ANAESTHESIA FELLOWSHIPS AT ROYAL PERTH HOSPITAL

Perth is a city of nearly 2 million people, well known for its sunshine, clean air and pristine beaches. Excellent opportunities for wind and water sports abound. Nestled on the Swan River, Perth is an amazing city to live and work in.

Royal Perth Hospital is a busy 450 bed tertiary hospital in the CBD, hosts the State Trauma Centre, and has one of the busiest Emergency Departments in Australia.

We offer 7 different fellowship streams; airway, MH, regional, simulation, research, trauma and pain.
Our fellowship positions usually start in February. We often also have positions available for senior registrars.
For general information including applications and allocations please email Dr Grant TURNER.
For specific information regarding fellowship stream activities contact the supervisors as below.


AIRWAY FELLOWSHIP

Supervisor; Dr Pat EAKINS

RPH’s world renowned airway fellowship attracts applicants from many countries as well as from Australia.

The airway fellowship is a 6-month fellowship completed at RPH by post fellowship trainees. It is highly sought after by trainees and consultants alike. The two fellows alternate weekly in their airway allocations. The fellowship consists of a variety of roles; teaching in the wet lab, organising Can’t Intubate Can’t Oxygenate (CICO) courses, teaching in the dry lab, being allocated to airway lists, managing the allocations for the above, completing audits, assisting in research and attending conferences.


MALIGNANT HYPERTHERMIA FELLOWSHIP

Supervisor; Dr Phil NELSON

Malignant Hyperthermia, (MH) is a hereditary disorder where a life-threatening hypermetabolic reaction can occur to particular inhalational anaesthetic agents or depolarising muscle relaxants. The Malignant Hyperthermia Centre is based at RPH and covers the whole of Western Australia.

The patients are seen in the MH clinic which occurs fortnightly in the Department of Anaesthesia. A decision is made regarding further investigations, which may include blood testing (looking for DNA mutation) &/or muscle biopsy for in-vitro contracture testing (IVCT).

Muscle biopsies occur in theatre once fortnightly. The biopsy is taken while the patient is under general anaesthesia, which is usually administered by the MH Fellow. The IVCT is usually completed within 90 minutes, the results are then reviewed by MH Fellow in the lab.


REGIONAL FELLOWSHIP

Supervisor; Prof. Krishna BODDU

Two positions are offered each year at RPH. The duration of the fellowship is 6 months, due to high demand and where possible we offer a 1 year program. Regional anaesthesia fellows will be placed on the general emergency on-call roster.

We encourage all our fellows to undertake supervised research projects, write book chapters, and other scientific educational material. As well as attending and presenting at city, state, national and international meetings. They are encouraged to teach our trainee registrars. In this fellowship program, fellows gain consultant attributes as well as learning peripheral nerve blocks and management of post anaesthesia pain for the upper and lower extremities and also the thoracic-abdominal trunk.


SIMULATION FELLOWSHIP

Supervisor; Dr Ian FLEMING

The simulation fellow is an advanced training position, aimed at developing skills in presenting, teaching and debriefing others. The role is a two day-a-week commitment where training is delivered to participants within the department, and hospital-wide.

Emphasis is on ensuring safety of patient care by developing leadership, teamwork and communication skills through crisis resource management scenario training. This includes regular hospital Medical Emergency Team (MET) simulation training and theatre MET training, in addition to broader contributions to scenario training with trauma, Intensive Care Unit (ICU) and Emergency Department (ED) teams.

Delivery of this multidisciplinary teaching is administered in the hospital’s dedicated simulation centre in the WASON building. Additional roles and responsibilities of the simulation fellow include weekly tutorials with the department’s Resident Medical Officers


RESEARCH FELLOWSHIP

Supervisor; Prof. Tomas CORCORAN

The research team at RPH Anaesthesia and Pain Medicine now consists of two half-time Research Fellow positions and 0.4 FTE Research Coordinators. There are usually 12-20 clinical or pre-clinical trials in progress, including international and national multi-centre trials, investigator-initiated trials, local trials and on occasion, commercial pharmaceutical trials.

The Research Fellows have approximately 50% of their time allocated to academic duties (teaching and research) and 50% to clinical service. Supervision of academic work is performed by Professors Schug, Corcoran and Ledowski. The Department takes pride in maintaining the highest standards in research governance and ethical behaviour. The candidates are expected to be familiar with the principal tenets of Good Clinical Practice (GCP) and are actively encouraged to complete online GCP training.


TRAUMA FELLOWSHIP

Supervisor; Dr Christine GROBLER

RPH contains the State Major Trauma Centre for Western Australia. Our trauma fellowship has a strong emphasis on trauma, but will offer experience in most fields of anaesthesia as well.

Fellows will work on average 40 hours a week – 30 of these hours will be clinical time and one 10 hours shift will be protected educational time (State Major Trauma Unit, and on the road accompanying a clinical support paramedic with St John Ambulance)

The clinical time is comprised of night shifts/weekend shifts/afternoon shifts/after-hours and days-on-duty.

The Fellow will often times be the most senior Anaesthetist on the premises after hours and will be expected to effectively manage the facilitation of patients to theatre, assist junior colleagues and attend to various calls for assistance from other disciplines. The department is very supportive and there is always a Consultant on-call, whom the Fellow is encouraged to phone at any hour for advice or to request them to come into hospital to assist with an anticipated difficult case.


PAIN FELLOWSHIP

Supervisor; Prof. Stephan SCHUG

Royal Perth Hospital manages a vast spectrum of acute and chronic pain over our inpatient and outpatient services. In addition to consultations, interventional pain procedures, multidisciplinary assessment, treatment and pain programs are offered by our service. Advanced training towards Fellowship of FPMANZCA is offered in Perth through the State Wide Tertiary Pain Service. This involves rotation during the first of two years of training through FSH, RPH and SCGH.

Three positions for first year Fellows in Pain Medicine are advertised on http://www.jobs.health.wa.gov.au around May each year.




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