Consultant Cardiologist - Coronary Intervention
The successful applicant will be part of a team of consultant cardiologists whose primary responsibility is the provision of the Coronary Intervention service for Leicester, Leicestershire and Rutland (LLR) providing high quality efficient coronary intervention for emergency and non-emergency cases, including efficient and effective intervention in some difficult or high risk cases (e.g. surgically declined, unstable).
This role will provide high quality general cardiology services to patients on base wards and CCU and participate in the interventional on-call rota (Currently a 1:10). Annual departmental volume of primary PCI consistently just over 400 pa. Interventional cardiologists may be expected to carry out temporary pacing and pericardial drain procedures out of hours.
We carry out approximately 1,400 coronary interventions a year, largely from our local catchment population of approximately 1 million. IVUS, OCT, and pressure wire testing are routinely available for any case requiring them and we have huge expertise in complex coronary intervention including left main stem procedures, challenging anatomy, rotablation, and chronic total occlusion PCI. A weekly MDT supports decision making. There are 5 high specification catheterisation laboratories and a hybrid theatre which together cater for coronary and structural intervention, electrophysiology, pacing, and interventional paediatric cardiac procedures.
Main duties of the job
1. Provide high quality efficient coronary intervention for emergency and non-emergency cases, including efficient and effective intervention in some difficult or high risk cases (e.g. surgically declined, unstable).
2. Catheterisation laboratory sessions typically - 1 elective session, 1 to 2 acute lists per week. A typical session will usually involve 4 standard cases but this varies with case complexity and acuity. At present we continue to do angiography with follow-on PCI in a significant proportion of cases.
3. Provide high quality general cardiology services to patients on base wards and CCU.
4. Participate in the interventional on-call rota (Currently a 1:10). Annual departmental volume of primary PCI consistently just over 400 pa. Interventional cardiologists may be expected to carry out temporary pacing and pericardial drain procedures out of hours.
5. Support the general cardiology service and be responsible for the care of patients within cardiology services across UHL.
6. To support the provision of highest quality patient care through personal actions and continuous improvement.
7. Responsibility for the prevention, diagnosis and treatment of illness, and the proper functioning of the department.
8. Cover for colleagues' annual leave and other authorised absences.
9. To participate in service development and business planning in collaboration with the other Consultants in the department, the CMG and local GPs and commissioners within the local CCGs.
About us
Our new strategy, developed with the support and feedback of colleagues, patients, and partners, is our compass for the next seven years (2023-2030).
We have four primary goals:
* high-quality care for all,
* being a great place to work,
* partnerships for impact, and
* research and education excellence.
And we will embed health equality in all we do - taking active steps to reduce the avoidable differences in healthcare that some people face, working in partnership with communities.
This is an exciting moment as we look to the future with clarity on what we already do well and where we need to focus our energies to make an even bigger difference for the people we serve.
Job description
Job responsibilities
1. Typically, this post will require ward rounds for admitted patients on base wards and/or CCU for review, investigation, and treatment of acutely presenting patients. The successful applicant will be part of a team of consultant cardiologists on a rotating shift pattern. There will be support on the wards by middle grade and junior staffing.
2. Procedural work would be a combination of flexible and fixed sessions. There may also be a need for flexibility and offering support to outlying patients admitted under cardiology.
3. The overriding purpose is to support the provision of highest quality patient care through personal actions and continuous improvement.
4. Responsibility for the prevention, diagnosis and treatment of illness, and the proper functioning of the department.
5. Cover for colleagues' annual leave and other authorised absences.
6. To participate in service development and business planning in collaboration with the other Consultants in the department, the CMG and local GPs and commissioners within the local CCGs.
7. Professional supervision and management of junior medical staff including the observance of local employment and human resource policies and procedures.
8. Responsibilities for carrying out teaching, examination and accreditation duties as required and contributing to undergraduate, postgraduate and continuing medical education activity, locally and nationally.
9. Participating in medical audit, the Trusts Clinical Governance processes and in CPD. CPD is provided in job plans and attendance at audit and other governance meetings is mandatory.
10. In line with GMC Good Medical Practice it is the responsibility of the post-holder to ensure that all duties are carried out to the highest possible standard, and in accordance with current quality initiatives within the area of work.
