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Fellowship in Quality Improvement

This is an innovative pilot adopted by the oxford school of anaesthesia to develop Audit, Quality Improvement, Leadership & Management skills to compliment Clinical training. Aim is to provide more democratic and accessible opportunities for developing non-clinical skills to compliment clinical training in the region.

What we offer

We offer a six month junior fellows program beginning in September focused on developing team work and leadership through an international audit project leading to a collaborative publication in high indexed journal. Trainees and SAS at all levels of training in anaesthesia can join as well core and foundation trainees from anaesthesia and other specialties. This is a supernumerary appointment and can be held alongside any clinical duties. Fellows are generally expected to devote an equivalent of two week of audit activity flexibly during the period of fellowship. There is no upper limit on numbers of fellows that can join this program. Fellows may join from a choice of multiple sites registered within Thames Valley.

We also offer bespoke one year senior fellows program beginning in September for trainees developing an interest in perioperative care or management & clinical improvement. A project is usually agreed after discussion with the trainee regarding areas of CV that need professional development. Current senior fellows include Enhanced recovery fellows at OUH and BHT working on Enhanced recovery day case guidelines and ERAS pathways; multidisciplinary systematic reviews groups; and Management fellows conducting Clinical Improvement projects to improve patient safety. Seven Fellows successfully completed the 2019-20 cohort (see comments below). The 2020-21 cohort currently has 8 fellows (including 3 senior fellows) at OUH and BHT. These are also supernumerary appointments and can be held alongside any other clinical duties or ATM. Fellows are generally expected to devote an equivalent of one month of activity flexibly during the period of fellowship. There is no upper limit of fellows that may join and opportunities are available at OUH and various other hospitals in Thames Valley.

Comments 2019-20 Fellows

  1. A very worthwhile experience and I was glad to be a part of the team involved in such an important project. As well as giving me the satisfaction of being involved, participating in this project also helped boost my registrar application.
  2. Wonderful experience!
  3. The program was very good and I got out of it what I hope to do. I wish I had started it earlier so had more opportunities for regional teaching. I went onto my CT1 ITU block Nov 2019 which allowed less opportunities for regional practice. In future, coordinating early on with rota manager so that the Fellow can be attached to mentors lists on a regular basis would give more opportunities for regional teaching.
  4. Thank you. Great programme and long may it continue!
  5. Thank you for the opportunity to be involved. As Surgical Trainee it was interesting to see a different approach to ERAS; it broadened my understanding to what this is and how we can improve care for patients after major elective colorectal surgery. Presenting the recent study from Spain at the Regional Anaesthetic meeting was a fantastic opportunity as well. Many thanks.
  6. Useful experience of multi-site audit
  7. I am doing a locum F3 year as of August and will be mainly around Bucks/Oxford, I’m still keen to build my CV towards anaesthetics/ICU, so any other projects come up which I can help with let me know as I should have plenty of spare time


Dr Khurram Ayub

Head of Fellowship in Quality Improvement Email: