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Job requirements
Essential
11 listedRequirements the employer expects applicants to meet.
- CLINICAL SKILLS
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
- CLINICAL SKILLS
Validated logbook documentation of surgical exposure to date
- CLINICAL SKILLS
Judgement under Pressure: Capacity to operate effectively under pressure & remain objective in highly emotive/pressurised situations. Awareness of own lim-itations & when to ask for help
- CAREER PROGRESSION /APPLICATION COMPLETION
Ability to provide complete details of employment history
- CAREER PROGRESSION /APPLICATION COMPLETION
relevant experience (at SHO level) in surgery (not including Foundation modules)
- CAREER PROGRESSION /APPLICATION COMPLETION
ALL sections of application form FULLY completed according to written guidelines
- Qualifications and ELIGIBILITY /CLINICAL SKILLS
Full GMC with licence to practise - Meets professional health requirements (in line with GMC standards/Good Medical Practice)
- Qualifications and ELIGIBILITY /CLINICAL SKILLS
MBBS or equivalent medical qualification
- Qualifications and ELIGIBILITY /CLINICAL SKILLS
Fit to practice safely /Professional behaviour and probity
- Qualifications and ELIGIBILITY /CLINICAL SKILLS
Evidence of achievement of Foundation competencies in line with GMC stand-ards/Good Medical Practice including
- Qualifications and ELIGIBILITY /CLINICAL SKILLS
Good clinical care /Good relationships and communication with patients /Delivery of good acute clinical care
Desirable
5 listedAdditional qualities the employer would prefer.
- CLINICAL SKILLS
Evidence of participation in risk management and/or clinical/laboratory research
- CLINICAL SKILLS
Organisation & Planning: Capacity to manage time and prioritise workload, bal-ance urgent & important demands, follows instructions. Understands importance & impact of information systems
- CAREER PROGRESSION /APPLICATION COMPLETION
Extracurricular activities / achievements relevant to cardiothoracic surgery
- Qualifications and ELIGIBILITY /CLINICAL SKILLS
Teaching: Evidence of contributing to teaching & learning of others
- Qualifications and ELIGIBILITY /CLINICAL SKILLS
Evidence of active participation in audit
Job overview
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
Detailed job description and main responsibilities
- To take history, examine and record all findings of all patients admitted under the Consultant’s 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 patient’s 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 patient’s 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 patient’s 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
Applicant requirements
You must have appropriate UK professional registration.
This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.
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Applying for this NHS job
This advert is for Junior Clinical Fellow in Cardiothoracic Surgery with Guy's and St Thomas' NHS Foundation Trust in London, England. It is listed as a Junior Medical doctor Cardiothoracic Surgery role. The advertised salary is £54,499 - £55,355 pro rota. The contract type is Fixed term: 6 months (6 months initial contract - extendable to 12 months). The application deadline is 14 Oct 2026.
Before you apply, compare the job description with the person specification and mirror the employer's essential criteria in your supporting information. Use the vacancy title, employer, location, salary, contract type, closing date and posted date (30 Sep 2026) to decide whether this role fits your current NHSjob search. If the employer can close applications early, prepare the application before the stated deadline rather than waiting for the final day.
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