Wessex Deanery

                Specialist Registrar in Adult Congenital Car...
SpR Paediatric Cardiology                                                SUHT

Close liaison exists with general adult ca...
SpR Paediatric Cardiology                                              SUHT


Consultants - Paediatric and Adult Co...
SpR Paediatric Cardiology                                                   SUHT


The Specialist Regi...
SpR Paediatric Cardiology                                             SUHT

Entry Requirements

Before embarking on the tr...
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  1. 1. NHS Wessex Deanery Specialist Registrar in Adult Congenital Cardiology Wessex Adult Congenital Heart Unit Wessex Cardiothoracic Centre, Southampton General Hospital THE WESSEX CARDIOTHORACIC CENTRE The Wessex Cardiothoracic Centre currently serves a regional population of approximately 2.8 million in the counties of Hampshire, Dorset, Wiltshire and the Isle of Wight. Many patients are also referred from outside Wessex, particularly from Cornwall, Devon, Somerset, West Sussex and the Channel Islands. Cardiological and cardiac surgical services are provided for all age groups and the Centre is recognised for training in Adult Congenital Cardiology, Paediatric Cardiology and Paediatric Cardiac Surgery. It is one of the major centres for fetal medicine and cardiology, neonatal and infant care, electrophysiology and adult congenital heart disease. Facilities The Unit is situated on levels D and E of the Southampton General Hospital and comprises 105 beds for adult cardiology/cardiac surgery with 16 beds/ cots for children. There are high care facilities for adults and children as well as day case and short stay areas. There is a newly built dedicated adult cardiothoracic intensive care unit and a level-3 paediatric intensive care unit. There are three fully equipped recently installed digital cardiac catheterisation rooms with quantitative angiography, intravascular ultrasound and Doppler flow wire facilities. One lab has biplane angiography equipment for congenital heart disease investigation and another is specially equipped for electrophysiology and ablation procedures. All three rooms have computerised haemodynamic measurement equipment. The labs are situated in the main theatre suite in close proximity to the cardiac operating theatres. There is a purpose built non-invasive cardiology unit with facilities for transthoracic and transoesophageal echo, exercise testing, ambulatory ECG and blood pressure monitoring, transtelephonic ECG, tilt testing, pacemaker and implantable defibrillator programming. The unit has 11 modern cardiac ultrasound machines shared between adult and paediatric cardiology. Cardiothoracic radiology is located within the cardiology department and is staffed by 3 Consultant Cardiothoracic Radiologists who provide a 24-hour service for the whole range of radiological imaging including magnetic resonance imaging and helical CT. The department has a dedicated Cardiac MRI machine. The department of nuclear medicine is adjacent to the intensive care units. S:jobdescriptions/Paedcardioljd.doc/MAY2003 1
  2. 2. SpR Paediatric Cardiology SUHT Close liaison exists with general adult cardiology, cardiac surgery, respiratory medicine, haematology, nephrology, microbiology, Genetics, Gastroenterology, Endocrine and Obstetrics. Activity of the Unit Speciality statistics (approximate figures per annum) Adult congenital Adult Congenital Clinics 100 Peripheral Adult Congenital Clinics 10 Heart disease in pregnancy clinics 10 Total attendance at adult congenital clinics 1600 Paediatric congenital Paediatric Cardiology Clinic Sessions (Southampton) 300 Peripheral Clinic Sessions (13 hospitals) 150 Total attendance at Southampton clinics 4000 Peripheral Clinics 1800 Congenital heart disease echocardiograms 7000 Congenital HD diagnostic catheters 100 Congenital HD interventional catheters 200 Surgery Each year between 250 and 300 patients undergo surgery for congenital heart disease including about 60 adults. The department has a special interest in Failing Fontan conversion surgery and receives referrals from all over the country. S:jobdescriptions/Paedcardioljd.doc/MAY2003 2
