Clinical Fellow in Transcatheter Valve Intervention

Job title:

Clinical Fellow in Transcatheter Valve Intervention

Company

British Medical Journal

Job description

An exciting opportunity has arisen for a Clinical Fellow in transcatheter valve intervention to join the team at Leeds General Infirmary.This Fellowship would be focussed on transcatheter valve intervention, in particular TAVI. Leeds performs approximately 500 TAVI procedures annually and has a strong record of innovation in TAVI. We have an active research programme supported by 4 research nurses, with multiple peer-reviewed publications in the field.Leeds also has an established mitral intervention programme and is the sole centre for provision of trans-catheter edge-to-edge repair (TEER) for Yorkshire & Humber.The Fellow will participate fully in all aspects of the trans-catheter valve intervention programme, and can expect to be fully trained as an independent TAVI operator at the end of the 12 month Fellowship. The Fellow will also be involved in mitral procedures, and would gain experience in trans-septal puncture and mitral intervention.Main duties of the jobIn addition to the procedural component, clinical duties will include outpatient clinics, assessment of urgent in-patient referrals, post-procedural management, analysis of pre-procedural CT scans, and presentation at the MDT.This post will be one of two trans-catheter valve Fellows in Leeds. Between them the Fellows will be involved in all of the 500+ structural intervention cases in the 12-month post.The Fellowship will also offer continued involvement in PCI, in order to maintain expertise. However, it will not offer full training in PCI to more junior trainees, since the focus is on structural intervention.Whilst there is no formal commitment to out of hours work, there may be opportunities to contribute to gaps on the StR on all rota where appropriate, but this should not interfere with the day to day commitments of the post.About usLeeds Teaching Hospitals NHS Trust is one of the largest acute health providers in the UK and based in one of the fastest growing and vibrant cities in the north of England.Our Trust is recognised for our staff engagement, great care and rated GOOD by the Care Quality Commission.The Cardio-Respiratory CSU champions the Leeds Way values.Patient-centredCollaborativeFairAccountableEmpoweredThe trans-catheter valve intervention team is a flagship service of the CSU, with a national & international reputation for excellence and innovation. The team is also renowned for togetherness and friendship.Leeds Teaching Hospitals is committed to our process of redeploying ‘at risk’ members of our existing workforce to new roles. As such, all our job adverts are subject to this policy and we reserve the right to close, delay or remove adverts while this process is completed. If you do experience a delay in the shortlisting stage of the recruitment cycle, please bear with us while this process is completed, and contact the named contact if you have any questions.Job description
Job responsibilitiesThis appointment will be based at the West Yorkshire Heart Centre, Leeds General Infirmary.Leeds General Infirmary is the largest tertiary cardiac centre in the United Kingdom, providing services to a population of 2.8 million in West Yorkshire, with supra-regional services to the broader population of Yorkshire & Humber, constituting 5.8 million. The cardiology department consists of 2 inpatient wards (one acute admissions ward), a day case interventional ward, a day case radial lounge, 6 lab catheter suite and a 10 bed coronary care unit. Leeds is a high volume PCI centre performing 2200 PCI per annum, of which 1100 are primary PCI maintaining the centres status as the busiest PPCI centre in the UK.The transcatheter valve intervention programme in Leeds is delivered by four interventional cardiologists: Professor Dan Blackman, Dr Chris Malkin, Dr Mike Cunnington, and Dr Noman Ali.This Fellowship would be focussed on transcatheter valve intervention, in particular transcatheter aortic valve implantation (TAVI). Leeds performs approximately 500 TAVI procedures annually. Currently Evolut FX, SAPIEN 3 Ultra, and Navitor valves are used. Standard TAVI procedures are performed under local anaesthetic. More than 95% of procedures are trans-femoral, with percutaneous axillary access the alternate access route of choice. Leeds has a strong record of innovation in TAVI, having been the first centre in the UK to use Lotus, undertaken the first-in-human Evolut study, the first-in-human Triguard cerebral embolic protection study, and been at the forefront of cerebral embolic protection and subclavian/axillary access. We are one of only two centres in the UK currently performing TAVI cases with Jena Trilogy Valve for aortic regurgitation. There is an active research programme supported by 4 research nurses, with multiple peer-reviewed publications in the field.Leeds has an established mitral intervention programme, and is the sole centre for provision of trans-catheter edge to edge repair (TEER) for the 5.8 million population of Yorkshire & Humber, with approximately 50 procedures expected to be performed annually. Leeds has also been involved in trials of a number of novel trans-catheter mitral valve repair and replacement devices including Intrepid, High-Life, Carillon, and Millipede. We also perform mitral valvuloplasty, TAVI-in-mitral valve / ring procedures, paravalvular leak closures, and we are about to start a tricuspid TEER programme.The post is fixed term for one year, expected start date 1st November 2024.Person Specification
Qualifications
Essential

  • Current ALS certification or equivalent
  • MBChB or equivalent

Desirable

  • MD, PhD or equivalent
  • CCT or equivalent

Eligibility, Fitness to practice, and Language Skills
Essential

  • Eligible for full registration with the GMC at time of appointment and hold a current licence to practice
  • Eligibility to work in the UK
  • Is up to date and fit to practise safely
  • All applicants to have demonstrable skills in written and spoken English adequate to enable effective communication about medical topics with patients and colleagues.

Clinical, Academic, and Personal Skills
Essential

  • Skilled in the basics of managing medical/surgical conditions, including emergencies
  • Proficient in a range of medical procedures as an indication of manual dexterity and hand-eye coordination
  • Skilled in management of acute cardiological emergencies
  • Clarity in written/spoken communication & capacity to adapt language as appropriate to the situation
  • Able to work in multi-professional teams & supervise junior medical staff

Desirable

  • Skilled in use of femoral vascular closure devices
  • Competent independent operator in PCI
  • Ability to conduct clinical research studies independently
  • Ability to write and submit papers for peer-review publication independently

Experience
Essential

  • Evidence of achievement of CT/ST competencies in medicine (as defined by the curricula relating to Core Medical training)
  • Extensive experience of general clinical cardiology
  • Experience as an independent operator in PCI
  • Significant amount of experience in medical specialities
  • Involvement in research

Desirable

  • Peer-reviewed publications in the field of interventional cardiology
  • Completion of a full-time research programme leading to an MD/PhD
  • Involvement in TAVI procedures as secondary operator
  • Completion of a recognised training programme in Cardiology or within 18 months of completion. Competent independent operator in PCI

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Expected salary

£63152 per year

Location

Leeds

Job date

Sun, 16 Jun 2024 03:14:37 GMT

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