Job summary
This one-year post will provide the postholder with advanced training in prenatal diagnosis and management of congenital heart disease. It will provide an opportunity for a transition period between higher specialist training/completion of training in Paediatric Cardiology (CCT) and working at consultant level. The postholder will gain experience in all aspects of fetal cardiology with the majority of their timetable committed to developing their sub-specialty interest. Commitment to paediatric cardiology service provision, including paediatric cardiology rapid assessment clinics is also an integral part of the post. It is expected that by the end of the one year post the successful candidate will be in a position to apply for a consultant position.
Main duties of the job
The main objectives of this post are:
o To develop subspecialty skills in fetal cardiologyo To provide a service commitment in Paediatric Cardiology and be involved in all aspects of the department.o To provide clinical support, together with other registrars, to the consultants in paediatric cardiology and fetal cardiology as well as perform independent outpatient clinic duties.o To participate in all clinical activities including multidisciplinary meetings across all sites with the objective of ensuring a high standard of patient care.o To take an active part in undergraduate and postgraduate teaching and training. o To contribute to the management of the clinical service and service development.
About us
The fetal cardiology service at Evelina London Children's Hospital is one of the largest in the UK and internationally. The unit has an extensive referral network, receiving patients from 30 different obstetric units. Clinics are located both at ELCH, King's College Hospital (Harris Birthright Centre for Fetal Medicine) and at Medway Maritime Hospital. Over 3500 pregnant women have fetal cardiac assessment each year across the three sites. Across the sites over 500 cases of fetal congenital heart disease are diagnosed and managed. Around 150-200 are transferred for delivery at the St Thomas' site. The postholder would be expected to undertake clinical work at Evelina, Kings' College and Medway sites.
The unit functions as a multidisciplinary team. There are 6 fetal cardiology consultants within the department, 5 clinical nurse specialists, 5 sonographers and 3 administrative staff.
There is a combination of consultant-led clinics where all abnormal cases are scanned and reviewed by a consultant and sonographer-led clinics providing screening for low-risk cases. Where clinically appropriate, babies with congenital heart defects are delivered at St Thomas' Hospital for immediate postnatal treatment including patients from the Royal Brompton fetal cardiology network hospitals.
Job description
Job responsibilities
The postholder will be expected to take part in the full range of clinical activities of the department. The duties, sufficient to maintain and develop their pre-existing skills, will be negotiated with the Educational Supervisor and Consultants in paediatric cardiology.
Clinical:The focus of this post is to develop subspecialty clinical skills in fetal cardiology. The postholder will also be expected to undertake a mixed range of duties at senior registrar level (under the supervision of one of the consultants). These will include but are not limited to outpatient commitments, participating in joint discussions about patients and in the allocation of clinical duties within the department if the need arises. The postholder will care for inpatients and out-patients both within the department and at outreach clinics.
The postholder will, together with other consultant colleagues and trainees, be responsible for the provision of paediatric cardiology and fetal cardiology services to the Guys & St Thomas Hospital Trust to include:
Diagnosis and treatment of patients of the Guys and St Thomas Hospital Trust in such hospitals, health centres or clinics or other premises as required. The clinical management of inpatients of the paediatric cardiology service. Continuing clinical responsibility for the patients in your charge, allowing for all proper delegation to, and training of, staff. Undertaking independent outpatient clinics both within Guys & St Thomas and at outreach centres (with responsibility to a named consultant). The diagnosis and treatment of patients occupying accommodation made available under Sections 58, 65 and 66 of the National Health Service Act 1977, in so far as such patients have not made private arrangements for such treatment under Section 65(2) of the Act.
Job description
Job responsibilities
The postholder will be expected to take part in the full range of clinical activities of the department. The duties, sufficient to maintain and develop their pre-existing skills, will be negotiated with the Educational Supervisor and Consultants in paediatric cardiology.
Clinical:The focus of this post is to develop subspecialty clinical skills in fetal cardiology. The postholder will also be expected to undertake a mixed range of duties at senior registrar level (under the supervision of one of the consultants). These will include but are not limited to outpatient commitments, participating in joint discussions about patients and in the allocation of clinical duties within the department if the need arises. The postholder will care for inpatients and out-patients both within the department and at outreach clinics.
The postholder will, together with other consultant colleagues and trainees, be responsible for the provision of paediatric cardiology and fetal cardiology services to the Guys & St Thomas Hospital Trust to include:
Diagnosis and treatment of patients of the Guys and St Thomas Hospital Trust in such hospitals, health centres or clinics or other premises as required. The clinical management of inpatients of the paediatric cardiology service. Continuing clinical responsibility for the patients in your charge, allowing for all proper delegation to, and training of, staff. Undertaking independent outpatient clinics both within Guys & St Thomas and at outreach centres (with responsibility to a named consultant). The diagnosis and treatment of patients occupying accommodation made available under Sections 58, 65 and 66 of the National Health Service Act 1977, in so far as such patients have not made private arrangements for such treatment under Section 65(2) of the Act.
