Junior Clinical Fellow in Cardiothoracic Surgery

The junior post holders will rotate between the consultant firms and be fully involved in a range of cardiothoracic work. In addition to providing immediate cover to patients in cardiac recovery and on the general cardio-thoracic ward, the post holder will provide cover for intensive care emergencies. Consultant cover will be available at all times.

• To take history, examine and record all findings of all patients admitted under the Consultants care.
• Carry out and arrange all relevant investigations.
• To see and examine all patients under the care of the Consultant concerned, (ward rounds include those in the Intensive Therapy Unit) ensuring communication is maintained regarding the condition of any of their patients
• To assist when required in the operating theatre when on duty /allocated to theatre.
• To attend and assist Outpatient clinics when required under the direction of the consultant and to ensure that clinic letters are dictated promptly to fall in line with the 18-week referral to treatment policy.
• To arrange for the transfer of patients to other hospitals or discharge home and including a discharge summary on patients transfer.
• To be responsible for the care of all cardiothoracic patients on the wards when on duty during weekend and evenings under the direction of the duty (on call) Senior Clinical Fellow (SpR).
• To perform minor surgical procedures such as chest aspiration, insertion of intercostal tubes, etc. and if necessary, under the supervision of a Senior Clinical Fellow /SpR.
• To dictate all urgent discharge summaries and ensure that these are forwarded to the patients General Practitioner or hospital of transfer within 24 hours after the patient is discharged and complete letters to General Practitioners.
• To work in conjunction with other Junior Clinical Fellow (SHO) to ensure the service is covered during periods of absence, annual or study leave and with the guidance and supervision of the appropriate Senior Clinical Fellow (SpR).
• To escalate to the Senior Clinical Fellow /SpR r and Consultant any patient who is giving cause for concern.
• To communicate to a patients relative the progress of that patient.
• To be available for emergency calls to ITU and other parts of the hospital, if required i.e., for cardiac arrest.
• To participate in research projects which may already be in progress.
• To participate in lecturing to other staff if required, e.g., nurses and physiotherapists.
• To accept that occasional emergencies and unforeseen circumstances may occur, and to respond to the needs of the service when they arise.
• To participate in the Medical Audit Programme monthly and update PATS data entry

Royal Brompton and Harefield hospitals joined Guy's and St Thomas' in February 2021 and is the largest specialist heart and lung centre in the UK and among the largest in Europe. Weprovide treatment for people with heart and lung disease, including rare and complex conditions, offering some of the most sophisticated treatment that is available anywhere in the world.

The Royal Brompton Hospital (RBH) is a specialist cardiothoracic centre specialising in diseases of the heart and lung, with services for adults (Cardiology, Cardiothoracic Surgery, Radiology, and Thoracic Medicine) and Paediatrics. It has approximately 2,081 staff, 296 beds, 6 operating theatres, 5 catheter laboratories, a private patients' ward and extensive imaging facilities. A state-of-the-art Diagnostic Centre opened in January 2022.

Harefield Hospital (HH) is a regional centre for cardiology and cardiothoracic surgery, and an international centre for adult heart and heart-lung transplantation. It is one of a small number of UK cardiac centres assisting in development of implantable mechanical ventricular assist devices in the management of end-stage heart failure. It also provides a primary intervention service for acute coronary syndromes to selected Trusts and the London Ambulance Service, in outer West London and the Home Counties. It has approximately 1,185 staff, 180 beds with 5 operating theatres, and 4 catheter laboratories.

Essential: - Full GMC with licence to practise - Meets professional health requirements (in line with GMC standards/Good Medical Practice); - MBBS or equivalent medical qualification; - Fit to practice safely /Professional behaviour and probity; - Evidence of achievement of Foundation competencies in line with GMC stand-ards/Good Medical Practice including; - Good clinical care /Good relationships and communication with patients /Delivery of good acute clinical care

Desirable: - Teaching: Evidence of contributing to teaching & learning of others; - Evidence of active participation in audit

Essential: - Technical Knowledge & Clinical Expertise: Capacity to apply sound clinical knowledge & judgment & prioritise clinical need. Demonstrates appropriate technical competence & evidence of development of excellent diagnostic skills & judgement; - Validated logbook documentation of surgical exposure to date; - Judgement under Pressure: Capacity to operate effectively under pressure & remain objective in highly emotive/pressurised situations. Awareness of own lim-itations & when to ask for help

Desirable: - Evidence of participation in risk management and/or clinical/laboratory research; - Organisation & Planning: Capacity to manage time and prioritise workload, bal-ance urgent & important demands, follows instructions. Understands importance & impact of information systems

Essential: - Ability to provide complete details of employment history; - relevant experience (at SHO level) in surgery (not including Foundation modules); - ALL sections of application form FULLY completed according to written guidelines

Desirable: - Extracurricular activities / achievements relevant to cardiothoracic surgery