Trust Fellow in Cardiothoracic Medicine (ST1-2 equivalent)

Detailed job description and main responsibilities

The clinical work is centred on delivering care to the cardiology and respiratory in-patients at Freeman Hospital at IM1-2 level. One post will involve primarily cardiology patient care and the other a mix of cardiology and respiratory cover, This is due to reconfiguration of bed base with increased mix of speciality patients on one ward. Both posts involve on-call cover for both cardiology and respiratory patients and there are training opportunities (clinic, procedure list attendance) across both specialities in both posts. 

RESPIRATORY In-patients 

Duties on this ward have a focus on general respiratory care of patients transferred from the assessment suite at RVI or admitted from speciality clinics. This includes a wide spectrum of respiratory disease, including patients requiring non-invasive ventilation. There are opportunities to learn from patients undergoing more specialised assessments (lung transplant and pulmonary hypertension) on the ward, with rotation to the transplant team alongside existing IM trainees (currently 3 + 1 trust Teaching fellow grade doctor). 

There is immediate ward support from a trust grade registrar as well as speciality trainees and consultants. We operate with a consultant of the week model which is valued by our trainees.  There are opportunities to develop practical skills in managing non-invasive ventilation and basic pleural procedures, primarily potentially pleural aspiration / chest drain insertion but also opportunities to gain exposure and early experience in thoracic ultrasound. There may be opportunities to attend speciality clinics (sleep, severe asthma, lung cancer, pleural disease, transplant, pulmonary hypertension, bronchiectasis, COPD) depending on individual interest and involvement in audit / quality improvement projects is actively encouraged. 

CARDIOLOGY In-patients 

Duties to Cardiology in-patients will involve working across 4 dedicated cardiology ward areas (CCU, W24, W27 Daycase Unit, W27 Heart Failure Unit) and caring for outliers on other Cardiothoracic wards. The main conditions being managed include acute coronary syndromes, unstable arrhythmias, valve disease, advanced heart failure and adult congenital heart disease. 

This post will join a resident doctor rota of F1, F2, IMT1-2, trust doctors and teaching fellows. You will be supported by the cardiology consultants, who work on a consultant-of-the-week rota, sub-specialty teams, and a cardiology StR on-call 24 hrs per day. 

During this post you will be encouraged to join our education programme, including weekly 'SHO' case-based teaching and the weekly journal club. There will be opportunity to join procedure lists, imaging lists, outpatient clinics, MDTs and clinical governance meetings. We are very happy to support you undertaking quality improvement work or research projects. 

Administrative:

Successful applicants will be expected to carry out all administrative tasks allocated to him/her by the clinical supervisor / Physician of the week, including keeping of inpatient records, ordering investigations, receiving results and completing discharge summaries. 

Other: 

This post includes on call cover which is shared with cardiology and respiratory IM level doctors. This includes evenings and weekend but not nights.

 Flexibility: 

In line with the Trust’s core value of placing patients at the heart of everything we do, we are developing our service provision to be responsive to the needs of our patients. To meet those needs some staff groups will be increasingly asked to work a more flexible work pattern so that they can offer services in the evening or weekend.  As a result any offer of employment to a consultant post will be subject to you agreeing to work a new more flexible pattern or working in the future if required, including evening and weekend work.

Please read attached Job Description and Person Specification.