Clinical Fellow in Cardiac Imaging (2 years)

This is a replacement post for a Clinical Fellow in CMR (whole-time) based at Royal Brompton site of the Trust. The post holder will be responsible for delivery of high-quality clinical care for patients being seen through the CMR Unit., + To assist in the running of the clinical CMR service under the direction of the Director, including being fully trained in CMR safety and the delivery of a safe NHS service, and being present at CMR scans.
+ Preparing preliminary reports on patient scans for consultant approval
+ To maintain a high standard of patient care at all times.
+ To liaise with the Chief Technologist in CMR with regard to clinical service issues.
+ To liaise with the physics and clinical staff to ensure the safe operation of all imaging equipment in the CMR Unit.
+ To ensure appropriate infection control measures are utilised when necessary. Paying particular attention to personal protection as well as the management of equipment and linens.
+ To observe safety regulations with regard to the Local Rules for CMR and the Health and Safety at Work Act.
+ To clear up after spills in accordance with the Trust's infection control policy.
+ The post holder will attend the clinical departmental meetings.
+ Other duties in the CMR unit will be under the guidance of the Director.
Year 2 Wimpole Street
The post holder will be working in a multidisciplinary diagnostics and imaging environment. This will encompass cardiac and general imaging using the following modalities:
+ PET-CT; MRI; CT; Ultrasound (including echocardiography); X-Ray
The post holder will wok alongside the imaging and diagnostic team undertaking clinical work in equal parts for all aspects of imaging., The Cardiovascular Magnetic Resonance (CMR) Unit has pioneered contributions in the field over 30 years. The CMR Unit is an international referral centre, performing ~10,000 clinical cardiovascular CMR studies per year, as well as publishing 40-60 research papers annually. There are 5 CMR scanners which are: Two Siemens Sola1.5T scanners, a Siemens Avanto-Fit 1.5T scanner, a Siemens Vida 3T scanner, and a state-of-the-art Siemens Cima scanner for research. The CMR Unit is directed by Prof Dudley Pennell, and there are 14 additional consultants, 7 clinical fellows in training, and national and international trainees. We have a team of 12 technologists to run the clinical service. Research and support staff includes physicists, engineers, nurses, and administrative staff. The post's main duties at Royal Brompton will be to be trained in CMR and contribute to the clinical CMR service.
RB&HH Specialist Care is the Trust's international and private patient business. RB&HH opened a dedicated private outpatient and diagnostic facility at Wimpole Street. The facility houses 8 consulting rooms and extensive diagnostic facilities with the aim of delivering a complete single-day outpatient case assessment in complex as well as routine conditions., 5.1 To assist in the running of the clinical CMR service under the direction of the Director, including being fully trained in CMR safety and the delivery of a safe NHS service, and being present at CMR scans.
5.2 Preparing preliminary reports on patient scans for consultant approval
5.3 To maintain a high standard of patient care at all times.
5.4 To liaise with the Chief Technologist in CMR with regard to clinical service issues.
5.5 To liaise with the physics and clinical staff to ensure the safe operation of all imaging equipment in the CMR Unit.
5.6 To ensure appropriate infection control measures are utilised when necessary. Paying particular attention to personal protection as well as the management of equipment and linens.
5.7 To observe safety regulations with regard to the Local Rules for CMR and the Health and Safety at Work Act.
5.8 If necessary, to remove property from a patient, for example to take any metal object or jewellery off for a CMR scan and ensure the patient's property is looked after and returned to them at the completion of the procedure.
5.9 To clear up after spills in accordance with the Trust's infection control policy.
5.10 The post holder will attend the clinical departmental meetings.
5.11 Other duties in the CMR unit will be under the guidance of the Director.
6. People Management
6.1 To communicate appropriately with other members of staff, giving support and advice where necessary.
6.2 To train technologists and visiting doctors in the use of MR scanning equipment, and CMR scanning techniques.
6.3 To welcome and assist visitors to the CMR unit.
7. Communication
7.1 The post holder will maintain good working relationships with multidisciplinary team within the CMR Unit and the hospital.
7.2 To liaise with other departments/wards within the hospital and various external sources in order to provide a quality service to patients and clinicians.
7.3 To communicate appropriately with other members of staff, giving support and advice where necessary.
7.4 To communicate effectively and empathetically with patients and their escorts prior to, during and after an examination and to assess specific communication needs of individual patients.
