Job summary
Aims and responsibilities of the post:
The post holders will rotate between the consultant firms and be fully involved in a range of cardiothoracic work. In addition to providing immediate cover to patients in cardiac recovery and on the general cardio-thoracic ward, the post holder will provide cover for intensive care emergencies. Consultant cover will be available at all times.
Please note this vacancy may close early if a sufficient number of applications have been received.
Main duties of the job
Main Duties & Responsibilities
1. To acquaint him/herself with details of patient management in discussion with the consultants and ensure their efficient execution.
2. To ensure that good communications are maintained with all medical colleagues, e.g. anesthetists, cardiologists, nursing staff and paramedical departments such as physiotherapists, radiographers and ancillary staff, to the benefit of the patient.
3. To ensure other Specialty Registrars and Consultants are kept informed regarding alteration in the condition of any of their patients.
4. To ensure that all in-patient notes are kept up to date and tidy.
5. Supervise the junior staff (SHOs and Nurse practitioners) in the performance of their duties.
About us
The Royal Brompton and Harefield Clinical Group Board is a formal sub-committee of the Guy's and St Thomas' NHS Foundation Trust Board, with delegated responsibilities and decision-making rights for the strategic and operational running of itsservices. These are set out in the Guy's and St Thomas' Scheme of Delegation, and the Trust's Standing Financial Instructionsprovide the delegation limits with regardto financial decisions.
The Guy's and St Thomas' NHS Foundation Trust Board of Directors holds legal accountability for the Trust including all aspects of the Royal Brompton and Harefield Clinical Group (RB&HH). The RB&HH Clinical Group Board provides assurance to the Guy's and St Thomas' NHS Foundation Trust Board of Directors on the overall operational, quality and safety and financial performance of Royal Brompton and Harefield Hospitals, and on the development and delivery of the Trust's strategy for its heart and lung services.
The Clinical Divisions are Heart (RB&HH incorporating Cardiology Radiology and Cardiac Surgery), Harefield (incorporating Cardiology, Transplant, Radiology, Respiratory and Cardiac and Thoracic Surgery), RB&HH Lung (incorporating Respiratory Medicine, Radiology and Lung Surgery); and Directorates of Paediatrics, Anaesthesia and Critical Care, Laboratory Medicine, Pharmacy and Rehabilitation and Therapies.
Job description
Job responsibilities
1.To take history, examine and record all findings of all patients admitted under the Consultants care.
2. Carry out and arrange all relevant investigations.
3. To see and examine all patients under the care of the Consultant concerned, including those in the Intensive Therapy Unit ensuring communication is maintained regarding the condition of any of their patients
4. To assist in the operating theatre.
5. To attend and assist Outpatient clinics under the direction of the consultant and to ensure that clinic letters are dictated promptly to fall in line with the 18 week referral to treatment policy.
6. To arrange for the transfer of patients to other hospitals or discharge home, and including a discharge summary on patients transfer.
7. To be responsible for the care of all cardiothoracic patients on the wards when working the on-call duty during weekend and evenings.
8. To perform minor surgical procedures such as chest aspiration, insertion of intercostal tubes, etc. and if necessary, under the supervision of a Consultant.
9. To dictate all urgent discharge summaries and ensure that these are forwarded to the patients General Practitioner or hospital of transfer within 24 hours after the patient is discharged and complete letters to General Practitioners.
10. To cross cover, in conjunction with other Specialty Trainees to ensure the service is covered during periods of absence, annual or study leave and with the guidance and supervision of the appropriate Consultant.
11. To keep Specialist Registrar colleagues and Consultants informed of any patient who is giving cause for concern.
12. To communicate to a patients relative the progress of that patient.
13. To be available for emergency calls to ITU and other parts of the hospital, if required i.e. for cardiac arrest.
14. To participate in research projects which may already be in progress.
15. To participate in lecturing to other staff if required, e.g. nurses and physiotherapists.
16. To accept that occasional emergencies and unforeseen circumstances may occur, and to respond to the needs of the service when they arise.
17. To participate in the Medical Audit Programme on a monthly basis and update PATS data entry.
Job description
Job responsibilities
1.To take history, examine and record all findings of all patients admitted under the Consultants care.
2. Carry out and arrange all relevant investigations.
3. To see and examine all patients under the care of the Consultant concerned, including those in the Intensive Therapy Unit ensuring communication is maintained regarding the condition of any of their patients
4. To assist in the operating theatre.
5. To attend and assist Outpatient clinics under the direction of the consultant and to ensure that clinic letters are dictated promptly to fall in line with the 18 week referral to treatment policy.
6. To arrange for the transfer of patients to other hospitals or discharge home, and including a discharge summary on patients transfer.
7. To be responsible for the care of all cardiothoracic patients on the wards when working the on-call duty during weekend and evenings.
8. To perform minor surgical procedures such as chest aspiration, insertion of intercostal tubes, etc. and if necessary, under the supervision of a Consultant.
