Current fellowships within Perioperative Medicine
1.Auckland City Hospital
Auckland
Two 6-month positions per year
Auckland City Hospital is NZ’s largest providing public hospital providing services in major general surgery including upper GI surgeries, liver transplant, neuroanaesthesia, vascular and urology. It also houses a clinical research facility involved in major clinical trials in Anaesthesia.
This fellowship may be coupled with the Liver, Neurosurgical or Vascular Clinical fellowships.
The Perioperative Anaesthesia fellowship structure involves:
- Clinical Anaesthesia – three days per week involved in :
- Major / complex cases including major upper GI surgery for one day per week
- Major complex cases includes pre-assessment of esophagectomy patients with follow through of those specific cases to theatre
- High-risk anaesthesia clinic one day per week.
- One day theatre service providing
- Non clinical Anaesthesia – up to 1.5 days a week
- Non-clinical activities includes involvement with audits, research, pathway development, high-risk MDMs, and training of the perioperative multidisciplinary team.
- One half-day per week rostered off
- Out of hours requirement
- There are evening & weekend after hours commitment
For expression of interest or further information, please contact:
2.North Shore Hospital
Auckland
One 12-month position per year
The North Shore Hospital Perioperative medicine fellowship was the first to be established in New Zealand [and third in Australasia, Ref: Gharapetian et al. Canadian Journal of Anesthesia 2015; 62(4):403-412].
Specific anaesthesia sessions for the perioperative medicine fellow includes:
- Complex endocrine cases (e.g. thyroidectomies, phaeos), nephrectomies, major orthopaedic procedures, and pacemaker insertions.
Dedicated non-anaesthesia sessions are:
- 1 preop assessment clinic per week
- 1 CPET session per fortnight
- 1 orthogeriatric ward round per fortnight
There is also other non clinical involvement with:
- Gastric point-of-care ultrasound (including teaching on the course)
- Development of perioperative guidelines,
- Ongoing audit/research
Positions are open to non-ANZCA trainees (e.g. RCoA, CAI) but not to non-anaesthesia trainees.
Contact email is nav.sidhu@waitematadhb.govt.nz
See website for more information: www.waitemata-anaesthesia.com
3.Middlemore Hospital
Auckland
One 12-month position per year
Middlemore Hospital is a Tertiary hospital providing general surgical, orthopaedics, ENT, maxillofacial, obstetric and gynaecology, plastics and general paediatric services. Middlemore Hospital is also the National burns center for NZ.
Specific anaesthesia sessions for the perioperative medicine fellow negotiable at the start of the placement.
Dedicated sessions for the Perioperative Fellowship includes:
- 2 sessions of high risk pre-op assessment clinic per week
- Opportunity to observe in our unique perioperative echo clinic
- Echocardiography education by in-house USA board certified Consultants
Dedicated fellow teaching
- The Part 3 course is a series of monthly half day sessions on a variety of non-clinical topics such as communication skills, giving feedback, teaching, private practice, health psychology, audit and research, CV writing/ interview skills
There is also other non clinical involvement with:
- Research and Quality assurance activities
- Education sessions
- Teaching
Expressions of interest please contact AnaestheticFellowshipEnquiries@middlemore.co.nz
- Waikato Hospital
Hamilton, North Island
No official Perioperative Medicine Fellowship (as yet).
Though the Waikato Anaesthesia department does not yet have an official perioperative ANZCA Provisional Fellowship coded position, they are encouraging of interested trainees to build a bespoke fellowship with a perioperative medicine focus. The weekly time structure would be that of 2 days of service time, 2 days with an area of the trainee’s interest and a non-clinical day. Positions are of a 12-month duration. At this stage, trainee’s would have to be already working with Waikato Hospital as an ANZCA (individual or dual) trainee so that the logistics of such a package might be arranged prior to commencement of the PF year.
It is intended that an official perioperative medicine fellowship will be added in the future.
Exposure
Waikato Hospital serves a large population catchment of circa 850, 000 people with variable and challenging medical needs. They have a large theatre complex with 25 operating rooms and offers a tertiary-level anaesthetics exposure to Obstetrics, Cardiothoracics, Paediatrics and Neurosurgery alongside a developed Regional Anaesthesia Service, Allergy and High Risk Preassessment and Obstetric Anaesthesia Assessment clinics.
Interested individuals are encouraged to seek further information at https://waikatoanaesthesia.org.nz or contact AnaesthesiaTraining@waikatodhb.health.nz
5.Hawke’s Bay Hospital
Hastings, North Island
No official perioperative medicine fellowship (as yet).
Though the Hawke’s Bay Anaesthesia department does not yet have an official perioperative ANZCA Provisional Fellowship coded position, they are encouraging of interested anaesthesia trainees to prospectively build a tailored fellowship with a perioperative medicine focus.
Exposure
Hawke’s Bay Hospital serves a varied population with a catchment of nearly 170 000. They have a theatre complex of 7 operating rooms and provide secondary-level anaesthetics care for general surgical, ENT, obstetrics, orthopaedics and vascular surgery and are also supported by an Intensive Care Unit led by FCICM trained specialists.
Interested individuals are encouraged to contact Dr Allanah Scott (Supervisor of Training, Hawke’s Bay Hospital; allanah.scott@hawkesbaydhb.govt.nz).
6.Wellington Regional Hospital
Wellington, North Island
One 6-month position per year (can be repeated as a twelve-month term)
Wellington Hospital offers a perioperative medicine ANZCA provisional fellowship position of 6 months duration. The structure of the role comprises 40% of day-time hours spent with building experience in Anaesthesia Preassessment Clinics, high risk screening, CPEX and attendance of (vascular surgery) multi-disciplinary meetings.
Future advancements to the role may include inputs into geriatric facets of care and post-operative ward rounds.
There is half a day a week of non-clinical time of which the trainee can use to improve their perioperative care ambitions.
Exposure
Wellington Regional Hospital serves a population of nearly 320 000 in New Zealand’s capital city. The Department of Anaesthesia and Pain Medicine provide tertiary-level care in an operating theatre complex comprising of 15 theatres. Sub-speciality support is provided to Cardiothoracics, Paediatrics, and neurosurgery alongside an established Pain Service and Anaesthesia Preassessment Clinic (with CPEX testing facilities).
Interested individuals are encouraged to contact Dr Nicola Moore (Supervisor of Training to ANZCA, Wellington Hospital; nicola.moore@ccdhb.org.nz) or Dr Aruntha Moorthy (aruntha.moorthy@ccdhb.org.nz).
7.Christchurch Hospital
South Island
Application for perioperative fellowship currently only available for internal candidates.