Senior Clinical Fellow in Complex Coronary Intervention

Job responsibilities

POST: Senior Clinical Fellow in Complex Coronary Intervention

Pay Scale: MN37

ACCOUNTABLE TO: Clinical Lead

JOB SUMMARY

The post is full time at the Liverpool Heart & Chest Hospital. The successful applicant will work under the supervision of the 11 interventional cardiologists at the trust and also for the joint appointees. There will be exposure to all aspects of clinical cardiac intervention, with a focus on complex intervention. Outpatient work will involve general cardiology and pre-assessment for day-case PCI. The appointee will be jointly responsible for management of patients transferred to the LHCH with acute coronary syndromes and take part in the primary PCI programme.

The successful candidate will receive intensive training in all aspects of interventional cardiac intervention including rotablation, lithotripsy, LASER atherectomy, IVUS, OCT, pressure wire, embolic protection, thrombus aspiration and coronary sinus reducer. They will participate in the hospitals CTO programme. It is anticipated that suitable candidates would be independent operators in all but the most complex cases certainly by the end of the twelve-month post.

There will be regular emergency cover as part of the cardiology SpR rota which will be closely supervised by consultant staff. The post-holder will gain considerable experience of the management of cardiac patients in a tertiary setting. There is a full shift rota in place, 1:15 band 1a inclusive of prospective cover.

There will be a commitment to contributing to the rota for ACS PCI weekend lists alongside the on-call interventional consultant. This is separate to the on-call commitment and will provide a valuable training opportunity.

Specific duties

Outpatient clinics- Two clinics per week

Available for pre assessment

Catheter Lab - Up to six catheter lab sessions per week with attendance at further sessions for specific advanced training. Priority access to fortnightly CHIP list as well as allocation to complex operators

Ward Work - The trainee will undertake registrar of the week role on a rotating basis during which time they will supervise the day to day work of the senior house officers/trust doctors in conjunction with the consultant of the week.

PRINCIPAL ACCOUNTABILITIES

• Catheter lab sessions Usually 3 days per week
• On call - Tier 2 general cardiology and PPCI on-call out of hours
• ACS weekend lists
• Ward Work - The trainee will participate in the registrar of the week on-call rota and will supervise the day-to-day work of the tier 1 trainees
• The appointees will be encouraged to cross cover sessions when possible to maximise training opportunities.

GENERAL STATEMENTS

Liverpool Heart and Chest Hospital (LHCH) provide medical and surgical adult cardiothoracic services to the people of Merseyside, North Wales, Isle of Man, parts of Lancashire and Cheshire.

This catchment area has a population of 2.8 million people.

The Centre provides a full range of invasive and non-invasive diagnostic cardiac and pulmonary facilities. Thirty sessions of coronary and structural intervention are undertaken per week. During the last year 2300 PCI procedures and over 2500 invasive coronary diagnostic procedures (including pressure wire/IVUS/OCT) were undertaken. There are 6 TAVI lists, 2 structural (ASD/PFO closure, paravalvular leak closure) lists, 1 LAAO closure and 3 ACHD intervention lists per month.

The Centre is a foundation trust, which has seen a great deal of development in the last few years. As a result of major capital investment the Centre is able to provide:

• 180 medical and surgical beds
• 26 day case beds
• 12 bed cystic fibrosis ward
• 10 CCU beds; 24 surgical ITU beds (potential to expand to 30)
• 8 dedicated cardiothoracic surgical operating theatres
• Endoscopy suite
• Recovery room
• X-ray department with a multi-channel spiral CT Scanner and MRI scanner
• Pulmonary function and oesophageal laboratory
• 6 cardiac catheterisation laboratories
• One dedicated pacing theatre and a shared pacing/aneurysm theatre
• Research laboratories
• Electronics workshop
• Pulmonary function and oesophageal laboratory

