Auckland – New Zealand

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Auckland City Hospital, Auckland, New-Zealand.

BCIS-Abbott New Zealand Interventional Fellowship

START DATE SEPTEMBER 2018

Supervisors: Dr Jim Stewart (Auckland) and Dr Beth Freestone (UK) on behalf of the BCIS Training and Education Group

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

The successful candidate will spend a year at Auckland City Hospital under the supervision of Dr Jim Stewart.

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.

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

FELLOWSHIP OVERVIEW

Auckland City Hospital provides secondary services to the population of central Auckland and tertiary/quaternary cardiac and cardiothoracic and paediatric services. It is a busy teaching hospital (>700 beds) located across the road from the Auckland University School of Medicine. Paediatric cardiac surgery is performed by a specialist group within the adjacent children’s hospital (known as “Starship Hospital”).

There are 4 interventional cardiologists who undertake about 1,000 PCIs per year in two catheter laboratories. The coronary work includes a 24/7 primary PCI (PPCI) service for ST elevation MI. All the out-of-hours PPCI work for a population of 1.7 million people is performed at Auckland City Hospital; the consultant cover is partially provided from the other two PCI centres in the region.

All forms of coronary work, including complex bifurcation, rotational atherectomy and CTO, are performed, supported by intracoronary imaging (IVUS and OCT) and coronary physiology (FFR). Virtually all diagnostic and interventional coronary work is done via the radial approach.

The structural programme includes transcatheter aortic valve implantation, ASD/VSD closure, and mitral valvuloplasty. Small numbers of other procedures such as septal ablation for HCM and carotid/renal stenting are also performed. The interventional work is supported by a comprehensive imaging service that includes stress and transoesophageal echocardiography (including 3D echo) and cardiac MRI. Cardiac CT, including CT coronary angiography, is a recent addition.

The unit is active in interventional research at several levels, and has conducted a number of “first in man” studies.

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, 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 Auckland in September 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 New Zealand and the candidate will be paid a regular salary in New Zealand Dollars from that fund. The selected fellow is in no way considered to be an employee of Abbott.


Testimonial

Author: Dr David Carrick (davidcarrick@nhs.net) – fellow 2016 – 2017

The Auckland City Hospital Fellowship is a fantastic opportunity for advanced training in PCI, not to mention, gaining insight of working in a different health care system. The case mix is diverse, with a large proportion of complex cases, providing excellent experience in: bifurcation stenting, rotational atherectomy, CTO, LMS PCI and vein graft intervention; supported by intracoronary imaging (IVUS and OCT) and coronary physiology (FFR). There is a well-established structural heart programme, including: TAVI, ASD/VSD closure and mitral valvuloplasty. The fellow is expected to take an active role in TAVI procedures, which usually occur fortnightly and is an excellent learning opportunity.

The fellowship is primarily based at Auckland City Hospital with additional lists at each of the two district hospitals. It is recognised that you are here for interventional training and have no commitments to general cardiology. Fellows are given the opportunity to take the lead in all cases, with excellent support and guidance from consultant staff. The cath lab team are extremely friendly and welcoming, making you feel an integral part of the team. I cannot recommend this fellowship highly enough.

Auckland is an awesome city to live in and with a huge amount to offer. The restaurants and local wines are superb and the climate is terrific, with ample opportunity for outdoor activities and sports. You are never far from a beach! My family have thoroughly enjoyed their time here too.

I would be happy to answer any questions: davidcarrick@nhs.net


Author: Dr Tim Watson (tjw123@me.com) – fellow 2015 – 2016

The Auckland City Hospital interventional fellowship is a fantastic opportunity. Auckland has one large tertiary center which provides healthcare to a huge catchment area extending to the top of the North Island, whilst also serving the entire country and some of the Pacific islands for a number of specialist services. The Auckland fellowship is primarily based at Auckland City Hospital with additional lists at each of the two district hospitals (the majority of interventional cardiologists have duties at multiple sites). Clinical duties for all are clearly defined. It is recognized that you are there for interventional training. That is exactly what you will get and in the full range of coronary anatomy from simple to complex. Having said that, the emphasis is always on best practice and the working relationship with the surgical team is extremely close facilitating in depth discussion regarding more complex cases.

There are in addition some opportunities for structural intervention, although a fair proportion of this is undertaken by pediatric cardiology and therefore the main focus remains on PCI. From the moment you arrive you will feel welcomed and an integral part of the team. The atmosphere is extremely friendly and remarkably departmental politics seemingly absent. Everyday will be awesome fun and a great learning experience, but above all there will be many life-longfriends to be made. Auckland has a wonderful atmosphere. There are cafes and restaurants aplenty, delightful gardens and parks to visit for a family outing, trails to run or bike, sailing, fishing…You get the idea, this is the outdoors at its very best. Further afield, New Zealand is a beautiful country with awesome people. The only downside? Around 23 hours of flight time from London. Please email me if you have any further questions: tjw123@me.com