Job summary
Senior Clinical Fellow in Fetal CardiologyNodal Point 4 / 5 (dependent on clinical experience) Fixed term 10 months
This is fixed term post (maternity cover) for a paediatric cardiology doctor at ST5/6 or above level. The post is for 10 months duration during which time the fellow will work and be trained in all aspects of fetal cardiology. This will include detailed ultrasound examination of the fetal heart, counselling and management of fetal congenital heart disease and fetal arrhythmias. The candidate will need to be competent in performing paediatric echo and ideally have completed the EACVI accreditation.
Main duties of the job
Timetable of an average week
Average week includes approximately:7 fetal cardiology clinic sessions1 multidisciplinary fetal medicine meeting1 paediatric cardiology clinic session1 Cardiac surgical meeting Fetal & paediatric cardiology teaching meetingsOn call in paediatric cardiology (1:12)
Teaching and training is provided including case-based discussion and attendance at fetal cardiology teaching with is run as part of the paediatric cardiology teaching programme.
This post will provide the postholder with advanced training in prenatal diagnosis and management of congenital heart. The postholder will gain experience in all aspects of fetal cardiology. Commitment to paediatric cardiology service provision, including paediatric cardiology clinics and on-call is also an integral part of the post. It is expected that by the end of the post the successful candidate will have competencies in scanning the fetal heart, diagnosis of fetal heart defects and have experience of counselling expectant parents.
About us
The fetal cardiology service is one of the largest in the UK and internationally. The unit has an extensive referral network, receiving patients from 30 different obstetric units. Clinics are located both at ELCH, King's College Hospital (Harris Birthright Centre for Fetal Medicine) and at Medway Maritime Hospital. Over 3500 pregnant women have fetal cardiac assessment each year across the three sites. Across the sites over 600 cases of fetal congenital heart disease are diagnosed and managed. Around 150-200 pregnancies affected by major congenital heart disease in the fetus are transferred for delivery at the St Thomas' site. The postholder would be expected to undertake clinical work at Evelina, Kings' College and Medway sites.
The unit functions as a multidisciplinary team. There are 6 fetal cardiology consultants with their primary base within the department, 4 consultants based at the Royal Brompton undertaking clinics at ELCH, 6 clinical nurse specialists, 5 sonographers and 3 administrative staff.
There is a combination of consultant-led clinics where all abnormal cases are scanned and reviewed by a consultant and sonographer-led clinics providing screening for lower risk cases. Where clinically appropriate, babies with congenital heart defects are delivered at St Thomas' Hospital for immediate postnatal treatment including patients from the Royal Brompton fetal cardiology network hospitals.
Job description
Job responsibilities
The postholder will be expected to take part in the full range of clinical activities of the department. The duties, sufficient to maintain and develop their pre-existing skills, will be negotiated with the Educational Supervisor and Consultants in paediatric cardiology.
Clinical:The postholder will also be expected to undertake a mixed range of duties at senior registrar level (under the supervision of a consultant). These will include but are not limited to outpatient commitments, participating in joint discussions about patients and in the allocation of clinical duties within the department if the need arises. The postholder will care for inpatients and out-patients both within the department and at outreach clinics.
The postholder will, together with other consultant colleagues and trainees, be responsible for the provision of paediatric cardiology and fetal cardiology services to the Guys & St Thomas Hospital Trust to include:
Diagnosis and treatment of patients of the Guys and St Thomas Hospital Trust in such hospitals, health centres or clinics or other premises as required. The clinical management of inpatients of the paediatric cardiology service. Continuing clinical responsibility for the patients in your charge, allowing for all proper delegation to, and training of, staff. Undertaking independent outpatient clinics both within Guys & St Thomas and at outreach centres (with responsibility to a named consultant). The diagnosis and treatment of patients occupying accommodation made available under Sections 58, 65 and 66 of the National Health Service Act 1977, in so far as such patients have not made private arrangements for such treatment under Section 65(2) of the Act.
Please refer to the Job description for details
Job description
Job responsibilities
The postholder will be expected to take part in the full range of clinical activities of the department. The duties, sufficient to maintain and develop their pre-existing skills, will be negotiated with the Educational Supervisor and Consultants in paediatric cardiology.
Clinical:The postholder will also be expected to undertake a mixed range of duties at senior registrar level (under the supervision of a consultant). These will include but are not limited to outpatient commitments, participating in joint discussions about patients and in the allocation of clinical duties within the department if the need arises. The postholder will care for inpatients and out-patients both within the department and at outreach clinics.
