CLINICAL FELLOW (ST3+) IN CARDIOLOGY SPECIALISING IN CARDIOMYOPATHY

Job responsibilities

CLINICAL FELLOW (ST3+ LEVEL) IN CARDIOLOGY

SPECIALISING IN CARDIOMYOPATHY

BARTS HEART CENTRE

JOB DESCRIPTION

Title: Clinical Fellow in Cardiomyopathy/Heart Muscle Disease

Directorate: Barts Heart Centre/Cardiovascular

Grade: Specialist Registrar

Responsible to: Clinical Director Barts Heart Centre

Accountable to: Divisional Manager Barts Heart Centre

Hours: 40 hours per week

Information and Duties of the Posts

This Clinical Fellow (ST3+Level) post is based in the brand new Barts Heart Centre, Barts Health NHS Trust.

Barts Heart Centre is home to the merged cardiac units which were recently based at The London Chest Hospital, St. Bartholomews Hospital and The Heart Hospital. It is the heart attack centre for the region and provides invasive and interventional cardiology services, specialist cardiac imaging, electrophysiology services including device implants and ablation therapy for arrhythmia, grown up congenital heart disease, inherited heart disease and heart failure services. These posts therefore provide exposure to a wide variety of cardiology and medical conditions.

This post provides out-of-programme training in inherited cardiac conditions (ICC) for a candidate with suitable experience in clinical Cardiology. We expect post holders to undertake the same educational obligations as their colleagues.

Clinical Training and Responsibilities:

Clinic:

• Cardiomyopathies: new and follow-up patients
• Specialist clinic evaluating and investigating families with sudden arrhythmic death.

Inpatients:

Routine care of patients admitted under the care of the ICC team and evaluation of those referred for an opinion from the ICC team.

Exercise Physiology

Training in conduct and interpretation of cardiopulmonary exercise testing

Imaging

Training in advanced echocardiography and/or cardiac magnetic resonance imaging.

Genetics

1. Training in basic clinical genetics / genetic counselling
2. Conducting family screening.
3. Instruction in basic laboratory techniques (DNA extraction / PCR / sequencing)

Non-clinical training and responsibilities:

Research

1. Work with clinical and research staff on existing projects
2. Develop own research project in inherited cardiac disease

Teaching

• To participate in teaching of medical students.

Governance

• To participate in audit and clinical governance at Barts Heart. This may include responsibility for managing multidisciplinary meetings and/or a programme of clinical audit.

General

• Adhere to the Service Commitment "Putting Patients First" and adopt a professional approach to customer care at all times.Comply with the Trusts Equal Opportunities Policy and treat staff, patients, colleagues and potential employees with dignity and respect at all times

• Take personal responsibility for promoting a safe environment and safe patient care by identifying areas of risk and following the Incident, Serious incidents and near misses reporting policy and procedure
• Take personal responsibility for ensuring that resources are used efficiently and with minimum wastage.
• Comply with Trust policies for personal and patient safety and for prevention of healthcare-associated infection (HCAI); this includes a requirement for rigorous and consistent compliance with Trust policies for hand hygiene, use of personal protective equipment and safe disposal of sharps
• Be aware of and adhere to all Trust policies and procedures, the Health and Safety at Work Act and the Data Protection Act
• Maintain confidentiality at all times

Working arrangements

You are expected to maintain satisfactory patient notes, to write discharge letters and summaries. With the introduction of medical audit you may be required to enter relevant data on to computers and to abide by the rules and regulations of the Data Protection Act.

You will be expected to organise and undertake presentations at departmental meetings and to supervise SHOs in preparation for their presentations.

Hours of work

You are expected to organise your working day and cooperate with your colleagues to allow 30 minutes natural break for each 4 hour period of work whenever feasible

Educational Opportunities and Study leave

There will be numerous educational opportunities at the Barts Heart Centre including weekly Cardiology teaching and departmental meetings. There will be monthly educational days which include morbidity and mortality meetings, educational sessions, audit, and research presentations.

Audit and Research

Formal audit and research programmes exist which between them cover many aspects of cardiology including electrophysiology, interventional cardiology, imaging, and heart muscle disease. The post holders will have the opportunity to contribute to projects of their choice.

Infection Prevention and Control Roles and Responsibilities

All staff - core statement-

To adhere to Trust policy and infection control principles and standards to minimise patient risk and ensure high quality patient care.

Undertake appropriate training and practice to ensure you (and your teams) have the right skills and are competent.

Are responsible for keeping the environment clutter free, clean and raising issues of concern in the interest of staff and patient safety.

Ensure high cleaning standards to prevent infection and increase patient's confidence.

Equal Opportunities

The post-holder must carry out all duties and responsibilities with due regard for Barts and The London NHS Trust Equal Opportunities Policy

Salary and Conditions of Service

The post is subject to the Terms and Conditions of Service of Hospital Medical and Dental Staff (England & Wales), to the General Whitley Council Conditions of Service and also to the National Health Service Pension Regulations.

Due to the nature of the work in this post, it is exempt from the provision of section 4 (2) of the Rehabilitation of offenders Act 1974, by virtue of the Rehabilitation of Offenders Act 1974 (Exemption Order 1975).

Applications are therefore not entitled to withhold information about convictions, including those which, for the purposes are spend under the provisions of the Act. Failure to disclose such information may result in dismissal or disciplinary action

Qualifications and knowledge

Essential

• MBBS or equivalent medical qualification
• Successful completion of MRCP or equivalent
• Full registration with the GMC with a licence to practice at the time of appointment

Desirable

• Post graduate medical research degree

Experience

Essential

• Working in MDTs

Desirable

• Managing cases and families with inherited cardiomyopathy
• Advanced cardiac imaging
• Interpretation of genetic test results
• Managing young patients with heart disease
• Genetic counselling

Skills

Essential

• Good knowledge of the spectrum of cardiological disease
• Managing inpatients with acute cardiac disease
• Managing symptoms and mortality risks in patients with progressive chronic cardiac disease
• Teaching and education

Desirable

• Managing implantable cardiac devices
• Research methodology and audit

Personal and people development

Essential

• Ability to work in a team
• Maintain and safeguard patients through CPD and appraisal
• Ability to supervise junior colleagues in a professional manner
• Commitment to Governance and patient safety through audit and CPD

Communication

Essential

• Good leadership skills
• Ability to communicate effectively with colleagues, patients, relatives, GPs, nurses & other agencies.
• Enthusiasm & ability to work under pressure
• Good organisational skills
• Ability to work within a multidisciplinary team
• Caring attitude to patients.

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.

Certificate of Sponsorship

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).