Cardiology Registrar and Fellow in Arrhythmia and Devices
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This post offers an excellent opportunity for a trainee to further develop their skills in all aspects of cardiology but primarily the post holder will be working towards developing skills to a high standard in the management of cardiac arrhythmia and cardiac devices. This will include protected time for training in the implantation and follow-up of simple and complex cardiac devices. (Pacemakers including conduction system pacing, ICDs, subcutaneous ICDs, CRTs). It is anticipated that the post-holder will become independent in cardiac device implantation after undertaking this post.
The Complex Cardiac Devices Service commenced 14 years ago and has grown significantly in that time into an established service with a dedicated "Devices Team" comprising doctors, cardiac physiologists and specialist arrhythmia nurses. The post holder will be integral to delivering and supporting the ongoing expansion and development of the devices and arrhythmia services working as part of a multidisciplinary team in a busy department. Of the five Devices Fellow post-holders since inception of the service, two have gone on to acquire a Consultant Post and all others have been successful in acquiring a SpR NTN in Cardiology.
Main duties of the job
Inpatient care: Participating in the general cardiology on call rota. Managing the care of CCU and cardiac zone patients. Reviewing inpatient referrals. The on-call Consultant performs a daily ward round and is always available for advice and to review patients.
Outpatient care: General arrhythmia and electrophysiology outpatient clinics under Consultant supervision. As part of the Devices Team the post-holder will also be expected to support the Cardiac Physiologists and Arrhythmia Specialist Nurses in troubleshooting/resolving any technical or clinical problems.
Catheterisation lab: Simple and Complex Device implantation is currently undertaken by 5 consultant operators. The dedicated days for simple and complex device implantation in the main Cath Lab are every Thursday and most Wednesdays. There is also an additional Pacing Theatre within the Cath Lab Suite where ILR implantation.
Multidisciplinary team meetings: To contribute to the weekly arrhythmia multidisciplinary clinical meeting.
Audit and Clinical Governance.: The post-holder will be expected to participate in clinical audit and comply with Clinical Governance.
Teaching and Research: The post holder may wish to participate in both formal and informal teaching. Since 2017, we have established a Cardiac Devices Research programme at CUH and we are actively recruiting patients into ongoing cardiac device trials. The post holder will have the opportunity to initiate and carry out research.
Person specification
Qualifications
Essential
- Full GMC registration with a licence to practice
- ALS certified
Desirable
- BSc
- MD
- Clinical Prizes
- MRCP or equivalent
Career Progression
Essential
- Broad relevant clinical cardiology experience
Desirable
- Previous experience general internal medicine at SPR grade
- Experience in cardiology at registrar grade
Clinical Experience
Essential
- Experience in simple pacemaker implantation
- Experience in providing medical support to cardiac physiologists for patients in pacing clinics
- Participation in teaching
- Participation in clinical audit
Desirable
- Experience in complex device implantation
- Experience in echocardiography
Clinical Skills
Essential
- Competence in exercise tolerance tests, Holter monitors, ECGs.
- Proficient and efficient handling medical problems
- Evidence of safety and competence in practical procedures
- Insight into extent and limitations of ability and skills
Academic / Research Skills
Desirable
- Experience in clinical trials / research
- Peer reviewed publications
About the employer
Croydon Health Services NHS Trust provide hospital and community services from a number of community and specialist clinics throughout Croydon. The Trust was formed on 1st August 2010 through the integration of Croydon Community Health Services and Mayday Healthcare NHS Trust. Around 4,100 staff provide services for a population of over 360,000 people who are relatively young with a high level of ethnic diversity.
Our main hospital site, Croydon University Hospital is one of the busiest in London. We're also leading the way in providing more healthcare outside hospitals at clinics, specialist centres and in people's homes. Our experienced district nursing teams, Allied Health Professionals and community matrons look after people of all ages across Croydon and our Children's Hospital at Home cares for children with long-term conditions without them having to come to hospital.
Across the NHS everyone is working hard to meet growing demand and we're no exception. But with the right people on board, we are rising to this challenge, putting our people in the driving seat, encouraging innovation and transforming our services to give local people the quality of care they deserve. Croydon Health Services puts a great deal of importance on education and training throughout the careers of all of our staff. As well as offering access to a range of core skills training and professional development.