Exeter

Gawthorn Cardiac MRI Fellow – Royal Devon & Exeter Foundation Trust

Supervisor: Dr Nick Bellenger, Consultant interventional cardiologist and lead cardiac MR clinician (Nick.Bellenger@rdeft.nhs.uk)

Current Fellow: Dr David Ripley (david.ripley@nhs.net)

Application: Advertised annually in medical press around May

Testimonials

Author and Fellow: Dr David Ripley (david.ripley@nhs.net)

Cardiac MRI and Advanced Imaging Clinical Fellowship
One year clinical fellowship specifically designed for the candidate to develop advanced imaging skills in cardiac magnetic resonance imaging (CMR) and coronary CT.

The Royal Devon and Exeter Hospital is a tertiary cardiac MRI centre performing CMR for 8 referring Trusts and is a satellite unit for congenital CMR scanning. The unit performs around 1000 cardiac MRIs per annum and has recently established a CT coronary angiography service. There is an active research unit with links with the Peninsula Medical School.

Weekly Timetable

Weekly timetable consists of 5 cardiac MRI sessions, 1 CT session and a cardiac MRI MDT. The remaining sessions can be dedicated to whatever the training needs of the fellow including TOE, DSE, pacing, cardiac catheterisation, research etc

Research Opportunities

There is an active cardiac MRI research unit in conjunction with the Peninsula Medical School  and plenty of research opportunities which the fellow is expected to be involved in. There is the added benefit of learning CMR on two different platforms – the clinical Siemens scanner and the Philips research scanner.

Typical Numbers

The fellowship allows attainment of Level 3 CMR and Level 2 CTCA. CMR cases include stress (adenosine and dobutamine) and adult congenital scans.

On Call

There is no on call / ward commitments

Author and Previous Fellow: Dr Oliver Gosling (olivergosling.og@googlemail.com)

In 2009 I took an Out Of Programme Experience (OOPE) to undertake dedicated and in depth training in cardiac MRI at the Royal Devon & Exeter NHS Foundation Trust. This fellowship is sponsored by a local cardiac charity- the Gawthorn Trust.

At the time Exeter had an established clinical cardiac MRI programme- supplying a service for 7 local NHS trusts. There were 3 dedicated scanning cardiac sessions per week (with 3-4 patients per list); this has since expanded to 5 lists per week.

My primary supervisor was Dr Nick Bellenger (consultant cardiologist, CMR lead and level 3 supervisor) but I also had input from two consultant radiologist who are part of the CMR team (Dr Thomas and Dr Harries).

I had regular supervisor meeting with Dr Bellenger; the initial meeting formalised my CMR training for the year – based on the SCMR syllabus. Each week was therefore dedicated to an individual topic- enabling in depth literature searches followed by tutorials and literature discussion with Dr Bellenger. Initially each scanning session was supervised with brief discussions regarding each patient and learning objectives made on a case by case basis.

As the year progressed I was given more autonomy- independently running lists and writing reports to be verified later at the weekly cardiology/radiology MDT meeting.

I was able to gain experience in scanning a wide range of cardiac conditions, develop protocols for differing clinical scenarios, and initiate research projects.

As part of the fellowship I undertook a sabbatical to Great Ormond Street Hospital CMR unit to gain further experience of scanning patients with congenital heart disease. I also undertook training in cardiac CT at Derriford Hospital- gaining level 2 accreditation from the BSCI.

To summarise I found the year informative, worthwhile and enjoyable and would not hesitate to recommend this to other cardiology trainees with an interest in cardiac imaging.

Scan Type

ARVC

CONGENITAL

HCM LVH

DCM AMYLOID

VIABILITY

STRESS

Other

Total

Reviews

17

10

8

23

51

14

18

141

Acquisitions

35

21

29

18

65

51

19

238

Total

52

31

37

41

116

65

37

379