Clinical Fellow in Cardiology

Job description

Job responsibilities

Acute medicine

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 full-time Research Director.

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 Oxford University 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 Oxford University 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).

Person Specification

Experience

Essential

• Completion of foundation training or equivalent

Desirable

• Enthusiastic Teacher
• Previous Management Responsibility / Leadership Experience
• Clinical Experience in an NHS environment
• Specialty experience acute medicine or cardiology

Qualifications

Essential

• Primary Medical Degree
• Full GMC Registration & License to Practice
• Computer skills

Desirable

• MRCP Part 1
• ALS

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

Health and Community Services

Address

Government Of Jersey

19-21 Broad Street

St. Helier

Jersey

Channel Islands

JE2 3RR

Employer's website

https://www.gov.je (Opens in a new tab)