Advanced Module in Cardiothoracic Anaesthesia

James Cook University Hospital

Lead Clinician:   Dr Sarah Round

At James Cook University Hospital we offer fellowships in cardiothoracic anaesthesia and intensive care medicine of 6 and 12 months duration. The varied workload and significant case numbers we undertake provide an excellent opportunity to gain further experience in cardiothoracic anaesthesia in a friendly, supportive department. In addition to a well rounded experience we aim to tailor the post to meet your individual learning needs and interests.

The cardiothoracic surgical programme at James Cook University Hospital undertakes all adult cardiac and surgical procedures except for transplantation, ECMO and VAD implantation. We perform about 1100 cardiac and 600 thoracic cases per year. The cardiac work includes revascularisation both on and off pump, valve replacement and repair, aortic vascular surgery (including aortic root and arch work). We perform a significant amount of minimally invasive work both for mitral and aortic surgery. We have an established TAVI programme and the number of patients passing through the programme continues to increase. Our thoracic workload also continues to increase and is currently around 600 cases per year. In addition to VATs lobectomies we also carry out robotic thoracic work. James Cook University Hospital is a designated major trauma centre and therefore we see a range of cardiac and thoracic traumatic injury.

We have three dedicated cardiothoracic theatres and a 12 bedded cardiothoracic intensive care unit, although the critical care unit is in the process of a significant expansion.  The CICU has been a pioneering unit in the national development of advanced critical care practitioners and we currently have 8 funded positions. Our cardiac catheterisation suite has four laboratories with full diagnostic and interventional capabilities.

As clinical fellow your duties will be based between cardiac theatres and CICU and as required in the cardiac catheter laboratories. You will be supervised by a consultant, the degree of which will be determined by your individual skills and development. We use transoesophageal echo extensively in theatre and CICU and you will be encouraged to develop TOE skills with the aim of achieving accreditation.  We have several BSE accredited trainers working within our department, who will be able to guide you through the accreditation process. The opportunity to develop the use of critical care ultrasound is also encouraged, as several of our consultants are accredited FICE mentors and we hope in the near future to have CUSIC mentors.  We are also introducing a TOE and TTE simulator to help with the development of your echo skills.

In addition to the development of clinical skills you will have the opportunity to develop management, research and teaching skills alongside participating in departmental audit and service improvement projects based on your interests.  The directorate has a respected and active research programme alongside a strong trainee education programme. For example, we are currently one of two centres in the UK that deliver the ‘One Heart’ simulation course in cardiac anaesthesia and intensive care to all of our rotational trainees from the Northern Deanery.  You will be actively encouraged to participate in this course as faculty during your time with us.

More information can be found on our departmental website: http://southtees.nhs.uk/services/cardiothoracic-services/cardiothoracic-anaesthesia/