Consultant Republic of Ireland HSE Interventional Cardiology Cardiologist in Leinster Region on a fixed term / permanent basis; working for our client via Workplace Doctors

*** Must have IMC (Specialist Division) Registration (Irish Medical Council) - Essential
*** Location: Republic of Ireland - Leinster Region (Louth, Meath, Monaghan, Longford, Westmeath, Offaly, Laois, Carlow, Kilkenny, Wexford, Dublin, Wicklow, Kildare, Cavan)
***Speciality: Medicine: Cardiology Interventional Cardiologist

*** Role: Consultant (6+ years post graduate experience)

*** Duration: 12 months (FREE visa & work permit + relocation package offered)

*** Start date: ASAP

***IELTS Score of 7.0 Overall (minimum) – Essential

***Exact location details provided on application

*** Pay rate: €217,235 to €261,051 Euro’s (dependent on experience) basic salary (allowances paid extra)

Irish Teaching Hospitals and Medical Universities receive great international acclaim & recognition throughout the world, doctors with experience and training in Ireland typically enjoy great success in terms of professional career development & job satisfaction.

Overview

Applicants are invited to apply for the post of Consultant in Interventional Cardiology at the HSE facility of our client- University Hospital in Leinster –Republic of Ireland

The successful applicant would be joining a busy, forward-thinking cardiology department which is continuously looking to innovate and improve services. It began 24/7 primary PCI over 20 years ago and now treats 350 patients per year for STEMI. A further 900 PCI cases for ACS/stable disease are performed on an annual basis between eight operators (including this post).

This consultant interventional cardiologist post will contribute to the PPCI rota, help to develop the interventional service in general and is a cardiology-only appointment with no responsibility for general medicine.

The hospital is a first-wave HSE Trust that provides acute and specialist services to a local population of 460,000 people from Dublin and tertiary services to a larger population of patients within the Leinster Region The hospital has a close relationship with the nearby Medical School, which affords exciting opportunities for any successful applicant to participate in undergraduate teaching and in research.

Please note that full IMC registration and license to practice is an essential for this role. If you do not currently have IMC registration, but you are in the process of applying, please use the supporting information section of the application form to provide an update about the status of your IMC application.

Candidates without IMC registration at the time of shortlisting will not be considered- as per hospital requirements.

Additional Information

You will be able to take advantage of the excellent Consultant contract for the Republic of Ireland. The basic salary range for this post is euros €217,235 to €261,051 Euro’s per annum plus a further euro 26,672 per annum available in Commitment Awards.

The Directorate & Department

The Medical Directorate encompasses General and Specialist Medicine. As well as cardiology, specialties in the directorate include respiratory medicine, gastroenterology, nephrology, dermatology, neurology, diabetes, endocrinology, care of the elderly, acute medicine and the emergency department.

The Directorate meets monthly under the chairmanship of the Clinical Director.

The Cardiac Department

Cardiology is part of the Medical Directorate and is responsible for the investigation and treatment of all forms of adult cardiac disorders. It offers a comprehensive out-patient service to the locality and works closely with consultants from a District Hospital, who are an integral part of the department.

In-patients are either admitted directly to CCU, and are therefore under the care of the on-call cardiology consultant, or are admitted through the acute medical admissions unit under the care of the acute general physician of the day, with subsequent transfer to one of two cardiology wards the following day. The in-patient service is Consultant-led and is committed to delivering the highest possible standards of clinical care.  The department operates a consultant of the week system, with daily ward rounds of all new admissions to the cardiology team. The successful candidate will be expected to form part of the consultant of the week system.

Activities of the Department

Outpatients:  Approximately 7000 patients are seen annually in outpatients: 3300 new and 4000 follow-ups.  Electrocardiography and echocardiography are available during clinics providing 'same-day' investigation.  The department is increasingly offering sub-specialist clinic provision with specialist nurse support.

Ward care: Two consultants share ward care on a self-contained weekly basis. At the end of the week, care is handed on to the following weeks’ team.

Coronary care unit:  The seven-bedded coronary care unit is an active one with approximately 600 admissions per year.  Once a patient is admitted to CCU, they are under the care of a Cardiologist.

Two wards are the main cardiac wards, with 43 beds; 12 of these are dedicated to elective admissions. There is a separate recovery lounge suite, designed to handle elective patients.

