Bournemouth

Fellowship in Cardiac Electrophysiology & Devices – Dorset Heart Centre, Royal Bournemouth Hospital

Supervisors: Dr M Sopher, Dr J Paisey, Dr R Bala

There are 2 fellowships appropriate for EP or Device trainees but ideally at least 1 of the incumbents should have an EP ablation interest. The Fellow can expect to gain experience in all aspects of EP and devices including electroanatomical mapping, PVI/AF ablation, VT ablation, CRT and high-voltage device implantation.

Both posts meet the requirements for educational approval. The posts are paid through the trust on the SpR scale, incumbents are expected to take part in the cardiology on call rota (currently and intended to stay non-resident) and this attracts an appropriate banding.

Length and start date

All posts are offered for one year at a time and usually start in Jan.

Contacts

Interested trainees should contact

Current Fellows:

  • Dr D Zachariah
  • Dr N Childs

Previous fellows

Testimonial

Author: Dr James Rosengarten (James@Rosengarten.co.uk)

Application process

Open, competitive interview. Advertised on NHS jobs, this has recently been in early summer, for posts commencing in the January.

Overview

1 year fixed term from January to January (though may be possible to negotiate different start date). May be possible to extend by mutual agreement.

On-call commitment

On call commitment is around 1:8 non-resident for general cardiology, with no specific EP or devices on-call.
5pm – 8am the following day, in addition to normal daytime fellowship. Occasionally the night work does have an impact on daytime working, but this is rare.
Weekend is Saturday 8am – Monday 8am.
Out of hours cardiology admissions are managed by the medical team but telephone advice may be needed.
Return to hospital needed for cardiac emergencies and primary PCI.
On call room available for those not living within 30 minutes of hospital.

Responsibilities

There are usually 2 fellows in post at any time. Sometimes one is more device orientated, one is more EP & devices, although recently the fellows have undertaken both. There have been additional overseas trainees, although this does not impact on lab time a great deal.
The post is essentially cath lab based, with EP lists running daily. Lab schedule arranged by mutual agreement between fellows. When not in EP lab, devices or pacing often available, and some commitment to outpatient clinics is expected, although usually lab time is protected when the fellow is on leave.
The day starts at around 8.15. The lab runs until 6pm, followed by a consultant ward round of the day patients, and any inpatient referrals.
No formal inpatient responsibility. A large team of specialist nurses manages the EP patients, and the team as a whole does not manage general cardiology.
Annual leave and study leave is flexible and easy to arrange. The consultants will encourage attendance at conferences. When not scheduled in the lab there is ample time to work on projects, study for exams or attend device clinic.

 

Experience

A fair amount of simple EP studies and AVNRT/pathway ablations are undertaken. There is only limited time to review tracings, but you are encouraged to review interesting cases at a weekly education meeting.
You will get good exposure to complex EP. Despite being a non surgical setting, all aspects of EP are undertaken. Lots of paroxysmal and persistent AF, usually with CARTO or Velocity. Cryoablation and nMARQ are also used, but less frequently.
Only limited exposure to normal heart and ischaemic VT, although this varies according to clinical need, rather than any local policy.
No congenital ablation undertaken.
Complex device work is undertaken by the EP team currently. Lots of opportunity for ICD and CRTD/P implantation using standard techniques. Advanced techniques involving eg. venoplasty are rarely needed. No transeptal pacing program.

 

Who it would suit

EP fellow: Ideally someone who has done some EP and knows the basics so they would benefit from the high volume of work done here. There is excellent teaching for beginners, though the trainee would get more out of the post if they are able to do some basics already.
Device fellow: either a beginner who has done a lot of pacing and is ready to learn CRT / ICDs, or someone who has done some CRT but wants to become completely competent by doing lots of cases. If you can pace, by the end of a year in Bournemouth you can expect to be proficient in devices.