based and thus the majority of patients on the ward have GI disease, although general medical patients are admitted, dependent on the acute bed-status of the hospital.

Endoscopy Services

Endoscopy is also performed at the teaching hospital in the purpose built Endoscopy Unit within the Day Case suite. Both sites are JAG accredited for Bowel Cancer Screening and Bowel Scope Screening. The secondary satellite unit has been awarded teaching recognition by JAG due to its facilities and well managed approach.

A full range of state of the art diagnostic and therapeutic endoscopic procedures are performed including:

·       Endoscopic management of acute non-variceal and variceal bleeding.

·       Oesophageal dilatation.

·       Botulinum toxin injection for achalasia.

·       Oesophageal banding for varices.

·       Oesophageal, duodenal and colonic stenting.

·       Endoscopic mucosal resection of upper and lower GI tumours.

·       Argon beam diathermy for tumours and bleeding lesions.

·       Enteroscopy.

·       Diagnostic and therapeutic ERCP.

·       Endoscopic ultrasound.

·       Capsule Endoscopy

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 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.

The post is remunerated at 10 + 2 PAs.

The service operates a GI bleed facility which takes place 6 days per week. Future plans to expand to 7 days are in progress. The opportunity to join this rota may become apparent after negotiation with the specialty lead.

Should this be adopted by the post holder, out of hours enquiries for advice and requests to perform out of hours endoscopy, does occur during these periods. If the call results in an attendance to perform out of hours endoscopy, compensatory rest time will be given the following morning/ + afternoon dependant on the

length of time spent undertaking duties and the finish time.

Timetables vary considerably to cover the above work. As a team, all the Consultants and Specialists have to show a large degree of flexibility to cover the service and individual specialties depending on workload and colleague availability. There is an expectation that timetables support the delivery of care at times of highest need such that patient flow and elective delivery is not compromised.

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 Medicine: Hepatology

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.

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.

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.

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.

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

Doctors Guide to working in the Republic of Ireland – Click here

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.***