Junior Clinical Fellow in Cardiothoracic Surgery

To take history, examine and record all findings of all patients admitted under the Consultants care. Carry out and arrange all relevant investigations. To see and examine all patients under the care of the Consultant concerned, (ward rounds include those in the Intensive Therapy Unit) ensuring communication is maintained regarding the condition of any of their patients To assist when required in the operating theatre when on duty /allocated to theatre. To attend and assist Outpatient clinics when required under the direction of the consultant and to ensure that clinic letters are dictated promptly to fall in line with the 18-week referral to treatment policy. To arrange for the transfer of patients to other hospitals or discharge home and including a discharge summary on patients transfer. To be responsible for the care of all cardiothoracic patients on the wards when on duty during weekend and evenings under the direction of the duty (on call) Senior Clinical Fellow (SpR). To perform minor surgical procedures such as chest aspiration, insertion of intercostal tubes, etc. and if necessary, under the supervision of a Senior Clinical Fellow /SpR. To dictate all urgent discharge summaries and ensure that these are forwarded to the patients General Practitioner or hospital of transfer within 24 hours after the patient is discharged and complete letters to General Practitioners. To work in conjunction with other Junior Clinical Fellow (SHO) to ensure the service is covered during periods of absence, annual or study leave and with the guidance and supervision of the appropriate Senior Clinical Fellow (SpR). To escalate to the Senior Clinical Fellow /SpR r and Consultant any patient who is giving cause for concern. To communicate to a patients relative the progress of that patient. To be available for emergency calls to ITU and other parts of the hospital, if required i.e., for cardiac arrest. To participate in research projects which may already be in progress. To participate in lecturing to other staff if required, e.g., nurses and physiotherapists. To accept that occasional emergencies and unforeseen circumstances may occur, and to respond to the needs of the service when they arise. To participate in the Medical Audit Programme monthly and update PATS data entry

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