Research Fellowship: Waikato Hospital Department of Anaesthesia and Pain Medicine
Our department has a wide research expertise, covering numerous past and ongoing research projects; ranging from laboratory-based science to clinical trials.
The applicant should have a strong desire to learn scientific methods in order to: deepen their critical appraisal of the literature, and also to participate in the discovery of new knowledge pertaining to the practice of anaesthesia.
The exact details of the programme will be settled by discussion with the applicant – and will depend on their previous experience and interests. We would hope that this experience might lead on to the applicant doing higher degrees (MSc or PhD).
In general, the research fellow would learn about the process of research by:
- Helping with the day-to-day tasks in various ongoing departmental studies, and
- Develop a small project of their own. This would involve the organization of either a small clinical physiological study or a laboratory-based study; and would include the process of obtaining institutional approvals/funding, design of the data collection process and consultation, conduct of the study, analysis and interpretation of the results, writing up the paper, and presentation at a meeting. [Because of the slow process in obtaining institutional approvals, these need to be initiated well before the start of the fellowship]
- Participation in weekly departmental research and methodology discussions.
Specifically the fellow would be mentored by the clinician who is in charge of the study, as well as by Professor Sleigh and other researchers in the department.
In one year it would be expected that the fellow should have attended and presented at a scientific meeting, and written up and submitted a paper for publication in the scientific literature – and thus being well on the way to becoming a world expert in their chosen subject...
The department is in the process of establishing a fellowship position for those with an interest in clinical leadership roles.
This will be a unique fellowship experience and is aimed at those who have an interest in department and/or wider hospital governance and management. There would still be a clinical component to the fellowship year. Expected duties would include
- 2 days/week clinical anaesthesia
- 3 days/week leadership related activites (including non-clinical time)
- participation in after-hours shifts on RMO or fellow roster
The leadership components of the year could be individually tailored to a successful candidate's interests. Options potentially include, but are not limited to:
- Assistance with day to day management of the department
- Attachment 1 day/week to Chief Medical Officer's (CMO) office with involvement in projects as agreed with CMO.
- Exposure to some of the operational and governance activities and meetings within the DHB
It would be expected that the fellow would undertake some form of post-graduate study. Suggestions include those offered by
- Post-graduate courses at University of Waikato School of Management
- Midland Leadership Program
Obstetric Anaesthesia Provisional Fellowship
The obstetric anaesthesia provisional fellowship post is a 12month position for eligible ANZCA trainee. The focus of the fellowship is increased exposure to obstetrics, particularly high risk obstetrics.
There is a significant high risk obstetric population in the Waikato catchment area, and there are systems set up to identify and manage these women safety. High BMI patients are commonplace, and the large catchment area offers exposure to a range of comorbidities and abnormal placentations.
On average, the PF will have 3-4 sessions in obstetrics each week, split between Delivery Suite, elective Caesarean Section lists, and the High Risk Obstetric Clinic. The PF also attends and represents the Anaesthetic Department at the High Risk Obstetric MDT meeting.
The trainee will also have 2-3 sessions of non-clinical time per week, apportioned to allow the PF to achieve their research, audit and educational requirements. The trainee will also be rostered to non-obstetric lists in our main theatre suite. As we are a large tertiary-referral centre hospital, this means that the PF can maintain a broad skill-base in acute, elective and trauma cases as they move into consultant practice, and is a unique feature of a fellowship at Waikato Hospital.
The fellowship will consist of:
- A regular weekly session as anaesthetist in Delivery Suite where the PF will be the anaesthetist primarily responsible for the anaesthetic management of women requiring labour analgesia, caesarean sections, or other peripartum obstetric procedures. The PF will also be involved in the assessment and management of high risk antenatal patients on the ward, the Delivery Suite, High Dependency Unit (HDU), and the Women’s Assessment Unit.
- Participation in the High Risk Obstetric Anaesthetic Clinic where the PF will have the opportunity to see and assess women with high risk pregnancies or significant medical conditions and make plans for the anaesthetic and medical management. Work in the High Risk clinic is well supported, and it is encouraged that the PF takes the lead in running this clinic. In addition, the PF attends the High Risk MDT meeting fortnightly to follow high risk patients. The anaesthetic rostering team are supportive and flexible, allowing the fellow to be involved in the operative care of these patients also.
