Job summary
Job title: Senior Clinical Fellow in Cardiothoracic Surgery
Location: Harefield Hospital
The Directorate provides both Cardiac and Thoracic Surgical services on both Royal Brompton and Harefield sites, with a Paediatric/GUCH service at the Brompton, and Transplantation at Harefield Hospital.
Cardiac Surgery, within the Heart Division at Harefield Hospital, provides a comprehensive service for patients requiring cardiac surgical intervention including:
Heart & Lung failure surgeryCoronary Artery By-pass Surgery (including total arterial revascularization and Off-Pump techniques)
Aortic Valve SurgeryMitral Valve surgery
Minimally invasive cardiac surgery (including minimal access valve replacement and endoscopic vein harvesting)Aortic Surgery
Thoracic Surgery is undertaken by 4 consultants and has an international reputation for pioneering clinical practice and research. The work involves total care of the patient, both pre and post operatively.
The post holders will rotate between the consultant firms and be fully involved in a range of cardiothoracic work. In addition to providing immediate cover to patients in cardiac recovery and on the general cardio-thoracic ward, the post holder will provide cover for intensive care emergencies. Consultant cover will be available at all times.
Main duties of the job
Main Duties & Responsibilities1. To acquaint him/herself with details of patient management in discussion with the consultants and ensure their efficient execution.2. To ensure that good communications are maintained with all medical colleagues, e.g. anaesthetists, cardiologists, nursing staff and paramedical departments such as physiotherapists, radiographers and ancillary staff, to the benefit of the patient.3. To ensure other Specialty Registrars and Consultants are kept informed regarding alteration in the condition of any of their patients.4. To ensure that all in-patient notes are kept up to date and tidy.Royal Brompton &Harefield HospitalsPart of Guy's and St Thomas' NHS Foundation Trust115. Supervise the junior staff (SHOs and Nurse practitioners) in the performance of their duties.
About us
Our Trust includes St Thomas' Hospital, Guy's Hospital, Royal Brompton and Harefield Hospitals, Evelina London Children's Hospital, and community services in Lambeth and Southwark.Our Trust has a reputation for clinical excellence and high-quality teaching and research. We are part of King's Health Partners, one of eight accredited UK academic health sciences centres. Together with King's College London we have dedicated clinical research facilities and a National Institute for Health Research (NIHR) Biomedical Research Centre. We are also working in partnership with King's Health Partners, to deliver the vision of creating a brand-new centre of excellence, which will be the global leader in the research into and treatment of heart and lung disease, in patients from pre-birth to old age.Royal Brompton and Harefield Hospitals (RB&HH) became part of Guy's and St Thomas' NHS Foundation Trust in February 2021 and the Group is the largest specialist heart and lung centre in the UK and among the largest in Europe. We provide treatment for people with heart and lung disease, including rare and complex heart and lung conditions, carrying out some of the most complicated surgery, and offering some of the most sophisticated treatment that is available anywhere in the world.
Job description
Job responsibilities
Clinical Duties1. To take history, examine and record all findings of all patients admitted under the Consultants care.2. Carry out and arrange all relevant investigations.3. To see and examine all patients under the care of the Consultant concerned, including those in the Intensive Therapy Unit ensuring communication is maintained regarding the condition of any of their patients4. To assist in the operating theatre.5. To attend and assist Outpatient clinics under the direction of the consultant and to ensure that clinic letters are dictated promptly to fall in line with the 18 week referral to treatment policy.6. To arrange for the transfer of patients to other hospitals or discharge home, and including a discharge summary on patients transfer.7. To be responsible for the care of all cardiothoracic patients on the wards when working the on-call duty during weekend and evenings.8. To perform minor surgical procedures such as chest aspiration, insertion of intercostal tubes, etc. and if necessary under the supervision of a Consultant.9. To dictate all urgent discharge summaries and ensure that these are forwarded to the patients General Practitioner or hospital of transfer within 24 hours after the patient is discharged and complete letters to General Practitioners.10. To cross cover, in conjunction with other Specialty Trainees to ensure the service is covered during periods of absence, annual or study leave and with the guidance and supervision of the appropriate Consultant.11. To keep Specialist Registrar colleagues and Consultants informed of any patient who is giving cause for concern.12. To communicate to a patients relative the progress of that patient.13. To be available for emergency calls to ITU and other parts of the hospital, if required i.e. for cardiac arrest.14. To participate in research projects which may already be in progress.15. To participate in lecturing to other staff if required, e.g. nurses and physiotherapists.16. To accept that occasional emergencies and unforeseen circumstances may occur, and to respond to the needs of the service when they arise.17. To participate in the Medical Audit Programme on a monthly basis and update PATS data entry.Additional
Job description
Job responsibilities
