Adelaide – Australia

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Fellowship in Interventional Cardiology – Flinders Medical Centre, Adelaide

BCIS-Medtronic Australian Interventional Fellowship

START DATE MARCH 2018

Supervisors: Dr Julian Vaile (Adelaide) & Dr Miles Behan (UK) on behalf of the BCIS Training and Education Group

Link to official BCIS website: http://www.bcis.org.uk/pages/page_box_contents.asp?pageid=709&navcatid=233

Application process

Access to the fellowship will be limited to UK trainees in their last two years of Specialist Registrar training who intend to specialise in Interventional Cardiology and are BCIS members. The supervising consultants act on behalf of the BCIS Training and Education Group.

The successful candidate will be identified by means of formal interview. The interview panel will be made up of several independent consultant cardiologists from multiple centres.

The fellowship will be awarded based upon the candidate’s career development, interventional experience and performance at interview.

If you would like to register your interest in this opportunity, please submit by email (bcis@bcs.com) a detailed curriculum vitae (this should include a personal statement and procedural numbers) AND letters of support from two supervisory consultants to Azeem Ahmad, BCIS Secretariat, Tel: +44 (0)20 7380 1918.

The deadline for applications is 12pm, 16 March 2017. Shortlisted candidates will be informed by 24 March 2017.

N.B Interviews will take place on 9 May 2017, at British Cardiovascular Society, 9 Fitzroy Square, London W1T 5HW. The successful candidate will be required to enter into a contract to take up their post in Adelaide in March 2018.

The fellowship bursary will be paid to the institution and not to an individual. The salary support provided will be commensurate with the local academic pay scale. The fund in question will be at the receiving institution in Australia and the candidate will be paid a regular salary in Australian Dollars from that fund. The selected fellow is in no way considered to be an employee of Medtronic.

overview

We are pleased to invite applications for the 2018 BCIS Medtronic Australian Interventional Fellowship. This 12-month fellowship starting in March 2018 provides an opportunity to gain extensive experience in all aspects of interventional cardiology in a busy Australian teaching hospital.

The successful candidate will spend a year at the Flinders Medical Centre, Adelaide, South Australia under the supervision of Dr Julian Vaile.

Access to the fellowship will be limited to UK Specialist Registrars, intending on a career in interventional cardiology, who are in their last two years of training.

Fellowship program

Flinders Medical Centre is an interventional hospital in Adelaide, South Australia. It provides a cardiology service for diverse areas: from urban Adelaide to rural South Australia and the Northern Territory. This leads to a large caseload of both acute and elective cases (including primary PCI, rotablation, IVUS, pressure wire assessment and chronic total occlusions). Over 70% of cases are performed via the radial route. The fellow can expect to complete in excess of 500 PCI cases.

Flinders Medical Centre has a well established TAVI and structural heart disease programme (PFO/ASD closure/ Mitraclip) that the fellow will be actively involved with.

Multiple interventional research opportunities are available. The interventional fellow will be encouraged to develop a research project leading to presentation and publication. Attendance at regional and national meetings is encouraged.

Testimonial

Author: Dr Muntaser Musameh (montaser1@hotmail.com) – fellow 2016 – 2017

The BCIS Interventional Fellowship at Flinders Medical Centre in Adelaide, South Australia is a superb professional opportunity and a wonderful life experience. As the current fellow, I have gained high volume experience in coronary intervention as well as structural intervention including aortic valvuloplasty, ASD and PFO closures and recently left atrial appendage closure. There is also a well-established TAVI programme run by an experienced heart team. As a fellow you can expect to get a fair exposure to TAVI and the related patient selection process and follow up. Around 900 PCIs are performed annually at this busy tertiary unit of which 150 are out-of-hours STEMI cases. Participation in the out-of-hours on-call rota for STEMIs is an important part of the fellowship. The frequency of this on-call can be decided by the fellow.

Not only does the fellowship provide a high volume and complex PCI experience (around 400 to 500 first operator procedures), but also it gives invaluable exposure to the Australian Health system. This system combines public and private health service provision with adjacent or shared facilities as in the case of Flinders Medical Centre and Flinders Private Hospital. Another fascinating aspect of the Australian Health system is the vast geographical referral area including rural communities where thrombolysis is still an important part of STEMI management. There is the unique opportunity to spend a week or two practising in the Northern Territory, and to gain first hand experience of remote indigenous communities where acute rheumatic heart disease remains a real and active problem.

