Warning This job advert has expired and applications have closed.

Trust Fellow in Cardiothoracic Anaesthesia and Intensive Care (ST5)

Posting date:	18 February 2025
Salary:	£61,825.00 to £70,425.00 per year
Additional salary information:	£61825.00 - £70425.00 a year
Hours:	Full time
Closing date:	09 March 2025
Location:	Newcastle upon Tyne, NE7 7DN
Company:	NHS Jobs
Job type:	Contract
Job reference:	C9317-25-0274

Summary

The post involves working in cardiothoracic theatres, cath labs and the cardiac intensive care unit. About half of the working time would be in theatres, with the other half in the cardiac intensive care unit. Training could be tailored to each individuals specific needs and includes the following: Anaesthesia for all types of adult cardiac and thoracic surgery This will initially be under direct supervision, but as the experience and competence of the appointee increases this will be under extended supervision by a named consultant. Experience in cardiopulmonary transplantation will mainly be out of hours and includes heart, heart-lung, single lung and bilateral sequential lung transplantation. Live related donor lung transplantation has also been performed at the Freeman Hospital. There is also a Ventricular Assist Device Programme for chronic heart failure patients as a bridge to transplantation. Recent introduction of TAVI and Robotic CABG surgery. Adult congenital surgery. Principles and practice of cardiopulmonary bypass A 2 week block in the perfusion may be arranged if requested. Thoracic Anaesthesia There are 5 all day thoracic lists per week. It is anticipated that the appointee will acquire basic skills in fibre-optic and rigid bronchoscopy in adults during his/her tenure. Intensive care for adult cardiac patients This is with particular emphasis on pharmacological and mechanical support of the cardiovascular system following cardiothoracic surgery. There are daily teaching/business ward rounds in the adult ITU led by consultant anaesthetists, with a further business round in the evening. The anaesthetic department is responsible for the post-operative management of transplant and VAD patients. Experience and training in the use of inhaled nitric oxide therapy and Novalung therapy is provided during the tenure of the post. On-call There is a 2-tier anaesthetic trainee rota. The rotating ST3+ from the Northern region will be on a full shift rota covering ITU mainly. The appointee will be 2nd on-call on a full shift 1:7 frequency rota covering both theatre and ITU. We are looking to expand this tier to allow an additional fellow to cover cardiac theatres. Duties and Responsibilities for Cardiothoracic Intensive Care: The post is based in our Cardiothoracic Intensive Care unit. The unit has twenty one level three beds (six isolation cubicles) and seven level two beds in an adjoining area. 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. Intensive care for adult cardiac patients 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. We support the cardiothoracic surgical programme which includes revascularisation, valve surgery, aortic root surgery, ASD repair, VSD repair, pericardectomy and the successful candidate will be involved in the post operative management of these patients. We are a national centre for adult congenital cardiac surgery and we care for these incredibly complex patients on our ITU following their surgery. Our cardiology colleagues require support for some primary PCI or heart failure patients and we provide support in the management of patients who have had an out of hospital cardiac arrest. We have a thoracic surgical programme which includes laser and stents for major airway obstruction. We have a team specialising in the management of pulmonary hypertension and we provide critical care support for their challenging patients. We offer advanced haemodynamic monitoring for example by PA catheter and echocardiography. Besides pharmacological cardiovascular support we use various forms of mechanical support such as intra-aortic balloon counterpulsation, Impella, LVAD, RVAD, VV and VA ECMO. We frequently use Nitric Oxide. There are two medical ward rounds each day led by a consultant with an interest in Cardiothoracic Critical Care. Our morning round which is concerned with the detail of patient management and there is an evening business round to plan for overnight care. We have a multidisciplinary approach, working closely with, for example nursing, physiotherapy, microbiology, nutrition, pain, psychology, speech and language therapy. The trust is in the process of adopting a paperless medical record. Our medicines prescription, administration, investigation ordering and results with various documentations are electronic, and we will be adopting a fully paperless system for critical care medical and nursing records in the near future. 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 shift 1:7 frequency rota covering predominantly ITU, but providing support to theatres if required or appropriate. Duties and Responsibilities for both Cardiothoracic Anaesthesia and/or Intensive Care: Echocardiography The appointee is expected 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 twice a year. It would be an opportunity to acquire the certification in transoesophageal echocardiography. Post-operative analgesia techniques, with special reference to thoracic surgery Attendance on pain ward rounds is recommended. 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. The Trust Fellow appointed to this post will be allocated a consultant educational supervisor. He/she 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 Trusts 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. For full details please see attached Job Description and Person Specification