Job summary
An
exciting opportunity has arisen for a Clinical Fellow in transcatheter valve
intervention to join the team at Leeds General Infirmary.
This
Fellowship would be focussed on transcatheter valve intervention, in particular
TAVI. Leeds performs approximately 500 TAVI procedures annually and has a
strong record of innovation in TAVI. We have an active research programme
supported by 4 research nurses, with multiple peer-reviewed publications in the
field.
Leeds
also has an established mitral intervention programme and is the sole centre
for provision of trans-catheter edge-to-edge repair (TEER) for Yorkshire &
Humber.
The Fellow will participate fully in all aspects of
the trans-catheter valve intervention programme, and can expect to be fully
trained as an independent TAVI operator at the end of the 12 month Fellowship.
The Fellow will also be involved in mitral procedures, and would gain
experience in trans-septal puncture and mitral intervention.
Main duties of the job
In
addition to the procedural component, clinical duties will include outpatient
clinics, assessment of urgent in-patient referrals, post-procedural management,
analysis of pre-procedural CT scans, and presentation at the MDT.
This
post will be one of two trans-catheter valve Fellows in Leeds. Between them the
Fellows will be involved in all of the 500+ structural intervention cases in
the 12-month post.
The
Fellowship will also offer continued involvement in PCI, in order to maintain
expertise. However, it will not offer full training in PCI to more junior
trainees, since the focus is on structural intervention.
Whilst there is no formal commitment to out of hours
work, there may be opportunities to contribute to gaps on the StR on all rota
where appropriate, but this should not interfere with the day to day
commitments of the post.
About us
Leeds
Teaching Hospitals NHS Trust is one of the largest acute health providers in
the UK and based in one of the fastest growing and vibrant cities in the north
of England.
Our
Trust is recognised for our staff engagement, great care and rated GOOD by the
Care Quality Commission.
The
Cardio-Respiratory CSU champions the Leeds Way values.
Patient-centred
Collaborative
Fair
Accountable
Empowered
The
trans-catheter valve intervention team is a flagship service of the CSU, with a
national & international reputation for excellence and innovation. The team
is also renowned for togetherness and friendship.
Leeds Teaching Hospitals is committed to our process
of redeploying 'at risk' members of our existing workforce to new roles. As
such, all our job adverts are subject to this policy and we reserve the right
to close, delay or remove adverts while this process is completed. If you do
experience a delay in the shortlisting stage of the recruitment cycle, please
bear with us while this process is completed, and contact the named contact if
you have any questions.
Job description
Job responsibilities
This
appointment will be based at the West Yorkshire Heart Centre, Leeds General
Infirmary.
Leeds
General Infirmary is the largest tertiary cardiac centre in the United Kingdom,
providing services to a population of 2.8 million in West Yorkshire, with
supra-regional services to the broader population of Yorkshire & Humber,
constituting 5.8 million. The cardiology department consists of 2 inpatient
wards (one acute admissions ward), a day case interventional ward, a day case
radial lounge, 6 lab catheter suite and a 10 bed coronary care unit. Leeds is a
high volume PCI centre performing 2200 PCI per annum, of which 1100 are primary
PCI maintaining the centres status as the busiest PPCI centre in the UK.
The
transcatheter valve intervention programme in Leeds is delivered by four
interventional cardiologists: Professor Dan Blackman, Dr Chris Malkin, Dr Mike
Cunnington, and Dr Noman Ali.
This
Fellowship would be focussed on transcatheter valve intervention, in particular
transcatheter aortic valve implantation (TAVI). Leeds performs approximately
500 TAVI procedures annually. Currently Evolut FX, SAPIEN 3 Ultra, and Navitor
valves are used. Standard TAVI procedures are performed under local
anaesthetic. More than 95% of procedures are trans-femoral, with percutaneous
axillary access the alternate access route of choice. Leeds has a strong record
of innovation in TAVI, having been the first centre in the UK to use Lotus,
undertaken the first-in-human Evolut study, the first-in-human Triguard
cerebral embolic protection study, and been at the forefront of cerebral
embolic protection and subclavian/axillary access. We are one of only two
centres in the UK currently performing TAVI cases with Jena Trilogy Valve for
aortic regurgitation. There is an active research programme supported by 4
research nurses, with multiple peer-reviewed publications in the field.
Leeds
has an established mitral intervention programme, and is the sole centre for
provision of trans-catheter edge to edge repair (TEER) for the 5.8 million
population of Yorkshire & Humber, with approximately 50 procedures expected
to be performed annually. Leeds has also been involved in trials of a number of
novel trans-catheter mitral valve repair and replacement devices including
Intrepid, High-Life, Carillon, and Millipede. We also perform mitral
valvuloplasty, TAVI-in-mitral valve / ring procedures, paravalvular leak
closures, and we are about to start a tricuspid TEER programme.
The post is fixed term for one year, expected start
date 1st November 2024.
Job description
Job responsibilities
This
appointment will be based at the West Yorkshire Heart Centre, Leeds General
Infirmary.