7.5 To use tact and sensitivity when asking personal questions, eg checking pregnancy status before an examination.
7.6 To explain procedures and reassure patients who may have concerns regarding claustrophobia in order to gain their cooperation.
8. Resource Management
8.1 To use complex and expensive MR scanning equipment safely and responsibly.
8.2 To report any equipment failure to the Chief Technologist
8.3 To abide by the Trust's core behaviours for staff and all other Trust Policies including standing financial instructions, research governance, codes and practices and health and safety policies
9. Information Management
9.1 To maintain confidentiality of image data.
9.2 To report faults in the data information systems in use in the department.
9.3 To record all scan episodes with CMR Unit office staff
9.4 Information & Technology support will be available.
10. Training and Development
10.1 The post-holder will be fully trained in their duties.
10.2 Further training in computer and research techniques will be provided as required.
10.3 To participate in the continuing development programme for all staff.
10.4 Training by the post-holder of other members of staff will be required as necessary.
10.5 The post holder will achieve and maintain an appropriate level of competency in cardiopulmonary resuscitation.
10.6 There are no research duties in the job plan for this position
10.7 The post-holder may be required to assist with clinical research studies.
10.8 Any clinical research carried out will be under the guidance of the Director, and in accordance with the CMR Unit Guidelines for Clinical Research.
Year 2 at 77 Wimpole Street
+ To lead advanced life support resuscitation in response to cardiac arrest, anaphylaxis, etc.
+ Vetting requests, supervising scanning lists, providing urgent/verbal preliminary reports after discussion with a consultant and teaching junior imaging trainees.
+ To perform pharmacological stress tests for cardiac imaging, especially for PET-CT and cardiovascular MR.
+ To medically support in preparing patients for the most appropriate cardiac state for CTCA imaging.
+ To be present and available for all scans involving the use of contrast media.
+ Participating in clinical and imaging meetings.
+ Abide by local rules of radiation protection under the direction of the RPS/RPA.
+ Participate in audit and be committed to improving patient care within this facility.
+ To contribute to the development and standards of imaging techniques.
+ Ensuring that all patient records are complete and ready within the agreed timeframes.
+ Participate where necessary in-patient history taking, physical examination, appropriate investigation and rational prescribing.
+ Maintain good communication with Head of Imaging, General Manager and Clinical Directors where necessary.
+ The post holder will be expected to undertake administrative duties associated with the care of patients and to contribute to the smooth running of the private facility.
Training and Education:
+ Participate in the Trust's appraisal system to identify personal objectives, reflect on progress and set a personal development plan in order to develop within the post.
+ To keep updated with IT training, RIS/PACS, Datix and other relevant systems.
+ The successful candidate will be expected to participate fully in undergraduate and postgraduate teaching and to promote knowledge of radiology amongst colleagues.
+ Participate in training for staff.
+ Maintain a high level of specialist knowledge in imaging extending his/her professional and management skills.
+ Image assessment of MRI, CT, PET-CT
+ To present at intern/national conferences regarding any interesting cases/research.
Policy and Service Development:
+ To ensure Trust-wide compliance with new legal statutes as they arise where diagnostic imaging is involved, including Standard Operating Procedures and Local Procedures required by IRMER 2000.
+ To be aware of the broader 'Clinical Governance' agenda.
People Management:
· Lead by example to promote a cohesive, helpful, professional and respectful working environment using diplomacy to address any conflict between individuals or groups of staff.
Communication:
+ To demonstrate politeness, courtesy and sensitivity in dealing with patients/clients, visitors/relatives and colleagues, maintain good customer relations, recognising their needs for alternative methods of communication.
+ Maintain effective channels of communication with members of the multidisciplinary team to ensure the smooth running of the department
+ Being first contact for day-to-day medically clinical matters.
+ Participate when required in relevant and appropriate committees or consumer forums, which may be developed.
Resource Management:
· Demonstrate flexibility and adaptability to last-minute and urgent scanning requirements.
· To work together with the team to ensure effective use of resources and actively engage with rostering.
· Demonstrate a problem-solving approach and suggest potential solutions.
Information Management:
+ Responsibility for compiling an accurate summary of patients reports in a timely manner.
+ Participate in the collection of audit and research data as required.
