Senior Fellow in Cardiothoracic Anaesthesia

Job summary

Cardiac surgical procedures undertaken at LHCH range from more routine cardiac surgical operations including CABG and valve surgeries to complex aortovascular and ACHD surgery. We additionally anaesthetise patients undergoing interventional cardiology procedures including TAVI, other structural procedures including for ACHD and electrophysiological procedures.

Individual fellowships will be planned according to the level of experience of the candidate. Appointed clinical fellows can expect to gain experience in elective management of patients with coronary artery and valvular heart disease presenting for on and off pump cardiac surgery, those requiring major aortic and aortovascular surgery and adult congenital heart disease surgery. Basic training in transoesophageal echocardiography will also be offered, and the trainee will be supported and encouraged to accredit with the British Society of Echocardiography.

Clinical Fellows in Cardiothoracic Anaesthesia will also be supported to gain experience of the elective management of patients presenting for thoracic surgical procedures via thoracotomy, video-assisted thoracoscopy and robotically. There will be opportunities to gain experience of the management of patients undergoing procedures involving a shared airway, including rigid bronchoscopy for management of benign and malignant disease. Training in performance of regional anaesthetic techniques for the chest wall will also be provided.

Successful candidates will initially undertake clinical work in the theatre and critical care setting, supervised by the consultant staff of the department in proportion to their experience and the complexity of the procedures, in a similar manner to rotating specialty trainees. Additionally, candidates will be expected to initially form part of our current resident on-call rota, providing out of hours cover within critical care and also across the wider hospital including the catheter lab.

Progress will be monitored with support of the educational supervisor and departmental leads, and it is expected that increasing independence will be gained in management of patients presenting for elective surgery and that on call and service provision duties will then also be reviewed in line with this.

As the largest single site specialist heart and chest hospital in the UK, we, at Liverpool Heart and Chest Hospital, have a clear vision 'to be the best cardiothoracic integrated healthcare organisation'.

We provide specialist services in cardiothoracic surgery, cardiology, respiratory medicine both in the hospital and out in the community.

We serve a catchment area of 2.8 million people, spanning Merseyside, Cheshire, North Wales and the Isle of Man, and increasingly we receive referrals from outside these areas for highly specialised services such as aortics.

Our reputation for strong performance is important in delivering the best care for our patients and high quality clinical services. This is underpinned by a culture of research and innovation, delivered in modern estate and our encouragement of flexible working in a variety of forms.

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Peri-operative management of patients undergoing cardiac, thoracic, aortic and cardiology procedures including pre-operative assessment and post-operative management in the critical care.

Please see attached job description and person specification for further details.

• MBChB, MBBS or equivalent
• Final FRCA or equivalent

• FFICM or equivalent
• UK Resus Council ALS Course
• Completion of e-Learning for Health induction for international doctors, if applicable

• Be eligible for full registration with and hold a current license to practice from the GMC from the intended start date
• Be eligible to work in the UK
• Is up to date and fit to practice safely and is aware of own training needs

• 4 years in Anaesthesia
• Experience of cardiothoracic anaesthesia - at least 6 months
• Experience of Intensive Care Medicine - at least 3 months
• TOE/TTE experience, supported by evidence which must include attendance at a TOE training course or equivalent

• Experience in other relevant allied clinical specialties

• Willingness to participate in the education of junior colleagues and other team members

• Experience, supported by evidence, of teaching undergraduates, postgraduates and related professionals
• Evidence of good teaching practice or formal training in education.
• Evidence of contribution to effective clinical audit, quality improvement and clinical risk management.
• Experience, supported with evidence, in clinical guideline development

• Willingness to participate in managerial activity