Trust Fellow in Congenital Cardiothoracic Anaesthesia (ST6+)

An exciting opportunity has arisen for a Fellow in Paediatric Cardiothoracic Anaesthesia (ST6+) to be based at the Freeman Hospital. Post available as soon as possible for 12 months. This post is suitable for a senior trainee (ST6/7, post CCT or equivalent) considering a career in paediatric cardiac anaesthesia.

For an informal discussion and further information regarding the opportunity and Directorate, please contact: Dr Simon Hill via email at [email protected]. Please read the attached Job Description and Person Specification.

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• Pre‑operative assessment and provision of congenital cardiac anaesthesia for cardiopulmonary bypass and cardiac catheterisation procedures under direct or local supervision.
  
• Take part in on‑call for paediatric cardiothoracic intensive care as part of an approximately 8‑person full‑shift system with anaesthesia and PICU registrars or fellows.
  
• Provide anaesthesia for paediatric, adult congenital and neonatal cardiac surgery, cardiac catheterisation, cardiac CT, MRI and non‑cardiac surgery for children with congenital and acquired cardiac disease.
  
• Assist with post‑operative pain relief techniques applicable to paediatric cardiothoracic surgery.
  
• Provide anaesthesia for CT and MR studies.
  
• Provide anaesthesia for children with congenital heart disease requiring non‑cardiac surgery.
  

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• Training in the management of anaesthesia for children and adults with congenital and acquired cardiac disease, including cardiac transplantation and mechanical cardiac support.
  
• Experience of provision of anaesthesia in the catheter laboratory, operating theatre and the ICU under close consultant supervision, with progressive autonomy as skills develop.
  
• At 6 months: understanding of clinical management and anaesthetic implications for patients with the full spectrum of paediatric congenital and acquired heart disease; expert vascular access skills; comprehensive knowledge of ventilation and inotropic use in neonates and children.
  
• At 1 year: ability to operate as a safe, independent paediatric cardiac anaesthetist in a tertiary centre.
  
• Training in the peri‑operative intensive care management of paediatric patients with congenital heart disease, with a bias towards cardiothoracic surgery.
  
• ECMO – training in assessment and techniques of extracorporeal support alongside other trainees on the PICU.
  
• Long‑term cardiovascular support in heart failure, including ventricular assist devices and transplantation.
  
• Principles and practice of echocardiography, including TOE; attendance at the Freeman Hospital echocardiography course can be arranged.
  
• Experience in paediatric thoracic work, including bronchoscopy, decortication and lobectomy/pneumonectomy.
  
• A tutorial programme covering the many aspects of anaesthetising patients with congenital cardiac disease.
  

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• Involvement in audit and research; encouraged to be involved with at least one audit or research project during the post, with the aim of producing at least one publication in a peer‑reviewed journal by the end of the year.
  
• Protected time to develop and work on research projects; encouraged to develop links with other centres when necessary to further this.
  

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• Participation on the cardiac PICU on‑call rota for the duration of the fellowship.
  
• Commitment to teaching, education, research and audit.
  
• Flexible working arrangement available – speak to us about how we might accommodate a flexible working arrangement. We will do our best to make it work for you, if it works for the service.
  

Please note that successful candidates who require a DBS for the post will be required to pay for their DBS certificate; the method of payment is a salary deduction from your first month’s pay.

Candidates who are shortlisted for interview will be contacted by e‑mail. You should check your SPAM folders as well as your inbox. If you have not been contacted within 4 weeks of the closing date you should assume your application has been unsuccessful.

We are committed to promoting equality and diversity and recognise the benefit in providing an inclusive environment. We value and respect the diversity of our employees and aim to recruit a workforce which reflects the communities we serve, and is equipped to deliver the best service to our patients. We welcome all applications irrespective of people's race, disability, sex, sexual orientation, religion or belief, age, gender identity, marriage and civil partnership, pregnancy and maternity and in particular those from under‑represented groups.