HSE Consultant Interventional Cardiology in Munster Region - Republic of Ireland 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 – Munster Region (Clare, Cork, Kerry, Limerick, Tipperary, Waterford)
***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

This is a replacement post to join the existing consultants in Cardiology based at our clients hospital in the Munster Region (Republic of Ireland). The applicant will be expected to participate in the primary angioplasty rota on a 1:6 basis.

The hospital operates a busy Emergency Department alongside other acute services covering most of the major specialties. The hospital provides primary angioplasty to the majority of the region patients (~550,000) Hospital has close links with the nearby cardiology department and also the other university hospital which provides cardiothoracic surgery and tertiary cardiology facilities.

The hospital has clear objectives in terms of delivering excellent, safe and effective patient care and aims for services that are positively rated by patients, families and stakeholders. The region is in a beautiful part of the country, and has all the benefits of a modern county town, whilst being only minutes from spectacular areas of outstanding natural beauty and dramatic coastlines.

Applicants are welcome to contact us here at Workplace Doctors to discuss arrangements for assistance with relocation. This is an exciting opportunity for the successful applicant to help support and develop our service to deliver the highest quality care: we can offer you a great working environment, flexible working package and a chance to develop and further your career.

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 120,000 per annum to euros 160,893 per annum plus a further euro 26,672 per annum available in Commitment Awards.

The Cardiology Department

Services Provided In Munster, Cardiology Services are provided at the hospital for a local catchment population of approximately 130,000. In addition, some secondary cardiac services are provided for the population of  NW, which serves a catchment population of approximately 60,000.

The inpatient facility comprises a 9 bed Coronary Care Unit with an integral cardiac catheter department (with 2 Siemens catheter Labs) and a single pacing laboratory. There are 12 day-case beds and 6 recovery beds attached to the catheter lab, which is currently being converted into a radial lounge. In addition, the cardiologists supervise the care of cardiac patients on medical wards (approx. 42 beds).

Coronary Angiography and Intervention

Summary:
PCI 1000
PPCI 250
Full hybrid CTO service
PCI equipment: Pressure wire – Abbott Vascular IVUS – Boston Scientific Rotational atherectomy – Boston Scientific OCT – Abbott Vascular Laser – Spectranetics (Phillips) IABP – Maquet Impeller – in planning stage Shockwave – in planning stage

Cardiac Devices and Electrophysiology

The department performs over 300 permanent pacing procedures annually, and approximately 1/3rd of those are CRT/ICD procedures. The service is delivered by 3 consultants at present.

The hospital currently refers EP cases to the nearby University Hospital.

Non Invasive Testing

The department performs over 1000 24-hour tapes and 600 Novacor R investigations per year. Ambulatory blood pressure monitoring is performed on over 300 patients annually. There is access to signal averaged ECGs, reveal devices and tilt testing. In addition, offering an open access 24-hour ambulatory ECG service for GPs.

Imaging

The department has four echocardiography machines and performs over 4000 trans-thoracic, 100 trans-oesophageal and 150 stress echos yearly, with plans in place for significant expansion. A community based open access diagnostic echo service is also provided for regional GPs.

Hospital has a cardiac CT and MRI service which is run jointly between radiology and cardiology and currently undertakes around 700 CT scans and 500 MRI scans per annum

Chest Pain Service

The department runs an average of 5 chest pain clinics a week and are now compliant with legislation. There is one treadmill in the cardiology department, and a second in the A&E chest pain assessment unit. The service is predominantly nurse-led. The service is legislation compliant.

Cardiac Rehabilitation Services

A highly successful primary/secondary care rehab service has been running in for many years.

Heart Failure Service

A hospital based, nurse led service currently looks after approximately 230 patients, with a total of 670 patients on the books. There are 5 nurse specialists and a pharmacist.

DC Cardioversion Service

The department has a weekly nurse led DC cardioversion service.

Specific Duties

Outpatient clinics take place at the hospital, in the cardiology department, but also in other locations as required (to be discussed in advance). The number of clinics will vary depending on whether you are attending the wards or not but will average 1.5 per week.

You will be part of a team of nine consultant cardiologists attending the wards. The team is divided into two groups of 4/5 who alternate a six-week block attending the wards. Intervention is performed at the hospital. You will be part of a team of five consultant cardiologists who provide a 1 in 6 24-7 primary PCI service. Duties are cancelled to facilitate this.

Provision is made to have the following morning off if you are busy overnight. After on-call weekends, the Monday and Tuesday duties are cancelled.

Additional interests outside intervention would be welcomed.

Work Load

Outpatient clinic templates are based on HSE guidelines of 35 minutes for a new patient and 20 minutes for a follow up consultation. The Ward work levels vary, but the time allocated in the job plan does reflect the average time taken per month covering the wards. Angiography lists have up to 5 patients per session and PCI lists up to 4 patients, depending on complexity. Time is included in the job plan for support of junior medical staff and specialist nurses and cardiac physiologists.

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.

1.       Timetable when not attending wards (example)

2.       Timetable when attending wards (example)

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.

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.

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.

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.

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

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

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.***