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Clinical fellow in cardio-thoracic IR and imaging

Employer
Guy's and St Thomas' NHS Foundation Trust
Location
London
Salary
£51,017 a year Plus additional allowances dependant on template
Closing date
1 Jun 2023

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Job summary

See Detailed job description and main responsibilities*

See Detailed job description and main responsibilities*

Main duties of the job

See Detailed job description and main responsibilities

See Detailed job description and main responsibilities*

About us

A System of Care

Guy's and St Thomas' NHS Foundation Trust comprises five of the UK's best known hospitals - Guy's, St Thomas', Evelina London Children's Hospital, Royal Brompton and Harefield - as well as community services in Lambeth and Southwark, all with a long history of high quality care, clinical excellence, research and innovation.

We are among the UK's busiest, most successful foundation trusts. We provide specialist care for patients including heart and lung, cancer and renal services as well as a full range of local hospital and community services for people in Lambeth and Southwark.

Royal Brompton and Harefield hospitals joined Guy's and St Thomas' in February 2021 and is the largest specialist heart and lung centre in the UK and among the largest in Europe. Weprovide treatment for people with heart and lung disease, including rare and complex conditions, offering some of the most sophisticated treatment that is available anywhere in the world.

Job description

Job responsibilities

JOB DESCRIPTION

This sub-speciality post in cardiothoracic interventional radiology and imaging was created in line with the Royal College of Radiologists Specialty Training Curriculum for Interventional Radiology. The post is for 12 months, to commence in 2022. The post holder will be responsible to the Director of Radiology. The successful applicant will have clinical, research and teaching commitments. This post is designed to give a thorough grounding in thoracic interventional radiology training. In addition, the successful applicant can choose to focus on either cardiac or thoracic imaging at an advanced level. If needed by the applicant, time spent in this post will count towards accreditation. RBHH has a proud record of research in lung cancer, in partnership with the National Heart and Lung Institute (NHLI). NHLI is ranked first in respiratory disease publications, and this is linked to the strong association with RBHH.

Clinical Training

The aim of the post is to ensure the applicant will become proficient in all aspects of the thoracic intervention radiology curriculum including image guided biopsy, drainage and ablation, venous access and stenting, arterial embolization, pulmonary artery catheter directed therapy and the treatment of cardiothoracic postoperative complications. Additionally, the candidate can attain either RCR curriculum level 2 competencies in thoracic radiology or cardiac imaging. Training opportunities will include individualized IR and CT sessions, and participation in MDTs. The post-holder will become proficient at challenging thoracic biopsies, ablation and catheter-directed therapy by the end of the post.

Our new state of the art imaging centre provides a unique opportunity to develop the appointees clinical, technical and management skills in the ambulatory care of cardiothoracic disease including virtual pre-procedure vetting and risk reduction, ambulatory management of thoracic and pleural disorders, virtual patient education, consent and postoperative surveillance. It will be important for the appointee to maintain and develop his/her skills in general interventional radiology. To this end, clinical activity can include gastrostomy insertion, embolization for GI tract bleeding, adult and paediatric vascular access, treatment of visceral and peripheral aneurysms and pseudoaneurysms. If desired, the appointee may elect to retain general interventional radiology skills by an additional rotation in an affiliated general interventional radiology department. To ensure continued proficiency in diagnostic radiology, there will be scheduled plain film, ultrasound and CT sessions and the post holder will be part of a 1 in 7 on-call diagnostic radiology rota.

Research

The post is sponsored by an education and research grant from an industry partner, Cobalt Imaging. The post holder will be given the time, resources and encouragement to undertake research in thoracic imaging and intervention. The unique patient population, imaging technologies, including the new Phillips Azurion image-guided therapy suite and the multidisciplinary environment are expected to enable research work of a high standard. The post holder may apply for the opportunity and funding to present the results of this research at national and international meetings.

The fellow would participate in and facilitate disease specific research projects in lung cancer, opportunities include:
  • Analysis of outcomes in a high-risk lung biopsy and ablation cohort
  • Prospective analysis of ablation outcomes in emphysema and interstitial lung disease
  • Prospective analysis of outcomes for patients referred for a straight to biopsy pathway
  • Prospective analysis of the use of digital content in the preoperative patient consent process

  • Teaching

    There is a long tradition within the department of teaching in-house medical staff, trainees and overseas visitors. There are many departmental and clinical meetings (Appendix) which the appointee will be invited to attend and, in some instances, oversee.

    Person Specification

    Qualifications/training

    Essential

    • Eligible for registration with the GMC
    • MBBS (or equivalent)


    Desirable

    • Passed all six modules of the Final FRCR Part A Examination at the time of application and will have passed the full FRCR by the time the post is due to commence
    • BSc (or other intercalated degree), other degrees / qualifications


    Experience

    Essential

    • Interest in cardiothoracic imaging and intervention
    • Completed audit project (in last 2 clinical years)


    Desirable

    • At least 3 years, or for some posts 4 years, specialist training (or equivalent) in Clinical Radiology
    • Broad Clinical Experience


    Skills, knowledge and abilities

    Essential

    • Knowledge of clinical risk management and evidence informed practice
    • Competent to work without direct supervision where appropriate and shows awareness of own limitations
    • Appropriate level of clinical knowledge


    Desirable

    • Experience of and competent at practical procedures
    • Clear, logical thinking showing an analytical / scientific approach
    • Experience of clinical risk management, demonstrates use of evidence informed practice
    • Demonstrates breadth of experience and awareness in and outside specialty
    • Understanding of NHS, clinical governance & resource constraints


    Any attachments will be accessible after you click to apply.

    196-RBH-RAD-CF-2181

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