Fellowships

The Sir Charles Gairdner Hospital Department of Anaesthesia takes applications from senior anaesthesia trainees for 6-12 month fellowships. This includes Australian and New Zealand College of Anaesthetists trainees in their provisional fellowship year and senior trainees from the United Kingdom, Ireland, United States and Canada.

Depending on the applicant’s year of training, the base annual salary starts at $161,000 AUD with overtime pay in excess of this. Fellows are required to work four and a half days a week and some evening and weekend shifts in clinical anaesthesia. The week also includes an office session to allow time to complete audits and research projects. Please refer to the current 2016 AMA Industrial Agreement for WA Medical Practitioners for more information about the contract details. Our six month fellowships are usually attached to a six month general fellowship to extend the employment to a 12 month period.

We offer six different anaesthesia fellowships:

Anaesthesia Simulation and Medical Education

Regional Anaesthesia

Neuro Anaesthesia

Perioperative Anaesthesia

Echocardiology Fellowship

General Fellowship

We have two intakes each year, starting in February and August. For general information about fellowships, please contact the Fellowship Supervisor, Dr Tania Rogerson tania.rogerson@uwa.edu.au or for specific fellowships please contact the supervisors listed below.

Eligibility

The SCGH fellowships are open to applicants in their last year of training with the Australian and New Zealand College of Anaesthetists(Provisional Fellow or ATY3).  Overseas trained applicants from the United Kingdom, Ireland, United States and Canada post final examination are also eligible. Interstate and overseas applications are encouraged as part of the department’s commitment to educational exchange.

Application

To apply for fellowships, please email a covering letter and current CV, with two referees to the named supervisor of the Fellowship listed below. Some fellowship applications require additional information.

Testimonials

“I spent a fulfilling year at Charlie’s anaesthesia department. As a regional anaesthesia fellow, I had many opportunities in the elective and emergency orthopaedics lists performing both upper and lower limb blocks. The consultants were enthusiastic in teaching, and subsequently when I taught the juniors, it reinforced my own learning as well. There was also a heavy emphasis on acute pain management of the postoperative patients, some of which were highly complex.

The members of the department are collegial and supportive. I got to work in some interesting lists, such as upper GI/ bariatric surgery and bronchoscopy. There were opportunities when I worked independently. It was an enriching experience and I felt I was a better anaesthetist by the end of the year.”

My fellowship in Charlie’s was the highlight of my anaesthesia training. It is a very friendly and supportive department, with flexibility to have opportunities to develop your training as needed. The hospital offers a wide range of specialties and so I had exposure to a variety of elective and emergency work.

The simulation fellowship is well established and structured. There is excellent supervision and opportunities to develop simulation and teaching skills in a range of environments. I learnt a lot, both professionally and personally, during my time at Charlie’s and could not recommend it enough!”

“For me this was a great fellowship. I came into it coming from the east coast with very little regional experience, (which I wanted to correct) which I think in some ways contrasted with some of the other regional fellows who were already what I would have considered experts.

I have been so grateful for the passion and innovative ideas shared with me by this department who truly has some very special teachers and experts in it.

I have come away after a year with confidence to do and more importantly to teach and share.

There is no shortage of appropriate lists to practice skills and I was never relocated from my dedicated regional lists to cover service work. A real effort is made to protect and nurture our skills as regional fellows and involve us in teaching junior registrars.

A highlight for me was the opportunity to work with the acute pain service the day following my heavy orthopaedic lists. Again this was a real eye-opener to a different and in my view a better way to manage acute pain. I gained experience in dealing with regional infusions and it was so useful to be able to troubleshoot any problems and aid management knowing exactly what I’d done in theatre the day before.

Another highlight was the opportunity for me as an ANZCA trainee to go to Hollywood Private hospital. For six months I went a day a week and sometimes 1.5 days and assisted the anaesthetic consultants with the orthopaedic lists.

This was amazing experience in terms of regional skills, managing

workload in a private setting, resource management and picking up really useful tips and skills for impending consultant life.”

“My time at Charlie’s was exactly what I was after in a regional fellowship. I had good lists and worked with an excellent group of Anaesthetists, giving me the breadth of exposure and proficiency in a wide range of regional techniques. The incorporation of pre-admission clinic and acute pain rounds into the fellowship, and exposure to the private hospital setting, made it a holistic experience which I am now appreciating in my current practice. Overall, Charlie’s was a great finishing school for me and we loved our year in Perth.”

Anaesthesia Simulation and Education Fellowship

(6 months)

Dr Tania Rogerson – Fellowship coordinator

What are the aims of the Anaesthetic Simulation & Medical Education Fellowships?

