Advanced Anaesthetic Fellow in Paediatric Cardiac Anaesthesia

Job overview

This post is a Paediatric Cardiac Anaesthesia fellowship suitable for candidates who have or will be gaining a CCT (or equivalent) in Anaesthetics. The applicant should have completed 12 months of advanced training (RCOA) or equivalent in general Paediatric Anaesthesia.

The successful candidate will have the opportunity to take part in ongoing research projects, quality improvement projects and audits. The candidate will be expected to take part in the EMCHC teaching programme. The candidate will be expected to take part on a 1 in 4 on call rota.

This is an excellent opportunity for enthusiastic and dynamic individuals to join the East Midlands Congenital Heart centre (EMCHC) based at the Leicester Royal Infirmary. The one year fellowship will encompass clinical experience, management and teaching, audit and research.

The service undertakes a range of congenital cardiac cases, including surgery for univentricular physiology and other complex procedures and catheter procedures. Adult congenital cardiac surgery is carried out at the Glenfield’s hospital site and the post holder will have the opportunity to gain skills and knowledge at both sites.

Main duties of the job

• Initially six months allocated to paediatric Cardiac theatres
• One month on PICU – working with the paediatric ICU team and gaining experience in paediatric critical care - One month working with COMET – the regional paediatric transfer service - Two weeks on NNU – gaining experience in neonatal care
• Two Months of cardiothoracic paediatric surgery
• The exact scope for the last six months can be varied depending on candidate preferences and their objectives for the fellowship.
• On call duties: The initial six months as the senior resident with specific responsibilities for supporting paediatric emergencies throughout the LRI delivering on a 1:8 on call rota. This rota also covers adult emergencies and emergency care across the LRI site
• When not on call they would be delivering theatre sessions closely
• Three months delivering activity in PICU, COMET and NNU with possibility of on call in these areas
• Dedicated paediatric cardiac experience time can also be arranged, or overlap with the final three months
• In the final three months the successful candidate would be considered to act up on the paediatric anaesthetic consultant rota with a named mentor for advice and assistance

Detailed job description and main responsibilities

We are one of the largest acute teaching Trusts in England with a workforce of approximately 14,500 employees including clinicians, non-clinical support workers, clinical and non-clinical leaders and staff. The department of Intensive Care, Theatres. Anaesthesia, Pain and Sleep (ITAPS) is one of the biggest in the country with >160 consultants, >50 locally employed residents and supports over 100 trainees in all aspects of anaesthetic delivery except neurosurgery.

The Trust has three main hospitals in Leicester

Leicester Royal infirmary (LRI)

A large acute hospital supporting one of the busiest emergency departments in the country. The anaesthetic department supports emergencies, trauma, ENT, Maxfax, plastics, general surgery, gynaecology, ophthalmology, radiology, paediatrics including paediatric cardiac. We run 21 theatres each day with multiple outlying areas also delivering anaesthesia.

The anaesthetic department is responsible for anaesthetic cover for a large high risk obstetric unit and a 25 bed adult intensive care unit.

All paediatric services are delivered at the LRI.

Glenfield Hospital (GH)

Supports adult cardiothoracic surgery, vascular, renal, breast and hepatobiliary specialities. It has a large adult intensive care unit specialising in cardiac support and ECMO.

Leicester General hospital (LGH)

he LGH hosts elective orthopaedics, gynaecology and urology. Recently a two theatre daycase unit – East Midlands Planned Care Centre – has been opened delivering six days/week of ophthalmology, urology, gynaecology and general surgery day case surgery.

Paediatric services

Paediatric services are exclusively delivered at the Leicester royal Infirmary (LRI) delivering >5000 paediatric operations per year. It is a tertiary referral unit for many paediatric services receiving patients from across the Midlands.

There are three dedicated paediatric theatres, three out of area locations and some adhoc paediatric theatres at the LRI supporting the following paediatric surgical specialities:

ENT and Maxfax

Urology

General surgery

Gastroenterology

Opthalmology

Dental services

Trauma and orthopaedics

Plastics

Radiology – CT and MRI

Oncology

In addition the East Midlands Congenital Heart Centre is based at the LRI where it has a dedicated theatre and an interventional suite delivering >450 cases per year.

The paediatric anaesthetic team supports one of the largest neonatal and paediatric intensive care units in the country and has a well-recognised reputation for high quality neonatal perioperative care. It accepts patients requiring neonatal surgery from a wide geographical area across the midlands.

The paediatric anaesthetic team provides emergency support including contributing to the paediatric cardiac arrest team to the paediatric wards, NNU, PICU and the Children’s Emergency Department. There is a 24-hour, seven day a week on call consultant paediatric anaesthetist and daily paediatric emergency lists.