- There is an expectation that the PF will undertake an audit or research project. Quality improvement activities are encouraged by both the Anaesthetic and Obstetric services, often in collaboration.
- Attendance at relevant courses and conferences (such as, but not limited to, MOET, Sol Schnider Obstetric Conference, ANZCA Obstetrics SIG meeting) is encouraged and will be funded as per the ASMS contract for consultant CPD.
- Teaching. This may be in the form of formal Part 1/2 teaching for anaesthetic registrars, teaching sessions with obstetric medical staff, or midwives for epidural recertification and other topics of anaesthetic or medical relevance.
- Participation on the fellow afterhours roster (evenings and weekends). There is no night component to this roster. As part of the transition to a senior role, the PF is progressively rostered to the duty anaesthetist role, as ‘first on’ consultant for the evening and then weekend.
- Acute, elective and trauma lists in the main theatre suite, either as primary anaesthetist or as second anaesthetist paired up with a consultant. Regular lists in specialty areas of interest beyond obstetrics may be available.
The Waikato Regional Anaesthesia and Analgesia Service (W.R.A.A.S.) warmly welcomes advanced anaesthetic trainees to apply for our 12 month regional anaesthesia fellowship position.
This is your opportunity to advance your skills in regional anaesthesia, particularly in the use of ultrasound guided techniques. You will get the opportunity to master single injection and continuous nerve block techniques. Our regional anaesthesia fellow typically performs 300 blocks per year.
W.R.A.A.S. provides our busy tertiary level hospital with a dedicated regional anaesthetic service where the regional anaesthetists perform a wide variety of regional anaesthetic procedures in a “block area” prior to the patient proceeding to the theatre room. We aim to provide a faculty member and trainee to this service every weekday.
The fellow is a part of this service at least weekly as well as a clinical day assigned to an orthopaedic list where regional anaesthesia is often utilised; so at least 2 days of the week will have a regional focus. The fellow also has a day per week of non clinical time to focus on research, teaching and quality assurance.
The fellow will not be expected to participate in the night shift roster, but will be part of the after hours roster by participating in evening shifts.
The Waikato Anaesthetic department has a strong focus on research and this extends to our regional service. We have a number of research regional projects as well as participating in an international database that the fellow will be expected to contribute to. We have the experience, enthusiasm and resources to assist the fellow in developing their own projects.
Our service is committed to teaching and over the year the fellow will have multiple opportunities to teach our trainees as well as teach at regional and international conferences.
Dr Kelly Byrne
Dr Michael Foss
Dr Antony Aho
Dr Clare Smith
Dr Henry Wu
This Anaesthetic Simulation fellowship position involves a mix of clinical anaesthesia and simulation teaching.
The Department of Anaesthesia at Waikato Hospital provides simulation-based training to anaesthetic and multidisciplinary groups working in the theatre complex. There is a well-resourced simulation lab for in-centre teaching, as well as the equipment necessary for in-situ high-fidelity simulation training in the operating theatre. The Department currently undertakes regular small-group teaching for anaesthetic trainees and technicians, skills-based workshops for trainees, has ER codes for the consultant-level CICO and ALS courses that are run, and delivers the NetworkZ program to the multidisciplinary theatre team. In addition, ad hoc sessions with PACU nurses, emergency department staff, and in-situ “patient journey” simulation scenarios are also run. The provisional fellow is expected to contribute to these simulation outputs, and learn about simulation manikins, high-fidelity simulation, debriefing, and principles of adult education.
The Anaesthetic Simulation Provisional Fellow position involves the following:
- Instructing on NetworkZ courses [In-situ theatre team simulation] (one full day per month)
- Instructing on registrar simulation workshops (Friday of Week 2)
- Instructing on the Thursday Skills Teaching program [registrar CICO, ALS and APLS workshops] (Thursdays, approx. monthly)
- Assisting with consultant ER CICO and ALS courses (4-8 full days per year)
- Developing additional simulation teaching courses – for example, in-situ PACU teaching, trauma simulation
- Scenario development and creating standardised run-sheets for scenarios
- Identifying learning points/systems issues from simulation and implementing change within the theatre environment
In addition, the fellow is expected to attend the NZ Simulation Instructors Course in Wellington (held in March each year), undertake the online distance learning course to become a NetworkZ Instructor, and work towards a formal qualification in education.
