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 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:
- Anaesthesia to a wide range of surgical cases demonstrating understanding of the problems encountered
- 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
- Assist colleagues in decisions about the suitability of surgery in difficult situations
- Provide teaching to less experienced colleagues of all grades
||EVARs, Carotid surgery, Open aneurysm surgery, peripheral revascularisation procedures. Opportunities to attend vascular PAC
||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.
- Attendance at regional and national military anaesthetic and multi-specialty meetings and conferences e.g. Society of Tri-service Anaesthetic Trainee annual meeting, Tri-service Anaesthetic Society scientific meeting
- Attendance at / teaching on military medical courses with a trauma resuscitation, major incident and team-working / human factors emphasis e.g. MOST, MAPLS, MERT, MIMMS, CBRN
- Instruction at AMSTC, DMSTC etc. on military courses (e.g. BATLS, ALS, EPLS) and supporting validation exercises – particularly human factors components of resuscitation team operation.
- It is routine on military courses to extensively use high-fidelity simulation and completion of WBAs for these scenarios is expected – these will map to elements of the Military module, and to clinical and non-clinical domains for advanced training.
- Examples of military activity allowing demonstration of acquisition of the Advanced domains of include
- (Clinical) AT_D1_01: Complex trauma resuscitation scenarios simulated on the MOST course
- (Team Working) AT_D2_08: Faculty participation in human factors analysis at AMSTC validation exercises
- (Leadership) AT_D3_03: Faculty membership on multiple military medical courses
- (Innovation) AT_D4_01: Publication of military medical literature relating to practice updates e.g. Military Surgery Pocketbook or CGOs
- (Management) AT_D5_04: Development of a military anaesthetic advanced year satisfying both civilian and tri-service requirements
- (Education) AT_D6_05: Attendance on, and delivery of courses appropriate to expertise e.g. attend MERT, MOST,DASC; deliver BATLS, MAPLS, MIMMS
Other opportunities include:
- Presentation of work at international / national conferences and future publications (financially supported where possible)
- Opportunity to undertake higher degree qualification e.g. MPhil, MSc, MD (not mandatory!)
- Undertake statistical and research methodology training at Teesside University to enhance research training/knowledge
- Become accomplished at high-risk pre-operative assessment and cardiopulmonary exercise testing (CPET) through direct involvement in vascular and cardiothoracic pre-operative assessment clinics
- Involvement in undergraduate teaching curriculum (Stockton Campus) and postgraduate anaesthetic courses (South Tees)
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 (firstname.lastname@example.org), Lt Col Kate Woods (email@example.com) or Dr David Booth (firstname.lastname@example.org) for further information.