Senior Clinical Fellow in Adult Pulmonary Hypertension

The post holder will have the opportunity to have dedicated adult pulmonary hypertension training including a full understanding of investigations, treatment and follow up of all forms of PH. This will include in-patient care, day-case review, and out-patient work, both virtual and increasingly face-to-face. The post-holder will gain experience in right heart catheterisation and cardiopulmonary exercise testing. They will also participate in regular MDT meetings and teaching ward rounds. They will work as a team with the consultants, clinical nurse specialists and junior doctors in the department. The post-holder will be expected to participate in audit, service improvement and clinical governance. There will be no on call commitment. The RBH PH Service places a strong priority on clinical research. The unit has also been successful in attracting funding from industry, charitable bodies and from the Department of Health. The Royal Brompton Hospital is a postgraduate teaching hospital which is closely associated with the National Heart and Lung Institute Division of Imperial College School of Medicine.,

• To assist in the clinical services of the unit under direct consultant supervision
• To participate in in-patient, day-case and outpatient care of adults with PH
• To participate in the pre- and post-procedure care of adults with PH undergoing right heart catheterisation
• To supervise more junior members of medical staff and assist with their ongoing education
• To contribute to the weekly joint multidisciplinary clinical meetings
• To assist in the accurate collection of clinical data necessary for assessment and maintenance of service standards and the national PH Audit.
Research responsibilities Research is a fundamental component of patient care. The postholder will have the opportunity to initiate and carry out research. This may continue from and build on previous research themes of the appointee. Clinical Governance The postholder will be expected to participate in clinical audit and comply with Clinical Governance as appropriate. Managerial Responsibility The post-holder will be expected to contribute to the education and training of peers and junior doctors., There are weekly teaching ward rounds and excellent educational opportunities in the weekly MDT meetings. There will be opportunities for training in echocardiography, right heart catheterisation, cardiopulmonary exercise testing and other imaging modalities (including CMR). There are weekly general Cardiology registrar/Fellow training sessions., management of PH and has a full range of comprehensive tertiary facilities. The unit has an active interventional programme. There is excellent access to other specialist respiratory and cardiology services. There are multiple specialist clinics covering all aspects of tertiary PH care. These include high-risk pregnancy, electrophysiology and transplantation.

The Royal Brompton Pulmonary Hypertension (PH) unit is one of seven nationally commissioned centres in the UK. It was developed alongside the ACHD unit and maintains very close links, with shared patients and clinical team members. However, the PH service manages a full range of patients with PH with referrals from all over the South East and South of England with around 1000 patients, 800 of which are on specialist medications for PH. However, we also see patients from outside these areas. The service has recently expanded as the Royal Brompton Hospital has become part of GSTT Trust, with their PH service merging with ours. The service has an active and growing network of shared care centres, including: The John Radcliffe Hospital, Oxford: University Hospitals Southampton; St George's Hospital, London; The Royal Berkshire Hospital, Reading; East Surrey Hospital and Frimley Park Hospital, Surrey. It fulfils all specifications of a commissioned centre for the