  3. 3. SpR Paediatric Cardiology SUHT STAFF Consultants - Paediatric and Adult Congenital Cardiology Dr A P Salmon - Consultant Paediatric and Adult Congenital Cardiologist Dr J P Gnanapragasam - Consultant Paediatric Cardiologist Dr J J Vettukattil - Consultant Paediatric Cardiologist Dr K S Roman - Consultant Paediatric Cardiologist Dr G R Veldtman - Consultant Paediatric and Adult Congenital Cardiologist Vacant post - Consultant Paediatric and Adult Congenital Cardiologist Mr M Haw - Consultant Cardiac Surgeon Mr V Tauritis - Consultant Cardiac Surgeon Junior staff – Paediatric and Adult congenital 1 Specialist Registrar in Adult Congenital Heart Disease 3 Specialist Registrars in Paediatric Cardiology 2 Rotating Specialist Registrars in Paediatrics 3 Fellows in Paediatric and Adult Congenital Heart Disease 5 Senior House Officers in Paediatric Cardiology ADULT CARDIOLOGY STAFF 10 Consultants in Cardiology 10 Specialist Registrars in Cardiology 10 Senior House Officers in Cardiology S:jobdescriptions/Paedcardioljd.doc/MAY2003 3
  4. 4. SpR Paediatric Cardiology SUHT DUTIES OF THE POST The Specialist Registrar will work in Adult Congenital Heart Disease under the supervision of Dr G R Veldtman, Dr A P Salmon, Dr K S Roman, Dr J J Vettukattil, and Dr J P Gnanapragasam. The Adult Congenital Specialist Registrar will also work under the supervision of the Cardiac Surgical Consultants and of the Intensivists in the post operative care of the congenital heart disease patients Depending on their background further training will be arranged in Adult cardiology and Paediatric cardiology as appropriate. Duties will include outpatient clinic work in Southampton and the peripheral clinic programme, which at present encompasses 13 hospitals in the south of England. Ward duties will include assessment of day cases and ward attenders, in addition to the care of in-patients on the wards, the adult cardiothoracic intensive care units and some patients on the general and surgical wards. The Specialist Registrar will also be expected to participate in research related to adult congenital heart disease. The Specialist Registrar will receive training in and be required to undertake transthoracic, transoesophageal and epicardial (intra-operative) echocardiography and Doppler studies, tissue Doppler, contrast echocardiography, Dobutamine stress echocardiography, Speckle tracking and 3-dimensional echocardiography. He/she will report on stress testing, tilt testing and ambulatory monitoring. Training will be given in diagnostic and interventional cardiac catheterisation, pacemaker implantation and basic electrophysiology studies. There is a well established teaching programme, spread throughout the week and consisting of case presentations, topic discussions, journal club and echo review meetings. Excellent opportunities are available for training in all aspects of congenital heart disease. Depending on the trainees needs exposure to General Adult Cardiology or Paediatric Cardiology can also be arranged if required. For those trainees interested in training abroad, an opportunity exists (subject to finding appropriate funding) of training at the Toronto Congenital Cardiac Centre for adults following their training programme at Southampton. The trainee will be required to maintain a training record, which will be countersigned by the educational supervisor to confirm the satisfactory fulfilment of the required experience, and the acquisition of the competencies enumerated in the specialty curriculum. He/she will be involved in both undergraduate (3rd year, 4th year elective and 5th year students) and postgraduate teaching. Contribution to the clinical audit programme and research activities will be expected. The Cardiac department generates a number of publications in peer-reviewed journals every year. S:jobdescriptions/Paedcardioljd.doc/MAY2003 4
  5. 5. SpR Paediatric Cardiology SUHT Entry Requirements Before embarking on the training programme in adult congenital cardiology, the trainee should have obtained the MRCP or equivalent qualification in paediatrics or in medicine, and additionally have obtained at least a 3 year experience in adult or paediatric cardiology. Previous experience in Adult Congenital Heart Disease is not essential. ROTA The training programme will stretch over a 2-year period. The successful applicant will be required to work a 1 in 4 non-resident rota covering the adult congenital heart disease patients. The current banding supplement is Band 2B. However, these are continually assessed under the New Deal Monitoring agreement in the new contract. The ‘Trust’ is contractually obliged to monitor junior doctors’ New Deal compliance and the postholder is contractually obliged to co-operate with the monitoring arrangements. S:jobdescriptions/Paedcardioljd.doc/MAY2003 5