+ Use data which will contribute to the improvement of patient care.
+ Post holder will ensure safe importation and exportation of confidential image data.
+ Post holder will ensure the accurate recording of all clinical information recorded in the information management and picture archiving and communication systems used.
Other duties
+ To identify and discuss any business development opportunities with the Head of Imaging.
+ Support with preliminary imaging reports for discussion with imaging consultants
+ This job description is intended as a basic guide to the scope and responsibilities of the post and is not exhaustive.
+ The post holder will have a flexible approach working collaboratively with the team to promote our services internationally which may include travel.
+ It will be subject to regular review and amendment as necessary in consultation with the post holder.
+ To undertake any other duties commensurate with the grade as requested.
Guy's and St Thomas' celebrates, respects and values the diversity of its staff and patients. We review our policies, procedures and practices to ensure that all employees, patients and carers are treated equitable according to their needs. We are actively committed to ensuring that no one who applies for a job, works or study's at the Trust, or accesses our services is discriminated against on the grounds of race, ethnicity, nationality, disability, religion or belief, age, gender identity , gender reassignment, sexual orientation, pregnancy and maternity/paternity, or marital/civil partnership.
Applications are welcomed from applicants with a disability. We can make reasonable adjustments and offer support and advice in a variety of ways throughout the application process. Equality of opportunity is our policy.
As an organisation we are committed to developing our services in ways that best suit the needs of our patients. This means that some staff groups will increasingly be asked to work a more flexible shift pattern so that we can offer services in the evenings or at weekends.
Flexible working
We are committed to supporting all employees to achieve a healthy work life balance and to work in a way that is best for them and our patients. We will consider all requests to work flexibly, taking in to account the individual's personal circumstances as well the needs of the service. We encourage all prospective applicants to discuss their individual circumstances with the recruiting manager as part of the on-boarding process.
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NHS Medical & Dental: Clinical Attachment
Guy's and St Thomas' is among the UK's busiest and most successful NHS foundation trusts. We provide a full range of hospital and community services for people in south London and as well as specialist care for patients from further afield including cancer, renal, orthopaedic, respiratory and cardiovascular services.
Guy's is home to the largest dental school in Europe and a £160 million Cancer Centre opened in 2016. As part of our commitment to provide care closer to home, in 2017 we also opened a cancer centre and a kidney treatment centre at Queen Mary's Hospital in Sidcup. St Thomas' has one of the largest critical care units in the UK and one of the busiest emergency departments in London. It is also home to Evelina London Children's Hospital.
Evelina London cares for local children in Lambeth and Southwark and provides specialist services across south east England including cardiac, renal and critical care services. We lead a number of specialist service networks aiming to ensure children are treated locally where possible, but have access to specialist expertise when they need it. Our community services include health visiting, school nursing and support for families of children with long-term conditions.
Our adult community services teams deliver care at the heart of the local communities we serve, working in partnership with GPs, local authorities and other healthcare and voluntary sector organisations. Working with our partners in Lambeth and Southwark, we are focusing on new ways of working to improve care for local patients.
In February 2021 the Royal Brompton and Harefield joined Guy's and St Thomas' NHS Foundation Trust, bringing together world-leading expertise in the care and research of heart and lung disease. Our merger provides a once in a generation opportunity to build a lasting, world-renowned heart and lung centre, providing the highest quality care for patients and conducting world-leading research.
We have a reputation for clinical excellence and high quality teaching and research. We are part of King's Health Partners, one of eight accredited UK academic health sciences centres. In partnership with King's College London we have dedicated clinical research facilities including an MHRA accredited Phase I clinical trials unit.
Patients are at the heart of everything we do and we pride ourselves on ensuring the best possible patient experience as well as safe, high quality care. We are proud to have one of the lowest mortality rates in the NHS. Following a comprehensive Care Quality Commission (CQC) inspection in 2019 we maintained our overall rating of 'good'. Our adult community services achieved a rating of 'outstanding'.
The commitment of our 23,500 staff is key to our success. We are one of the largest local employers and we aim to develop and support all our staff so they are able to deliver high quality, safe and efficient care. The 2019 NHS staff survey results show that we have one of the most engaged and motivated workforces in the NHS. We know this has a positive impact on the care provided to our patients.
We have one of the most ambitious capital investment programmes anywhere in the NHS.