Trust Doctor - Cardiology

THE JOB Applications are invited for the position of Trust Doctor in Cardiology, open to F2 to STR lower level in Cardiology. There are two post, one for 12 months FTC and one for 6 month FTC with the possibility of extending this for a further 12 months. These are to commence as soon as possible. The successful applicant(s) will take part in the daily management of all ward patients, most notably through board rounds and ward rounds. Acute and immediate assessment/treatment of any unwell patients is expected, with escalation to senior staff. Standard junior doctor ward work, such as ordering/reviewing investigations and discharge paperwork, is part of the role. Good communication with patients, their advocates, and colleagues is an essential part of the job.The post involves taking part in the acute Cardiology on-call rota, supported by the on-call Cardiology consultant and resident Cardiology registrar. This commitment is 1 in 13 for evening ward cover, 3 in 13 for daytime weekend work and 1 in 15 for night cover. Training opportunities are readily available beyond the daily learning on the consultant and registrar wardrounds. There is protected weekly Cardiology teaching and a monthly CME (continuing medical education) session. The department provides opportunities to attend Cardiology outpatient clinics, gain competency in electrical cardioversion, attend echocardiography sessions and participate in the procedural aspects in the cardiac catheter labs (coronary angiography, PCI, pacemaker implants, complex device implants, ablation and TAVI). There are opportunities to undertake clinical audit and participate in research projects. The post can be tailored to the training needs of the successful candidate(s). There is an excellent track record of our Cardiology junior doctors securing national training numbers (NTN) in Cardiology, to become the Cardiologists of tomorrow. SPECIALTY AND DIRECTORATE INFORMATIONThe South West Cardiothoracic Centre opened in 1997. It is the tertiary referral centre for cardiothoracic services in Devon and Cornwall. The designated state-of-the-art building was opened in 2007 (The Terence Lewis Building), with integrated Cardiology, Cardiothoracics, Vascular Surgery, Critical Care and Anaesthetics. The Peninsula Heart Clinic, affiliated with the main hospital, was opened in 2019 and supports the work of the Cardiology directorate. Over 118 beds are dedicated solely to the Cardiology service, supporting activity of approximately 200 ablation procedures, 900 percutaneous coronary intervention cases and 1300 cardiac surgery operations. There are 17 Cardiology Consultants 7 interventional and 10 non-interventional. The 7 interventional Cardiologists provide the PCI service, including 24/7 primary PCI. The vast majority of diagnostic and interventional cardiac catheters are performed radially. Adjunctive technologies we employ include pressure wire assessment, intra-coronary imaging with IVUS and OCT, and rotational atherectomy. As the cardiothoracic centre for the region we take on complex and high risk PCI procedures, such as left main stem PCI, bifurcation PCI, graft PCI and CTO PCI (both antegrade and retrograde approaches). Intra-aortic balloon pumps are the mainstay of mechanical circulatory support when needed. TAVI is well established, with over 120 valves implanted annually.The 7 non-interventional Cardiologists offer the full spectrum of the lesser-invasive Cardiology tests/treatments. The echocardiography department is nationally accredited with the British society of Echocardiography. The service is well developed and offers dobutamine and bike-exercise stress echo, transoesophageal echo, bubble echo, ACHD echo and valve clinics. Over 100 complex devices are implanted annually, including S-ICD, and the device extraction service is growing. RELATIONSHIPSThe post holder will be professionally accountable to the Medical Director and managerially accountable to the Service Line Director.