Job summary
This is an exciting opportunity to join the Thoracic Aortic Aneurysm Service within Cardiac Surgery at Liverpool Heart and Chest Hospital and gain experience of complex thoracic and thoracoabdominal aortic surgery. The service in integrated with Vascular Surgery through Liverpool Vascular and Endovascular Service (LiVES) and Liverpool Cardiovascular Surgery (LCS).
The position is entirely based within the Thoracic Aortic Aneurysm Service with no obligation to the general cardiothoracic middle grade on-call system, clinic cover or theatres. The post is initially for a 6-month period with a potential for extension to 12 months, after review and mutual agreement.
Main duties of the job
Experience will be provided in all aspects of aortic surgery from root to aortic bifurcation including open, endovascular and hybrid approaches. Candidates should have a certificate of completion of specialty training in cardiothoracic surgery or equivalent or be within 6 months of admission to the specialist register for cardiothoracic surgery. There are currently two Aortic Fellows and the exact working arrangements will depend upon background, experience and needs of the appointee. The closing date for applications is Friday 17th May 2024. Interviews will take place on Wednesday 5th June 2024. The successful candidate would be expected to start in post as soon as possible after Monday 5th August 2024.
About us
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.
Please visit our website - https://www.lhch.nhs.uk/
Please follow this link for a tour of our site - https://bit.ly/36ylsoq
Job description
Job responsibilities
Programme of learning:
Capabilities in Practice (CiPs)
The Training Fellowship is designed to produce a person capable of safely and effectively performing Complex Aortic Surgery at the level of an independent clinician in addition to CCT/CESR requirements. Clinicians will become an independent operator in specified Index Procedures at the completion of the Fellowship. A capability is a set of skills that can be developed through training from novice to expert and therefore these high-level clinical outcomes are known as Capabilities in Practice (CiPs).
The 7 CiPs in relation to Complex Aortic Surgery are:
1) Manages an outpatient clinic with pre and post-operative Complex Aortic Surgery patients.2) Manages the unselected emergency take with reference to Complex Aortic Surgery.3) Manages ward rounds and the ongoing care of inpatients who have undergone Complex Aortic Surgery.
4) Manages an operating list which includes Complex Aortic cases.5) Manages a multi-disciplinary meeting including patients under consideration of Complex Aortic Surgery.
6) Manages patients within the appropriate area following Complex Aortic Surgery.7) Assesses surgical outcomes following Complex Aortic Surgery both at a personal and unit level.
Index Procedures
Aortic valve and ascending aortic replacement
Aortic root replacement
Hemiarch replacement
Total arch replacement
Repair of Acute Type A aortic dissection
There is an indicative number of procedures during the Fellowship of 30.
In addition Fellows will also have exposure to many more complex procedures or part procedures which may be undertaken under supervision including valve sparing root surgery, complex redo surgery, descending and thoracoabdominal aortic surgery and endovascular procedures in conjunction with the vascular team.
Critical Conditions
Fellows must be able to demonstrate knowledge and understanding of the management of the critical conditions and complications of Complex Aortic Surgery including competence in the management of acute aortic dissection, aneurysmal disease throughout the aorta and aortic infective endocarditis.
Service Commitment
Fellows will be expected to conduct a daily weekday ward round of aortic inpatients and liaise with appropriate Consultant surgeons, ITU and ward-based teams. The Fellows are responsible for attending and running the weekly aortic clinics, one proximal and one distal. In addition, they organise and run the weekly regional proximal and distal aortic MDTs in conjunction with the aortic administrator.
Fellows will be expected to be involved with emergency aortic referrals on an ad hoc basis out of hours but will receive appropriate compensatory rest periods the following day.
Audit and research:
Fellows will have opportunities to engage in routine audit of clinical practice and be involved in research projects.
Additional information:
Annual Leave and study leave:
Allowance as per standard NHS SpR contract and by written application to Aortic Lead.
Priorities in theatre:
Where possible the aortic fellow will have priority over in-house SpRs as operating surgeon or first assistant however compromise may be required to meet the needs of our SpRs with some cases performed by SpRs in part or whole.
Learning agreements:
An initial Learning Agreement meeting will occur within two weeks of commencement of the Fellowship where objectives will be agreed in line with those stated above. Multiple Consultant Review at three monthly intervals with ongoing assessment and setting of objectives in line with early and late phases of the Fellowship. Ongoing informal appraisal as part of WBAs, teaching sessions and day to day discussions and feedback will occur.
Person Specification
Qualifications
Essential
- MB ChB or equivalent
- Full GMC registration
- FRCS or MRCS/AFRCS or international equivalent
- FRCS (C-Th) or international equivalent
- Admission to specialist register for cardiothoracic surgery or be within 6 months
Desirable
Experience
Essential
- Knowledge of aortic surgery through course attendances
- Independent at routine cardiac surgery
Desirable
- Understanding of endovascular intervention through course attendance
- Exposure to endovascular intervention
- First operator in routine proximal aortic surgery for cardiac surgery trainees
Motivation
Essential
- Demonstration of commitment to specialty of aorto-vascular surgery
Personality
Essential
- Ability to cope with stress and take responsibility
- Communication skills
- Able to work in a multidisciplinary team
Desirable
Audit & Research
Essential
- Track record of audit and research in aortic surgery
Desirable
- Publications on topics relevant to aortic surgery
Management
Essential
- Ability to organise junior staff in the team
Desirable
- Attendance at management course
Disclosure and Barring Service Check
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.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website .
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants .
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website .
Employer details
Employer name
Liverpool Heart and Chest Hospital
Address
Liverpool Heart and Chest Hospital
Thomas Drive
Liverpool
L14 3PE