Job summary Do you want to be a cardiologist? An exciting opportunity has arisen for the successful applicant(s) to join the dynamic, award winning cardiology team in the Channel Island of Jersey as Clinical Fellow in Cardiology. This position is ideal for those early in their medical or cardiology career (post FY2 or CMT) who wish to gain a year of clinical, practical and academic experience in cardiology, whilst benefiting from the lifestyle advantages that Jersey offers. The position is also perfectly suited for doctors studying for the MRCP. Situated just 40 minutes flying time from London with excellent transport links to Europe the small beautiful Island of Jersey enjoys great weather, sandy beaches surrounded by soaring cliffs and offers a healthy work-life balance. The cardiology service is based at Jersey General Hospital and the Jersey Heart Team was chosen as finalist in the BMJ 2016 Cardiology Team of the Year awards. The post-holder will join our multi-disciplinary team of doctors and specialist nurses led by two dynamic Consultant Cardiologists. The department has a dedicated Digital Health Research unit, a strong academic track record and links with Oxford University Hospitals. Under Jersey Law, applicants must possess FULL registration with the General Medical Council and hold a license to practice. Main duties of the job The in-hospital role will include the assessment and review of cardiac patients under the care of other medical teams, peri-operative care of patients undergoing non-cardiac surgery and review and advice on patients in the Enhanced Care Area and Intensive Care Unit. Early patient investigation and discharge will be an expected outcome. There will be sessions in outpatient cardiology clinics and functional testing clinics as well as the opportunity to be trained and participate in aero-medical transfers. Experience can be gained in echocardiography and CT coronary angiography. Development of cardiac guidelines and clinical pathways will be encouraged. The cardiology department has a strong academic history and participation in clinical audit, research and teaching is essential. Time will be set aside for administrative duties including signing letters, dictation of discharge letters for general practitioners (GPs), reporting cardiac investigations and answering enquiries from GPs. About us The Clinical Fellow in Cardiology is a core member of the Jersey Heart Team. The post provides training and experience in acute and chronic cardiac disease, the investigation and management of a variety of heart conditions as well as experience in clinical audit and research. The fellow post is ideal for someone interested in pursuing a cardiology career or for a doctor who wants to gain high quality cardiology skills to take into a hospital medical role, emergency department or anaesthetic post. The post-holder would be expected to carry out duties expected of a core trainee doctor and will act as a medical point of contact for the cardiac nurse specialists and clinical physiologists, managing patients with long-term cardiac conditions. Depending on requirements there may be the ability for the post-holder to take part in the evening and weekend on-call rota for Clinical Fellows in Acute Medicine. Date posted 10 October 2024 Pay scheme Hospital medical and dental staff Grade Doctor - other Salary £52,844 to £63,712 a year Depending on experience Contract Fixed term Duration 1 years Working pattern Full-time Reference number K0011-ID1873 Job locations Government Of Jersey 19-21 Broad Street St. Helier Jersey Channel Islands JE2 3RR General Hospital Gloucester Street St Helier Jersey JE1 3QS 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). 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 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). Additional information 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)