Clinical Fellow in Paediatric Cardiac Anaesthesia

Job description

Job responsibilities

Leeds has one of the largest Childrens Hospitals in the country, delivering surgical procedures to over 12 000 children per year, including approximately 300 neonates. The trust delivers around 500 congenital cardiac operations per year. Leeds congenital unit is the second largest unit in the UK for interventional cardiology procedures, with around 600 congenital, 100 electrophysiology and 50 pacing procedures per year. It provides paediatric cardiac anaesthesia services for patients from the local population as well as, a very large tertiary referral area. Other specialist paediatric services in Leeds include laparoscopic and robotic surgery, airway surgery, liver and renal transplant, neurosurgery, and major plastic reconstructive surgery. The trust is also a paediatric major trauma centre with a 16 bed PICU, a 6 bed HDU and a tertiary NICU.

MEDICAL STAFF IN THE DEPARTMENT

The Anaesthetic Department

Leeds Teaching Hospitals employs over 149 Consultant Anaesthetists, each with their own subspecialty interest. The Department of Anaesthesia is based across two sites at St James Hospital and the Leeds General Infirmary.

Leeds Childrens Hospital Anaesthetic Department

The Childrens Hospital is located within the Leeds General Infirmary. There are 22 Consultant Paediatric Anaesthetists, 6 Paediatric Cardiac Anaesthetists and 10 PICU Consultants. The surgical and cardiology teams comprise of 4 Congenital Cardiac Surgeons and 10 Cardiologists (including 3 interventional and 2 electrophysiology/pacing cardiologists).

OBJECTIVES OF THE POST

1.To work with paediatric cardiac anaesthetic colleagues in the provision of a comprehensive paediatric cardiac anaesthetic service in the Leeds Childrens Hospitals.

2.To develop or consolidate expertise in paediatric cardiac anaesthesia and fulfil all requirements for advanced training in paediatric cardiac anaesthesia.

3.To maintain and contribute to the teaching and research activities, already established within the Trust.

4.To support service plans for the specialty, taking account of the changes in clinical practice and new technologies available.

5.To participate in and progress clinical governance.

KNOWLEDGE, SKILLS AND EXPERIENCE REQUIRED

3.REQUIREMENTS OF THE POST

3.1General Training and Qualifications

The appointee must hold the FRCA (or equivalent anaesthetic qualification) and have completed the equivalent of 6-12months advanced training in paediatric and/or cardiac anaesthesia, as per the Royal College of Anaesthetists current curriculum.

3.2Experience

The appointee must be able to demonstrate at least six months experience in paediatric and/or cardiac anaesthesia by the time of intended start date. As this post is funded by the NHS, priority will be given to candidates who, once they have completed this post, would be eligible to commence a consultant post in Tertiary Paediatric Cardiac Anaesthesia in the UK.

3.3Research

This is a clinical, as well as an academic post and hence the appointee will be expected to actively participate in research projects. Access to paper based as well as electronic publications is available in the hospital library and within the anaesthetic department. The involvement of trainees in research is encouraged and supervision is provided. PC access and other I.T. support is also available.

3.4Personal Skills (Please see person specification for details)

3.5Clinical Audit

The appointee will be expected to contribute and, where appropriate, take the lead in the following:

Mortality and morbidity meetings

Clinical audit and quality improvement projects

Development and application of agreed clinical guidelines.

In the discharge of these responsibilities the candidate will be expected to maintain and update his/her skills and knowledge through appropriate continuing medical education.

DUTIES OF THE POST

Aim

This post is designed to provide advanced sub-specialty training in paediatric cardiac anaesthesia.

Objective

The post would be suitable for those wanting to specialise in paediatric cardiac anaesthesia and it will provide extensive training and experience in this sub-specialty. It will also give significant opportunities for clinical audit and research.

Summary of post

The post is for one year and can be tailored to previous experience but the majority of time will be spent in paediatric cardiac theatres with a proportion of the time in the cardiology interventional lab and cardiac MRI. Other modules would include dedicated time with perfusion (2

weeks), transthoracic echo/transoesophageal echo (1 month with cardiologists and sonographers), Research/QI/Audits and congenital cardiac education in the form of monthly CCAN formal teaching and involvement in departmental/PICU SIM training. Time on PICU can

be arranged depending on the needs of the individual.

This post will have an out of hours banding supplement. Shift patterns are normal and long days, nights as well as some weekend commitments. The shift pattern in currently 1:8 and the out of normal working hours work commitments will be on the general paediatric registrar rota. Daytime work/training will be in paediatric cardiac theatres and other cardiac areas.

LEVELS OF RESPONSIBILITY

The Trust as a teaching hospital recognises the importance of links with the University and Leeds School of Medicine for undergraduate teaching, and all clinical fellow and medical staff are required to provide an appropriate contribution to the undergraduate teaching programme.

The post holder will be required to participate in the informal teaching of medical students, nurses and operating department practitioners/assistants.

The post holder will have access to the Trusts extensive and spacious library in the Clinical Sciences Building that house approximately 5,500 books and several hundred journals. Staff in this library will also arrange loans of books etc. from the Medical School Library and the National Lending Library based at Boston Spa.