Clinical experience includes two service-provision days per week, as well as a full-day list in a clinical area of interest to the fellow, to be negotiated at the commencement of their term. As Waikato Hospital is a tertiary public hospital with a full range of sub-specialities including paediatrics, obstetrics, trauma, neurosurgery and cardiac surgery, there is scope for a wide range of clinical experiences. The fellow will contribute to the afterhours roster, although there are no night shifts. The role also includes shifts as the rostered Duty Anaesthetist after a minimum of 6months. This will be a supported position that gives the fellow the opportunity to develop their leadership, theatre management and trainee-supervision skills.
The fellow will have one day per week of non-clinical time, independent of their simulation-based teaching day. It is anticipated that this non-clinical time will be used to work towards a qualification in education, undertake audit, and contribute to simulation-based research.
This is a summary of training at Waikato Hospital and the Midland Rotation, as our trainees see it. This is an excerpt from "Anaesthesia Training In New Zealand Made Easy", written by the ANZCA New Zealand Trainee Committee:
Waikato is the main hospital in the Midland Rotation, providing tertiary services to a large geographical area in the central North Island. Trainees may rotate for one year to Rotorua Hospital or two years to Tauranga, but will return to Waikato for rotation through specialist services. Waikato DHB is a large 600 bed tertiary hospital providing a wide range of clinical experience to trainees.
The anaesthetic department is busy, friendly and academic. We have approximately 60 consultant anaesthetists and 37 trainees.
The clinical experience here is wide and the case mix load is extremely varied. IT and BT trainees will be allocated to lists with level one supervision and more experienced trainees will be assigned lists with level 2 and eventually level 3 supervision.
Module allocation is done by the SOTs and then the allocations are given to the rosterers who assign lists. Some modules are “protected” meaning that during this time there will be no afternoon or night shifts.
There are also allocations to the inpatient pain service and the Anaesthetic Assessment Clinic.
Senior registrars will be allocated to the Block (regional anaesthetic) service.
Level of supervision
Waikato DHB is an extremely supportive department and level of supervision is reflected in the level of the trainee as above.
Day shifts: 7.30am to 5pm.
Evening shifts: 4pm to 11pm.
Weekday night shifts: 11pm to 8am.
Weekend day shifts: 8am to 9pm.
Weekend night shifts: 9pm to 8am.
You can expect one to two periods of out of hours work in a calendar month. On evenings (4pm to 11pm) and weekends (8am to 9pm) there are two registrars rostered to main theatre and one registrar to obstetrics. Overnight there is one registrar in main theatre and one in obstetrics. Consultants are on site until 9pm and on-call from home overnight. Overnight there are four consultants on call (first, second, third and fourth on call) including a paediatric and cardiac anaesthetist. SMOs are very amenable to being contacted to attend overnight.
There is also a contingency “on call” registrar roster to cover short-term sickness that can be opted out of.
SSU and VOP opportunities and WBAs to achieve
There is ample opportunity to meet all SSU and VOP requirements in Waikato.
Teaching and exam preparation
There are extremely well run exam preparation programmes for Part 1 (Tuesday afternoon) and Part 2 (Wednesday afternoon) exams and this time is protected. Trainees based at Tauranga and Rotorua Hospitals travel to Waikato for these teaching sessions.
There are monthly simulation sessions at the Waikato Simulation Centre and Thursday is set aside for practical skills teaching sessions (ALS, paediatric life support, CICO, Echo, fibreoptic), which are on an ad‑hoc basis.
Once a month there is a CME and M&M meeting for the department. This is an opportunity to discuss difficult cases and present audit projects. Following these there is a registrar meeting to discuss any issues and feedback to the consultant group.
There is a monthly Journal Club, often held at consultant homes, and there is an informal roster for registrar presentations at this. Registrars of all levels are expected to present at least once a year.
