Provisional Fellow

Purpose of Position

  1. To develop clinical proficiency in regional anaesthesia, paediatric and obstetric anaesthesia
  2. To provide opportunities for a senior anaesthetic trainee to the following areas:
    • Simulation workshop designing and running
    • Echo clinics run by anaesthetists
    • Regional anaesthesia, paediatric anaesthesia, obstetric anaesthesia
    • Formal Teaching for medical students, nurses and JMOs
    • Quality Assurance projects – conducting audits, writing guidelines
  3. To develop skills in team work, leadership and problem solving in triaging emergency cases

Key Accountabilities

  1. Clinical Service
    • To provide anaesthetic services and related patient services, including peri-operative patient care, consultations and pain management.
    • To work as a Duty Anaesthetist on certain days, triaging emergency cases under the supervision of the on-call anaesthetist.
    • The provisional fellow will participate in the on-call roster together with other more junior trainees
  2. Teaching
    • To revise and participate in the formal departmental teaching program for anaesthetic trainees, as well as provide tutorials/in-service tutorials to nurses and medical students
    • To participate in Simulation workshops design and running
  3. Research
    • May be involved in patient recruitment, data collection and analysis of current studies undertaken by department
  4. Quality Assurance
    • May be involved in conducing departmental audit, as well as writing departmental guidelines.

Transition into Independent Practice

  1. Supervision
    • Provisional fellow will be supervised at all times both in-hours and out-of-hours by the list anaesthetist or on-call anaesthetist. The level of supervision will be customised accordingly as the development of skills, confidence and competence of the trainee progresses.
  2. Decision making
    • The provisional fellow will be expected to analyse complex situations and formulate a best care plan. The fellow should consult with the consultant anaesthetist in-charge if there are any concerns.
  3. Effective Communication
    • The provisional fellow will be expected to contribute and lead a multidisciplinary team in theatres. 
    • The provisional fellow should be able to demonstrate ability to undertake difficult conversations with patients and families.
  4. Challenges or Problem solving:
    • The provisional fellow should be able to balance learning needs as well as provision of clinical duties in a small but busy department
    • The provisional fellow will need to work collaboratively with other team members in order to provide the best care for patients in a timely manner.