The aim of the Simulation and Medical Education Fellowship is to produce a fellow who is proficient in medical simulation, including designing and implementing simulation workshops, the practical running of simulation mannikins, curriculum design and debriefing. Fellows are also expected to improve their overall teaching style, especially with teaching small groups, through exposure within the fellowship and mentorship from SCGH Simulation faculty.

What is the structure of the Simulation Fellowship?

This position involves an active role in delivering simulation sessions for medical students, anaesthesia trainees and consultants, as well as scope for inter-disciplinary training sessions with Emergency, Intensive Care and Surgery.

The Fellowship includes a Simulation Instructors Modular Advanced Course (SIMAC) – run within the department at the start of the term, so it is not essential that applicants have simulation teaching experience, however a demonstrated interest in teaching is expected.

Fellows have full access to a dedicated simulation suite within the operating theatres.  There is also scope to utilise the high fidelity SCGH Simulation Suite as well as participate in the in-situ simulation around the hospital, and courses run by other organisations.

The Dept of Anaesthesia has an affiliation with the Notre Dame Medical School and is actively involved in teaching medical students.

This role is a full time position; the educational non clinical component is two days a week, with the rest of the week being clinical anaesthesia. Fellows generally get a half day off a week.

Fellows are encouraged to participate in audit and research activities within the department during their time, and are expected to participate in an after-hours roster of clinical anaesthesia during their Simulation Fellowship.

The 6 month Simulation Fellowship is paired with a 6 month General Fellowship to extend the contract out to 12 months. Within the General Fellowship, it is possible to request certain special clinical interests, including participating in Echo training within the department.

Please note this is a full-time fellowship.

For applications or further information, please contact Dr Tania Rogerson tania.rogerson@uwa.edu.au

 

Regional Anaesthesia Fellowship

(6 months)

Dr Chris Mitchell – Fellowship coordinator

What are the aims of the SCGH Regional Anaesthesia Fellowship?

The aim of the SCGH Fellowship is to produce regional anaesthesia “champions”, who are skilled to develop the regional anaesthesia services in their future hospital. This involves having experience and understanding the following

  1. Who to Block – Patient selection, Surgical consultation, Informed Consent
  2. How to Block – Safety, Ergonomics, Needling skills, Alternatives
  3. Optimising the Block – Additives, Rescue techniques, Step down analgesia, Integration with the Acute Pain Service (APS) and Chronic Pain Service.
  4. Closing the Loop – Follow up of patients, Managing complications, Patient information, staff education, Audit and Research.
  5. Learning to Teach Regional Anaesthesia.
  6. How to set up a Regional Anaesthesia Service

Most registrars in Perth will have experience well in excess of the minimal requirement set by the Australian and New Zealand College of Anaesthetist and most are well positioned to start independent practice.  Our fellowship is not aimed at polishing these personal skills, but to develop a regional anaesthetist who can contribute to the growth of regional anaesthesia.

What is the Regional Anaesthesia expertise at SCGH?

The SCGH Anaesthesia department has been a leader in regional anaesthesia in both Perth and Australia. The department was an early adopter of ultrasound-guided regional anaesthesia techniques and now has a large number of modern ultrasound machines.  Most blocks in the department are performed as ultrasound-guided procedures.  At least 30 of the 62 consultants in the department regularly practice ultrasound-guided regional anaesthesia in their public or private practice. 8 consultants have completed regional anesthesia fellowships. There are approximately 1500 peripheral nerve blocks performed each year at SCGH.

The SCGH Regional Anaesthesia fellowship program was the first in Australia, starting in 2005.  The success of the program has seen it expand from 1 to 4 positions per year.  The application process is competitive and positions are filled with a mixture of local, interstate and international registrars.

What is the structure of the Regional Anaesthesia fellowship?

SCGH employs four regional fellows each year, starting in February or August.  It is a 12 months fellowship with 6 months in Regional Anaesthesia and a 6 months General Fellowship, which can occur in either order.  During the 6 months general fellowship some time will be spent working in the chronic pain service. It is not possible to combine the Regional Fellowship with the Simulation Fellowships, which are also offered at SCGH.

During the 6 months regional anaesthesia fellowship, fellows can expect the following weekly schedules

  • At least 2 full days of elective orthopaedic each week.  Normally the roster includes at least an additional trauma list.
  •  Most fellows will complete in excess of 300 blocks over the 6 months, plus half this number of central neuraxial blocks.  The majority of these procedures will occur in consultant lead lists, maximising the learning experience.  However it is stressed that the value of this fellowship is not the number of procedures, but quality of teaching received and the knowledge gained of how a full regional anaesthesia service works.
  • ½ day Acute Pain Service.  This round commonly follows the days of elective orthopaedics and allows follow up of patients and the ability to review the effectiveness of blocks and stepdown analgesia. The APS is run by an Acute or Chronic Pain consultant and is a very popular component of the fellowship.

