Junior Clinical Fellow in Cardiothoracic SurgeryNHS

Job summary

This is a Trust appointment, and the main base will be at Harefield Hospital.

This post is for 6 months in the first instance, extendable by mutual consent to up to 23 months.

The junior 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.

This post may close early if a sufficient number of applications have been received.

Main duties of the job

The junior 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.

Job description

• To take history, examine and record all findings of all patients admitted under the Consultants care.
• Carry out and arrange all relevant investigations.
• To see and examine all patients under the care of the Consultant concerned, (ward rounds include those in the Intensive Therapy Unit) ensuring communication is maintained regarding the condition of any of their patients
• To assist when required in the operating theatre when on duty /allocated to theatre.
• To attend and assist Outpatient clinics when required 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.
• To arrange for the transfer of patients to other hospitals or discharge home and including a discharge summary on patients transfer.
• To be responsible for the care of all cardiothoracic patients on the wards when on duty during weekend and evenings under the direction of the duty (on call) Senior Clinical Fellow (SpR).
• To perform minor surgical procedures such as chest aspiration, insertion of intercostal tubes, etc. and if necessary, under the supervision of a Senior Clinical Fellow /SpR.
• 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.
• To work in conjunction with other Junior Clinical Fellow (SHO) to ensure the service is covered during periods of absence, annual or study leave and with the guidance and supervision of the appropriate Senior Clinical Fellow (SpR).
• To escalate to the Senior Clinical Fellow /SpR r and Consultant any patient who is giving cause for concern.
• To communicate to a patients relative the progress of that patient.
• To be available for emergency calls to ITU and other parts of the hospital, if required i.e., for cardiac arrest.
• To participate in research projects which may already be in progress.
• To participate in lecturing to other staff if required, e.g., nurses and physiotherapists.
• To accept that occasional emergencies and unforeseen circumstances may occur, and to respond to the needs of the service when they arise.
• To participate in the Medical Audit Programme monthly and update PATS data entry

About us

Royal Brompton and Harefield hospitals joined Guy's and St Thomas' in February 2021 and is the largest specialist heart and lung centre in the UK and among the largest in Europe. Weprovide treatment for people with heart and lung disease, including rare and complex conditions, offering some of the most sophisticated treatment that is available anywhere in the world.

The Royal Brompton Hospital (RBH) is a specialist cardiothoracic centre specialising in diseases of the heart and lung, with services for adults (Cardiology, Cardiothoracic Surgery, Radiology, and Thoracic Medicine) and Paediatrics. It has approximately 2,081 staff, 296 beds, 6 operating theatres, 5 catheter laboratories, a private patients' ward and extensive imaging facilities. A state-of-the-art Diagnostic Centre opened in January 2022.

Harefield Hospital (HH) is a regional centre for cardiology and cardiothoracic surgery, and an international centre for adult heart and heart-lung transplantation. It is one of a small number of UK cardiac centres assisting in development of implantable mechanical ventricular assist devices in the management of end-stage heart failure. It also provides a primary intervention service for acute coronary syndromes to selected Trusts and the London Ambulance Service, in outer West London and the Home Counties. It has approximately 1,185 staff, 180 beds with 5 operating theatres, and 4 catheter laboratories.