Advanced Clinical Fellow in Obstetric Anaesthesia
3 weeks ago
Position Overview
1 x Advanced Clinical Fellow in Obstetric Anaesthesia
This role presents a remarkable opportunity for a seasoned anaesthetist with a keen interest and proficiency in obstetric anaesthesia. The position is appropriate for an ST4+ level trainee or an individual with comparable anaesthesia experience and skills. Candidates must have successfully completed Stage 1 training and the Primary FRCA examination (or an equivalent international qualification) and must demonstrate competence in administering labour epidurals/combined spinal-epidural (CSE) techniques, as well as in the initial evaluation and stabilization of obstetric emergencies.
Key Responsibilities
This is a six-month position initially, with the potential for extension to twelve months. The successful candidate will integrate into a dynamic department that manages a significant volume of high-risk pregnancies. There is flexibility to tailor the role to align with the specific interests and requirements of the selected candidate.
Clinical responsibilities will primarily involve work on the labour ward and within anaesthetic lists throughout the facility. The on-call commitment will follow a 1:8 rotation on the obstetric rota. Fellows will be allocated dedicated time off to support projects and educational activities during their fellowship. Comprehensive support will be available for Portfolio enhancement, interview preparation, and career counseling.
About Chelsea and Westminster Hospital NHS Foundation Trust
Chelsea and Westminster Hospital NHS Foundation Trust is recognized as one of the leading and safest healthcare providers in England.
We operate two main acute hospital sites, along with our award-winning clinics across North West London and beyond.
- Our workforce includes over 7,000 staff and 500 volunteers.
- We attend to patients in A&E every 90 seconds.
- We facilitate childbirth every 50 minutes.
- We perform surgical procedures every 16 minutes.
- We conduct 50 imaging procedures each hour.
- We serve a diverse population, providing care from the beginning to the end of life.
Job Duties
The Maternity Unit accommodates both high- and low-risk cases, promoting a philosophy of midwife-led care alongside high-risk interventional obstetrics. The current delivery rate exceeds 6,000 annually.
The epidural administration rate is approximately 50%, with regional anaesthesia utilized in around 90% of caesarean sections. Our caesarean section rate stands at about 30%.
We collaborate with the adult congenital heart disease team at the Royal Brompton Hospital to provide a joint cardiac service, managing approximately 100 women annually with complex heart conditions.
Our facility serves as a provider for patients with abnormally invasive placenta and accepts regional case referrals for these patients.
Chelsea & Westminster Hospital is the designated center for in-utero transfers of neonates requiring surgical intervention within West London, and we offer Level 3 neonatal care for premature and critically ill infants. The Trust is the leading center for pediatric surgery in West London.
We have two dedicated obstetric operating theatres and a five-bedded nurse-led recovery and high dependency unit. Daily elective caesarean section lists are conducted alongside emergency cases. We are actively investigating a dedicated elective theatre pathway separate from the main Labour Ward in accordance with EMBRACE recommendations.
The private maternity unit has a distinct resident consultant on-call rota providing out-of-hours coverage.
Candidate Profile
Experience
Essential
- Completion of Stage 1 Anaesthetic Training (or equivalent experience).
- Demonstrated understanding and participation in clinical governance and audit processes.
Desirable
- Experience in teaching and simulation.
- Involvement in research activities.
Skills and Knowledge
Essential
- Adaptable, objective, and assertive.
- Exceptional communication abilities.
- Capacity to collaborate effectively within a multidisciplinary team.
- Highly organized and conscientious, with the ability to complete projects efficiently.
- All applicants must possess demonstrable proficiency in written and spoken English.
Education and Qualifications
Essential
- Primary FRCA or equivalent anaesthetic qualification.
- MBBS or equivalent medical qualification.
- ALS certification.
Desirable
- APLS/ATLS or equivalent certification.
- Higher academic degree.
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