The Medical Directorate operates a ward-based admission system. Patients are admitted to AMU under the care of the general medical physician of the day. Appropriate patients will then be referred to a specialist team, such as cardiology, for on-going care. The patient will be transferred to the relevant specialist ward  at which time they will be under the care of the specialist physician. The successful candidate will not be expected to have any role in the care of general medical patients.

Chest pain clinic:  Following the recommendations from the Rapid Access Chest Pain Clinic is now a consultant-led service, deploying new technologies for the optimal investigation of new onset angina. Patients are triaged to Cardiac CT, cardiac stress MRI, coronary angiography or stress echocardiography as appropriate and following consultant assessment. A dedicated specialist nurse supports the running of this clinic.

Echocardiography: Three echo labs perform over seven thousand echocardiograms per year, using new Phillips machines (purchased 2015). There is a further mobile Vivid machine available for ward-based scanning, as well as handheld echocardiography machines (V-Scans) for all consultants who wish to use them.

Cardiac MRI:  The hospital houses the largest cardiac MRI service, performing over 1100 scans a year, including stress MRI and complex congenital heart disease scanning. This service is led by a Professor supported by consultants with an interest in cardiac MRI from the department of cardiology. A successful fellowship programme for cardiac MRI is in place.

Cardiac catheterisation laboratories:  There are three cardiac catheter labs. Two are dedicated to coronary work/emergency pacing, whilst one is for EP and elective pacing.

The acute lab, which deals with ACS and emergency pacing, was rebuilt in October 2015 with the installation of a new Phillips Clarity system with integrated IVUS, pressure wire, OCT and Syncvision facilities.

The EP lab is a new Siemens lab, built in 2014 with complex ablation in mind. Facilities for NavX and CARTO 3D mapping are in place. The third cath lab, which deals predominantly with elective coronary work, is currently undergoing refurbishment with a redesign incorporating a new Phillips Clarity system, with its projected completion in May of 2018 the department will be equipped with three modern cath labs that will contain equipment that is less than 3 years old. Modern haemodynamic percutaneous support systems will be available.

Coronary intervention:  In the last year, approximately 1000 PCI procedures were performed in the trust, of which 350 were primary PCI for STEMI. Audit data is submitted to CCAD and BCIS and shows good levels of performance. The burden of ACS PCI is 80%, suggesting that Leinster’s catchment area has one of the highest levels of coronary disease, for its population base, in the country. Elective procedures are discussed in our weekly MDT session, providing departmental support for all cases.

A wide complement of cath lab technologies is available in-house, including rotablation, integrated IVUS, OCT and pressure wire systems. A large research programme, is ongoing within the department, including renal denervation, coronary physiology, intravascular imaging and the interventional management of pulmonary embolus.

The department works without radiographers and so the consultant operators control the radiography equipment. Appropriate training will be given to those who are new to this concept – previous appointments have found this process to be entirely straightforward.

Specific Duties

To be discussed at interview with the applicant.

Teaching Commitments

·       regular commitments to ward based teaching of undergraduates.

·       participation in the lecture programmes for 2^nd and 4^th & 5^th year medical students.

·       teaching of other groups as required including other specialty juniors and specialist nurses.

Job Plan

A formal job plan will be agreed between the appointee, the Operational Medical Director and Lead Medicine Consultant, on behalf of the Trust’s Medical Director, based on the provisional timetable. This will be signed by the Chief Executive and will be effective from the commencement date of the appointment.

It will be reviewed at 3 months & thereafter annually or at any time, but no less than 3 months after a previous review, as requested by the appointee, Operational Medical Director or Clinical Lead & adjusted accordingly to the agreement of both parties.

This 10 PA job plan is for illustrative purposes only and will vary according to the skills of the successful candidate. A final job plan will be negotiated in detail at the time of appointment.

The job plans in the department may be expected to work over, for example, a 7-week cycle, providing 70 PAs over that cycle, or an average of 10 PAs per week.  This frequency will be reviewed according to the number of consultants in the department.

During the rota cycle, fixed clinical sessions will be arranged for the post holder on a week-by-week basis, with subsequent repetition of the cycle. A sample-averaged week, where the consultant is not covering the wards, is provided below for guidance only.

*Session will be arranged according to individual expertise, interests and departmental service demand.

The supporting professional activities (SPAs) allocation within the provisional job plan is an illustrative guide and will be finalised following individual agreement with the successful candidate.  A minimum of 1.5 SPAs will be provided within a full-time contract for a consultant's personal development.  Further discussion on supporting professional activities will depend on the Trust's requirements and the individual's particular expertise.

