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).