Trust Fellow in Cardiothoracic Anaesthesia and Intensive Care (ST3+)

Job overview

We are delighted to be able to offer an opportunity for a highly motivated, ambitious individual to join our well-integrated team.

This post is to commence as soon as possible for 12 months in the first instance.

In addition to the challenges of the role, we can offer you a commitment to teaching, education, research and audit.

As a flexible working friendly organisation, we want to be sure that you can work in a way that is best for us and for our patients, and for you. Speak to us about how we might be able to accommodate a flexible working arrangement. If it works for the service, we will do our best to make it work for you.

Please see Job Description and Person Specification.

Main duties of the job

The post is suitable for those candidates who wish to take time out of their training programme or who are already accredited and wish to further be training and gain experience in cardiothoracic anaesthesia and cardiac intensive care. It would suit and can be tailored to the needs of applicants from various disciplines such as Cardiothoracic Anaesthesia, General anaesthesia with cardiothoracic anaesthesia exposure, and Critical Care with cardiothoracic exposure.

For an informal discussion and further information regarding the opportunity and Directorate, please contact: Dr Amr Hashem Mohamed on 0191 2336161 ext: 77410, or via email at amr.mohamed5@nhs.net or Dr Abraham Samuel on 0191 2336161 ext: 27488, or via email at Abraham.samuel@nhs.net

Please read attached Job Description and Person Specification.

Detailed job description and main responsibilities

The post is based in our Cardiothoracic anaesthesia (CTA) theatres and/or Cardiac Intensive Care unit (CICU).

Cardiothoracic theatres for adult cardiac & thoracic patients:

• The Freeman hospital has 2 adult cardiac theatres and 2 adult thoracic theatres running on almost daily basis. However, adult congenital anaesthesia run in different theatre and is provided by a different congenital anaesthesia team but ultimately come to our adult CICU after surgery where we manage them thereafter. One of the thoracic theatres is usually for Robotic surgeries.

For more details please read the attached Job Description.

Intensive care for adult cardiac patients (CICU):

The CICU has twenty-one level three beds (six isolation cubicles) and seven level two beds in an adjoining area. CICU duties are based in these areas but extend to support deteriorating patients on the wards, support for cardiology emergencies and accompanying patients during transport to other centres.

• We work closely with the transplant, VAD and ECMO teams, and the successful candidate will be expected to take a particular interest in the management of our complex patients requiring advanced support. There are twice daily transplant and VAD rounds with further mutual support and joint decision making as required. Freeman is unique in the UK in offering transplant services for all solid organs on one site and there are close ties with experts in other disciplines such as microbiology, radiology and haematology who frequently assist our team.

Echocardiography

• The appointee will have the opportunity to acquire a working knowledge of the fundamentals of echocardiography during the tenure of the post. The cardiothoracic anaesthetic department runs a week long TOE course once a year. The appointee will be encouraged to get accredited with British Society of Echocardiography or European Association of Cardiovascular Imaging in Trans-oesophageal Echo with all possible help for theory exams and collection of cases for logbook.

Post-operative analgesia techniques, with special reference to thoracic surgery

• Attendance on pain ward rounds is offered.
• Cardiothoracic Theatres & CICU

Audit and research

• The appointee will be encouraged to undertake audit and research projects during the post.

Education

• The appointee will be encouraged to participate in teaching for medical students, nursing staff and less experienced trainees, and to undertake the preparation of topical reviews. There are weekly departmental educational meetings which are co-ordinated by the Specialist Trainees.

On-call

• There is a 2-tier rotational trainee / fellow rota, with advanced critical care practitioners participating in the first tier rota. A rotating ST3+ from the Northern region or an ACCP will be on a full shift rota covering ITU mainly. The appointee will be 2nd on-call on a full rota covering predominantly ITU, but providing support to theatres if required or appropriate, or if split rota is active which depends on the total number of fellows and trainees, in addition to ACCPs.

The Trust Fellow appointed to this post will be allocated a consultant educational supervisor. The fellow will be expected to maintain a logbook of activity, to ensure that his/her training can be easily reviewed and optimised in conjunction with the educational supervisor. This logbook should be made available for external assessment if required.

Flexibility:

In line with the Trust’s core value of placing patients at the heart of everything we do, we are developing our service provision to be responsive to the needs of our patients. To meet those needs some staff groups will be increasingly asked to work a more flexible work pattern so that they can offer services in the evening or weekend. As a result any offer of employment to a consultant post will be subject to you agreeing to work a new more flexible pattern or working in the future if required, including evening and weekend work.

Please read the attached Job Description and Person Specification.

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.