The postholder will, together with other consultant colleagues and trainees, be responsible for the provision of paediatric cardiology and fetal cardiology services to the Guys & St Thomas Hospital Trust to include:
Diagnosis and treatment of patients of the Guys and St Thomas Hospital Trust in such hospitals, health centres or clinics or other premises as required. The clinical management of inpatients of the paediatric cardiology service. Continuing clinical responsibility for the patients in your charge, allowing for all proper delegation to, and training of, staff. Undertaking independent outpatient clinics both within Guys & St Thomas and at outreach centres (with responsibility to a named consultant). The diagnosis and treatment of patients occupying accommodation made available under Sections 58, 65 and 66 of the National Health Service Act 1977, in so far as such patients have not made private arrangements for such treatment under Section 65(2) of the Act.
Please refer to the Job description for details
Person Specification
Research
Essential
- Experience of using a database for data entry and collection.
Desirable
- Experience of clinical or basic sciences research
- Paediatric or fetal cardiology peer-reviewed publication in journal
Qualifications and Training
Essential
- Full GMC Registration
- 2 years' experience as paediatric cardiology with competencies at ST5-6 level
- MRCP or MRCPCH or equivalent
- Minimum of 7 years' experience in clinical medicine or research posts
Desirable
- MSc or other degrees / qualifications
- Higher degree eg MD (res), PhD
Clinical Experience
Essential
- Up to date logbook/eportfolio of ST5-6 paediatric cardiology competencies or equivalent
- Observed fetal cardiology clinics
Desirable
- Demonstrable competencies and logbook of practical aspects of fetal echocardiography and prenatal counselling at ST7 level
- Use of advanced imaging modalities in fetal cardiology of paediatric cardiology e.g. 3D, deformation imaging, fetal cardiac MRI
Knowledge and Skills
Essential
- Competent to work without direct supervision where appropriate
- The ability to take individual responsibility for planning and undertaking own work
- Ability to work as an effective member of a multidisciplinary team
- Ability to take individual responsibility for planning and undertaking own work
- Awareness of own limitations
Desirable
- Demonstrates use of evidence-informed practice
- EACVI accreditation in congenital echocardiography
Management
Essential
- Good written and verbal communication skills
- The ability to use information technology
- An awareness of and positive attitude to equal opportunities issues within healthcare and education
Desirable
- Involvement in audit, service evaluation or service development
- Demonstrates management experience in or outside specialty / medicine
Teaching
Essential
- Commitment to teaching of medical and other staff including medical students
Desirable
- Formal teaching qualification
- Evidence of teaching in organised courses/meetings
Good Medical Practice
Essential
- Evidence of understanding of and adherence to the principles of Good Medical Practice set out by the General Medical Council
Desirable
- Demonstrate examples of Trust values
Person Specification
Research
Essential
- Experience of using a database for data entry and collection.
Desirable
- Experience of clinical or basic sciences research
- Paediatric or fetal cardiology peer-reviewed publication in journal
Qualifications and Training
Essential
- Full GMC Registration
- 2 years' experience as paediatric cardiology with competencies at ST5-6 level
- MRCP or MRCPCH or equivalent
- Minimum of 7 years' experience in clinical medicine or research posts
Desirable
- MSc or other degrees / qualifications
- Higher degree eg MD (res), PhD
Clinical Experience
Essential
- Up to date logbook/eportfolio of ST5-6 paediatric cardiology competencies or equivalent
- Observed fetal cardiology clinics
Desirable
- Demonstrable competencies and logbook of practical aspects of fetal echocardiography and prenatal counselling at ST7 level
- Use of advanced imaging modalities in fetal cardiology of paediatric cardiology e.g. 3D, deformation imaging, fetal cardiac MRI
Knowledge and Skills
Essential
- Competent to work without direct supervision where appropriate
- The ability to take individual responsibility for planning and undertaking own work
- Ability to work as an effective member of a multidisciplinary team
- Ability to take individual responsibility for planning and undertaking own work
- Awareness of own limitations
Desirable
- Demonstrates use of evidence-informed practice
- EACVI accreditation in congenital echocardiography
Management
Essential
- Good written and verbal communication skills
- The ability to use information technology
- An awareness of and positive attitude to equal opportunities issues within healthcare and education
Desirable
- Involvement in audit, service evaluation or service development
- Demonstrates management experience in or outside specialty / medicine
Teaching
Essential
- Commitment to teaching of medical and other staff including medical students
Desirable
- Formal teaching qualification
- Evidence of teaching in organised courses/meetings
Good Medical Practice
Essential
- Evidence of understanding of and adherence to the principles of Good Medical Practice set out by the General Medical Council
Desirable
- Demonstrate examples of Trust values
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.
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.
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
