Senior Registrar - Cardiology

Job Objective The Senior Registrar, Cardiology will provide high-quality, evidence-based care to patients with cardiovascular conditions while undertaking advanced specialist training under the supervision of Consultant Cardiologists. The role involves assessing and managing patients across inpatient, outpatient, emergency and critical-care settings; performing approved non-invasive and invasive procedures within demonstrated competence; supporting teaching, audit and research; and contributing to safe, efficient multidisciplinary cardiovascular services. Key Accountabilities/Responsibilities Clinical Care and Patient Management Assess patients with suspected or established cardiovascular disease through focused history, examination and interpretation of relevant investigations. Formulate and implement evidence-based management plans under consultant supervision for coronary artery disease, heart failure, arrhythmias, hypertension, valvular disease and other cardiovascular conditions. Review cardiology inpatients and outpatients, participate in consultant-led ward rounds and ensure timely escalation of complex or deteriorating patients. Request and interpret ECGs, ambulatory monitoring, echocardiography, stress testing, cardiac biomarkers and other investigations within approved competence. Perform or assist with approved non-invasive and invasive cardiac procedures under appropriate supervision, maintaining procedural logs and required competency evidence. Provide clear information to patients and families, support shared decision-making, and complete accurate clinical documentation, prescriptions, referrals and discharge summaries. Emergency and On-Call Responsibilities Participate in the cardiology on-call rota and respond promptly to acute coronary syndromes, arrhythmias, acute heart failure, cardiac arrest and other cardiovascular emergencies. Initiate resuscitation and stabilisation in accordance with current ACLS and AMCE protocols, seeking consultant support at the appropriate escalation threshold. Coordinate timely assessment and referral of STEMI and other time-critical cases and ensure effective clinical handover and follow-up. Clinical Governance, Quality and Safety Comply with AMCE policies, national guidance and recognised international standards for cardiovascular care, patient safety, infection prevention, medication safety and radiation protection. Participate in clinical audit, morbidity and mortality reviews, incident reporting, root-cause analysis and quality-improvement projects. Contribute to the development and review of clinical pathways, protocols and standard operating procedures. Education, Training and Supervision Maintain active participation in an accredited senior residency/specialist training programme and meet all training, rotation, logbook, assessment and examination requirements. Attend and contribute to journal clubs, case presentations, grand rounds, simulation sessions and other continuing professional development activities. Support the day-to-day teaching and supervision of junior residents, medical officers, interns, nurses and students within delegated authority and escalate performance or patient-safety concerns. Research and Academic Contribution Participate in approved clinical research, data collection, service evaluation and presentation or publication of findings. Apply current evidence and emerging developments in cardiology to clinical practice and departmental learning. Multidisciplinary Collaboration and Service Delivery Work effectively with cardiac surgeons, intensivists, emergency physicians, radiologists, nurses, pharmacists, laboratory teams and allied health professionals. Participate in heart-team and other multidisciplinary meetings and maintain timely communication with referring clinicians. Support efficient use of beds, diagnostics, equipment and supplies and contribute to service improvement initiatives. Professional and Ethical Practice Maintain valid professional registration, annual practising licence and required certifications throughout employment. Practise within competence and delegated authority, obtain informed consent, protect confidentiality and uphold professional and ethical standards. Demonstrate respectful, culturally sensitive, patient-centred conduct and remain accountable for assigned duties and continuous professional development.