It is anticipated that the fellow will work under the direct supervision of Consultant cardiologists Professor Kovac and Dr Roberts) for the duration of the appointment in order to get exposure to variety of complex cardiac interventions. The majority of the week will be spent in the lab undertaking procedures (4-6 sessions per week). There will be no regular ward commitment, but it may be that at times other duties will include the care of in-patients. The fellow will be expect to do 1 out-patient clinic per week. The opportunity to join the registrar on-call rota may be available, but is not mandatory. Opportunities will be dependent on the structural fellows level of experience and can be tailored to their interests. There is a well-developed structural intervention service, complex and high risk coronary intervention (CHIP) and CTO PCI service.