Scholar role opportunities
All Scholar Role activities can be met at Waikato.
The Waikato Anaesthetic Department is made up of friendly and approachable SMOs who foster an extremely collegial atmosphere. Clinical work and opportunity is extremely varied here and enthusiasm and willingness to get involved will be rewarded with excellent training and learning opportunities.
Waikato Hospital offers two fellowship positions in cardiac anaesthesia. Both positions are ANZCA-accredited for the Provisional Fellow year.
The cardiac fellowship experience involves 2 days per week with the cardiac anaesthetic team. The cardiothoracic unit at Waikato performs approximately 600 open heart procedures per year, running two cardiothroacic theatres most days of the week. In addition there are regular GA sessions in the cath lab, with weekly EP sessions and fortnightly strucutural heart lists (TAVI's, BAVs, closure devices etc).
Transoesophageal echocardiography (TOE/TEE) is used routinely in our cardiac operating theatres and fellows will get significant exposure to TOE. It is expected that the fellow will undertake a formal qualification in echocardiography and will be financially supported to do this. In addition, fellows will be expected to contribute to multidisciplinary team meetings, pre-operative assessment and post-operative follow-up of cardiac patients.
Additional clinical exposure includes up to 2 'service provision' lists per week and participation in an after-hours roster (evenings and weekends). Waikato Hospital is a tertiary public hospital with a full range of subspecialties including paediatrics, obstetrics, neurosurgery and trauma, there is scope for a wide range of clinical experiences beyond cardiac.
The Cardiac Fellow will have one day per week of non-clinical time. It is anticipated that this time will be used to work towards an echocardiography qualification, undertake audit, contribute to appropriate research, and teaching.
The Department of Anaesthesia at Waikato DHB offers a range of ANZCA-accredited fellowship positions:
Fellowship positions are typically for a 12 month term and include:
- Cardiac anaesthesia (two positions)
- Obstetric fellowship
- Regional anaesthesia
- Bespoke fellowship (two positions) - a self-directed learning plan
We also have 6 accredited 'general' fellow training posts (ANZCA-accrediated for PFY year). Within these 'general' positions there is some ability to develop a bespoke fellowship program.
Fellows will be employed under the multi-employer collective agreement of the Association of Salaried Medical Specialists (ASMS).
Applications for Fellowship positions with a February 2022 start will open in late-March 2021 and close in mid-May 2021.
The positions will be advertised on the DHB vacancies website, noting that there is a single application pathway regardless of the specific anaesthetic subspeciality you are interesting in applying for. https://www.waikatodhb.health.nz/jobs/vacancies/ The positions are found under the 'Medical Specialist' tab, as fellows are employed under the consultant contract as a MOSS.
Consultant Anaesthetists involved in training include:
Dr Rob Carpenter
Supervisors of Training
Dr Antony 'Aho
Dr Tania Bailey
Dr Nina Civil (chair)
Dr Alan Crowther
Dr David Kibblewhite
Scholar role tutors
Dr Nina Civil
Dr Clare Smith
Dr Cam Buchanan
Waikato Hospital is part of the Midland Rotation for training in Anaesthesia.
The Midland Rotation is made up of the following hospitals
- Waikato Hospital (Waikato District Health Board)
- Tauranga Hospital (Bay of Plenty District Health Board)
- Rotorua Hospital (Lakes District Health Board)
What is anaesthetic training at Waikato Hospital like? Click on the link to find out more!
How do I apply?
Applications for training positions open according to the nationwide agreed dates.
For the 2021 recruitment cycle (for positions commencing Feb 2022 or August 2022), applications open on Monday 31st May 2021 and close on Monday 28th June 2021.
Positions will be advertised on the Waikato DHB job vacancies site, under the "Resident Doctors, RMOs and house officers" tab.
At Waikato Hospital, we have training positions at both SHO and registrar level, with a single application pathway for both. On review of your CV and cover letter, we will determine whether you qualify for an SHO or registrar position. Entry positions are at SHO level. Trainees with anaesthetic experience rotating from elsewhere (including overseas) may apply at Registrar level.