The appointee will be expected to take a full part in professional activities including, clinical audit, clinical governance, management roles, training/CPD (for which study leave is provided), and quality assessment. All these activities are designated as “supporting activities” on the job plan above.

Standard Duties and responsibilities

a) To participate in development of and undertake all duties and functions pertinent to the Consultant’s area of competence, as set out within the Clinical Directorate Service Plan  and in line with policies as specified by the Employer.

b) To ensure that duties and functions are undertaken in a manner that minimises delays for patients and possible disruption of services.

c) To work within the framework of the hospital / agency’s service plan and/or levels of service (volume, types etc.) as determined by the Employer. Service planning for individual clinical services will be progressed through the Clinical Directorate structure or other arrangements as apply.

d) To co-operate with the expeditious implementation of the Disciplinary Procedure 

e) To formally review the execution of the Clinical Directorate Service Plan with the Clinical Director / Employer periodically. The Clinical Directorate Service Plan shall be reviewed periodically at the request of the Consultant or Clinical Director / Employer. The Consultant may initially seek internal review of the determinations of the Clinical Director regarding the Service Plan.

f) To participate in the development and operation of the Clinical Directorate structure and in such management or representative structures as are in place or being developed. The Consultant shall receive training and support to enable him/her to participate fully in such structures.

g) To provide, as appropriate, consultation in the Consultant’s area of designated expertise in respect of patients of other Consultants at their request.

h) To ensure in consultation with the Clinical Director that appropriate medical cover is available at all times having due regard to the implementation of the European Working Time Directive as it relates to doctors in training.

i) To supervise and be responsible for diagnosis, treatment and care provided by non-Consultant Hospital Doctors (NCHDs) treating patients under the Consultant’s care.

j) To participate as a right and obligation in selection processes for non-Consultant Hospital Doctors and other staff as appropriate. The Employer will provide training as required. The Employer shall ensure that a Consultant representative of the relevant specialty / sub-specialty is involved in the selection process. 

k) To participate in clinical audit and proactive risk management and facilitate production of all data/information required for same in accordance with regulatory, statutory and corporate policies and procedures.

l) To participate in and facilitate production of all data/information required to validate delivery of duties and functions and inform planning and management of service delivery

Essential Requirements

This post is open to doctors who hold Registration as a Specialist in the Specialist Division of the Registrar of Medical Practitioners maintained by the Medical Council in Ireland in the specialty of General Medicine: Cardiology

Office Accommodation

The post holder will undertake administrative work associated with their clinical and other professional duties.  Adequate time and facilities for clinical administration, including appropriate office space, secretarial support and access to a personal computer, software & internet access, will be available.

Management Responsibility

All Consultants are required to attend the monthly Directorate Meetings. Post holders will be expected to share in administrative duties allocated by mutual agreement within the Directorate. As part of the Consultant Team, the consultant  will offer mentoring support and lead the existing clinical team through; joint clinics, one-to-one support, individual case management and complex cases, identifying development needs and suggesting CPD (Continuous Professional Development) opportunities and responding to clinical enquiries via e-mail and telephone.

Service Provision and Cover during Absences

The consultant has a continuing responsibility for the care of patients in his/her charge and for the proper functioning of the service allowing for appropriate delegation for the training of his/her staff.

He/she must be available by telephone and able to attend the hospital in a timely fashion when on-call (40 minutes journey time).

Consultant staff must ensure that services are covered during his/her planned absences. Where fixed commitments need to be cancelled during planned absences appropriate notice (8 weeks) must be given. Absences must be co-ordinated with other consultant staff in the specialty to ensure senior cover is always available.

If you are interested in working in growing your career and increasing your income, then talk to our healthcare team today. If you can fill the above requirements, we will give you the following benefits:

*** Visa & Work Permit for FREE!

*** Guidance, Training & Career Development

*** Dedicated & Supportive team- Consultant available when you need.

*** Excellent Basic Pay, Overtime paid for extra hours
***Assistance provided with relocation

We look forward to helping you progress your career and find you the ideal position.

The hospital welcomes all applications irrespective of age, disability, gender, sexual orientation, race or religion- essentially the applicant must meet the criteria mentioned above

Doctors Guide to working in the Republic of Ireland – Click here

Call us today on +44 (0) 1234 889213 to discuss this vacancy or email your CV to info@workplacedoctors.co.uk  or apply online today (see below).

***Please note due to the high number of applications, we do answer every application in turn.***