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Trust Fellow in Cardiothoracic Surgery (ST3+ Equiv.)

Great Ormond Street Hospital NHS Foundation Trust
£38,746 to £53,132 a year pro rata, per annum (basic salary)
Closing date
1 Jun 2023

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Job summary

Trust Fellow (Equivalent of ST3+) in Paediatric Cardiothoracic Surgery

6 months fixed term, potentially extendable to 12 months, posts starting from:
  • October 2023
  • January 2024

The duties and content of the posts are similar to those of the substantive Junior Specialist Registrars.

The Cardiothoracic Unit at GOSH Trust is one of the largest tertiary referral units for complex paediatric heart and lung disease in the UK. It houses one of two paediatric thoracic transplant units in the UK, one of the 4 ECMO centres as well as providing paediatric tracheal services to Northern Europe.

Cardiothoracic patients are currently housed on Bear Ward (Cardiology Ward - including a 4 bedded High Dependency Unit) Leopard ward (Respiratory ward including 4 bedded HDU), as well as in the dedicated Cardiac Intensive Care Unit. Approximately 700 paediatric cardiac operations are performed per year at GOS, (including approximately 30 thoracic transplants), 130 thoracic surgical procedures, 50 mechanical circulatory support/ECMO and 60-80 GUCH operations at The Heart Hospital.

Candidates must be registered with the General Medical Council and possess MRCS or equivalent.

For further information please contact Mr Nagarajan Muthialu, Consultant Paediatric Cardiothoracic Surgeon, on 0207 405 9200 ext. 5705 (email ), or Mr Martin Kostolny, Consultant Cardiothoracic Surgeon, on 0207 813 8217 ext. 5734 (e-mail )

Main duties of the job

Specific duties will include pre-operative assessment of children including obtaining informed consent, assisting in theatre, performing ECMO cannulation and decannulation, providing surgical cover in the CICU (i.e. exploration for bleeding, delayed closure of chests, intercostal drain and PD cannula insertion etc), post-operative care of children on the ward, presentation of cases at meetings and ward rounds, involvement in the thoracic clinic, involvement in the teaching, research and academic programme of the Unit. The appointee will quickly acquire skills in paediatric cardiothoracic surgery which will allow them to function at the level of a SpR i.e., opening and closing chests, establishing and weaning from cardiopulmonary bypass. It is not anticipated that the appointee will be trained within this post to perform complex congenital heart surgery; however, a suitable applicant may be trained to perform simple procedures such as PDA ligation, ASD closure; although the training of the Senior SpRs will usually take precedence in the allocation of surgical procedures. In addition to surgery, ICU, cardiac imaging/echo, and research experience will also be provided. Such experience will form the basis of future career development within the discipline.

About us

Our commitment to you

GOSH is committed to recruiting the best person for the job, based solely on their ability and individual merit as measured against the criteria for the role; through a process that is fair, open, consistent and free from bias and discrimination.

We are committed to being a diverse and inclusive employer and foster a culture where all staff are valued, respected and acknowledged. All applicants will receive consideration for employment without regard to race, colour, national origin, religion, sexual orientation, gender, gender identity, age, disability status or length of time spent unemployed.

We particularly welcome applications from BAME communities, people with disabilities and/or long-term health conditions and LGBT+ community members.

We have policies and procedures in place to ensure that all applicants and employees are treated fairly and consistently. We are proud to be accredited as a Disability Confident Employer, a member of Business Disability Forum and a Stonewall Diversity Champion.

We have active and Executive supported BAME, LGBT+ and Allies, Disability and Long-Term Health Conditions and Women's staff networks. Staff networks are employee-led groups formed around interests, issues and a common bond or background. Staff network members create a positive and inclusive work environment at GOSH by actively contributing to the Trust's mission, values and efforts specific to inclusion. All of our staff networks are open to any employee.

Job description

Job responsibilities

Candidates are strongly advised to refer to the Job Description and Person Specification document, where detailed job description and main responsibilities of the role are outlined.

Person Specification

Trust Values


  • Always welcoming - open, positive, polite, prompt, thoughtful
  • Always helpful - respectful, caring, supportive, patient, flexible
  • Always expert - role model, vigilant, striving for quality, proactive
  • Always one team - informative, mindful, appreciative, open, honest

Education, training and qualifications


  • Primary medical qualification - MBBS or equivalent
  • Full GMC registration with Licence to Practice or IELTS Certificate with an overall score of 7.5 or Occupational English Test (medicine version) with a minimum score of 'B' in each domain
  • MRCS or FRCS or equivalent


  • Higher degree - MSc, MD or PhD in Paediatric cardiothoracic surgery

Skills and abilities


  • Excellent written and oral communication skills
  • Ability to organise and prioritise own workload
  • Ability to work under pressure in a multi-disciplinary environment
  • Ability to prioritise clinical needs
  • Good general cardiothoracic surgery skills.


  • Training in child protection

Knowledge and experience


  • At least 2 years' experience in Paediatric Cardiothoracic surgery
  • Experience of teaching and presenting
  • Experience of audit activities
  • Understanding of principles of clinical governance
  • Experience of practising in the UK or Ireland or an equivalent training centre
  • A detailed and in depth knowledge of cardiothoracic procedures, gained through extensive academic studied and practical training.


  • Clinical experience in related paediatric specialties
  • Published research in peer reviewed journals

Any attachments will be accessible after you click to apply.


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