9. To dictate all urgent discharge summaries and ensure that these are forwarded to the patients General Practitioner or hospital of transfer within 24 hours after the patient is discharged and complete letters to General Practitioners.
10. To cross cover, in conjunction with other Specialty Trainees to ensure the service is covered during periods of absence, annual or study leave and with the guidance and supervision of the appropriate Consultant.
11. To keep Specialist Registrar colleagues and Consultants informed of any patient who is giving cause for concern.
12. To communicate to a patients relative the progress of that patient.
13. To be available for emergency calls to ITU and other parts of the hospital, if required i.e. for cardiac arrest.
14. To participate in research projects which may already be in progress.
15. To participate in lecturing to other staff if required, e.g. nurses and physiotherapists.
16. To accept that occasional emergencies and unforeseen circumstances may occur, and to respond to the needs of the service when they arise.
17. To participate in the Medical Audit Programme on a monthly basis and update PATS data entry.
Person Specification
APPLICATION
Essential
- ALL sections of application form FULLY completed according to written guidelines
- Ability to provide complete details of employment history o At least 24 months' experience in surgery (with at least 12 months in Cardiothoracic surgery)
Desirable
- o All applicants to have demonstrable skills in written and spoken English that are adequate to enable effective communication about medical topics with patients and colleagues in line with GMC Standards.
Qualifications and Experience
Essential
- MRCS or equivalent or FRCS or higher degree
- Eligible for full registration with the GMC at time of appointment
- Meets professional health requirements (in line with GMC standards/Good Medical Practice)
- Equivalent to two years full time clinical experience in cardiothoracic surgery including pre and post operative care. Experience as a first assistant .
- Capacity to apply sound clinical knowledge & judgment & prioritise clinical need. Demonstrates appropriate technical competence & evidence of development of excellent diagnostic skills & judgement. o Validated logbook documentation of surgical exposure to date
Desirable
- Evidence of contributing to teaching & learning of others
CLINICAL EXPERIENCE & SKILLS
Essential
- Technical Knowledge & Clinical Expertise: Capacity to apply sound clinical knowledge & judgment & prioritise clinical need. Demonstrates appropriate technical competence & evidence of development of excellent diagnostic skills & judgement.
- Attendance at relevant courses, e.g. ATLS, Basic Surgical Skills or equivalent
- Problem Solving: Capacity to think beyond the obvious, with analytical and flexible mind. Capacity to bring a range of approaches to problem solving.
- Situation Awareness: Capacity to monitor and anticipate situations that may change rapidly
- o Organisation & Planning: Capacity to manage time and prioritise workload, balance urgent & important demands, follows instructions. Understands importance & impact of information systems.
Desirable
- Evidence of relevant academic & research achievements, e.g. degrees, prizes, awards, distinctions, publications, presentations, other achievements
- Evidence of active participation in audit
- Evidence of participation in risk management and/or clinical/laboratory research
Person Specification
APPLICATION
Essential
- ALL sections of application form FULLY completed according to written guidelines
- Ability to provide complete details of employment history o At least 24 months' experience in surgery (with at least 12 months in Cardiothoracic surgery)
Desirable
- o All applicants to have demonstrable skills in written and spoken English that are adequate to enable effective communication about medical topics with patients and colleagues in line with GMC Standards.
Qualifications and Experience
Essential
- MRCS or equivalent or FRCS or higher degree
- Eligible for full registration with the GMC at time of appointment
- Meets professional health requirements (in line with GMC standards/Good Medical Practice)
- Equivalent to two years full time clinical experience in cardiothoracic surgery including pre and post operative care. Experience as a first assistant .
- Capacity to apply sound clinical knowledge & judgment & prioritise clinical need. Demonstrates appropriate technical competence & evidence of development of excellent diagnostic skills & judgement. o Validated logbook documentation of surgical exposure to date
Desirable
- Evidence of contributing to teaching & learning of others
CLINICAL EXPERIENCE & SKILLS
Essential
- Technical Knowledge & Clinical Expertise: Capacity to apply sound clinical knowledge & judgment & prioritise clinical need. Demonstrates appropriate technical competence & evidence of development of excellent diagnostic skills & judgement.
- Attendance at relevant courses, e.g. ATLS, Basic Surgical Skills or equivalent
- Problem Solving: Capacity to think beyond the obvious, with analytical and flexible mind. Capacity to bring a range of approaches to problem solving.
- Situation Awareness: Capacity to monitor and anticipate situations that may change rapidly
- o Organisation & Planning: Capacity to manage time and prioritise workload, balance urgent & important demands, follows instructions. Understands importance & impact of information systems.
Desirable
- Evidence of relevant academic & research achievements, e.g. degrees, prizes, awards, distinctions, publications, presentations, other achievements
- Evidence of active participation in audit
- Evidence of participation in risk management and/or clinical/laboratory research
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.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
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.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
