Consultant Republic of Ireland HSE Nephrology Paediatric Nephrologist 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: Nephrology Paediatric Nephrologist Paediatrician

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

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

*** 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

We are looking to appoint a Consultant Physician with a specialist interest in Nephrology based at our client’s University Hospital (on a full-time or part-time basis). 

The successful candidate will join a team of six Nephrologists and six (four full-time, two-part time) Acute Physicians.

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.

Nephrology

The Department of Nephrology is based at the University Hospital and serves the population of Leinster.    The medical staffing of the department currently consists of four Consultant Nephrologists, two Acute Physicians with an interest in Nephrology, two Registrars (Nephrology & G(I)M), and three Foundation doctors (one year two, and two year one); a Core Medical Trainee.

The Department currently cares for approximately 325 patients with 40 paediatrics cases, with end stage renal failure, treated by haemodialysis, peritoneal dialysis, kidney (and pancreas) transplantation, and conservative (non-dialytic) care.

The Department is supported by 3 Chronic Kidney Disease specialist nurses, who run the anaemia programme and provide on-going care for 200+ low clearance patients.

The main Haemodialysis Unit is based at the hospital. This is a 14 stationed unit operating three shifts a day on a Monday, Wednesday and Friday and two shifts on a Tuesday, Thursday and Saturday.  There is a satellite unit based at a nearby Hospital with eleven stations operating two shifts daily Monday to Saturday.

The Therapies Team has been recently expanded to allow more patients to be supported to dialyse in their own home. This includes peritoneal as well as haemodialysis and there are training rooms on both sites.  There are currently approximately 35 patients treated with peritoneal dialysis, split between APD and CAPD.

Acute transplantation is undertaken at the other hospital facility in the region. Assessment and work-up is undertaken locally and follow-up of post-transplant patients is undertaken by the base unit at approximately day 10 post-transplant.  There are approximately 160 renal transplant patients currently under supervision in Leinster.

Out-patient clinics are based at the University Hospital. Access for haemodialysis and peritoneal dialysis is undertaken via Consultant Surgeons and Radiologists at the University Hospital.  Renal biopsies (native and transplant) are undertaken by Consultant Radiologists, based at the hospital.  The interpretation of biopsies is undertaken locally by two Pathologists with a special interest in renal pathology.  Other diagnostic services are available from the Radiology, Medical Physics, and Blood Sciences Departments, again based at the University Hospital and General Hospital.

The Renal ward is an eighteen bedded renal / general medical ward. In addition, there is a haemodialysis cubicle on the ward.  The three Consultant Nephrologists together with the above mentioned junior staff are responsible for the inpatients both renal and general medical. The type of general medical patients received from the admissions unit is dependent on bed availability and underlying problem wherever possible. Patients are allocated to individual consultants dependent upon their geographical position in the ward unless patients are already under active outpatient follow up by an individual consultant who will then continue their inpatient management. The Nephrologists take part in the acute general medical rota, which is currently running on an approximately 1 in 18 basis for the three Consultant Nephrologists. 

The medical on call is based on the Acute Medical Unit on wat the University Hospital. The duties are mostly covering evening shifts (5:30pm-10pm present in the hospital, and then overnight from home) plus occasional weekend shifts for G(I)M, 1 in every 6 weekends. The on call G(I)M physician supervises the on call team undertaking unselected general medical admissions.

On call for nephrology is on the basis of a Nephrologist of the week currently shared between the four Consultant Nephrologists; two further Consultant Acute Physicians contribute to the weekend rota.

The renal department regularly undertakes audit both locally and nationally and the activities are supported by an IT/Audit officer.

Acute Medicine

The Acute Medical Unit is situated on the hospital site has 30 beds. It comprises acute admission and short stay for medical admissions only. Patients are admitted direct from the community following assessment by general practice, or from the Emergency Department. The typical take is of 30-40 patients over 24 hours. Patients admitted overnight become the responsibility of the Acute Medicine Consultant at 8am, and are reviewed as part of a post-take ward round by the Acute Medicine Consultant.

The junior medical team comprises 3 Acute Medicine Registrars (one of whom is seconded to specialties as per their training requirements), a rotating General Medicine Registrar, 7 SHO (Senior House Officer) trainees undertaking a full-shift rota and 7 HO ( House Officer)  trainees undertaking a full-shift rota

Ambulatory Emergency Care is located on the ward with 2 assessment cubicles and an assessment bay of 5 spaces. It is open from 9am to 8pm on weekdays and is staffed by Nurse Practitioners. This area is shared with the General Surgical team. Each day an average of 10 medical patients attend Ambulatory Emergency Care each day. Access is through General Practice or the Emergency Department.

The Acute Medicine Consultant working on the ward for that day holds responsibility for the patients and is expected to supervise the nurse practitioners and the allocated acute medical registrar for that day.

Remote cardiac telemetry is available on the ward and is monitored on CCU. Patients requiring a higher degree of monitoring are transferred to CCU or HDU, as clinical need requires.

Stroke services run a regional on-call with thrombolysis undertaken under the remote supervision of the on-call stroke specialist by the medical registrar.

Cardiology has a dedicated on-call service providing 24 hour PCI cover for STEMI and unstable NSTEMI, as well as cardiac pacing and advice.

The trust runs a GI Bleed rota for interventional endoscopy 24 hours a day. This is rota is staffed by gastroenterologists and general surgeons.

This is an opportunity to join an organisation in which Clinicians are at the forefront of management.

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: Nephrology Paediatric 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.

On-call commitment:

Renal on call: 1 in 5 (weekday); approx. 1 in 6 (weekend)

Acute Medicine on Call: 6 weekends per year

General (Internal) Medicine on call: 1 in eighteen weekdays (Monday – Thursday)

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 General Medicine: Nephrology Paediatric

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.***