Senior Clinical Fellow in Coronary Intervention

An exciting opportunity has arisen to join our team as a Senior Clinical Fellow in Complex Coronary Intervention. The post is intended for a candidate who is already competent in PCI and looking to enhance their skills with a view to a consultant position in complex intervention following the fellowship. The post is full time and fixed term for 12 months at the Liverpool Heart & Chest Hospital.

The post is full time at the Liverpool Heart & Chest Hospital. The successful applicant will work under the supervision of the 12 interventional cardiologists at the trust and also for the joint appointees. There will be exposure to all aspects of clinical cardiac intervention, with a focus on complex intervention. Outpatient work will involve general cardiology and pre-assessment for day-case PCI.

The appointee will be jointly responsible for management of patients transferred to the LHCH with acute coronary syndromes and take part in the primary PCI programme.

The successful candidate will receive intensive training in all aspects of interventional cardiac intervention including rotablation, lithotripsy, LASER atherectomy, IVUS, OCT, pressure wire, thrombus aspiration and coronary sinus reducer. They will participate in the hospital's CTO programme. It is anticipated that suitable candidates would be independent operators in all but the most complex cases certainly by the end of the twelve-month post.

There will be regular emergency cover as part of the cardiology SpR rota which will be closely supervised by consultant staff.

There will be a commitment to contributing to the rota for ACS PCI weekend lists alongside the on-call interventional consultant. This is separate to the on-call commitment and will provide a valuable training opportunity.

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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Specific duties

Outpatient clinics
- Two clinics per week

Available for pre assessment

Catheter Lab - Up to six catheter lab sessions per week with attendance at further sessions for specific advanced training.

Ward Work - The trainee will undertake the on call weeks as part of the rota, and will supervise the day to day work of the senior house officers/trust doctors in conjunction with the other PCI trainees.

PRINCIPAL ACCOUNTABILITIES

On call
-Tier 2 general cardiology and PPCI on-call out of hours

Ward Work - The trainee will participate in the registrar of the week on-call rota and will supervise the day to day work of the tier 1 trainees.

The appointees will be encouraged to cross cover sessions when possible to maximise training opportunities.

• Close to obtaining CCT or equivalent
• Obtained CCT or equivalent

• Safe

• Intending to carry out or have begun research towards a higher degree
• Evidence of audit activity
• First author publications on an interventional topic
• Evidence of audit activity on an Interventional topic
• Elective, acute and outpatient intervention experience
• Fully competent in diagnostic coronary catheter studies, graft seeking & RHC
• Able to perform radial as well as femoral approach
• Can set up and perform routine PCI without supervision
• Experience of CTO PCI
• Can operate IVUS, pressure- wire etc. unaided
• Requires minimal further general cardiology training
• Has completed general cardiology training

• Clinical experience in tertiary centre elective, acute and outpatient intervention experience in adults near completed general cardiology training in adult
• Able to perform diagnostic catheter studies independently
• Some experience of periprocedural imaging
• Able to perform radial as well as femoral approach
• First operator experience of complex coronary intervention

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Liverpool Heart and Chest NHS…