Person Specification
Qualifications and Training
Essential
- Full GMC Registration with entry on the Specialist Register, or within 6 months of CCT (or equivalent) at the time of application
- MRCP or MRCPCH or equivalent
- Minimum of 7 years' experience in clinical medicine or research posts
Desirable
- MSc or other degrees / qualifications
- Higher degree eg MD (res), PhD
Clinical Experience
Essential
- Up-to-date logbook/eportfolio of ST4-8 paediatric cardiology competencies or equivalent
- Demonstrable competencies and logbook of practical aspects of fetal echocardiography and prenatal counselling equivalent to 1-2 years of ST7-8 training in fetal cardiology
- Experience of fetal cardiology
Desirable
- Use of advanced imaging modalities in fetal cardiology e.g. deformation imaging, fetal cardiac MRI
Knowledge and Skills
Essential
- Competent to work without direct supervision where appropriate
- The ability to take individual responsibility for planning and undertaking own work
- Ability to work as an effective member of a multidisciplinary team
- Ability to take individual responsibility for planning and undertaking own work
- Awareness of own limitations
- Training in breaking bad news
Desirable
- Demonstrates use of evidence-informed practice
- EACVI accreditation in congenital echocardiography
Research
Essential
- Experience of clinical or basic sciences research
- Experience of using a database for data entry and collection.
Desirable
- Paediatric cardiology or fetal cardiology peer-reviewed publication in journal
Teaching
Essential
- Commitment to teaching of medical and other staff including medical students
Desirable
- Formal teaching qualification
- Evidence of teaching in structured courses / meetings / conferences
Management
Essential
- Good written and verbal communication skills
- The ability to use information technology
- An awareness of and positive attitude to equal opportunities issues within healthcare and education
- Completion of an audit or service evaluation
- Training in health services management
Desirable
- Involvement in service development
- Demonstrates management experience in or outside specialty / medicine
Good Medical Practice
Essential
- Evidence of understanding of and adherence to the principles of Good Medical Practice set out by the General Medical Council
- Demonstrate examples of Trust values
Teaching
Essential
- Commitment to teaching of medical and other staff including medical students
Desirable
- Formal teaching qualification
- Evidence of teaching in organised courses/meetings
Person Specification
Qualifications and Training
Essential
- Full GMC Registration with entry on the Specialist Register, or within 6 months of CCT (or equivalent) at the time of application
- MRCP or MRCPCH or equivalent
- Minimum of 7 years' experience in clinical medicine or research posts
Desirable
- MSc or other degrees / qualifications
- Higher degree eg MD (res), PhD
Clinical Experience
Essential
- Up-to-date logbook/eportfolio of ST4-8 paediatric cardiology competencies or equivalent
- Demonstrable competencies and logbook of practical aspects of fetal echocardiography and prenatal counselling equivalent to 1-2 years of ST7-8 training in fetal cardiology
- Experience of fetal cardiology
Desirable
- Use of advanced imaging modalities in fetal cardiology e.g. deformation imaging, fetal cardiac MRI
Knowledge and Skills
Essential
- Competent to work without direct supervision where appropriate
- The ability to take individual responsibility for planning and undertaking own work
- Ability to work as an effective member of a multidisciplinary team
- Ability to take individual responsibility for planning and undertaking own work
- Awareness of own limitations
- Training in breaking bad news
Desirable
- Demonstrates use of evidence-informed practice
- EACVI accreditation in congenital echocardiography
Research
Essential
- Experience of clinical or basic sciences research
- Experience of using a database for data entry and collection.
Desirable
- Paediatric cardiology or fetal cardiology peer-reviewed publication in journal
Teaching
Essential
- Commitment to teaching of medical and other staff including medical students
Desirable
- Formal teaching qualification
- Evidence of teaching in structured courses / meetings / conferences
Management
Essential
- Good written and verbal communication skills
- The ability to use information technology
- An awareness of and positive attitude to equal opportunities issues within healthcare and education
- Completion of an audit or service evaluation
- Training in health services management
Desirable
- Involvement in service development
- Demonstrates management experience in or outside specialty / medicine
Good Medical Practice
Essential
- Evidence of understanding of and adherence to the principles of Good Medical Practice set out by the General Medical Council
- Demonstrate examples of Trust values
Teaching
Essential
- Commitment to teaching of medical and other staff including medical students
Desirable
- Formal teaching qualification
- Evidence of teaching in organised courses/meetings
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
Additional information
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
