Cardiology Cardiothoracic Clinical Fellow

Cardiology Cardiothoracic Clinical Fellow London Central London - Victoria Heart Vascular and Thoracic-Cleveland Clinic London UK0217 This is a Clinical Fellow position responsible for the daily admission and management of patients on the cardiac unit, comprised of both medical and post-op surgical cardiac/cardiothoracic patients. The clinical fellow will also provide peri-operative care for general surgical patients with close support from the consultants. A suitable candidate should be competent in the assessment and management of relevant clinical conditions related to cardiac procedures such as cardiac ablation, pacemaker insertion, TAVI and percutaneous coronary intervention, and cardiothoracic surgery including coronary artery bypass graft, valve replacement, pneumonectomy and lobectomy. The fellow is expected to manage the medical aspect of general surgical patients; surgical care will be delivered by the surgical consultant in charge. An ideal candidate would be a CMT to ST grade) in Cardiology or Cardiothoracic Surgery and hold relevant certifications such as MRCP, MRCS/FRCS or equivalent.

• Working collaboratively with specialist consultants and nursing professionals to ensure that patients’ treatment and care needs are met.
• Being a part of the rolling rota covering a 24-7 acute service in the Cardiac/Cardiovascular and General Surgical unit.
• Managing cardiac/cardiothoracic patients including those are undergoing cardiac procedures such as cardiac ablation, pacemaker insertion, TAVI and percutaneous coronary intervention, and cardiothoracic operations including coronary artery bypass graft, valve replacement and pulmonary resections.
• Medical management of peri-operative general surgical patients who are undergoing general surgical operations such as colectomy, hepatobiliary and urological procedures, whilst the surgical input will be provided by the consultant.
• Leading and assisting with new admissions and inpatient consultations, including morning and evening multidisciplinary ward rounds.
• Proactively identifying patients who qualify for early mobilisation, are at clinical risk or may need a longer length of stay.

• Participating in the regular in-house learning sessions and other educational activities, as well as taking up educational responsibilities.
• Adhering to the best practice guidelines, clinical audits, and governance.
• Active involvement in clinical governance meetings, including but not limited to mortality review, safety event reporting, peer review, and other relevant activities.
• Continual commitment and participation in mandatory training, including Epic electronic medical record system.
• If interested, participating in professional development opportunities, such as medical management & leadership, education & simulation or academic research programmes within CCL or the main campus in Cleveland, US. A tailored visit to main campus in Ohio will be available to all Fellows appointed to these roles.

• MBBS or equivalent
• Fully registered with the GMC and current license to practice
• Current UK visa or permission to work
• MRCS/MRCP or equivalent
• Intercalated BSc, BA, BMedSci or equivalent (desirable)
• Higher degrees including MSc, PhD or MD (where research thesis not part of first medical degree) (desirable)
  Languages:

• N/A

• MRCP, MRCS/FRCS or equivalent

• Competent in routine clinical skills. including venepuncture, blood cultures, arterial sampling and urethral catheters
• Ability to organise and prioritise complex demands
• Competent in leading an adult cardiac arrest team (CALS)
• Competent in the peri-operative management of cardiac patients including basic assessment, investigation and management

• Information technology skills using electronic patient care systems (desirable)
• Evidence of working in a multi-disciplinary team (desirable)

• CMT / ST level or equivalent
• Perioperative patient management experience of cardiac and cardiothoracic patients including arrhythmias and chest drains

• ST level (desirable)
• Experience in bedside transthoracic echocardiogram (desirable)
• Experience in the placement and management of chest drains and external pacing wires (desirable)

• Supportive and caring attitude to patients and colleagues
• Commitment to good team working and relationships
• Demonstrates probity (honesty, integrity, aware of ethical dilemmas, respects confidentiality)
• Effective communication skills
• Good leadership skills
• Enthusiasm and ability to work under pressure
• Demonstrates empathy and understanding
• Evidence of achievement outside medicine (desirable)
• Evidence of altruistic behaviour, e.g. voluntary work (desirable)
• Evidence of involvement in management commensurate with experience (desirable)

• Requirement 1
• Requirement 2

• PPE 1
• PPE 2