Job Description
Obstetric Anaesthesia Clinical Fellowship Department of Perioperative Medicine Coombe Women and Infants University Hospital Hospital Details Founded 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. Supervisors The fellow will join a team of 7 consultants who oversee the activities of the department, aiming to maximize learning opportunities 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. Duration 12 months fixed term with a possibility of renewal for a further year depending on the educational goals of the fellow. Grade This 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 Fellowship Acquire 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 and 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 Activity To develop clinical skills and expertise in managing a wide variety of elective and emergency obstetric and gynecologic cases, the fellow will 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 include: Demonstrate proficiency in a range of neuraxial blockade techniques such as spinal anaesthesia, epidural, and combined spinal epidural (CSE). Demonstrate proficiency in ultrasound scanning for neuraxial blockade. Demonstrate appropriate evidence-based care for the critically ill parturient. Fetal-Maternal Medicine The 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 will include: Weekly antenatal combined clinic with Fetal Maternal specialists. Monthly MDT meetings where treatment plans are discussed. Peripartum care of all parturients under the care of the MDT team. Pain Management The department provides support in managing pain during pregnancy and in the peripartum period. The fellow will be involved in: 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. Didactic Teaching The fellow will partake in didactic teaching sessions, including: Twice-weekly departmental CEPD academic activities such as journal clubs and clinical debates. Participation in relevant obstetric meetings. Bi-monthly review of department activity and morbidity. Research The department has an extensive research portfolio. Current areas of interest include: Ultrasound-guided neuraxial analgesia and anaesthesia. Acute and chronic childbirth pain. Enhanced recovery after caesarean section. Medical Education. In collaboration with University College Dublin (UCD), the fellow will join The UCD Centre for Human Reproduction as an Honorary Lecturer and Researcher. Medical Education The department emphasizes a collaborative approach to learning, allowing the fellow to develop as a medical teacher with the following goals: Engage in the design and content of obstetric anaesthesia clinical teaching programs. Improve teaching skills through various strategies. Participate in multidisciplinary teaching and skills training. Refine feedback provision skills. Non-Clinical Activities There will be training opportunities in hospital management, quality improvement projects, clinical governance, and participation in hospital committees. Quality Improvement Initiatives Working under the supervision of the director, the fellow will formulate and implement quality improvement initiatives in the clinical workplace. The learning objectives include: Analyse the need for change and opportunities for improvement. Lead and implement an improvement project in the workplace. Understand and lead change in a healthcare setting. Sustain change and quality improvement. 02.09.2024 #J-18808-Ljbffr