The Department of Cardiothoracic Surgery at Imperial was formed as a result of the merger between the departments at St Mary’s and Hammersmith Hospitals in 2010. The recognised areas of expertise in those departments have been retained and we offer all aspects of adult cardiothoracic surgery including Chest trauma cover for St Mary’s site (excluding mechanical assist/ cardiopulmonary transplantation). There is specific expertise in aortic surgery, minimal-access surgery, and mitral valve repair.
In thoracic surgery, video-assisted thoracoscopic surgery through multi-, bi- and uni-port approaches is increasingly used for lung resection as well as in surgery for pleural and mediastinal pathologies. The unit covers a wide geographical area and 3 Lung MDTs providing thoracic surgical expertise.
There is an aspirational drive to promote Enhanced Recovery, Robotic surgery and close involvement with the academic departments at Imperial College London. The department has an excellent track record in education and training with career progression to recognised NTN or consultant posts.
This post would be especially suited for someone with prior experience in Cardiac Surgery primarily and also some previous exposure to Thoracic Surgery at ST3+ or equivalent level, having MRCS or equivalent, wishing to progress to CCT in Cardiac surgery.
For further details, or to arrange a visit please contact Mr Alessandro Viviano – Consultant Cardiothoracic Surgeon (alessandro.viviano@nhs.net).
Main duties and responsibilities consist primarily, but not exclusively of:
1. Pre-operative assessment and preparation of patients to undergo cardiac or thoracic surgery, in outpatients, for urgent referrals (including emergency trauma cover at St Mary’s site) and the specific cardiothoracic pre-assessment clinics.
2. Capacity to be a competent independent operating surgeon without direct supervision and also assisting the consultants in the operating theatres as required and providing training/supervision to more junior staff and Surgical Care Practitioners, as appropriate.
3. Continuing responsibilities for post-operative critical care of the patients undergoing cardiac and thoracic surgery and subsequent Level 0/1 care on the wards.
4. Post-operative follow-up of patients in the outpatient, chest drain or wound clinics, working with where indicated.
5. Partaking in the middle-grade on-call rota.
6. The accurate, careful and timely recording of clinical data, both written and electronic, as outlined in the Principles of Good Medical Practice described by the GMC, participation in clinical audit and familiarity with Trust and Directorate IT and information systems.
7. Communicating effectively with both junior and senior medical colleagues, nursing staff (including Clinical Nurse Specialists for Lung and Cardiothoracic ANPs for ward care), HCSs/AHPs and other hospital staff. Particularly good communication skills with patients, their relatives and carers. There will be opportunities to make presentations and to be involved in teaching.
Associated duties and responsibilities:
1. Keep patients (and/or their carers/relatives if appropriate) informed about their condition;
2. Involve patients (and/or their carers/relatives if appropriate) in decision making about their treatment;
3. Maintain professional standards and obligations as set out from time to time by the General Medical Council (GMC) and comply in particular with the GMC’s guidance on ‘Good Medical Practice’ as amended or substituted from time to time.
A doctor is responsible for carrying out any work related to and reasonably incidental to the duties set out in their Job Plan, such as:
1. The keeping of records and the provision of reports;
2. The proper delegation of tasks;
3. Maintaining skills and knowledge.
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