Senior Clinical Fellow in Cardiothoracic Critical Care with a special interest in extracorporeal life support (ECLS).

We are recruiting a Senior Clinical Fellow (ST5+ equivalent) in Critical Care Medicine.

Gain experience in both cardiac and general intensive care working in one of our four critical care units. The clinical work is alternated with special clinical interest (in this case, ECLS - at least one day per week dedicated to ECLS) and audit activity.

This post is a unique opportunity to be a part of the UK's premier cardiac centre - Barts Heart Centre. The Barts Heart Centre (BHC) is a venture formed by merging cardiothoracic services from the London Chest Hospital, St Bartholomew's Hospital and the Heart Hospital. This merger created the UK's largest cardiothoracic centre with nearly all specialist cardiac services for north central and north east London and beyond, as well as highly specialised national services, brought together in the newly built hospital on the St Bartholomew's site.

With state-of-the-art facilities, Barts Heart Centre has 72 critical care beds, ten theatres, ten catheter labs and over 250 cardiac, vascular and thoracic beds, creating one of Europe's largest Cardiothoracic Centres.

Main duties of the job

The ECLS Fellow will be expected to contribute to designing and delivering the ECLS teaching program for nursing and junior medical staff. In addition, they will be involved in the governance of the ECLS program.

The fellow will have the opportunity to be a part of a highly functioning Critical Care team with vast experience in this field. The fellow will be encouraged to rotate through the cardiothoracic ICU to gain expertise in managing immediate post-operative patients. They will be exposed to various cardiac-output monitoring devices, including pulmonary artery catheters, PiCCO2, oesophageal doppler and transoesophageal echocardiography. The fellow will have the opportunity to be a part of the ECLS retrieval team and gain valuable experience in cannulation techniques for respiratory and cardiac support.

The fellow will be encouraged to attend the unit's educational programme, including weekly ICU teaching and regular ECLS courses. They will be encouraged to participate in relevant national meetings during the fellowship.

About us

Our WeCare values shape everything that we do every single day. They are visible in every interaction with each other, our patients, their families, and our partners.

WeCare about everything from the appointment letters our patients receive to the state of our facilities when they walk through the door to the care and compassion they receive when they are discharged. WeCare that the people who join our Trust will hold the same values as ours, so our values are embedded in our recruitment and selection processes. WeCare that you feel valued working here, so our values also guide our training and development and performance and talent management. WeCare about working with suppliers that live and breathe our values too.

We have come a long way on our journey to delivering safe and compassionate care. By embracing these values as we behave around here, we will achieve our ambition for excellence.

Job description
Job responsibilities

Hospital and work in other areas within the hospital as required. The post holder will be resident whilst on shift and will remain under the supervision of the on-call Intensive Care Consultant but will be able to undertake specific clinical responsibilities without immediate supervision depending on experience in consultation with the on-call consultant. The rota is a 1 in 9 full shift rota.

The post-holder will be appointed to the Perioperative Medicine Department and accountable to the department's clinical director (Dr Jeremy Cordingley).

Critical care is also staffed by core medical trainees and junior clinical fellows with a rota providing continuous cover day and night on both the first and 6th floors.

There is a regular critical care teaching programme in place. Post-holders will be allocated educational and clinical supervisors for intensive care medicine.

While particular interests of the post-holder will be considered in the rota scheduling as there are many opportunities for training in different aspects of general and cardiothoracic critical care at Barts Hospital.

Person Specification
Research and Development
Essential

• Understanding and knowledge of research and ability to interpret research papers.
• Good Clinical Practice training

Desirable

• Publications in critical care journals or in areas of special interest

Qualifications and training
Essential

• GMC Registration
• FRCA/MRCEM/MRCP/FRCS or equivalent
• Minimum ST 5 ICM (or equivalent)

Desirable

• Experience in cardiothoracic critical care and ECLS,
• APLS/EPLS, ALS or equivalent, ATLS or equivalent

Teaching and training
Essential

• Teaching and training

Desirable

• Experience in delivering training courses to junior medical and nursing staff. Experience in teaching

Appraisal and mandatory training
Essential

• Evidence of participation in the appraisal process
• Up to date with statutory and mandatory training in the current appointment

General skills and personal characteristics
Essential

• Evidence of and adherence to the GMC's 'Good Medical Practice'
• Ability to communicate clearly and effectively in English (spoken and written)
• Self-motivated, empathetic, patient.
• Ability to communicate well with patients and to get on well with other staff
• Ability to handle conflict and work within a team

BMJRef: BMJ-116617/259-MED422SBH