Registrar – Step Down Unit (SDU)

Charter Medical Private Hospital (CMPH) is a 77-bed surgical hospital located on the outskirts of Mullingar with four operating theatres and an endoscopy unit. We provide a wide range of surgical care across multiple specialties and offer 24/7 Stepdown, Minor Injuries, and Rapid Access services in collaboration with the HSE.

Role Summary
The Registrar – Step Down Unit (SDU) provides medical care to patients requiring post-acute or intermediate care within Charter Medical Private Hospital. This role supports the clinical management of patients in the Step-Down Unit and provides cover to the Rapid Access Clinic (RAC) as required. The post holder will work collaboratively with the Consultant Physicians, Nursing Teams, and Allied Health Professionals to ensure safe, patient-centred care in line with CMPH standards and regulatory requirements.

Key Responsibilities 
Clinical Care
• Provide medical cover for the Step Down Unit on a rotational 24/7 basis and support RAC services as required.
• Perform daily ward rounds and attend multidisciplinary meetings.
• Manage patient admissions, reviews, prescriptions, and discharge summaries in accordance with hospital policy.
• Respond promptly to medical emergencies, cardiac arrests, and urgent care situations within the hospital.
• Lead resuscitation efforts and coordinate the on-site emergency response team when necessary.
• Maintain legible, accurate, and timely clinical records in line with professional standards.
• Participate in resuscitation exercises, audits, and safety huddles.
• Cover in the Rapid Access Clinic (RAC) as required.

Professional Practice & Compliance
• Work under the supervision of Consultant Physicians while maintaining autonomy appropriate to the Registrar grade.
• Comply with CMPH and HSE policies, procedures, and clinical governance frameworks.
• Safeguard patient dignity, confidentiality, and privacy in accordance with the Patient Charter.
• Support safe clinical practices within SDU and RAC, ensuring adherence to infection prevention, medication safety, and documentation standards.
• Demonstrate flexibility in covering other clinical areas if required.

Education & Professional Development
• Maintain continuous professional development (CPD) in accordance with Irish Medical Council (IMC) requirements.
• Attend mandatory and in-service training sessions.
• Participate in clinical audits, quality improvement initiatives, and peer review processes.
• Engage in teaching and mentorship of undergraduate medical students as part of CMPH’s affiliation with RCSI.
• CMPH supports professional education through funding for approved courses such as the Certificate in Healthcare Management (UCD) or Clinical Care in Residential Care Facilities (RCPI).

Essential Criteria - Knowledge/ Experience

Each candidate must, at the latest date for receipt of completed applications for the post:
• MRCPI / FRCPI / MICGP qualification.
• Minimum of two years’ experience in an acute hospital setting, ideally with gerontology or related discipline.
• Registered with the Irish Medical Council.
• Valid BLS, PLS, and ACLS certification.
• Evidence of completed CPD within the previous 12 months.
• Demonstrated ability to work independently and as part of a multidisciplinary team.
• Strong interpersonal and communication skills.
• Flexibility to work across SDU, RAC, and other clinical areas as required.

Skills/ Competencies    

Clinical Expertise
• Applies a high level of clinical knowledge and sound judgement in the assessment, diagnosis, and management of patients in post-acute and intermediate care. 
• Demonstrates proficiency in managing complex cases, escalating appropriately, and adhering to evidence-based protocols.

Decision-Making & Accountability
• Makes effective clinical decisions under pressure, prioritising patient safety and quality outcomes. 
• Takes ownership for decisions and actions, showing professional integrity and adherence to ethical standards in all aspects of patient care.

Communication & Interpersonal Skills
• Communicates clearly, concisely, and respectfully with patients, families, and the multidisciplinary team. 
• Demonstrates empathy and active listening while providing clear information and managing sensitive discussions with professionalism.

Teamwork & Collaboration
• Contributes positively within a multidisciplinary environment, recognising the roles and expertise of colleagues. 
• Encourages open communication, mutual respect, and cooperation to enhance patient outcomes and team performance.

Patient-Centred Care
• Places the patient at the core of all decision-making. 
• Demonstrates compassion, respect, and cultural sensitivity while promoting autonomy, empowerment, and shared decision-making in care delivery.

Quality & Risk Awareness
• Understands the principles of clinical governance, audit, and risk management. 
• Actively participates in quality improvement activities, ensuring compliance with hospital policies, safety standards, and national regulations.

Professionalism & Ethical Practice
• Upholds the highest standards of professional conduct, maintaining confidentiality and ethical integrity at all times. 
• Demonstrates honesty, accountability, and respect for colleagues and patients alike.

Continuous Learning & Improvement
• Engages in lifelong learning, reflective practice, and continuous improvement. 
• Applies current evidence-based research to enhance personal practice and service delivery standards.

What We Offer
• Competitive salary
• Sign on Bonus
• Full-time, permanent employment contract
• Continuous professional development and training opportunities
• Supportive, collaborative working environment
• Employee Assistance Programme
• Opportunities for career progression
• Free on-site parking

At Charter Medical Private Hospital, diversity and inclusion are at the heart of our values. We welcome applications from individuals of all backgrounds and ensure equal opportunity in hiring and advancement.