Clinical Duties1. To take history, examine and record all findings of all patients admitted under the Consultants care.2. Carry out and arrange all relevant investigations.3. To see and examine all patients under the care of the Consultant concerned, including those in the Intensive Therapy Unit ensuring communication is maintained regarding the condition of any of their patients4. To assist in the operating theatre.5. To attend and assist Outpatient clinics under the direction of the consultant and to ensure that clinic letters are dictated promptly to fall in line with the 18 week referral to treatment policy.6. To arrange for the transfer of patients to other hospitals or discharge home, and including a discharge summary on patients transfer.7. To be responsible for the care of all cardiothoracic patients on the wards when working the on-call duty during weekend and evenings.8. To perform minor surgical procedures such as chest aspiration, insertion of intercostal tubes, etc. and if necessary under the supervision of a Consultant.9. To dictate all urgent discharge summaries and ensure that these are forwarded to the patients General Practitioner or hospital of transfer within 24 hours after the patient is discharged and complete letters to General Practitioners.10. To cross cover, in conjunction with other Specialty Trainees to ensure the service is covered during periods of absence, annual or study leave and with the guidance and supervision of the appropriate Consultant.11. To keep Specialist Registrar colleagues and Consultants informed of any patient who is giving cause for concern.12. To communicate to a patients relative the progress of that patient.13. To be available for emergency calls to ITU and other parts of the hospital, if required i.e. for cardiac arrest.14. To participate in research projects which may already be in progress.15. To participate in lecturing to other staff if required, e.g. nurses and physiotherapists.16. To accept that occasional emergencies and unforeseen circumstances may occur, and to respond to the needs of the service when they arise.17. To participate in the Medical Audit Programme on a monthly basis and update PATS data entry.Additional
Person Specification
APPLICATION COMPLETION
Essential
- ALL sections of application form FULLY completed according to written guidelines
- Provide complete details of employment history
QUALIFICATION
Essential
- MRCS A1+A2 (or Parts 1 and 2) or equivalent
- MRCS B (or Part 3) or equivalent
- FRCS
- Eligible for full registration with the GMC at time of appointment
- At least 24 months' experience in surgery (with at least 12 months in Cardiothoracic surgery)
Desirable
- Good teaching and training
- Good working relationships with colleagues
CLINICAL SKILLS :Technical Knowledge & Clinical Expertise:
Essential
- Capacity to apply sound clinical knowledge & judgment & prioritise clinical need.
- Demonstrates appropriate technical competence & evidence of development of excellent diagnostic skills & judgement
- Validated logbook documentation of surgical exposure to date
Desirable
- Shows aptitude for practical skills, e.g. hand-eye co-ordination, dexterity, Visio-spatial awareness
- Attendance at relevant courses, e.g. ATLS, Basic Surgical Skills or equivalent
ACADEMIC / RESEARCH SKILLS
Essential
- Demonstrates understanding of the basic principles of audit, clinical risk management & evidence-based practice.
- Understanding of research basic research principles, methodology & ethics, with potential to contribute to research
- Evidence of contributing to teaching & learning of others
Desirable
- Evidence of relevant academic & research achievements, e.g. degrees, prizes, awards, distinctions, publications, presentations, other achievements
- Evidence of active participation in audit
- Evidence of participation in risk management and/or clinical/laboratory research
COMMITMENT TO SPECIALITY
Essential
- Shows realistic insight into cardiothoracic surgery and the demands of a surgical lifestyle. Demonstrates knowledge of training programme & commitment to own development. Shows critical & enquiring approach to knowledge acquisition, commitment to self-directed learning & reflective/analytical approach to practice
Desirable
- o Extracurricular activities / achievements relevant to cardiothoracic surgery
Person Specification
APPLICATION COMPLETION
Essential
- ALL sections of application form FULLY completed according to written guidelines
- Provide complete details of employment history
QUALIFICATION
Essential
- MRCS A1+A2 (or Parts 1 and 2) or equivalent
- MRCS B (or Part 3) or equivalent
- FRCS
- Eligible for full registration with the GMC at time of appointment
- At least 24 months' experience in surgery (with at least 12 months in Cardiothoracic surgery)
Desirable
- Good teaching and training
- Good working relationships with colleagues
CLINICAL SKILLS :Technical Knowledge & Clinical Expertise:
Essential
- Capacity to apply sound clinical knowledge & judgment & prioritise clinical need.
- Demonstrates appropriate technical competence & evidence of development of excellent diagnostic skills & judgement
- Validated logbook documentation of surgical exposure to date
Desirable
- Shows aptitude for practical skills, e.g. hand-eye co-ordination, dexterity, Visio-spatial awareness
- Attendance at relevant courses, e.g. ATLS, Basic Surgical Skills or equivalent
ACADEMIC / RESEARCH SKILLS
Essential
- Demonstrates understanding of the basic principles of audit, clinical risk management & evidence-based practice.
- Understanding of research basic research principles, methodology & ethics, with potential to contribute to research
- Evidence of contributing to teaching & learning of others
Desirable
- Evidence of relevant academic & research achievements, e.g. degrees, prizes, awards, distinctions, publications, presentations, other achievements
- Evidence of active participation in audit
- Evidence of participation in risk management and/or clinical/laboratory research
COMMITMENT TO SPECIALITY
Essential
- Shows realistic insight into cardiothoracic surgery and the demands of a surgical lifestyle. Demonstrates knowledge of training programme & commitment to own development. Shows critical & enquiring approach to knowledge acquisition, commitment to self-directed learning & reflective/analytical approach to practice
Desirable
- o Extracurricular activities / achievements relevant to cardiothoracic surgery
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
Additional information
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
