Health Education Yorkshire and The Humber 

Local Representative: Dr Malenka Bissell

Training Programme Director: Dr Dominic Hares

Location

Leeds General Infirmary - Central Leeds location.

 

Departmental information

The department serves a population of approximately 5.6 million in Yorkshire, Humberside and Northern Trent. Services include all aspects of specialist tertiary care of cardiac patients with the exception of transplantation (pulmonary hypertension provision is via a visiting clinic from the national PHT team). The annual workload of the department includes over 10,000 outpatient consultations, approximately 600 catheterisations per year, and approximately 380 paediatric cardiac operations and 110 adult congenital operations.

 

The paediatric cardiology department is situated in the Children’s Hospital at the Leeds General Infirmary. The department includes a dedicated 16 bed paediatric cardiac ward, (of which 6 beds are designated as high dependency) and paediatric intensive care unit with 20 beds. There are obstetric, neonatal and all paediatric services on site. The adult congenital heart disease patients are cared for in the adjacent Jubilee Wing and the departments of paediatric and adult congenital cardiology work closely together to provide services to patients of all ages suffering from congenital heart disease.

 

The department currently comprises:

10 consultant paediatric cardiologists 5 adult congenital cardiologists
3 congenital cardiac surgeons
4 congenital cardiac surgical registrars 1 cardiac CT radiologist

1 consultant echo-sonographer.
4 highly specialised congenital sonographers
3 ST1-3 level Paediatric trainees
3 paediatric cardiology ST4+ national trainees
1 paediatric cardiology Academic clinical lecturer
2 ST7+ in paediatrics (1 year approved SPIN posts for those wishing to be paediatricians with an expertise in cardiology)
2 ST6+ in adult congenital heart disease
1 Fetal cardiology fellow

 

Echocardiography is delivered in a designated Congenital Echo Department. The Cardiac Investigations Unit provides ECG, ambulatory ECG, ambulatory BP, Exercise testing (treadmill and static bike) and Cardio Pulmonary Exercise tests. There are 6 cardiac catheter labs on site which are shared with Adult

 

Cardiology services. An additional congenital hybrid catheter lab/operating theatre is in the process of being built. 

 

Training information

Trainees will follow the 2010 Paediatric Cardiology curriculum as set out on the JRCPTB website (or will transition to the most up to date revision if updated). At ST 7 - 8 Special interest training areas are available in:

  • Diagnostic and therapeutic cardiac catheterisation

  • Electrophysiology, ablation and pacing

  • Adult congenital heart disease

  • Advanced echocardiography

  • Advanced cardiac imaging (CT and MRI)

  • Fetal cardiology

Trainees will receive training in all aspects of congenital heart disease. There are 2 weekly echo teaching sessions, a dedicated junior doctor training session for paediatric cardiology, a weekly “learning burst” session including academic updates and journal reviews within the department. As part of a teaching hospital trust, trainees will also be involved in the teaching of medical students.

 

Duties involve a rota for weekly ward cover managing inpatients on the cardiac ward, neonatal unit and PICU. This involves the opportunity to perform intra-operative TOE and epicardial Echo with direct consultant supervision. In addition, referrals are received from within the hospital and across the region. On non-ward weeks, trainees will attend outpatient clinics and will have appropriate curriculum based exposure to catheterisation, Adult congenital heart disease, EP, fetal, MRI and CT in advance of choosing their special interest area to follow in ST7 and 8.

There is a 1 in 8 non-resident on call rota covering only paediatric cardiology.

 

Trainees will be expected to contribute to the clinical audit programmes and practice monitoring such as NICOR data collection. There are monthly clinical governance meetings at which trainees are expected to present morbidity and mortality data. Successful applicants to the post will be encouraged to develop an interest in research.

Contact

For further information please contact:

Dr Dominic Hares
Congenital Cardiology Department E Floor, Jubillee Wing
Leeds General Infirmary
LS1 3EX

0113 2432799 (Switchboard) d.hares@nhs.net 

© 2018 by Ryan Abumehdi with sponsorship from The BCCA