Dewislen

JCF in Cardiothoracic Intensive Care and Echocardiography

Manylion swydd
Dyddiad hysbysebu: 17 May 2024
Cyflog: Heb ei nodi
Gwybodaeth ychwanegol am y cyflog: £37,068 - £57,570 per annum
Oriau: Full time
Dyddiad cau: 16 June 2024
Lleoliad: London, SW17 0QT
Cwmni: st georges nhs trust
Math o swydd: Contract
Cyfeirnod swydd: 6308130/200-CW-712579-6308130-CA

Gwneud cais am y swydd hon

Crynodeb

A Vacancy at St George's University Hospitals NHS Foundation Trust.


Department of Critical Care


Junior Clinical Fellow in Cardiothoracic Intensive Care and Echocardiography
Minimum equivalent of completion of Foundation Training

(Full time appointment)

August 2024

The St George’s Adult Critical Care Directorate has 60 critical care beds across three critical care unts: General Intensive Care, Neuro Intensive Care and Cardiothoracic Intensive Care. This is an extremely exciting time for the Directorate with construction of a new 20 bed adult ICU currently underway. Successful candidates will work across one or more of these units during their period of employment at St George’s and where possible we will accommodate specific unit preferences.

The applicant should be post foundation training or equivalent. Prior experience of the UK healthcare system is desirable, and GMC registration is essential (unless applying for sponsorship).

Clinical fellows are required to work as part of the critical care medical and multidisciplinary team on adult intensive care. The duration of the post is 6 or 12 months. The fellow will be part of the ICU POCUS team. The clinical fellow in echocardiography will receive specific mentoring and training in echocardiography as applied to critical care. This is to answer the perceived need for critical care echocardiography training and the new BSE/ICS accreditation processes. This will include transthoracic as well as transoesophageal echocardiography and the aim is to achieve advanced level of echocardiography (BSE, EDEC or similar). The post holder will also be encouraged to make use of a whole range of teaching opportunities including in-house courses and our echocardiography simulator laboratory and weekly echocardiography meetings. Although the opportunities for echocardiography training are significant, the overriding commitment of the post holder will be a service on the adult intensive care unit. The rota is a full shift system with 1:8 weekend day and night shifts. It is made up of day shifts (08:00-17:30), weekends (08:00-21:00) and nights (20:00-09:00) on the Cardiothoracic Intensive Care Unit. Your non clinical activities will be undertaken on Monday to Wednesday of standard and flexible days and you will be expected to provide clinical cover on Thursday and Friday of standard days.

The Critical Care Directorate is internationally recognised for its research and several Intensive Care Consultants hold leadership positions in national and international societies. There are multiple international research studies being actively recruited to at any one time which successful candidates will have the chance to be a part of. The Directorate has also recently appointed a Quality Improvement Lead who is coordinating audit and quality improvement work across the three adult ICU and beyond. Here again multiple opportunities exist for motivated fellows to contribute.

The Directorate has an outstanding track record as a route to speciality training with 90% of fellows successful at the recent Anaesthetic and Intensive Care interview rounds. Successful candidates are encouraged to seek advice and assistance with any planned speciality applications early.

GICU is a 24 bedded unit offering all aspects of level 2 and level 3 critical care (with the current exception of Extracorporeal Circulatory Support) to a wide variety of patients. GICU admits approximately 1500 patients per year. The workload is currently a broad mix of general medical patients as well as high risk elective and emergency surgical patients and major trauma. There is a dedicated, post ICU, follow-up team that provides in-patient review, rehabilitation co-ordination and a weekly, consultant delivered, out-patient clinic.

Under the supervision of more senior colleagues, the successful candidate will be able to develop the necessary skills to see patient referrals and evaluate where, how and when to admit a deteriorating patient and how to stabilise and manage the patient in ICU.

CTICU has 21 beds and offers all aspects of level 2 and level 3 critical care to cardiothoracic surgery, cardiology and vascular surgery patients as well as when the need arises a breadth of general intensive care patients. CTICU has also recently expanded to house the St George’s Cardiogenic Shock service. This was launched in 2022 and has developed over the past year to now involve the use of mechanical support devices including IABP, Impella and VA-ECMO. The remit of the Cardiogenic Shock service is to identify patients in low cardiac output states secondary to cardiogenic shock and to rapidly convene an MDT meeting to discuss and agree management options.

Successful candidates will assist with management of these patients including generic intensive care support, advanced respiratory support, advanced cardiovascular monitoring (including pulmonary artery floatation catheters), intra-aortic balloon counter-pulsation, trans-thoracic and trans-oesophageal echocardiography and renal replacement therapy. The fellow will always be working under the supervision of a cardiothoracic intensive care consultant. Other members of the CTICU medical team include anaesthetic specialist trainees, respiratory physicians and clinical fellows. During quiet periods on the unit, there is the possibility to attend theatres to gain exposure to cardiothoracic surgery/anaesthesia and transoesophageal echocardiography. Senior ICM trainees have the opportunity to spend some of their day shifts pursuing their own specialist interests (eg broadening theatre experience, research, teaching etc

NICU is a 18 bed specialist tertiary referral intensive care providing elective and emergency care for neurosurgical, neurology and stroke patients. The patient admission profiles include neurology patients with a variety of diagnoses requiring close monitoring and organ support. The unit also provides level 2 and 3 care to Stroke patients post-thrombectomy and other high risk patients requiring interventional radiology as well as general intensive care patients.

The post holder will assist with the management of patients with severe traumatic brain injury, spinal cord injury, subarachnoid haemorrhage, elective and emergency post-operative neurosurgical cases and patients with neurological disease requiring advanced organ monitoring and support.

Please see the job description for the person specifications and further details of the job responsibilities.

Due to the high volumes of applications we receive for certain posts, we reserve the right to close any adverts before the published closing date once we have received a sufficient number of applications. After the closing date we strongly advise you check the email account which is registered. If you have not heard from us within four weeks of the closing date, please assume that you have not been shortlisted.


This advert closes on Tuesday 21 May 2024

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