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Guy's and St Thomas' NHS Foundation Trust

Transplant Retrieval Fellow

Id Job: 31727a4

🏒 On-site
πŸ’Ό Guy's and St Thomas' NHS Foundation Trust
πŸ“ Harefield, England
πŸ•’ Today
πŸ’° 51017 – 58398 GBP ANNUAL

Job Description

Job Title: Fellow in Cardiothoracic Transplantation and Mechanical Circulatory Support and Cardiothoracic Organ Retrieval.

Location: Harefield Hospital

The transplant fellow forms a key part of the multidisciplinary team in transplantation and the surgical treatment of heart and lung failure. The fellow will provide surgical input to the care of transplant patients on the ward, and Intensive Care Unit, will participate in transplant operations, and play a leading role in the optimization and retrieval of organs for transplantation. The fellow will be actively involved in the bridge-to-transplant programme for implantable ventricular devices (VAD), Extra-corporeal Membrane Oxygenation (ECMO) and other similar mechanical circulatory and respiratory support systems.

The fellow will also participate in training junior medical and surgical staff in matters of organ optimisation and retrieval, recipient selection and management.

The Trust has engaged in a new style national solid organ offering rota, which requires Harefield Team to be part of an on-call national rolling rota of 1 week on, 1 week off. During the week off, the site is still active to receive organs.

See job description for more details

The transplant service at Harefield Hospital provides around 30 - 40 heart transplants annually with around 20 lung transplants, and 12 -15 durable LVAD implants per annum. In addition, there is an active short term mechanical circulatory support programme using peripheral and central VA ECMO, short term biventricular support devices and other forms of mechanical support for the circulation.

All new Doctors at the Royal Brompton and Harefield Hospitals will be provided a detailed and focused Trust and Departmental Induction upon their arrival. As part of the local induction, a Professional and Management Mentor will be allocated, with whom the appointee will meet for regular meetings.

Training will be2 years and will be divided into 4 stages. Progression from one stage to the next will be dependent on demonstration of competence in the key skills as follows:

Stage 1 (6 months): Junior Retrieval Fellow:
Objectives:
Work towards achieving DBD retrieval of heart and lungs under direct supervision. This will in part depend on surgical skill set of the individual.

Stage 2 (6 months): Retrieval Fellow:
Objectives:
To become independent in DBD retrieval of heart and lungs.

To participate actively in DCD lung retrievals.

Stage 3 (6 months): Senior Retrieval Fellow:
Objectives:
Achieves sign off for DCD retrieval of lungs.

Achieves independence in peripheral ECMO cannulation.

Stage 4 (6 months): Senior Retrieval Fellow-2:
Objectives:
Achieves independence for all type of retrievals, percutaneous insertion of devices and less complex transplant procedures.

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