Clinical Fellow in Anaesthesia

The post will be based jointly with the Horton Hospital, Banbury and the Oxford hospitals.

This is a great opportunity to work with a friendly, supportive group of anaesthetists, which is part of the wider Nuffield Department of Anaesthesia, Oxford University Hospitals NHS Foundation Trust.

You will gain experience at a high-quality day surgery centre and have dedicated opportunities to work alongside seniors, anaesthetising patients in a variety of remote site locations, including MRI and angiography suites. You must be familiar with the demands of a large UK teaching hospital anaesthetic department.

The postholders will provide elective and emergency anaesthesia to adults and children and be part of the hospital cardiac arrest team at the Horton, as part of the resident rota. Alongside this, you will be gaining experience providing anaesthesia for a variety of specialties offered at OUH. Training and professional development will be tailored to the experience and needs of the postholder, and appropriate supervision is provided at all times.

The focus of this fellowship, beyond the delivery of perioperative care and participation in the resident on-call rotas, is gaining 12 months experience at the equivalent of step 3 (higher) level in various anaesthesia disciplines.

The Fellow will work with distant, local, and direct supervision, as appropriate.

The post holder will work within the Oxford University Hospitals NHS Trust group of hospitals:
The Horton General Hospital, Banbury - Day Surgery (incl paedatrics) and Trauma

The John Radcliffe Hospital - Trauma, Neuro, Obstetrics, Vascular, Airway, Plastics, Paediatrics, Gynaecology, Obstetrics and Intensive Care

The Churchill Hospital - Transplant, Oncology, Airway, and Intensive Care

The Nuffield Orthopaedic Centre

Fellows are expected to keep accurate contemporaneous records of clinical activities or events, including pre-operative assessment, pre
- and postoperative care, pain relief, critical incidents, etc., using the Trust approved documentation.

Fellows are expected to keep a record of their training including a log book of cases and a record of other activity.

The Horton General Hospital in Banbury serves the growing population in the north of Oxfordshire and surrounding areas. It has both inpatient and day-case beds, provides outpatient clinics, and is an acute general hospital providing a wide range of services, including:
emergency department (with an emergency admission unit)

general surgery

acute general medicine

trauma and orthopaedics

gynaecology

midwifery led unit

paediatrics

medical enhanced care unit

cancer resource centre.

The majority of these services have day case surgery beds and outpatient clinics, with the outpatient department running clinics with visiting consultants from Oxford in dermatology, neurology, physical medicine, rheumatology, ophthalmology, radiotherapy, oral surgery and paediatric cardiology.

Currently, there are four main operating theatres and a large day-case unit.

The work schedule is resident, full shift 1:10 on call rota (pro rata), at the Horton General Hospital, Banbury. This is a resident rota providing support to the trauma theatre and critical care / airway support to the rest of the hospital. A duty consultant is on site until 8pm, every day, including bank holidays and weekends. You will be the sole anaesthetist resident at night, with the consultant available from home. There is a dedicated on-call room available.

Daytime work will focus on delivering and gaining experience in high turnover day case anaesthesia while at Banbury and gaining a wide experience at the equivalent of higher training level in the various disciplines on offer at the John Radcliffe hospital. Fellows are expected to undertake some solo elective theatre lists commensurate with their level of training and experience, but always with indirect consultant supervision.

**Facilities for study and training**:
Time is set aside for personal development, CPD and Audit. There are facilities both physical and electronic to support the post-holder in this.

**Teaching, audit and quality improvement**:
Fellows are given the equivalent of one “fellow-directed day” per week and are encouraged to undertake appropriate service development or QI projects. Study leave and funding to attend appropriate external CPD is available. There are numerous other opportunities within the department including national audits, teaching medical students, and assisting with locally run MDT simulation training.