Fellowship Minimal Access Cardiothoracic Surgery

Position: Fellowship in Minimal Access Cardiothoracic Surgery (ST7+/Post-CCT Equivalent)

Location: London, 35 Weymouth St, London W1G 8BJ, Harley Street Clinic.

Consultant Supervisor: Mr Toufan Bahrami

Duration: 12 months (flexible by agreement)

Contract: Full-time or 0.7 FTE

Start Date: September 2026

Fellowship Overview

An outstanding opportunity has arisen for an ambitious Cardiothoracic Surgery trainee to undertake a dedicated Fellowship in Minimal Access Cardiothoracic Surgery at the Harley Street Clinic, London, under the supervision of Mr Toufan Bahrami, an internationally recognised consultant cardiothoracic surgeon.

This fellowship is designed for senior trainees (ST7-ST8 or equivalent) or recently appointed consultants seeking advanced exposure to modern minimally invasive cardiothoracic surgery within a high-volume independent practice. The successful Fellow will gain extensive operative experience, participate in peri-operative patient management, and develop the technical and clinical skills required for independent consultant practice.

The fellowship provides comprehensive training in minimally invasive cardiac surgery alongside conventional adult cardiac surgery, with significant operative responsibility appropriate to the Fellow’s level of experience.

Clinical Responsibilities:

The Fellow will work closely with Mr Bahrami and the multidisciplinary team throughout the patient pathway, including:

• Assisting and performing cardiothoracic surgical procedures under consultant supervision.
• Participation in minimally invasive cardiac surgery, including minimal access valve surgery and advanced cardiac procedures.
• Pre-operative assessment, patient clerking and informed consent.
• Daily ward rounds and ongoing inpatient management.
• Post-operative review and management of patients within the Intensive Therapy Unit (ITU).
• Prompt assessment of deteriorating patients and communication with the supervising consultant.
• Participation in multidisciplinary team (MDT) meetings.
• Maintenance of accurate clinical documentation and high standards of clinical governance.
• Supporting enhanced recovery pathways and delivering high-quality patient-centred care.

Operative Exposure:

The fellowship offers training and experience in a broad range of procedures, including:

• Minimally invasive mitral and aortic valve surgery
• Minimal access cardiac surgery
• Conventional valve repair and replacement
• Coronary artery bypass grafting (including total arterial revascularisation and off-pump CABG)
• Endoscopic vein harvesting
• Arterial and venous conduit harvesting
• Median sternotomy and wound closure techniques
• Chest drain insertion and management
• Temporary and permanent pacing systems
• Peri-operative management of complex adult cardiac surgical patients
• Operative responsibility will be tailored to the Fellow’s experience and competence, with progressive autonomy throughout the fellowship.

Person Specification Essential:

• ST7-ST8 Cardiothoracic Surgery trainee or equivalent experience.
• Successful completion of FRCS (Cardiothoracic Surgery) or equivalent stage of training.
• Full GMC registration with licence to practise.
• Experience in adult cardiac surgery.
• Current Cardiac Advanced Life Support (CALS) certification.
• Excellent communication and multidisciplinary team-working skills.
• Driven and exceptional work-ethic is a necessity.

Desirable:

• Demonstrated interest in minimally invasive cardiac surgery.
• Experience in peri-operative critical care.
• Participation in audit, quality improvement, research or teaching.
• Evidence of presentations or publications within cardiothoracic surgery.

Educational Opportunities

The successful Fellow will benefit from:

• Direct one-to-one mentorship from Mr Toufan Bahrami.
• Structured training in minimally invasive and advanced cardiac surgical techniques.
• High operative volume with graduated responsibility.
• Exposure to complex adult cardiac surgery within a leading independent healthcare institution.
• Participation in clinical audit, research and quality improvement projects.
• Teaching opportunities with junior medical staff and multidisciplinary colleagues.
• Development of decision-making skills in preparation for consultant practice.

Why Join Us?

This fellowship provides a unique opportunity to refine advanced operative skills within one of London’s premier private cardiothoracic practices. Fellows will work alongside an experienced multidisciplinary team in a supportive learning environment focused on excellence in patient care, innovation and surgical education.

Applications are welcomed from motivated cardiothoracic surgeons who wish to develop expertise in minimally invasive cardiac surgery and prepare for the transition to consultant practice.