The fellow spends most of the week in the cath lab working along an excellent team of competent and friendly nurses, radiographers and doctors. There is also an opportunity to participate in clinical trials conducted at the department. The consultant team is very experienced and supportive. They encourage independence and evidence base practice treating the fellow as a junior consultant.

Adelaide is an amazing calm city with a beautiful Mediterranean weather and a lot of outdoor activities for young families. We have thoroughly enjoyed spending time on the fantastic white sand beaches and visiting wild life reserves. Our kids love watching the kangaroos on the way to school. As the top Australian and world renowned food and wine destination, Adelaide is situated within 30-60 mins drive to recognised wine regions such as the Barossa Valley and McLaren Vale.

This fellowship is a wonderful professional and life experience that I highly recommend to my interventional cardiology registrar colleagues. I think it is well worth all the organisational effort involved. Any questions, please feel free to contact me at: montaser1@hotmail.com.


Author: Dr Jeremy Langrish (jeremylangrish@gmail.com) – fellow 2015-2016

The BCIS Interventional Cardiology Fellowship is based at the Flinders Medical Centre and Flinders Private Hospital in Adelaide. Flinders is a medium sized tertiary centre, currently performing around 900 PCIs annually (around 150 STEMIs), as well as having a well established structural heart programme (TAVI, mitral and aortic valvuloplasty, Mitraclip, and ASD/PFO closures). The cath lab is situated in the private hospital, and around 40% of the workload is private and 60% public (Medicare), and certainly offers an interesting insight into healthcare systems other than the NHS. The hospital covers a huge area, with a large remote community covering the whole of South Australia, and has a close link with Darwin in the Northern Territory – inter-hospital transfers are on another scale to the UK!

As the Interventional Fellow at Flinders, you will be based in the cath lab for 9.5 sessions a week, with your only other commitment being a Monday morning clinic where you will be seeing predominantly patients referred to the TAVI programme. You will be able to perform at least 4-500 first/solo operator PCIs, and be heavily involved in the structural heart programme. The department is involved in a number of trials, including first-in-man device trials. The cath lab team is small, and you will become an integral part of an excellent team of doctors and nurses. You can opt to do as much out-of-hours “on-call” as you wish, but are only on-call for the cath lab and have no commitment to general cardiology (other than 4-5 Sundays through the year).

The dry and hot Mediterranean climate of Adelaide is a welcome change to the UK and we have essentially lived outdoors for the whole year. The summer temperatures can be hot (up to mid 40’s) and the winter rarely drops below 10oC. The beaches are amazing, with white sand and clear water, and my family and I have spent a lot of time here – almost feels like a year-long holiday at times! There are superb restaurants in the city, and the local wine is exceptional, with the Adelaide Hills, McLaren Vale, the Barossa and Clare Valleys a short drive away.

There is no doubt that organising a fellowship in Australia is a bureaucratic process, and those interested may be apprehensive about making such a big move (especially with young families), but I cannot recommend taking the step highly enough. We, like previous fellows, have had an amazing year, and are sad that it is coming to an end.

I would be delighted to answer any questions you might have and to discuss the post further. Please feel free to contact me at jeremylangrish@gmail.com.


Author: Dr Karim Ratib (kratib@mac.com) – fellow 2014-2015

The BCIS fellowship in Adelaide is based at the Flinders Medical Centre. Working in this tertiary centre gives you a thought-provoking experience into a health care system other than the NHS. The area covered by the hospital is immense and gives you a new perspective on inter-hospital transfers and dealing with patients in remote areas.

From an interventional point of view, you will be able to complete more than 400 first operator PCI cases and will be involved in the well-established structural program, which apart from TAVI, Mitraclip and ASD/PFO closure, also includes new first in man trial devices.

Living in South Australia could not be simpler: you have a choice of living in the hills with a cooler climate and beautiful views, or by the sea with stunning sandy beaches and crystal clear waters (my personal choice). The wine growing regions are all within easy reach but it is only by travelling further afield that you really appreciate the size of the country. Those of you with young families may be apprehensive about moving half way round the world, but with wide range of readily available activities on your doorstep and lack of rain, the whole family will soon be having the time of their lives!
If you have any questions feel free to e-mail me at: kratib@mac.com.