Job overview
One year Clinical Fellowship in Structural Cardiology, formally appointed as a Trust Grade doctor (ST6 equivalent or post-CCT fellow) to start as soon as possible. This is a newly appointed post based at Hammersmith Hospital within the joint Directorate of Women’s, Cardiac, Clinical Support and Sexual Health and within the Cardiac Division. The Imperial Department of Cardiovascular Medicine spans the St Mary’s, Charing Cross and Hammersmith Hospital sites.
Main duties of the job
The timetable will depend on the current needs of the department and the clinical experience of the applicant, and duties will include:
Structural intervention - catheter lab based
Involvement in clinical research
Management of the structural waiting list in conjunction with the 3 TAVI nurses
Preparation of the structural MDTs in conjunction with the Consultant MDT leads
Collation and presentation of M&M data
Involvement with the NICOR database
In-patient management
Outpatients (1-2 clinics per week)
Ward referrals
Attendance at audit and other departmental clinical meetings
Working for our organisation
Imperial provides the main hub for comprehensive acute and complex cardiology in West London at the Hammersmith Campus. There is a full range of tertiary centre facilities including percutaneous valve treatments (including TAVI, M-TEER and T-TEER, PFO closure, paravalvular leak therapy and mitral commisurotomy), coronary and electrical intervention, and cardiac surgery. The Charing Cross and St Mary’s sites provide a district cardiology service and work in close collaboration with other regional specialist medical and surgical units on the site.
The department has a training ethos and the post will be outside the Cardiology SpR training rota and will not form part of the SpR on call rota.
Detailed job description and main responsibilities
The post would be suitable for candidates who are in their final year of training or who are post CCST and wish to pursue a career in Structural Cardiology.
All candidates should have full registration with a licence to practise with the GMC. Full MRCP is required. Where equivalent qualifications or experience are being offered, it is essential that the candidate provides written confirmation from the Royal College and attaches this to their application. Applicants who do not provide this confirmation will not be put forward for short-listing.
Doctors who are not UK or EEA nationals and whose immigration status entitles them to work without restriction in the UK will be considered on an equal basis with UK and EEA nationals. Other non-UK or non-EEA nationals with limited leave to remain in the UK and whose employment will require Tier 2 sponsorship are subject to the Resident Labour Market Test (RLMT). Applicants may only be considered if there is no suitable UK or EEA national candidate for the post. Evidence of immigration status should normally consist of a biometric residence card, date stamped passport and accompanying letter from the Home Office.
Person specification
Qualifications
Essential criteria
1. On GMC registered/ licensed Medical Practitioner MB,BS or equivalent medical qualification
2. MRCP or equivalent
Desirable criteria
3. MD or PhD
Knowledge/skills Clinical expertise in Specialty/sub specialty
Essential criteria
4. Acute care safe: up- to-date (C)ALS. Out of hours experience relevant to the job.
5. Relevant specialty clinical knowledge: Capacity to apply sound clinical knowledge relevant to the job; specialty knowledge exam.
6. Clinical judgment: experience in making clinical decisions and managing risk.
7. Knowing when to seek help, able to prioritise clinical need.
8. Practical skills: shows excellent aptitude for practical skills required in the job. Proven ability to work effectively in the various different clinical settings required in the job. To be technically able in this complex, testing and highly technical surgical specialty. Competence and significant experience in the pre-operative assessment, continuing post- operative critical care and ongoing clinical management of patients undergoing cardiac and thoracic surgery. Evidence of accuracy, care and timely recording of all necessary clinical data, both written and electronic.
Desirable criteria
9. CALS certificate or ALS instructor certificate.
10. An excellent understanding of and enthusiasm for the intricacies of cardiovascular and respiratory anatomy and physiology and cardiac and thoracic pathology.
11. Hospital at night team working/experience
Academic achievements including research/publications
Desirable criteria
12. Publication(s) or research in Cardiology
Physical requirements
Essential criteria
13. Occupational health clearance for the role specified
14. Meets professional health requirements (in line with GMC standards in Good Medical Practice).
Communication/ Patient Focused Skills
Essential criteria
15. Effective communication skills: demonstrates clarity in written / spoken communication and capacity to adapt language as appropriate to the situation.
16. Empathy and sensitivity: capacity to listen and take in others’ perspectives.
17. Works in partnership with patients: always considers patients’ preferences when discussing treatment options. Always considers the full impact of clinical decisions on the patients.
18. Practices shared decision making. Directs and supports patients to access the information they need to support decision making.
Clinical skills
Essential criteria
19. Acute care safe: up- to-date (C)ALS. Out of hours experience relevant to the job.
20. Relevant specialty clinical knowledge: Capacity to apply sound clinical knowledge relevant to the job; specialty knowledge exam.
21. Clinical judgment: experience in making clinical decisions and managing risk.
22. Knowing when to seek help, able to prioritise clinical need.
23. Practical skills: shows excellent aptitude for practical skills required in the job.
24. Proven ability to work effectively in the various different clinical settings required in the job. To be technically able in this complex, testing and highly technical surgical specialty.
25. Competence and significant experience in the pre-operatimanagement of patients undergoing cardiac and thoracic surgery.ve assessment, continuing post- operative critical care and ongoing clinical
Personal attributes, skills and team work
Essential criteria
26. Reliability, flexibility, resilience, thoroughness, attention to detail and personal drive / enthusiasm, particularly for this specialist field.
27. Team working: demonstrated experience working in a team, values the input of other professionals in the team. Managing others and team involvement: capacity to work co- operatively with others and demonstrate leadership when appropriate. Capacity to work effectively in multi-professional teams.
28. Coping with pressure: capacity to operate under pressure. Demonstrates initiative and resilience to cope with setbacks and adapt to rapidly changing circumstances.
29. Problem solving and decision making: Capacity to use logical/lateral thinking to solve problems and make decisions.
30. Organisation and planning: capacity to organize oneself and prioritise own work. Demonstrates punctuality, preparation and self- discipline. Understands importance of information technology.
31. Flexible approach to work: able to adapt and work with employers to deliver improved patient care.
32. Equality and diversity: promotes equality and values diversity.
Desirable criteria
33. Leadership skills: experience in leadership
34. Demonstrates skills needed for effective delegation within the team: 360º feedback
Audit
Essential criteria
35. Clinical governance: Capacity to be alert to dangers or problems. Demonstrates awareness of good decision making. Track record of engaging in clinical governance: reporting errors, learning from errors.
36. Audit: evidence of active participation in audit.
Desirable criteria
37. Research skills: Demonstrates understanding of the principles of research; evidence of relevant academic and research achievements.
38. Teaching: evidence of interest and experience in teaching where required in the job.
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