Provisional Fellow

**WSLHD - JMO - Provisional Fellow - Anaesthesia, Trauma**

**Employment Type**: Temporary Various

**Remuneration**:
- **Hours Per Week**: 38

**Requisition ID**: CAM18851
- **Provisional Fellow Trauma Anaesthesia**

As a provisional fellow in trauma anaesthesia, you will be working in one of the states largest trauma centres. Last year there were 502 major trauma calls. It is also one of the few trauma centers where anaesthetists are intimately involved with all aspects of trauma from the initial call to ongoing management to research, not just in the provision of intra-operative anaesthesia. The hospital serves a vast catchment area associated with large cultural diversity and clinical pathology. The co-location with The Children's Hospital means that when multiple members of a family are involved all tend to be transferred directly to this campus as it is the only campus in Sydney that deals with Paediatric and adult trauma.

The trauma unit was established in 1988 and has a stable and mature structure based on a collaborative interdisciplinary consultant led trauma group where surgeons, emergency physicians, Intensivists and anaesthetists work well together, share leading the trauma team and share ownership of trauma patients. They are ably supported by a stable mature group of CNC's with over 100 years of trauma experience between them and by the 11 junior medical officers attached at any time. The trauma rounds are consultant led every day and typically have the consultant, a surgical trauma fellow, the anaesthetic trauma fellow, an ED registrar, a surgical registrar, 2 JMO's and a CNC.

The fellow will be involved in initial management in the emergency department, in operating theatres and will spend one-two days a week attached to multidisciplary trauma team. They also will be involved in the provision of regional blocks to trauma patients as well as other aspects of perioperative trauma care.

The trauma fellow will also be allocated to emergency theatres to provide trauma anaesthesia.

There are many opportunities for trauma teaching to all levels of medical and other clinical staff as well as opportunities for research. The fellow will be expected to undertake and participate in a significant variety of these.

**Where you'll be working**
Westmead Hospital is a key facility of one of Australia's largest major health and medical research precincts and is the principal referral hospital for Western Sydney Local Health District providing district level health services to Parramatta, Holroyd and The Hills Shire LGAs including tertiary and quaternary services to greater Western Sydney, greater metropolitan Sydney, rural NSW and other states. The Westmead Health Precinct currently under development is envisaged to be the largest hospital building project undertaken in Western Sydney and will transform the iconic but ageing Westmead Hospital into an innovative, contemporary, and integrated centre that will continue to deliver high quality healthcare and expand the education, health, and research capability of the area.

Westmead Hospital is a leading centre of research, training and specialisation in all fields of Medicine and Dentistry, providing services in Cardiology, Cardiothoracic Surgery, Neurology, Neurosurgery, Kidney and Pancreas transplantation, Cancer Care, Obstetrics and Gynaecology, Neonatal Intensive Care, Trauma, Bone Marrow Transplantation, Critical Care, Aged Care and Rehabilitation, Adult Acute Psychiatry (networked with the co-located Cumberland Hospital) as well as other specialised medical and surgical services.

Westmead Hospital is also the principal referral centre for other metropolitan hospitals within the district including Auburn Hospital, Blacktown and Mount Druitt Hospital.

Intensive care service in Westmead hospital includes 36 general, and 10 post cardiothoracic surgical ICU beds. General ICU bed numbers have expanded by 50% in early 2020. Cardiothoracic ICU has also recently moved into a newly built ICU pod. Common ICU admissions include complex medical cases such as sepsis, severe respiratory or cardiac failure, complicated bone marrow transplant, and surgical cases including trauma, neurosurgery, vascular, cardiothoracic, ENT, plastic surgery, urology, upper GI, hepatobiliary, and colorectal procedures.

**What you'll be doing**
- Regular days on the trauma team as part of a large multidisciplinary team.
- Attendance at trauma calls as the primary anaesthetist in a busy trauma centre
- Allocations to the emergency theatres.
- Provision of analgesia for trauma patients including thoracic epidurals and regional anaesthesia.
- Opportunities to perform and interpret diagnostic imaging (radiology trauma series, FAST scans, TTE/TOE).
- Presentations at the Trauma meetings and grand rounds.
- Minor surgical procedures such as intercostal tubes.
- Participate in the teaching of junior trainees, residents and medical students
- Participate in the research activities o