Job summary
Employer heading
ST3+ Trust doctor (LAS) in Cardiology
MN35
Fulfil your potential in hospitals that make history:
Charing Cross, Hammersmith, St Mary’s, Queen Charlotte’s & Chelsea and Western Eye.
With five world-renowned hospitals, Imperial College Healthcare NHS Trust is full of opportunity if you are looking to develop your healthcare career.
We are an NHS Trust of approximately 14,000 people, providing care for over a million and a half patients from north west London and beyond every year.
We have a rich heritage and an ambitious vision for the future of our patients and local communities.
With our partners, Imperial College London, and The Royal Marsden NHS Foundation Trust, we form Imperial College Academic Health Science Centre, one of 6 academic health science centres in the UK, working to ensure the rapid translation of research for better patient care and excellence in education.
We are proud of our heritage in innovation and we are early adopters of new insights in technologies, techniques and treatments for improving health.
Job overview
The Department of Cardiothoracic Surgery at Imperial was formed as a result of the merger between the departments at St Mary’s and Hammersmith Hospitals in 2010. The recognised areas of expertise in those departments have been retained and we offer all aspects of adult cardiothoracic surgery including Chest trauma cover for St Mary’s site (excluding mechanical assist/ cardiopulmonary transplantation). There is specific expertise in aortic surgery, minimal-access surgery, mitral valve repair.
In thoracic surgery, video-assisted thoracoscopic surgery through multi-, bi- and uni-port approaches is increasingly used for lung resection as well as in surgery for pleural and mediastinal pathologies. The unit covers a wide geographical area and 3 Lung MDTs providing thoracic surgical expertise.
There is an aspirational drive to promote Enhanced Recovery, Robotic surgery and close involvement with the academic departments at Imperial College London. The department has an excellent track record in education and training with career progression to recognised NTN or consultant posts.
This post would be especially suited for someone with prior experience in Cardiac Surgery primarily and also some previous exposure to Thoracic Surgery at ST3+ or equivalent level, having MRCS or equivalent, wishing to progress to CCT in Cardiac surgery.
For further details, or to arrange a visit please contact Mr Alessandro Viviano – Consultant Cardiothoracic Surgeon ([email protected])
Main duties of the job
- Pre-operative assessment and preparation of patients to undergo cardiac or thoracic surgery, in outpatients, for urgent referrals (including emergency trauma cover at St Mary’s site) and the specific cardiothoracic pre-assessment clinics
- · Capacity to be a competent operating surgeon with direct or indirect supervision and also assisting the consultants in the operating theatres as required and providing training/supervision to more junior staff and Surgical Care Practitioners, as appropriate
- ontinuing responsibilities for post-operative critical care of the patients undergoing cardiac and thoracic surgery and subsequent Level 0/1 care on the wards
- · Post-operative follow-up of patients in the outpatient, chest drain or would clinics, working with where indicated
- · Partaking in the middle-grade on-call rota
- · The accurate and timely recording of clinical data, both written & electronic, as outlined in the Principles of Good Medical Practice described by the GMC, participation in clinical audit and familiarity with Trust IT and information systems
- · Communicating effectively with both junior and senior medical colleagues, nursing staff (including Clinical Nurse Specialists for Lung and Cardiothoracic ANPs for ward care), HCSs/AHPs and other hospital staff. Particularly good communication skills with patients, their relatives and carers.
- There will be opportunities to make presentations and to be involved in teaching
Working for our organisation
At Imperial College Healthcare you can achieve extraordinary things with extraordinary people, working with leading clinicians pushing boundaries in patient care. Become part of a vibrant team living our values - expert, kind, collaborative and aspirational. You’ll get an experience like no other and will fast forward your career. Benefits include career development, flexible working and wellbeing, staff recognition scheme. Make use of optional benefits including Cycle to work, car lease schemes, season ticket loan or membership options for onsite leisure facilities.
We encourage staff to have the Covid vaccination to protect themselves, patients, other colleagues as well as the wider community. Please note it is an operational requirement to comply with infection prevention and control procedures within the Trust such as lateral flow testing, handwashing and the wearing of masks, according to the procedures in place at any time or location.
As part of our continued response to Covid19 we are still conducting the majority of our interviews virtually.
We are committed to equal opportunities and improving the working lives of our staff and will consider applications to work flexibly, part-time or job share. Please talk to us at interview.
Detailed job description and main responsibilities
Main duties and responsibilities
These consist primarily, but not exclusively of:
· Pre-operative assessment and preparation of patients to undergo cardiac or thoracic surgery, in outpatients, for urgent referrals (including emergency trauma cover at St Mary’s site) and the specific cardiothoracic pre-assessment clinics.