11. The post-holder is expected to respond in a timely fashion to legitimate requests from Trust officers this might include investigations of incidents or complaints.
12. The post-holder is expected to participate in teaching and training of junior staff and other clinical staff groups. The appointee will also have supervision responsibilities for junior medical staff within the specialty.
13. The post-holder is expected to participate in professional continuing medical education study leave is provided for this purpose.
14. The post-holder will be expected to undertake the Trust Corporate and Directorate specific Induction and competency Programmes appropriate to role.
15. The post-holder will be required to maintain their continuing professional development (CPD) to be able to successfully revalidate. As per the Trust requirement the successful candidate will be required to have annual appraisal and attend / keep fully up to date with statutory and mandatory training as stipulated.
Person Specification
Commitment to Trust Values & Behaviours
Essential
* Must be able to demonstrate behaviours consistent with the Trust's Values and Behaviours.
* Able to demonstrate a commitment and understanding of the importance of treating all individuals with dignity and respect appropriate to their individual needs.
Qualifications
Essential
* MB BS or Equivalent
* Full GMC Registration
* Fully Accredited for Higher Specialist Training or will be eligible for inclusion on the Specialist Register within 6 months of the interview date.
* MRCP / MRCS or equivalent
* Current BLS Certification.
Desirable
* Membership of relevant Specialist Societies or Associations.
* Higher degree eg MSc, MD/PhD, MSc or equivalent.
* Track record in Cardiovascular research (grants, publications, collaborations).
Experience / Clinical Skills
Essential
* Fully trained in Cardiology with a subspecialty interest in coronary intervention.
* Excellent clinical skills and experience requisite to meeting all aspects of the Job Plan.
* Ability to apply sound clinical judgment to problems.
* Demonstrates clear, logical thinking / analytical approach.
* Comfortable with complex issues such as multisystem disease, frailty.
* Able to make timely and good clinical decisions without inappropriate or excessive investigations.
Desirable
* Post CCT fellowship in interventional cardiology.
* Experience in complex PCI (rotablation, left main stem PCI, intra-coronary imaging).
Management
Essential
* Ability to work effectively as part of a multidisciplinary team and supervise juniors.
* Experience of leading teams and awareness of leadership styles.
* Ability to effectively organise, prioritise and manage clinical workload.
* Understanding of wider health agenda and modern NHS.
* Ability to work to overcome barriers to change (negotiating, influencing and persuasion skills).
* Knowledge and understanding of clinical governance issues.
Desirable
* Evidence of management and administration experience.
* Management training on an accredited course.
* Awareness of Service Development issues.
Communication Skills / Motivation
Essential
* Demonstrable skills in written and spoken English that are adequate to enable effective communication with patients and colleagues.
* To be empathic and sensitive capacity to take others perspectives and treat others with understanding.
* Personal integrity and reliability. Ability to motivate and develop both medical Staff and non-medical staff.
* Highly Developed Emotional Intelligence.
Desirable
* High standard of presentation both written and verbal.
* Demonstrable track record of successful change management.
* Proven ability to maintain focus in a demanding environment.
* Commitment to further develop the post and the service provided.
Audit/ Quality Improvement
Essential
* Effective participation in and a commitment to clinical audit.
* Participation in a quality improvement programme.
* Experience of quality improvement work and audit.
Desirable
* Undergone training in teaching and willingness to organise relevant audit activities including quality improvement.
* Completion of formal courses in Audit and quality improvement.
* Published Audit including quality improvement.
* Track record in service development.
Research
Essential
* Understanding and interest in research.
* Ability to appraise research critically.
* Ability to supervise juniors undertaking research projects.
* Evidence of recent research and development activity.
Desirable
* Publications in nationally and internationally recognised peer-reviewed journals on subjects relevant to the specialty.
Teaching
Essential
* Experience of and a commitment to training/ teaching undergraduate and postgraduates.
* Appraisal and assessment skills.
* Ability to assess clinical competencies.
* Enthusiastic and ability to inspire and lead others.
Desirable
* Willingness to develop new approaches to teaching.
* Postgraduate qualification in teaching and training.
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