Leeds
General Infirmary is the largest tertiary cardiac centre in the United Kingdom,
providing services to a population of 2.8 million in West Yorkshire, with
supra-regional services to the broader population of Yorkshire & Humber,
constituting 5.8 million. The cardiology department consists of 2 inpatient
wards (one acute admissions ward), a day case interventional ward, a day case
radial lounge, 6 lab catheter suite and a 10 bed coronary care unit. Leeds is a
high volume PCI centre performing 2200 PCI per annum, of which 1100 are primary
PCI maintaining the centres status as the busiest PPCI centre in the UK.
The
transcatheter valve intervention programme in Leeds is delivered by four
interventional cardiologists: Professor Dan Blackman, Dr Chris Malkin, Dr Mike
Cunnington, and Dr Noman Ali.
This
Fellowship would be focussed on transcatheter valve intervention, in particular
transcatheter aortic valve implantation (TAVI). Leeds performs approximately
500 TAVI procedures annually. Currently Evolut FX, SAPIEN 3 Ultra, and Navitor
valves are used. Standard TAVI procedures are performed under local
anaesthetic. More than 95% of procedures are trans-femoral, with percutaneous
axillary access the alternate access route of choice. Leeds has a strong record
of innovation in TAVI, having been the first centre in the UK to use Lotus,
undertaken the first-in-human Evolut study, the first-in-human Triguard
cerebral embolic protection study, and been at the forefront of cerebral
embolic protection and subclavian/axillary access. We are one of only two
centres in the UK currently performing TAVI cases with Jena Trilogy Valve for
aortic regurgitation. There is an active research programme supported by 4
research nurses, with multiple peer-reviewed publications in the field.
Leeds
has an established mitral intervention programme, and is the sole centre for
provision of trans-catheter edge to edge repair (TEER) for the 5.8 million
population of Yorkshire & Humber, with approximately 50 procedures expected
to be performed annually. Leeds has also been involved in trials of a number of
novel trans-catheter mitral valve repair and replacement devices including
Intrepid, High-Life, Carillon, and Millipede. We also perform mitral
valvuloplasty, TAVI-in-mitral valve / ring procedures, paravalvular leak
closures, and we are about to start a tricuspid TEER programme.
The post is fixed term for one year, expected start
date 1st November 2024.
Person Specification
Qualifications
Essential
- Current ALS certification or equivalent
- MBChB or equivalent
Desirable
- MD, PhD or equivalent
- CCT or equivalent
Eligibility, Fitness to practice, and Language Skills
Essential
- Eligible for full registration with the GMC at time of appointment and hold a current licence to practice
- Eligibility to work in the UK
- Is up to date and fit to practise safely
- All applicants to have demonstrable skills in written and spoken English adequate to enable effective communication about medical topics with patients and colleagues.
Clinical, Academic, and Personal Skills
Essential
- Skilled in the basics of managing medical/surgical conditions, including emergencies
- Proficient in a range of medical procedures as an indication of manual dexterity and hand-eye coordination
- Skilled in management of acute cardiological emergencies
- Clarity in written/spoken communication & capacity to adapt language as appropriate to the situation
- Able to work in multi-professional teams & supervise junior medical staff
Desirable
- Skilled in use of femoral vascular closure devices
- Competent independent operator in PCI
- Ability to conduct clinical research studies independently
- Ability to write and submit papers for peer-review publication independently
Experience
Essential
- Evidence of achievement of CT/ST competencies in medicine (as defined by the curricula relating to Core Medical training)
- Extensive experience of general clinical cardiology
- Experience as an independent operator in PCI
- Significant amount of experience in medical specialities
- Involvement in research
Desirable
- Peer-reviewed publications in the field of interventional cardiology
- Completion of a full-time research programme leading to an MD/PhD
- Involvement in TAVI procedures as secondary operator
- Completion of a recognised training programme in Cardiology or within 18 months of completion. Competent independent operator in PCI
Person Specification
Qualifications
Essential
- Current ALS certification or equivalent
- MBChB or equivalent
Desirable
- MD, PhD or equivalent
- CCT or equivalent
Eligibility, Fitness to practice, and Language Skills
Essential
- Eligible for full registration with the GMC at time of appointment and hold a current licence to practice
- Eligibility to work in the UK
- Is up to date and fit to practise safely
- All applicants to have demonstrable skills in written and spoken English adequate to enable effective communication about medical topics with patients and colleagues.
Clinical, Academic, and Personal Skills
Essential
- Skilled in the basics of managing medical/surgical conditions, including emergencies
- Proficient in a range of medical procedures as an indication of manual dexterity and hand-eye coordination
- Skilled in management of acute cardiological emergencies
- Clarity in written/spoken communication & capacity to adapt language as appropriate to the situation
- Able to work in multi-professional teams & supervise junior medical staff
Desirable
- Skilled in use of femoral vascular closure devices
- Competent independent operator in PCI
- Ability to conduct clinical research studies independently
- Ability to write and submit papers for peer-review publication independently
Experience
Essential
- Evidence of achievement of CT/ST competencies in medicine (as defined by the curricula relating to Core Medical training)
- Extensive experience of general clinical cardiology
- Experience as an independent operator in PCI
- Significant amount of experience in medical specialities
- Involvement in research
Desirable
- Peer-reviewed publications in the field of interventional cardiology
- Completion of a full-time research programme leading to an MD/PhD
- Involvement in TAVI procedures as secondary operator
- Completion of a recognised training programme in Cardiology or within 18 months of completion. Competent independent operator in PCI
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).
