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Job Description for Cardiology and CCU Components -CMT Training, Lincoln County Hospital. Summary of Learning Objectives 1. To gain an appreciation of the range of cardiological conditions managed in secondary care 2. To gain particular experience of the management of patients with acute coronary syndrome, ischaemic heart disease and heart failure. 3. To gain experience in the management of common arrhythmias. 4. To be proficient in the performance and interpretation of ECG. 5. To gain experience in the appropriate use and interpretation of Echocardiography and angiography. 6. To gain an understanding of the indications for and complications of permanent pacemaker implantation. The Firm The SHOs working on the Cardiology Firm see the full spectrum of cardiac pathology. There are full diagnostic facilities including echocardiography, ambulatory monitoring, cardiac nuclear medicine and cardiac catheter laboratory. Apart from medical staff there are 3 specialist nurses and 6 cardiac technicians. In-patient work is based on Johnson ward and the Coronary care Unit. There are 6 cardiology clinics per week. The Team Consultants: Dr R Andrews Dr S Kelly Dr W Arthur The Department’s inpatients are spilt between the three consultants. SHOs are nominally attached to Dr Andrews and Dr Kelly with the remaining SHO attached to CCU. Consultant cover for the coronary care unit is provided on a rota basis with a daily CCU ward round. There are two cardiology SpRs and a staff grade. Example Timetable (RA) AM Lunchtime PM Monday Ward work Medicine Clinical General Cardiology Meeting clinic/rapid access chest pain clinic Tuesday Consultant Ward Departmental Ward work Round ECHO meeting Medical Student Teaching Wednesday Teaching* Ward work Thursday Consultant Ward General Cardiology Round Clinic (Dr Arthur) Friday Ward work MRCP Teaching Ward work Example Timetable ( SK job) AM Lunchtime PM Monday Consultant ward Medicine Clinical Ward work round Meeting Tuesday Departmental General Cardiology Ward work ECHO meeting Clinic/rapid access chest pain clinic Wednesday Teaching* Ward work Thursday General Cardiology Consultant Ward Clinic Round Friday Ward work MRCP Teaching Ward work Example Timetable (CCU) AM Lunchtime PM Monday CCU ward round Medicine Clinical Rapid access chest Ward work Meeting pain clinic/General cardiology clinic Tuesday CCU ward round Departmental Ward work Ward work ECHO meeting Wednesday Teaching* Ward work Thursday CCU ward round Ward work Ward work Friday CCU ward round MRCP Teaching Ward work Ward work * at present the core teaching rotates through days from Monday pm – Friday am – with CMT this will be fixed to a morning which may be Wednesday. Achievement of Learning Objectives To gain an appreciation of the range of cardiological conditions managed in secondary care Attendance at the general cardiology clinics, together with inpatient based work on the cardiology ward will expose the trainee to the variety of cardiological conditions. To gain particular experience of the management of patients with acute coronary syndrome, ischaemic heart disease and heart failure. – the trainee will gain experience of the management of acute coronary syndromes through work in the inpatient setting and when on call. Experience of more general management of ischaemic heart disease and heart failure will be gained by both experience in the ward setting and attendance at the general cardiology clinics where both new and follow up patients will be seen under consultant supervision. Attendance at rapid access chest pain clinic will allow experience to be gained in outpatient assessment of chest pain. To gain experience in the management of common arrhythmias. – experience of the investigation and management of common arrhythmias will be gained in the inpatient and outpatient setting. By the end of the attachment the trainee will have demonstrated an understanding of the indications for both elective and emergency cardioversion and competency in its administration. To be proficient in the performance and interpretation of ECG. - Training in the interpretation of ECG’s will be given throughout the attachment. To gain experience in the appropriate use and interpretation of Echocardiography and angiography. – experience in the appropriate use of all cardiological investigations will be gained during the attachment. There will be an opportunity to spend sessions in both the Echocardiography lab and cardiac catheterisation suite. Participation in the departmental echocardiography meeting will further trainees skills in interpretation. To gain an understanding of the indications for and complications of permanent pacemaker implantation. The trainee will gain an understanding of the indications for permanent pacemaker implantation (and the complications of the procedure both short term and longer term) from attendance at outpatients and through involvement of patients with arrhythmias on the cardiology ward. Other Learning Opportunities There are opportunities to observe procedures such as cardiac catheterisation, Trans- oesophageal echocardiography, temporary and permanent pacing and Stress ECHO. This post forms part of the CMT training program for the Mid-Trent Deanery This job description supplements that of the CMT training program and describes the training opportunities offered by this post.
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