Consultant in Cardiothoracic Intensive Care

This post is in Cardiothoracic Intensive care with or without another specialty. You will provide care for adult cardiothoracic and cardiology patients on the Cardiothoracic Critical Care Unit the John Radcliffe. This care includes direct care of admissions, leading ward rounds, follow‐up outpatient clinics and consultations on relevant critically ill inpatients. For applicants from an anaesthesia background, there is the opportunity to provide anaesthesia for cardiac surgical, thoracic surgical and cardiological procedures depending upon expertise and the needs of the service. Applicants with a CCT in another specialty will be able to perform clinical duties in that specialty subject to arrangement with the relevant specialty.

Oxford University Hospitals NHS Foundation Trust is one of the largest NHS teaching trusts in the country. It provides a wide range of general and specialist clinical services and is a base for medical education, training and research. The Trust comprises four hospitals – the John Radcliffe Hospital, Churchill Hospital and Nuffield Orthopaedic Centre in Headington and the Horton General Hospital in Banbury.

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CSU Cardiothoracic anaesthesia, cardiothoracic critical care unit and theatres.

There are approximately 900 cardiac surgical cases carried out at the JR with a full range of adult procedures with the exception of transplantation. Additionally there are over 500 thoracic cases with many complex and high‑risk cases requiring intensive care / HDU support post‑operatively.

Cardiology procedures requiring anaesthetic support include ablation, complex device insertion and extractions, TAVI and other structural inventions.

Cardiothoracic critical care unit provides both Level 2 and Level 3 care to patients after both cardiac and thoracic surgery and also following emergency and elective cardiological procedures. The unit receives over 1500 admissions per year. Most are planned admissions but the unit also receives emergency admissions including those transferred from other hospitals for emergency cardiothoracic surgery and cardiothoracic patients who become critically ill on the ward. Emergency admissions also include patients after emergency percutaneous coronary interventional and out of hospital arrest.

CTCCU patients are able to receive a full range of organ support procedures including ventricular assist devices and hemofiltration.

Oxford University Hospitals NHS Trust is a teaching hospital trust, and the post‑holder will be required to participate in programmes for teaching clinical students, training doctors in training and in clinical examinations. It is expected that this will be an integral part of everyday clinical activity. The post‑holder’s contribution to teaching, training and research will be included in the regular job plan review.

The post‑holder will participate in all clinical governance activities, including clinical audit, clinical effectiveness, risk management, quality improvement activities as required by the Trust, and external accrediting bodies.

The post‑holder will be required to keep themselves fully up‑to‑date with their relevant area of practice and to be able to demonstrate this to the satisfaction of the Trust. Professional or study leave will be granted at the discretion of the Trust, in line with the prevailing Terms and Conditions of Service, to support appropriate study, postgraduate training activities, relevant CME courses and other appropriate personal development needs. This is currently 30 days over a 3 year period.

The post‑holder will be required to work within the Trust's management policies and procedures, both statutory and internal, accepting that the resources available to the Trust are finite and that all changes in clinical practice or workload, or developments requiring additional resources must have prior agreement with the Trust. He/she will undertake the administrative duties associated with the care of his/her patients, and the running of his/her clinical service under the direction of the lead clinician and/or directorate chair.

• Full GMC Specialist Registration CCT or equivalence
• Completed a recognised training programme in Intensive Care Medicine and/or Anaesthesia

• MD, PhD
• FFICM or equivalent Echocardiography Accreditation TO E experience

• Significant experience in the care of cardiothoracic and general intensive care patients
• Evidence of ability to make decisions at consultant level and to manage complex clinical problems.

• Clinical experience of advanced cardiac life support e.g. ECMO, VAD, Impella
• Experience at consultant or similar level

• Excellent leadership skills. Evidence of ability to lead a clinical team at the level of a consultant in a teaching hospital.
• Sufficient organisational skills to function as a consultant. An understanding of management structure and function within the NHS. Effective administrative and time management skills.
• Sufficient practical skills to function as a consultant in Intensive Care. Evidence of significant contribution to successful teamwork.
• Good spoken and written English. Communication skills should be highly developed. Good personal and interpersonal skills.
• Experience of formal and informal contributions to teaching and training.
• Experience of routine clinical audit. Evidence of effective and sustained contribution to clinical governance, clinical risk management and clinical audit activities.

• Evidence of leadership in research, professional bodies, or other spheres
• Evidence of organisational skills in research, professional bodies, or other spheres
• Training in clinical management. Management qualification
• Fellowship completion in Cardiothoracic Intensive Care
• Proven ability to communicate in written form (publications, reports etc). Computing skills: ability to use word processor, spreadsheet and web browser programs. Prior experience with clinical information systems.
• Education qualification
• Peer reviewed publications. Research grants.

MS-CON-7786312-S5