Job responsibilities
Do You Want to be a Cardiologist?
Are you looking for an exciting year of clinical cardiology and research as part of the award-winning Jersey Heart Team in one of the most beautiful parts of the British Isles?
As the Cardiology Clinical Fellow, you will be a core member of the team, gaining hands-on experience in acute and chronic cardiac care, contributing to research, and participating in audits and guideline development. You will manage patients across wards and critical care, work closely with cardiac nurse specialists and physiologists, and have direct exposure to advanced imaging and inter-hospital transfer pathways.
Key Responsibilities
- Assessment and management of patients with cardiac conditions, including peri-operative and critical care input
- Participation in outpatient cardiology and functional testing clinics
- Opportunities for training in echocardiography and CT coronary angiography
- Involvement in aero-medical transfers to UK tertiary centres
- Contribution to clinical audit, research, and guideline development
What We're Looking For
A motivated doctor who has completed Foundation Training(or equivalent), with a genuine enthusiasm for cardiology and a commitment to patient-centred care. This post is ideal for those preparing for core or specialty cardiology training or seeking to enhance their clinical and academic portfolio in a supportive, high-performing environment. We have a strong track record of our fellows progressing into UK national training numbers and academic cardiology programmes.
Why Join the Jersey Heart Team?
The Jersey Heart Team is nationally recognised for its innovation and excellence, recently winning Team of the Year for Health and Care Jersey and previously shortlisted for BMA Cardiology Team of the Year.
With only one hospital on the island, you will manage a diverse spectrum of cardiac conditions - offering broad experience rarely found in single posts elsewhere.
You will join a forward-thinking service leading digital innovation, research, and prevention in cardiovascular care.
The Cardiology Clinical Fellow can form part of the on-call twilight and weekend cover at Clinical Fellow / F3 level, to act as a second on-call (the first on-call being the Medical SAS doctor). This involves taking calls for admission from GPs, reviewing admissions on their arrival in the Acute Admissions Unit and Emergency Department and providing additional support to the FY1 when needed. Out of hours working is 5 pm to 9 pm weekdays and 9 am to 6 pm on Saturday and Sunday, both in a 1:7 rota. There will be no overnight on-call commitment but interested post holders will have opportunity to provide locum cover overnight in case of absence of any junior doctors through ill health etc.
The above does not purport to be an exhaustive list of duties but is intended to indicate the range and type of duties required. The duties of the post may alter to reflect the ever-changing practices within the cardiac service.
Staffing
The Jersey Heart Team consist of two Consultant Cardiologists, an Associate Specialist, a Staff Grade in cardiology and medicine, a part-time Staff Grade, eight Cardiac Nurse Specialists, and a Cardiology Clinical Fellow (this position). Four secretaries support the team. In addition, the research arm of the Jersey Heart Team includes a Digital Innovation Fellow.
Awards
The cardiology service in Jersey has been commended for its innovative approach to delivering high quality patient care and staff support and training. In 2016, the Jersey Heart team was shortlisted as finalist in the UK British Medical Journal cardiology team of the year awards. Consultant Cardiologist, Dr Andrew Mitchell was selected as Jerseys Public Sector Director of the Year in 2015 by the Institute of Directors and was runner-up in the UK. In 2018, Nurse Specialist Angela Hall was selected as Nurse of the Year by the Royal College of Nursing.
Investigations
Most cardiac investigations take place in a dedicated Clinical Investigation Department at Jersey General Hospital. Tertiary cardiac investigations and procedures are performed at UK Tertiary Hospitals.
Out-Patients
The post holder will be expected to take part in general cardiology outpatient sessions reviewing patients with acute and long-term cardiac conditions. The Clinical Fellow supports the cardiac rehabilitation team and arrhythmia nurse specialists and will help develop pathways to incorporate rapid investigation and management of patients with chronic conditions.
In-Patients
The Clinical Fellow will be expected to work with the cardiac team in the early assessment of patients admitted on the acute medical take with cardiac conditions. This will include advice on the early management of patients with suspected acute coronary syndromes as well as patients with heart failure and cardiac dysrhythmias.
