Applicant specification A strong interest in using and developing echocardiography in critical care is essential No previous echo experience is required Applications at ST4 level training and above will be considered and selection will take place through aninterview process Applications from those who are part-way through formal echo training will be consideredSupervisionDr Claire Colebourn is the program lead and president of the British Society of Echocardiography. Since becoming accredited in adult TTE in 2007 Dr Colebourn has helped define a new curriculum for critical care echocardiography, has published on critical care echocardiography in both scientific and educational domains and has taught practicalechocardiography to 16 successful alumni of the program. Dr Jim Newton is a Consultant in cardiac imaging and co-lead of the Oxford Critical Care Echo Fellowship. Dr Newton is the lead author of the Oxford textbook of valvular heart disease and regularly delivers international lectures on imaging for invasive procedures and practical valve assessment.Dr Colebourn and Dr Newton are co-editors of the Oxford textbook of Acute and Critical Care Echocardiography. The Oxford Critical Care Echo service (OCCES) is co-run by Dr Colebourn (governance lead) and five other consultant team members all of whom are accredited to Level II with the BSE and are all alumni of the program.The Oxford Critical Care Echo Service is the UKs first accredited non-departmental echo service.1. Dr Graham Barker is lead for POCUS Fellowships in Oxford and immediate past Advanced Critical Care Echolead for the BSE.2. Dr David Garry is the national lead for Level I for the BSE and trains Level II candidates weekly on his outpatient list.3. Dr James Day runs the pre-operative assessment service. Dr Day developed the use of echo within this service including incorporation into CPET assessment, he also developed and co-chairs the High-RiskAnaesthetic Meeting (HRAM) with Dr Nikant Sabharwal consultant cardiologist.4. Dr Toby Thomas trains Level I and II echocardiographers on his weekly outpatient list.5. Dr Clare MacEwan is a renal physician and clinical echocardiographer contributing to the inpatient critical care echo service.Training processDuring year one of the program the appointee will be given a protected day of echo training per week under the direct supervision of the trainers. Training takes place both on the intensive care units at the John Radcliffe Hospital and the Churchill hospital and in the outpatient echocardiography department.In addition, the appointee will be expected to attend weekly cardiology echocardiography imaging review meetings and practice echo technique daily on the intensive care unit. The adult intensive care department is equipped with state-of-the-art mobile echocardiography equipment at both the John Radcliffe and Churchill sites for this purpose. The appointee will be given an interim competency assessment at a time to suit their rate of skills development. Successful completion of this assessment will allow the appointee to contribute to the in-house critical care echo service currently in place, supported by the senior team. Supervision for this is always immediately available. The appointee will sit the written component of BSE accreditation ACCE at the end of year one.During year two the candidate will complete the BSE accreditation process submitting both a completed logbook of selected pathologies and five demonstrative cases of selected pathologies through a face to face examination process. These will be reviewed by examiners from the BSE at the final assessment during which the candidate will also perform a normal study under exam conditions. There will be continued opportunity to perform unselected outpatient lists and to develop their critical care scanning skills throughout this year. In the second year of the Fellowship the appointee will also have the opportunity to expand either their training or writing skills with the echocardiography consultant team, this depends upon progress and will be decided with and guided by, your consultant trainer.The appointee will also receive advice and training in how to establish and develop an independent critical care echo service.