· Capacity to be a competent independent operating surgeon without direct supervision and also assisting the consultants in the operating theatres as required and providing training / supervision to more junior staff and Surgical Care Practitioners, as appropriate.
· Continuing responsibilities for post-operative critical care of the patients undergoing cardiac and thoracic surgery and subsequent Level 0/1 care on the wards.
· Post-operative follow-up of patients in the outpatient, chest drain or would clinics, working with where indicated.
· Partaking in the middle-grade on-call rota
· The accurate, careful and timely recording of clinical data, both written and electronic, as outlined in the Principles of Good Medical Practice described by the GMC, participation in clinical audit and familiarity with Trust and Directorate IT and information systems.
· Communicating effectively with both junior and senior medical colleagues, nursing staff (including Clinical Nurse Specialists for Lung and Cardiothoracic ANPs for ward care), HCSs/AHPs and other hospital staff. Particularly good communication skills with patients, their relatives and carers. There will be opportunities to make presentations and to be involved in teaching.
Associated duties and responsibilities
Whilst on duty a doctor has clinical and professional responsibility for their patients. It is also the duty of a doctor to:
· Keep patients (and/or their carers/relatives if appropriate) informed about their condition;
· Involve patients (and/or their carers/relatives if appropriate) in decision making about their treatment;
· Maintain professional standards and obligations as set out from time to time by the General Medical Council (GMC) and comply in particular with the GMC’s guidance on ‘Good Medical Practice’ as amended or substituted from time to time.
A doctor is responsible for carrying out any work related to and reasonably incidental to the duties set out in their Job Plan, such as:
· The keeping of records and the provision of reports;
· The proper delegation of tasks;
· Maintaining skills and knowledge.
Person specification
Qualifications
Essential criteria
- On GMC registered/ licensed Medical Practitioner MB,BS or equivalent medical qualification
- MRCS or equivalent
Desirable criteria
- FRCS or equivalent
Relevant experience in specialty/Sub specialty
Essential criteria
- Expertise in and significant experience of Cardiothoracic Surgery and Intensive Care & High Dependency patient management at senior ST 3+ level.
- Evidence of previous achievement of Foundation competencies in line with GMS standards in Good Medical Practice including: • Good clinical care • maintaining good medical practice • good relationships and communication with patients • good working relationships with colleagues • good teaching and training • professional behaviour and probity • delivery of good acute clinical care.
Desirable criteria
- Evidence of safe conduct of common clinical procedures in Cardio-thoracic surgery including insertion of chest drains, surgical access to the chest (in elective and urgent or emergent trauma situations), ability to assist and perform simple video assisted and open thoracic surgical procedures
- Evidence of maintaining validated and appropriately anonymized logbook of outcomes in Cardio-Thoracic surgical procedures
- Familiarity and ability to perform simple diagnostic bronchoscopy.
- Keenness to learn and demonstrate insight into career progression in Thoracic surgery
Teaching and training
Essential criteria
- Experience of teaching and training undergraduates/postgraduates and junior medical staff
Clinical skills
Essential criteria
- Acute care safe: up- to-date (C)ALS. Out of hours experience relevant to the job.
- Relevant specialty clinical knowledge: Capacity to apply sound clinical knowledge relevant to the job; specialty knowledge exam.
- Clinical judgment: experience in making clinical decisions and managing risk.
- Knowing when to seek help, able to prioritise clinical need.
- Practical skills: shows excellent aptitude for practical skills required in the job.
- To be technically able in this complex, testing and highly technical surgical specialty.
Desirable criteria
- CALS certificate or ALS instructor certificate.
- An excellent understanding of and enthusiasm for the intricacies of cardiovascular and respiratory anatomy and physiology and cardiac and thoracic pathology.
- Hospital at night team working/experience.
Physical requirements
Essential criteria
- Occupational health clearance for the role specified
Interpersonal skills
Essential criteria
- Excellent written and spoken communications, ability to build rapport, work with others, persuade and negotiate
- Empathy, understanding, listening skills, patience, social skills appropriate to different types of client
- Able to change and adapt, respond to changing circumstances and to cope with setbacks or pressure
- Able to work as part of a team
Audit
Essential criteria
- Clinical governance: Capacity to be alert to dangers or problems. Demonstrates awareness of good decision making. Track record of engaging in clinical governance: reporting errors, learning from errors.
- Audit: evidence of active participation in audit.
Desirable criteria
- Research skills: Demonstrates understanding of the principles of research; evidence of relevant academic and research achievements.
- Teaching: evidence of interest and experience in teaching where required in the job.
Academic achievements including research/publications
Desirable criteria
- Publication(s) or research in Thoracic surgery
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.
Documents to download
Further details / informal visits contact
- Name
- Bozena Sobien
- Job title
- Business Manager
- Telephone number
- 02033134023
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