Cardiac Computed Tomography
Out-patient CT coronary and coronary calcium scores are performed using a state-of-the-art GE Revolution CT scanner in a dedicated weekly cardiac session. The Clinical Fellow will gain experience in indications for cardiac CT, patient preparation and imaging protocols.
Echocardiography
The cardiology department benefits from a high-quality digital echocardiography service, including departmental 3D Philips Epic systems, as well as mobile and hand-held systems. Images are archived and reported with Excelera system with remote access to moving images through a web portal. There is a dedicated transoesophageal echocardiography list each week and ad-hoc studies are performed according to clinical urgency. The Clinical Fellow can gain experience in echocardiography imaging and reporting during elective echocardiography lists as well as during in-patient studies. Advanced imaging sessions may become available including contrast, 3D and stress echocardiography.
Pacemaker, Cardioversion and Device Services
Pacemakers, implantable cardioverter defibrillator implants, generator changes, and external cardioversions are performed during a dedicated list on a Friday morning in Day Surgery Unit. The list is performed with the Arrhythmia Nurse Specialists who will pre-assess patients, support the list and facilitate patient discharge. Attendance at these sessions will be encouraged depending on timetable and workload. Injectable loop recorders are implanted in the Clinical Investigation Department.
Aeromedical Transfer Team
Approximately 120 cardiac patients are transferred by air ambulance to UK cardiology hospitals each year. The majority of these are for in-patient coronary angiography and revascularisation. In addition, there are a similar number of medical and surgical transfers to UK tertiary centres for specialist care. Most of these patients are transferred with a trained doctor and nurse team. Trained paramedics with a nurse accompany some patients. The Clinical Fellows would be offered aeromedical flight training and would be expected to be available to transfer patients one day each week (provisionally Monday).
Postgraduate Medical Education
Education Centre
The Education Centre is a shared facility for the Health and Care Jersey Department. The medical library is well stocked with books, journals and computer facilities, including Internet access. The centre has numerous excellent teaching rooms and a 90-seat lecture theatre equipped with the highest standard presentation technology.
There is a full-time administrator and one of the Consultants is elected as the Postgraduate Educational Tutor. The Post-Graduate Educational Committee meets on a regular basis.
Director of Medical Education/Clinical Sub Dean: Dr Ken Anderson and Dr John McInerney
Foundation Programme Director: Dr Rajesh Hembrom Education
Centre Manager: Mr Oliver Leeming
Research
The cardiology department has an active research programme, and the Clinical Fellow would be encouraged to design studies, submit protocols to ethics committee, recruit, deliver and write up clinical research. Other duties would include involvement in clinical audit, establishing clinical guidelines, writing up case reports and publishing and presenting data. Regular medical student teaching sessions would be expected.
Infection Control
All employees have a duty to comply with Health and Care Jersey guidelines and policies in relation to Infection Prevention and Control. The post holder will have a duty to ensure that they minimise the risk of infection and infectious diseases. This responsibility includes minimising the risk by highlighting any concerns to the appropriate person.
Safeguarding
Health and Care Jersey has a responsibility for, and is committed to, safeguarding and promoting the welfare of children and young people as well as vulnerable adults in our care and for ensuring they are protected from harm.
The post holder will share responsibility for the safeguarding and welfare of all children, adults and/or families within their care and should be familiar with the signs and symptoms of abuse and know what to do if any such concerns are raised. The post holder requires to be aware of, and comply with, all child protection, safeguarding policies and procedures.
As this position will involve working in regulated activity, the successful applicant will be subject to an Enhanced DBS disclosure as part of their pre-employment clearances. Any offer of employment is subject to satisfactory clearances being obtained.
Equality and Diversity
Health and Care Jersey values equality and diversity in employment and in the services we provide. We are committed to promoting equality and diversity in employment and aim to ensure that all job applicants, employees and service users are treated fairly and valued equally regardless of gender, marital status, age, race, colour, ethnic origin, sexual orientation or religion.