TEACHING AND RESEARCH/STUDY AND TRAINING

The post will have protected time for clinical audit, research and teaching. The trainee will be expected and encouraged to take part in these activities as part of their one-year training post. LTHTs anaesthetic department has an active academic department that is attached to the University. Trainees will be required to attend regular monthly M&M meetings and bi-monthly paediatric Journal club.

ENQUIRIES

Prospective applicants are encouraged to visit the Departments and are invited to

contact Dr Carol Bodlani or Dr Wendy Lim, Paediatric Cardiac clinical supervisors via Mrs Yvonne Khan, Department of Anaesthesia, Leeds General Infirmary, telephone number, 0113 3926672.

THE LEEDS WAY VALUES

Our values are part of what make us different from other trusts, so we see this as a strength, as well as a responsibility. They have been developed by our staff and set out what they see as important to how we work. Our five values are:

Patient-centred

Collaborative

Fair

Accountable

Empowered

All our actions and endeavours will be guided and evaluated through these values

Additionally the following are core values which relate specifically to this post:

The beliefs and attitudes that underpin effective performance within the job role. Emphasis should be on the requirements of the role not the individual when completing this section. Examples might include: quality focus, mistakes are used as a continual learning experience, honesty, integrity etc.

Leeds Teaching Hospitals NHS Trust is part of the West Yorkshire Association of Acute Trusts (WYAAT), a collaborative of the NHS hospital trusts from across

West Yorkshire and Harrogate working together to provide the best possible care for our patients.

By bringing together the wide range of skills and expertise across West Yorkshire and Harrogate we are working differently, innovating and driving forward change to deliver the highest quality care. By working for Leeds Teaching Hospitals NHS Trust this is your opportunity to be a part of that change.

WYAAT is the acute sector arm of the West Yorkshire and Harrogate Health and Care Partnership, one of the largest integrated care systems in the country. The Partnerships ambition is for everyone to have the best possible health and wellbeing, and the work of WYAAT, and each individual trust, supports that ambition.

CONDITIONS OF SERVICE

This post is covered by the Hospital Medical and Dental Staff (England and Wales) Terms and Conditions of Service. These documents are available on the Medical Staffing Intranet site.

The post holder is required to be fully registered with the General Medical Council (GMC) and hold a licence to practice.

Standards of Conduct and Behaviour

You are required to work to the standards set out by the General Medical Council in Good Medical Practice. This includes protecting patients when you believe that a doctors or other colleagues conduct, performance or health is a threat to them. If, after establishing the facts, it is necessary, you must follow the Trusts procedures in this matter and inform your Clinical Director or Medical Director in the first instance.

The Trust has a set of expected behaviours for all employees and additional behaviours and skills that are expected of managers and supervisors.

Leave Arrangements

All leave should be applied for in accordance with the Trusts Leave Policy, normally giving a minimum of six weeks notice, of any leave, other than in exceptional circumstances.

Training

The jobholder must take responsibility in agreement with his/her line manager for his/her own personal development by ensuring that Continuous Professional Development remains a priority. The jobholder will undertake all mandatory training required for the role.

Please see enclosed for full details of JD

Person Specification

Clinical, Academic, and Personal Skills

Essential

• Experience of training and teaching medical students and postgraduate doctors in small and large groups.
• Well-organised, good time management skills. Effective interpersonal skills. Demonstrates ability to relate to colleagues and work within a team
• Must demonstrate an understanding of the principles of evidence-based medicine.

Desirable

• Previous experience of research
• APLS or APLS instructor Attendance at an alternative workshop on teaching and training techniques.

Qualifications

Essential

• Full GMC Registration
• Basic Medical Qualification
• FRCA (or equivalent)

Eligibility, Fitness to practice, and Language Skills

Essential

• Medically fit to fulfil ALL aspects of the post, and to be able to respond quickly to emergencies, as necessary.
• Full GMC Registration

Experience

Essential

• Has at least 7 years experience in anaesthesia and have completed at least 6-12 months advanced training (or equivalent) in either Paediatric or Cardiac Anaesthesia.
• Must be able to demonstrate a good level of clinical experience and competence in anaesthesia.
• Must have completed higher Paediatric Anaesthesia Training module Experience of providing anaesthesia for children.
• Must demonstrate an understanding of the principles of evidence-based medicine.
• Experience of training and teaching medical students and postgraduate doctors in small and large groups.
• Experience of participation in regular clinical audit. Knowledge of the audit process

Desirable

• Has completed a recognised training programme in anaesthesia
• Demonstrates commitment to training in paediatric or cardiac anaesthesia.
• As this post is funded by the NHS, priority will be given to candidates who, after completing this post, could commence a consultant post in Tertiary Paediatric Cardiac Anaesthesia in the UK.

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.

Certificate of Sponsorship

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).

Employer details

Employer name

Leeds Teaching Hospitals

Address

Leeds General Infirmary

Great George Street

Leeds

LS1 3EX

Employer's website

https://www.leedsth.nhs.uk/ (Opens in a new tab)