Once experienced the fellow is expected to be able to lead this service when required.

  • ½ day non-clinical time
  • ½ day off – to take advantage of the fantastic weather, the wonderful beaches, and extensive water sports that Perth has to offer.
  • A share of after-hours roster (evening and weekend) with the other registrars.

Other Expectations of Regional Fellows.

During the year it is expected that the regional fellow will be actively involved in many of the other learning and teaching opportunities available in the department and in Perth

  • During the 6 month of general fellowship 1-2 days per week will be spent working in the Chronic pain service which also runs a peri-operative pain service. This organised by Dr. Max Majedi whom is a Specialist Anaesthetist and Specialist pain medicine Physician. On those days you will have the opportunity to assess patients with complex pre-op and post op musculoskeletal issues that require more ongoing management.
  • SCGH Mother Duck Block Ready Program.  This is a program run by the fellows to teach the junior registrars the basics of ultrasound guided regional anaesthesia.  The fellows are given a structured program and taught how to teach.  The program normally consists of four one hour tutorials to 4-5 junior registrars.  The program is designed to start the teaching journey for the fellows, and to enable our junior registrars to be ready for regional anaesthesia opportunities in theatre.
  • Perth Regional Anaesthesia Group – runs 2 meetings each year covering a wide range of regional anaesthesia topic.  The fellows are generally asked to present at these meeting.
  • Royal Perth Regional Anaesthesia Journal Club – Fellows generally present a topic once during their rotation.
  • SCGH Thursday morning anaesthetic registrar tutorials – up to 3 sessions each rotation will be regarding regional anaesthesia and the fellows are expected to help with teaching.
  • There always audit opportunities, to help understand and improve our service
  • There is a need for many more procedure specific patient handouts to be developed.
  • Fellows are encourage to either attend or help at the local Ultrasound cadaver course (ARACUS)
  • Many fellows have completed research projects during their year.
  • Western Australian AZCA/ASA Autumn and Winter Scientific Meetings – Free Paper Session.  An opportunity to present research completed during the Fellowship and compete for the prestigious Nerida Dilworth Prize.

 

How do I apply for a Regional Fellowship at SCGH.

Applicants will need to email Dr Chris Mitchell (mitchwa@gmail.com)

  1. A cover letter explaining why you wish to be our Regional Anaesthetic Fellow. Please outline if you can start working in February or August 2020, and if both are possible which one you would prefer.
  2. Answers the essential and non-essential criteria in the job description form (JDF). The essential Criteria – are mechanical requirements to work in a Western Australian Hospital, and can be answered briefly. The non-essential criteria are used help rate candidates so please answer fully.
  3. Curriculum Vitae
  4. The names of three referees – Supply: work contact details, phone number (mobiles best), email. (No need for written references at this stage)

Please note this is a full time fellowship.

Neuro Anaesthesia Fellowship

(6 months)

Dr Christine Tan – Fellowship coordinator

What are the aims of the Neuro Anaesthesia Fellowships?

The goal of the Neuro Anaesthesia fellowship is to provide advanced clinical training in Neuro Anaesthesia and to foster research and educational experiences for the fellow.

At the end of the 6 months, fellows will become skilled at the perioperative and intraoperative management of patients with neurological and neurosurgical diseases.

The Neuro Anesthesia Fellow will also acquire necessary skills to be able to plan and perform research in an ethical and systematic manner. Opportunities exist for the fellow to develop teaching skills in the education of junior doctors.

 

What are the Neuro Anaesthesia opportunities at SCGH?

SCGH is the headquarters of the first specialist Neuroradiology Department in Australasia. The NIISwa (Neurological Intervention and Imaging Service Western Australia) performsapproximately 100 brain aneurysm coilings and 50 carotid artery stents per year. It provides the only emergency endovascular clot retrieval service in the state

Fellows will have the opportunity to work in the new Neville Knuckey Intraoperative Magnetic Resonance Imaging (IOMRI) suite which is the first service of its kind for adults in Western Australia.

SCGH is also the home of the Neurofinity Surgical Neurodiscovery group which is an academic research group established in 2007. The group provides Western Australia’s only functional neurosurgery service and implements ongoing research focusing on deep brain stimulation.

