Registrar in Nephrology

St James’s Hospital
Employment Type
Not disclosed
St James’s Hospital logo

Position: Registrar in Nephrology

Assignment Department of Nephrology, St. James’s Hospital

Commencement Date

Monday, 11th July 2022

MED Directorate

The Medicine and Emergency Directorate, (MED), which includes all specialties in Internal Medicine, was established in 2014 and has consolidated all specialties of medicine within a single clinical governance structure. It’s mission, aims and objectives focus on safety, (zero harm), quality, (excellent outcomes), patient experience, access and flow. 

The Directorate has agreed a clinically-led management cycle for continuous improvement for adoption across its specialties. Clinical Specialty Leads have been appointed with a common structure and data-driven approach to specialty and directorate operations meetings.

Department of Nephrology

The speciality of Nephrology in St. James’s Hospital is primarily focused on providing an inpatient acute consultative service for patients with kidney disease and acute or chronic kidney injury. It provides an acute inpatient haemodialysis service and an outpatient clinical service. The service has a multi-disciplinary team based approach to patient care to minimise the complications of kidney disease and prepare patients who develop kidney failure for dialysis or transplantation.

Principal Duties and Responsibilities 

The Registrar post contributes to a four person team which includes three Registrars and one SHO. Learning opportunities are based around situational teaching, daily Consultant-led patient handover and ward rounds, weekly formal registrar teaching, regular inter-specialty seminars and a clinical audit programme. Research in Renal Medicine is actively supported within the department.

Candidates will:-


  • be responsible for the safe and efficient assessment of all patients
  • work under consultant supervision to lead the management of all renal in- and outpatients as well as renal referrals. 
  • liaise effectively with other specialty teams in relation to patient referrals
  • supervise handover at the end of each shift.
  • balance service demands with their personal educational needs and those of the doctors and medical students they supervise
  • be supportive of junior staff, ANPs, nurses and other team members
  • participate in clinical risk management, audit and research activities
  • comply with departmental clinical guidelines
  • receive support by the Consultants and their Registrar colleagues.
  • work a full shift roster, to a maximum of 44 hours per week, on average.
  • comply with departmental leave policies and procedures
  • demonstrate appropriate levels of professionalism in all aspects of their work and behaviour

Education and Training

  • Participate in mandatory and recommended training programmes in accordance with organisational / professional requirements
  • Maintain and develop professional expertise and knowledge by actively engaging in continuing professional education and development
  • Engage in planning and performance reviews as required with the Supervising Consultant

Health & Safety

  • Comply with the policies, procedures and safe professional practice of the Irish Healthcare System by adhering to relevant legislation, regulations and standards
  • Document appropriately and report any near misses, hazards and accidents and bring them to the attention of relevant / designated individual(s) in line with best practice
  • Work in a safe manner with due care and attention to the safety of self and others
  • Be aware of risk management issues, identify risks and take appropriate action
  • Promote a culture that values diversity and respect


(In consultation with the supervising Consultant)

  • Ensure good working practice and adherence to standards of best practice
  • Promote quality by reviewing and evaluating the service, identifying changing needs and opportunities to improve services
  • Assist the Consultant in service development, including policy development and implementation
  • Ensure the maintenance of accurate records in line with best clinical governance, the organisation’s requirements and the Freedom of Information Act, and provide reports and other information / statistics as required
  • Engage in service audit and demonstrate the achievement of the service objectives
  • Represent the department / profession / team at meetings and conferences as appropriate
  • Keep up to date with change and developments within the Irish Health Service

The above Job Description is not intended to be a comprehensive list of all duties involved and consequently, the post holder may be required to perform other duties as appropriate to the post which may be assigned to him/her from time to time and to contribute to the development of the post while in office

Eligibility Criteria

Qualifications and/ or experience 

Applicants are expected to have completed BST in Internal Medicine or Intensive Care Medicine. 

Possession of a post-graduate qualification (eg MRCP), will be advantageous to the candidate, but is not a requirement for the post. 

Candidates are expected to be ACLS providers. Core requirements for this post include: a demonstrable commitment to General Medicine, good decision making, a broad clinical knowledge base and appropriate clinical skills, awareness of patient safety and risk management issues and the ability to work efficiently under pressure and as part of a team.

Before applying for the post:

Each successful candidate must hold General Registration or Trainee Specialist Division Registration with the Irish Medical Council.


A candidate for and any person holding the office must be fully competent and capable of undertaking the duties attached to the office and be in a state of health such as would indicate a reasonable prospect of ability to render regular and efficient service.

Skills, competencies and/or knowledge

Candidates will have:

  • sufficient command of the English language to effectively carry out the duties and responsibilities of the role
  • sufficient clinical knowledge and evidence based practice to carry out the duties and responsibilities of the role
  • an ability to apply knowledge to evidence based practice
  • leadership potential
  • the ability to plan and deliver care in an effective and resourceful manner
  • an ability to manage and develop self in a busy working environment
  • the ability to effectively evaluate clinical information and make appropriate decisions
  • a commitment to assuring high standards and strive for a patient centred service
  • work as part of a team and respect the views and suggestion of others
  • effective communication and interpersonal skills including the ability to collaborate with colleagues, families etc and good presentation skills
  • awareness and appreciation of the patient and the ability to empathise with and treat others with dignity and respect
  • flexibility and openness to change
  • ability to utilise supervision effectively
  • a willingness to develop IT skills relevant to the role

Application Process

Informal enquires to either Dr Brenda Griffin, Consultant Nephrologist, on or email: or Dr Satish Jayawardene, Consultant Nephrologist, on or email: 

If you require any further information regarding the above post please contact the medical workforce unit on or .

Closing date: 8th July 2022

St James’s Hospital is an equal opportunities employer. St James’s Hospital is a Tobacco Free Campus. The use of Tobacco or Electronic Cigarettes is not permitted within the Hospital Buildings or on the grounds