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Advanced Module in General Duties (in support of Military Anaesthesia)

South Tees Hospitals NHS Trust

An exciting opportunity is available for military trainees within the department of Anaesthesia at South Tees Hospitals NHS Foundation Trust.  In collaboration with the Northern School of Anaesthesia we have created an Advanced training position combining clinical work in Anaesthesia with the opportunity to pursue areas of specialist interest that are specific to military anaesthesia.

The intention of this attachment is to provide both clinical training that can be mapped to the RCOA advanced curriculum, and the opportunity to participate in military projects as a senior trainee. The post is designed to incorporate teaching and solo lists in complex major surgeries, commitment to out-of-hours service provision and timetabled military activities.

Clinical training

Clinical training is comprised of several themes (see table below) involving theatre provision of anaesthesia for complex major surgery. For each theme WPBAs would be completed as per 2010 curriculum referencing both Core Learning Outcomes and the 6 Advanced Training Domains. Interspersed with theatre activity across the year would be involvement in initial trauma resuscitation, military medical duties and medical educational activities. Having satisfied curriculum requirements for General Duties supplementary experience of major surgery in militarily relevant areas (specifically cardiothoracic and neurosurgery) would be sought.

The post is designed to fulfil the core clinical learning outcomes for Advanced training:

  1. Anaesthesia to a wide range of surgical cases demonstrating understanding of the problems encountered
  2. Show the decision making and organisational skills required of an anaesthetist to manage busy operating sessions that involve major surgery and ensure the care that is delivered is safe and timely
  3. Assist colleagues in decisions about the suitability of surgery in difficult situations
  1. Provide teaching to less experienced colleagues of all grades
THEME CASE MIX
Vascular EVARs, Carotid surgery, Open aneurysm surgery, peripheral revascularisation procedures.  Opportunities to attend vascular PAC
Major abdominopelvic Cystectomy, major colorectal surgery, Upper GI, Bariatrics and Gynae oncology
Major head and neck Major Maxillofacial, ENT and Plastic reconstructive head and neck procedures
Trauma / orthopaedics Level 1 Trauma centre work with tertiary referral elective Orthopaedics.

Military opportunities

Other opportunities include:

The trainees will be given a Military Educational Supervisor who has an interest in both Clinical work and the chosen optional clinical/military activity to maximise the potential of this placement. Military educational supervision is available in both General and Cardiothoracic areas.

Please contact Lt Col Jonathan Round (jonnyround@me.com), Lt Col Kate Woods (kate.woods@stees.nhs.uk) or Dr David Booth (david.booth@stees.nhs.uk) for further information.