All surgical neurological diseases are treated at Sir Charles Gairdner Hospital. These diseases include intracranial pathology (surgical treatment of trauma, tumours, epilepsy surgery, and neurovascular lesions), movement and spinal disease (surgical treatment of degenerative disorders, removal of tumours and vascular abnormalities).

What is the structure of the Neuro Anaesthesia fellowship?

SCGH will employ 2 Neuro Anaesthesia fellows each year, starting in February or August.  It is a 12 month fellowship with 6 months in Neuro Anaesthesia and 6 months doing a General Fellowship.  It may be possible to combine the Neuro Anaesthesia Fellowship with another specified Fellowship at SCGH.

During the 6 month Neuro Anaesthesia fellowship, fellows can expect the following weekly schedules

  • At least 2 full days of elective neurosurgery.
  • ½ day non-clinical time
  • ½ day Off – to take advantage of the fantastic weather, the wonderful beaches, and extensive water sports that Perth has to offer.
  • A share of the after-hours roster with opportunities to be involved with emergency neurosurgical cases.

Other Expectations of the Neuro Anaesthesia Fellows.

  • It is expected that the fellow will complete at least one clinical audit within the 6 months of the fellowship.
  • Registrar tutorials occur on a weekly basis and it is expected that the fellow will spend at least one session educating the junior registrars on a topic relevant to neuro anaesthesia.
  • Departmental presentations occur on a weekly basis and it is expected that the fellow will deliver one talk over the course of the year.
  • Participation is encouraged at the neuro anaesthesia journal club meeting which will be held out of hours.
  • Research opportunities exist and involvement by the fellow will be strongly encouraged.

How do I apply for a Neuro Anaesthesia Fellowship at SCGH.

Please email Dr Christine Tan Christine.tan@health.wa.gov.au, for expressions of interest.

Applicants will need to provide a cover letter explaining why they should be considered, answer the essential and non-essential criteria, a recent CV and name three referees, supplying their email and phone contact details.

Perioperative Fellowship

(6 months)

Dr Kate Wessels – Fellowship supervisor

This position involves inpatient and outpatient review of high risk patients in the perioperative period. Fellows will receive, triage and review patients referred to anaesthesia, including seeing patients in clinic for two sessions per week. They will be working alongside a growing body of enthusiastic consultants with an interest in perioperative medicine. Many prior fellows have taken the opportunity to be involved in either Echo School or CPET assessment of patients.

For applications and enquiries, please email kate_wessels@yahoo.co.uk

Echocardiology Fellowship

(12 months)

Dr Shannon Matzelle – Fellowship supervisor

The aims of the fellowships are to provide both the practical and theoretical training in echocardiography.  At the end of 12 months fellows will become skilled in obtaining full TTE studies as well as interpreting and reporting.  The full basic syllabus of echocardiography will be covered.

Echo fellows are enrolled into the 12 month Echo school program within the department, run every Wednesday afternoon. This is protected time that is run in collaboration with the ICU department and includes both the theoretical and practical teaching of echo. It is also an opportunity to review and critique your own echo studies. For more information about Echo school, please see the Echo section of the website.

During non-Echo time fellows will be given access to cardiothoracic and cardiology lists as well as preadmission clinic sessions where they will be able to identify patients for echocardiography preoperatively. Please note this is a full-time fellowship.

Along with the commitment to Wednesday afternoon “Echo School” it is strongly encouraged to enrol in at least the graduate certificate of clinical ultrasound (or equivalent) facilitated through the university of Melbourne.  Details found here: https://study.unimelb.edu.au/find/courses/graduate/graduate-certificate-in-clinical-ultrasound/

Please note the closing dates for each semester usually predate the start dates for the fellowship.

For applications and enquiries, please email Dr Shannon Matzelle  Shannon.Matzelle@uwa.edu.au

General Anaesthesia Fellowship

(6-12 months)

Dr Tania Rogerson – Fellowship Supervisor

This position is a part-time or full-time clinical anaesthesia post which includes after hours work. The clinical work involves tertiary level anaesthesia with complex patients. Fellows with special interests can request exposure to certain specialties such as cardiothoracic, vascular, upper gastrointestinal and ear, nose and throat. There is also significant expertise within the department in regional anaesthesia and complex orthopaedic work. Fellows may get involved in roles outside the operating theatre such as Acute Pain, and will also be supervising junior staff as part of their role.

Fellows are also allocated a half day non clinical session each week, which allows fellows to get involved in research, teaching and audit within the department. This is usually combined with one of our specific fellowships, to provide a 12 month position for fellows.

For applications and enquiries, please email Dr Tania Rogerson, tania.rogerson@uwa.edu.au