Senior clinical fellow Trust Grade St5+ in Anaesthesia

Job summary

This is a Senior Clinical Fellow (ST4-7 equivalent) post in Anaesthesia intended for trainees with a specialist interest in cardiothoracic anaesthesia. The post is based at Hammersmith Hospital and will commence in February 2027 for an initial period of six months, with the possibility of extension to 12 months, subject to satisfactory assessments.

Applicants must have a minimum of 21 months of anaesthetic experience and should already have completed at least six months of cardiac anaesthesia training (or have completed Stage 2 cardiac anaesthesia training).

The post is designed as a split placement, with three months spent in cardiothoracic theatres and three months in the cardiothoracic intensive care unit, providing a broad exposure to the perioperative management of cardiothoracic patients.

The fellowship offers excellent opportunities to gain advanced experience in cardiothoracic anaesthesia and is particularly suited to those working towards transoesophageal echocardiography (TOE) accreditation. Fellows will be expected to participate in the perioperative management of patients through our high-risk cardiothoracic pre-assessment clinic, gaining experience in optimisation, risk stratification and shared decision-making.

Main duties of the job

Theatre list allocations will allow the post holder to experience all of the anaesthetic subspecialties on offer at the Hammersmith Hospital under direct consultant supervision but preference will be given to cardiothoraicic lists. Almost all Hammersmith operating lists are designated consultant-delivered training lists.

In addition to elective theatre work, the post holder will cover the registrar rota for theatres when on call, and will supervise a stage 1 anaesthetist. Emergency work at Hammersmith is mostly kidney transplants and anaesthetic support for the cardiac cath labs, although other emergencies include gynaecological cases, re-operation for surgical complications and cardiac and thoracic emergencies. Hammersmith is on call for acute aortic emergencies every Thursday and one in four weekends. Supervision is provided by two consultant anaesthetists on call: one for cardiothoracic emergencies and one for general emergencies.

The post holder will have the opportunity to spend three months on the cardiac intensive care unit, by mutual agreement. When attached to the intensive care unit, the candidate will spend their normal days working in theatres.

Person Specification

Education/Qualifications

Essential

• MBBS or equivalent
• Eligible for full GMC Registration

Audit

Essential

• Basic Computer skills

Desirable

• Experience of Audit
• Completed Audit Cycle
• Understanding of clinical governance

Relevant experience in specialty/Sub specialty

Essential

• Minimum of 21 months anaesthesia experience.
• Knowledge of UK Health Systems
• Understands current issues in NHS & Anaesthesia

Desirable

• 1-2 years in acute medical or surgical specialty as core trainee or equivalent

Clinical skills

Essential

• History taking, physical exam, basic investigation interpretation, intravenous access.
• Basic Life Support (BLS)
• Initial Assessment of Competency in Anaesthesia (from Royal College of Anaesthetists) or equivalent
• Experience in anaesthetising elective and emergency ASA I and II surgical patients
• 6 months prior experience in cardiothoracic anaesthesia or completion of stage 2 cardiac anaesthesia.

Closing Date: 2 August 2026