CARDIOLOGY MEDICAL STAFF

Consultants

• Dr R A Perry - Medical Director
• Dr J L Morris - intervention, Associate Medical Director (Medicine)
• Dr C Appleby - intervention, Clinical Lead, Director of Cath Labs, TAVI Lead
• Prof R H Stables - intervention, research
• Dr N D Palmer - intervention, complex
• Dr S K Aggarwal - intervention, ACHD
• Dr J D Mills - intervention
• Dr P Velavan - community, intervention
• Dr Sandhu - intervention, valve disease
• Dr L Mullen - intervention, complex
• Dr J Giblett - intervention, Cardiology Faculty Lead
• Dr J Hung - intervention, complex
• Dr D R Ramsdale - general cardiology (part time)
• Dr D M Todd - electrophysiology and device therapy
• Dr S Mahida - electrophysiology, device therapy
• Dr D Gupta - electrophysiology
• Dr M Hall - electrophysiology, device therapy
• Dr Z Borbas - electrophysiology
• Dr S Modi - electrophysiology, device therapy
• Dr A Rao - device therapy, heart failure, Clinical Lead for Heart Rhythm
• Dr R L Snowdon - electrophysiology, device therapy
• Dr J E P Waktare - electrophysiology
• Dr D J Wright - device therapy, heart failure, research lead
• Dr C Hammond - Clinical lead for community cardiology, heart failure
• Dr M Naffati - community cardiology
• Dr A Khalatbari - cardiac imaging
• Dr T A Fairbairn - cardiac imaging Clinical Lead
• Dr S Srivastava - cardiac imaging
• Dr R Cooper - ICC/cardiac imaging
• Dr V Pettemerides - ICC/cardiac imaging
• Dr P Jenkins - ACHD
• Dr J Dua - ACHD
• Dr R Ashrafi - electrophysiology, ACHD

Joint Cardiology Posts

• Dr T Ali WUTH - intervention
• Dr P Magapu WGH - intervention
• Dr J Hasleton RLUH - intervention
• Dr A Khand UHA - intervention
• Dr B Kunadian COCH - intervention
• Dr J Pyatt RLUH - devices

JUNIOR MEDICAL STAFF

• 12 Specialist registrars cardiology
• 3 Post-CCT fellows cardiology (these posts)
• 3 Research registrars - cardiology
• 18 First-on-call trainees (across medicine and surgery)

RESEARCH/TEACHING/ADMINISTRATION

Equivalent to two half days per week. The post-holders will be expected to take a minimum of a half day for research/private study each week. Research participation is expected and the post-holder will be given a project to carry out with a view to publication within the time frame of the fellowship. Attendance at national and international meetings will be encouraged, particularly for presentation of data.

The centre undertakes teaching of all final year under graduates from the University of Liverpool Medical School and is also recognised for the training of nurses and other professional and technical staff. The post-holders will be involved in teaching these groups of staff and other junior doctors.

A regular programme of conferences, lectures and seminars takes place within LHCH. The centre is committed to the principal and practice of clinical audit in which all medical staff are expected to participate. The appointees will be expected to attend and take part in the various educational meetings. They will be expected to present cases, develop an audit interest and present the data locally.

A specialist library is available on site. In addition, the libraries of the Liverpool Medical Institution, Liverpool University and Broadgreen Hospital are also available for reference. There is also a purpose built doctors mess, including office space, computing facilities and recreational facilities.

RECORD OF TRAINING

All training is subject to annual assessment by an educational supervisor and the programme director. Educational supervisor will be assigned at the start of the fellowship and will provide close supervision to ensure training goals are obtained. It is expected that the supervisor will be one of the complex PCI operators.

As well as serving as a review and training, this will allow planning and flexibility within the post-holders programmes and will allow for career advice and development of specific interests accordingly. Although not within a formal training programme the disciplines of the usual SpR commitment will be applied.

Post-holders will be expected to keep a log book of all practical procedures undertaken, which will be regularly reviewed by their supervising consultant and signed accordingly.

ANNUAL LEAVE AND STUDY LEAVE

The post-holders will have full entitlement to annual and study leave. All leave arrangements are subject to approval by the administrative SpR and the supervisory consultant. In addition, study leave applications are also subject to approval by the Postgraduate Clinical Tutor.

Please see attached documents for the full Job Description

Cardiac Intervention

Essential

• Clinical Experience - Elective, acute and outpatient intervention experience
• Cath Lab Experience - Fully competent in diagnostic coronary catheter studies, graft seeking & RHC.
• Cath Lab Experience - Able to perform radial as well as femoral approach.
• Cath Lab Experience - Can set up and perform routine PCI without supervision

Desirable

• Cath Lab Experience - Can operate IVUS, pressure- wire etc. unaided
• Cath Lab Experience - Experience of CTO PCI

Research and Audit

Essential

• Participation in published research
• Intends to carry out or has begun research towards a higher degree
• Evidence of audit activity

Desirable

• First author publications on an interventional topic
• Evidence of audit activity on an Interventional topic

General Cardiology Experience

Essential

• Requires minimal further general cardiology training

Desirable

• Has completed general cardiology training

Qualifications

Essential

• MRCP (UK) or equivalent

Desirable

• Research degree (PhD or equivalent)
• UK CCT or equivalent

Career intentions & Core Values

Essential

• Intends to pursue a career as an Interventional Cardiologist.
• Excellent
• Compassionate
• Safe

Desirable

• Intends to pursue a career in complex coronary intervention

Imaging

Essential

• Transthoracic echo

Desirable

• Knowledge of stress imaging, cardiac CT & MR and application to modern cardiac intervention.

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).