Senior Clinical Fellow - Paediatric Cardiac Surgery

The fellows are an integral part of the cardiac surgical team, which apart from the Consultants comprises an SpR rotating from the Bristol Royal Infirmary and 2 other fellows. Being a small team, it is essential that there is good communication between the members of the team and that all care is provided considering the other team members., During the post, the post-holder will be expected to assimilate the following knowledge and skills. It should be emphasised that this list is not exhaustive and represents the minimum level of skills that we hope to impart. Knowledge and understanding of:

• The intensive care environment, philosophy, differences from standard care, criteria for admission.
• Disruption of normal physiology in multi-organ involvement in critical illness
• The pharmacology and indications for commonly used inotropic/induction/anaesthetic/sedative agents.
• Normal physiology of the heart and circulation. Disruption of the normal physiology in congenital heart disease and following commonly performed cardiac surgical procedures.
• Circulatory monitoring and support
• Different modes of ventilation in children, including high frequency, extracorporeal systems and pulmonary vasoactive agents.
• The mechanisms of normal cerebral homeostasis and its disruption in critical illness/injury.
• Psychological support for children/family with critical conditions, including bereavement counselling.
  
  The post is intended for a senior cardiac surgical trainee who has the intention of pursuing a career in congenital cardiac surgery and exploring a career with an academic component. It is anticipated that the applicant has completed their adult cardiac training and is entirely comfortable with all elements of adult cardiac surgery, pre-operatively, intra-operatively, and post-operatively. As such, trainees should have FRCS or equivalent. Training will be given in the practical techniques, in pre-operative assessment and post-operative management of the patients. Participation in operative procedures will be dependent on previous levels of experience and skill. The responsibility of ensuring a patient is ready for theatre lies with the fellow. Whilst post-operative care on PICU is primarily provided by the intensive care team, the successful candidate is expected to contribute significantly to this and to be first 'on-call' for postoperative patients.
  
  University Hospitals Bristol and Weston NHS Foundation Trust (UHBW) is one of the largest acute Trusts in the country, bringing together a combined workforce of over 13,000 staff and over 100 different clinical services across 10 different sites, serving a core population of more than 500,000 people across South West England.
UHBW has been rated by the CQC as 'Good' overall and our staff are proud to deliver excellent care to the people of Bristol, Weston and beyond. As a forward-thinking multi-award winning Trust and a digital exemplar committed to improving patient care, our world-leading research and innovations are having a positive local and global impact. Our hospitals are spread across Bristol and Weston, join us and you can enjoy the very best of both worlds; city living within a stone's throw of the countryside or beside the seaside, both with easy access to all that the South West has to offer. UHBW is committed to safeguarding and promoting the welfare of children, young people and vulnerable adults. As an equal opportunities employer actively working towards a diverse workforce we aim to recruit and retain a workforce which represents the rich diversity of the local population at all levels and are committed to designing our services around the needs of individual patients and those around them. Anonymous information will be used from your application in order to ensure we're meeting our pledge.