Job Description
Obstetric Anaesthesia Clinical FellowshipDepartment of Perioperative MedicineCoombe Women and Infants University HospitalHospital DetailsFounded in 1826, CWIUH is one of the largest providers of women and infant healthcare in the Republic of Ireland with approximately 8,500 births annually. It offers highly specialized care for both low and high-risk obstetrical patients in a state-of-the-art 16-bedded delivery suite with a fully equipped obstetric operating theatre and high dependency facilities. The fellow will be exposed to a high volume of complex elective and emergency obstetric and gynaecology cases and procedures.SYNOPSIS OF ACTIVITY (2020):8,020 deliveriesEpidural rate: 41.6%Caesarean section rate: 34%3,355 obstetrical operations5,424 gynaecological operationsSupervisorsThe fellow will join a team of 7 consultants who oversee the activities of the department aiming to maximise the opportunities for learning by providing a broad range of experience in a supportive environment. The department director, Dr. Steven Froese, and college tutor, Dr. Stephen Smith, will oversee and supervise the fellowship program.Duration12 months fixed term with a possibility of renewal of the post for a further year depending on the educational goals of the fellow.GradeThis fellowship is designed for anaesthesiologists who have completed an approved anaesthesia-training program or SAT year 7 trainees as a fellowship year. The candidate is expected to have completed basic training in obstetric anaesthesia.Aims of fellowshipAcquire specialized skills, clinical judgement, and knowledge required to provide safe, evidence-based antenatal and peri-partum care for women with or without associated medical conditions.Provide a foundation for effective collaboration in a multidisciplinary team for antenatal and peripartum care.Acquire skills and knowledge to manage acute and chronic pain conditions during pregnancy and in the peri-partum period.Develop as a clinical leader.Develop as a clinical teacher.Gain familiarity with research methods and carry out a research project.Gain familiarity with quality improvement (QI) methods and carry out a QI project.Clinical ActivityTo develop clinical skills and expertise in managing a wide variety of elective and emergency obstetric and gynecologic cases and to personally develop gaining experience, skills, and maturity to manage patients and collaborate with team members in preparation for a consultant role.OBSTETRIC ANAESTHESIA & ANALGESIAThe fellow will be an integral member of the team and will have the opportunity to rotate through the delivery suite, obstetric high-dependency unit (HDU), and obstetric theatre. The fellow will also participate in a 1:5 in-house on-call rota. The learning objectives are:Demonstrate proficiency in a range of neuraxial blockade techniques such as spinal anaesthesia, epidural, combined spinal epidural (CSE).Demonstrate proficiency in ultrasound scanning for neuraxial blockade.Demonstrate appropriate evidence-based care for the critically ill parturient.FETAL-MATERNAL MEDICINEThe fellow will join a multidisciplinary team (MDT) to provide collaborative antenatal and peripartum care of a wide variety of parturients with medical disorders. Clinical activity of the fellow will include:Weekly antenatal combined clinic with Fetal Maternal specialists, Haematologist, Cardiologist, and Renal physicians.Monthly MDT meetings where treatment plans are discussed.Peripartum care of all parturients under the care of the MDT team.PAIN MANAGEMENTThe department of perioperative medicine provides support and assistance in the management of pain during pregnancy and in the peripartum period. The fellow will be involved in the following activities:Ward rounds managing post-delivery pain and acute pain after gynaecological surgery.In-patient pain consults for pain during pregnancy.Outpatients’ women’s pain clinic.FUSIC HEART ACCREDITATIONThe fellow will also gain Focused Ultrasound in Intensive Care Society (FUSIC) heart accreditation. Training in ultrasound will be provided in collaboration with St James’s Hospital.Didactic TeachingThe fellow will be expected to partake fully in the following didactic teaching sessions:Twice-weekly departmental CEPD academic activity that take the form of didactic sessions, journal clubs, case-based discussions, and clinical debates.The fellow will also be encouraged to attend other relevant obstetric meetings that occur in the hospital.To participate in a bi-monthly review of department activity and morbidity.ResearchThe department has an extensive research portfolio and proven track record in publishing peer-reviewed research. Current areas of interest include:Ultrasound-guided neuraxial analgesia and anaesthesia.Acute and chronic childbirth pain.Enhanced recovery after caesarean section.Haemodynamic and cardiac index changes during labour, delivery, and caesarean section.Medical Education.Virtual pre-operative assessment.Consent in obstetric anaesthesia.In collaboration with University College Dublin (UCD), the fellow will join The UCD Centre for Human Reproduction as an Honorary Lecturer and Researcher. The fellow will be supported in any endeavors to establish or continue ongoing research projects and will be encouraged to present findings at national and international meetings.Medical EducationThe department strives to provide a supportive and safe learning environment emphasizing a collaborative approach to learning. The fellow can develop as a medical teacher with the following learning goals:CLINICAL TEACHING & TRAININGEngage in the design and content of obstetric anaesthesia clinical teaching programme.Opportunity to improve and refine teaching skills through various strategies.Participate in multidisciplinary teaching and skills training.Develop an appreciation of the role of assessment in the clinical environment.EVALUATION AND RESEARCHDesign and administer trainee evaluation of the teaching and learning environment.Engage in formal evaluation of hospital multidisciplinary team training.Participate actively in the design and execution of educational research.Non-Clinical ActivitiesThere will be training opportunities in hospital management such as patient safety, quality improvement projects, clinical governance, and participation in hospital committees.QUALITY IMPROVEMENT INITIATIVESWorking under the supervision of the director, the fellow will formulate and implement quality improvement initiatives in the clinical workplace. The learning objectives are:Analyse the need for change and opportunities for improvement.Lead, develop and implement an improvement project in the workplace.Put the theory of quality improvement into practice.Recognise what change management is and how to lead change in a healthcare setting.Motivate teams and improve quality through team-based initiatives.Understand how to engage with patients and implement theories of patient-centred care.Sustain change and quality improvement.02.09.2024 #J-18808-Ljbffr