Waikato Hospital as seen over lake Rotoroa

The Perioperative Medicine Fellowship post is a 12 month position, accredited for the ANZCA Provisional Fellow year. The focus of the fellowship is to develop experience in the preoperative assessment and optimisation of high risk surgical patients, intraoperative care of complex patients, and the post-operative assessment and management of surgical morbidity.

Waikato Hospital is a 720-bed tertiary centre with 23 main operating theatres and a further 6 anaesthetic areas outside of the main theatre complex. Fellows will be exposed to elective patients from a broad range of specialties, including: General Surgery (Upper GI, Colorectal, Liver, Breast and Endocrine), Vascular, Orthopaedics/Spine, Thoracics, ENT, Maxillofacial Surgery, Neurosurgery, Plastics, Gynaecology and Urology.

We run a daily Anaesthetic Assessment Clinic, and a weekly Complex-Decision Clinic in conjunction with Geriatrics for high-risk patients. We also participate in weekly Colorectal and Thoracic MDT. Fellows would have the opportunity to attend CPET and Patient Blood Management clinics. There will be opportunities to develop technical skills such as bedside TTE, through supervised in-house teaching.

We are currently applying for Waikato Hospital to be accredited as a training site for the ANZCA Chapter of Perioperative Medicine. The Fellow roster would be structured to enable completion of this qualification within the 12-month fellowship.

The Fellow will have 2 sessions of protected non-clinical time per week, to allow them to complete the Chapter of Perioperative Medicine coursework, and any other research, audit and educational projects.

The Fellowship will consist of:

  • Regular sessions in Complex-Decision Clinic (CDC)
  • Regular sessions in Anaesthetic Assessment Clinic (AAC)
  • Involvement in structured MDT clinics
  • Acute, elective and trauma lists in the main theatre suite, either as primary anaesthetist or as second anaesthetist paired up with a consultant. There will be a focus on elective high-risk cases which have passed through the CDC/MDT pathway
  • Participation on the fellow after-hours roster (evening shifts).  There is no night component to this roster.  As part of the transition to a senior role, the fellow is progressively rostered to the duty anaesthetist role, as ‘first on’ consultant for the evening.
  • Rostered time overseeing the post-op care of patients admitted to the PACU long-stay unit
  • Ward rounds with the Ortho-Geriatric Team reviewing post-operative high-risk patients.
  • Enrolment in the Chapter of Perioperative Medicine course, encouraged to complete during the fellowship