Job Plan: Dual ICM & Acute Internal Medicine

Basic Info:

Number of years as a consultant	3
Single or dual (which specialty if dual)	Dual with Acute Internal Medicine
On calls in which specialty	Both

Unit Info

Number of beds	ICM 8-10
General +/or subspecialties (Paeds, Neuro, Cardiac)	General
Single site or split site working	Single site

Annualised Job Plan?	No
DCC’s: Daytime On call/Out of hours All ICM or split between another specialty?	7 1 4.5 AIM, 2.5 ICU
SPA – Core Other	1.5 PAs 0.5 PAs
Resident on call?	No
Frequency of on call	ICM - 1:16 AIM - 1:14
Additional roles and PA’s	Nil currently
If dual specialty, how is it funded between specialties?	As per clinical allocation (4.5, 2.5). SPA 50/50 split

WEEK 1

WEEK 2

We're a small DGH which in some ways has been helpful in creating a consultant job for a non-anaesthetist, as we have good relationships with the physicians and management were open to discussions.
There were some challenges in getting agreement in creating the job plan, how the job would be split and paid for, and coordinating recruiting when both acute medicine and ICM needed to employ, as well as the uncertainty of how it would work.
However once appointed, there has been a better understanding of the benefits all round. It has been incredibly helpful for us to have the link into medicine and we get a different perspective on the pressures on the wards.
Subsequent job plans have adapted the original to boost ICM cover during Covid and also to adapt to local needs