Perioperative Anaesthesia

Clinical opportunities for Fellow

• Training in cardiopulmonary exercise testing and interpretation, progressing from direct supervision to mentored support. We train our Fellows to the level of independent consultant practice and expect to offer POETTS accreditation when nationally available.
• Experience of pre-operative echocardiography provided by a dedicated team of Intensive Care Consultants.
• Mentored sessions in high-risk Preoperative Assessment Clinic.
• Directly-supervised operating lists in upper-gastrointestinal, hepatobiliary, colorectal, gynaecology and head and neck surgery, with others at request. A broad range of procedures are performed including oesophagectomy (laparoscopic and minimally invasive approaches), bariatric surgery, hepatectomy, and Whipples' procedure. We perform robotic assisted urological, colorectal, head and neck and gynaecological procedures. Oxford is a world leading centre for radiologically-guided ablation of tumours and sessions are available to learn the anaesthetic technique (high-frequency ventilation).
• Experience in visceral transplantation surgery including renal, simultaneous kidney- pancreas (for which we are one of the largest centres in the world), and modified multi-visceral transplantation.
• Experience in intensive-overnight recovery in our dedicated Overnight Recovery Unit.
• Full support to meet the requirements of the Royal College of Anaesthetists 'Advanced Level Perioperative Medicine' syllabus.
• We may be able to support areas of specialist clinical interest with participation in the broader activities (M&M meetings, MDT meetings, listing meetings etc) of our surgical specialties including: upper GI, hepatopancreaticobiliary, bariatric, transplant, vascular, and orthopaedic.

Other clinical responsibilities

• Cross-site working to provide anaesthesia for a wide range of specialties (not exclusive to those mentioned above) at the level of 'senior registrar'
• Cross-site out-of-hours responsibility for anaesthesia and intensive care on the 'ST6+ rota'.

Non-clinical opportunities for Fellows

• We are a proactive department closely integrated with Oxford University's Perioperative Medicine Research group. See the following link for more information: https://www.ndcn.ox.ac.uk/research/perioperative-medicine
• Our main research interests are as follows:
  • Optimisation of the pre-surgical patient
  • Development of novel intraoperative monitoring systems
  • Electronic detection of the deteriorating patient
  • We participate in multi-centre trials led by other sites
  • Current research funding is from grants awarded by the NIHR, NIAA, Wellcome Trust and EPSRC and the NIHR Oxford Biomedical Research Centre.
  • Fellows will be encouraged to conduct research and novel service development projects aligned with the clinical and research interests of the department.
  • We have a range of agreed projects that can be quickly actioned and completed, and will support fellows to present and publish their work.

Education / training opportunities

• There are a broad range of opportunities to expand their teaching and educational skills, including at OxDAT, the monthly CPD accredited day for registrars, in OxSTAR, our nationally renowned simulation facility and to other specialties and nurses.
• We hold regular departmental academic meetings that include discussions of audit, morbidity and mortality, and research updates. The fellow would be expected to contribute to these.