Adelaide – Australia

Fellowship in Interventional Cardiology – Flinders Medical Centre, Adelaide, Australia

Supervisors: Dr Julian Vaile & Dr Ajay Sinhal

Current Fellow: Dr Leong Lee (leonglee@email.com)

Previous Fellow: Dr Chris Malkin (chrismalkin@gmail.com)

overview

This interventional training programme is aimed at providing a UK or Irish based Specialist Registrar with the opportunity to gain experience in interventional cardiology in a prominent Australian centre. Experience will include percutaneous treatment of structural heart disease in addition to coronary intervention (including primary angioplasty). This fellowship is based at the Flinders Medical Centre and under the supervision of Dr Julian Vaile (coronary intervention) and Dr Ajay Sinhal (Structural Intervention). Access to the fellowship is limited to trainees in the final year of registrar training who are planning a career in interventional cardiology.

The Flinders Medical Centre is in Adelaide, South Australia. The hospital provides interventional cardiology services for a population of 600,000, distributed through metropolitan and rural centres as well as interventional procedures from the Northern territory with a population of 180,000. There are three cardiac catheter laboratories (One dedicated coronary/structural laboratory, one shared coronary/vascular laboratory and one EP/devices laboratory) that carry out elective interventional procedures during normal business hours, as well as providing a 24-hour 365-day primary PCI programme.

The total catheterization volume includes 3600 diagnostics and approximately 1000 interventions per year. At present there are a total of six interventionalists performing PCI procedures. Transradial access has been used in the majority of cases over the last year. Flinders Medical Centre was the first centre to implant the Edwards-Sapien Aortic valve in the Southern Hemisphere.

The interventional fellow will gain excellent experience in lab work and interventional research. There is currently no outpatient commitment and the only inpatient work is for patients who have had angiography/PCI.  The fellow can expect to complete a large number of procedures with nearly all being performed as a solo operator (depending on individual experience and progress).  There is frequent use of adjunctive devices (IVUS, pressure wire, rotablation and thrombus aspiration). Other interventional procedures which the fellow can expect plenty of involvement, include mitral and aortic valvuloplasty, ASD/PFO closure, and percutaneous aortic valve replacement.

Multiple interventional research projects are underway including single and multi-centre projects. The interventional fellow will be encouraged to develop a research project leading to presentation and publication.

From a lifestyle perspective, Adelaide is a vibrant city (population 1.3 million) with many world-class events from music festivals to a well renowned fringe festival and also offers great opportunities for outdoor pursuits. There are several excellent wine regions (Barossa Valley, Adelaide Hills and McLaren Vale) and tourist destinations (Kangaroo Island and Flinder’s Ranges) within easy reach of Adelaide.

Up to 2011-12 this fellowship programme was supported by BCIS and Cordis (who provided salary support related to the current basic salary of the successful applicant without on call supplement). However, as of 2012, Cordis will no longer be funding the programme. Flinders Medical Centre, however, is keen to continue the link with UK/ Irish trainees and there should be funding in place in 2012 for both an interventional and a structural fellow.

Interested trainees should contact Dr Julian Vaile (julian.vaile@health.sa.gov.au) or Dr Ajay Sinhal (ajay.sinhal@health.sa.gov.au).