Vancouver Island – Canada

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Royal Jubilee Hospital, Victoria, British Columbia, Canada

BCIS-Boston Scientific Interventional Fellowship

START DATE 1ST JULY 2018

Supervising Consultants: Dr Anthony Della Siega (Victoria), Dr Beth Freestone (UK) on behalf of the BCIS Training and Education Group

This successful and established programme, now in its eleventh year, has been developed to provide UK based specialist registrars with an opportunity to gain experience in transradial intervention at an internationally prominent high volume transradial centre. The successful candidate will have the opportunity to gain valuable clinical experience for 12 months in a key Canadian interventional centre; the Royal Jubilee Hospital in British Columbia, under the supervision of Dr Anthony Della Siega. Access to the fellowship will be limited to UK specialist registrars in the final 2 years of training who are BCIS members and intend to specialise in Interventional Cardiology

Dr Bethan Freestone
Consultant Cardiologist
Birmingham Heartlands Hospital
On behalf of BCIS Training and Education Group

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

Fellowship overview

This fellowship programme is linked to the Royal Jubilee Hospital, Victoria, British Columbia, under the supervision of Dr Anthony Della Siega, a leading Canadian and International Transradial Interventionalist. The hospital provides interventional cardiology services for a population of 750,000 across Vancouver Island.

The cardiac laboratories carry out elective transradial interventional procedures during normal business hours, as well as providing a 24 hour, 365 day primary PCI service. There is a 22 bed short stay unit attached to the catheter laboratories, and the majority of angioplasty procedures are performed on a day case basis.

At present there are seven interventionalists performing 1700 PCI procedures. Transradial access is used for the majority of procedures. There is also an established TAVI programme.

Interventional fellowship programme
The programme for the UK based interventional fellow will consist of four full lab days and one research day each week. The fellow can expect to complete at least 500 procedures, with a large proportion being performed as solo operator (depending on individual experience and progress). A full range of interventional devices are available for managing complex patients.

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

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.

Please clearly indicate in your application whether you would like to be considered for a post in Toronto, Vancouver Island or both.

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 candidates will be required to enter into a contract to take up their posts in Toronto and Vancouver island on 1st July 2018.

The fellowship bursary will be paid to the institution and not to an individual. The salary support provided will be equivalent to that of a senior SpR. The fund in question will be at the receiving institution in Canada and the candidate will be paid a regular salary in Canadian Dollars from that fund. The selected fellow is in no way considered to be an employee of Boston Scientific.


Testimonial

Author: Dr Navin Chandra (navinchandra4879@hotmail.com) – fellow 2016-2017

The BCIS/Boston Scientific interventional fellowship at the Royal Jubilee Hospital, Victoria on Vancouver Island is a fantastic opportunity for UK trainees to learn and develop skills in advanced coronary and structural cardiac interventions within an internationally renowned trans-radial centre.

The Royal Jubilee Hospital is a tertiary cardiac centre serving a population of nearly 1 million people on Vancouver Island. It is the only unit with interventional cardiology services on the island and it receives all emergency, urgent and elective cases from 11 referring hospitals. Consequently, this is a high-volume fellowship with a diverse case mix and a large proportion of complex intervention including unprotected left main PCI, bifurcation lesions, multi-vessel PCI and vein graft PCI.

Moreover, there is an established CTO programme (2-4 lists per month), performing both anterograde and retrograde procedures, and TAVI programme (2-3 lists per month) during which the fellow will actively participate and develop vital skills.

The fellow should expect to complete 600-700 coronary cases as solo-operator over the 12-month period (>90% trans-radial) and is given autonomy in both planning and executing intervention. A full range of adjunctive technologies are available, including OCT, IVUS, FFR, and both rotational and laser atherectomy with a presumption towards regular use. The hospital provides both primary and rescue PCI services on a 24/7 basis and fellows are expected to provide regular out-of-hours cover (typically 1-in-3). However, there is no mandate for other in-patient work or out-patient clinics to support.

The fellow typically will spend 4 days a week in the cath-lab with remaining time spent in research at the Victoria Heart Institute supporting multiple international trials. The fellow is also encouraged to develop and conduct their own research projects with the aim of presenting at international meetings and publishing in peer-reviewed journals.

Victoria is a beautiful city with plenty to offer in terms of hobbies, interests, restaurants and nightlife. There are many stunning locations on Vancouver Island and ‘once in a lifetime’ opportunities to see some amazing wildlife in their natural habitat. There is a temperate climate with warm sandy beaches in the summer in Tofino and powdery snow in the winter in Whistler and beyond.

The Vancouver Island Fellowship is truly an outstanding opportunity to advance technical and practical skills and to develop from a ‘primary-operator’ to an ‘independent-operator’. I am happy to be contacted on navinchandra4879@hotmail.com for any further information.


Author: Dr Hussain Contractor (hussaincontractor@doctors.org.uk) – fellow 2015-2016

The annual BCIS/Boston Scientific interventional fellowship at the Royal Jubilee Hospital, Victoria on Vancouver Island is an outstanding opportunity for UK based trainees to learn advanced and technically challenging coronary and structural interventions in an internationally renowned transradial centre.

The Royal Jubilee is a tertiary cardiac centre supporting a population of close to a million people with a geographic footprint akin to that of the whole of England. This provides for a busy and diverse case mix with Fellows given wide-ranging freedom to lead cases both technically and intellectually. A high level of complexity is common, with a full range of adjunctive technologies available including OCT, IVUS, FFR and rotational and laser atherectomy and a presumption towards regular use. The hospital provides both primary and rescue PCI services to the whole region on a 24/7 basis and Fellows are expected to provide regular out-of-hours cathlab cover but there is no mandate for other in-patient work and no out-patient clinics to support. Coronary procedural levels are high and you would expect to achieve between 600-700 cases during the 12-month period.

In addition, there is an established CTO programme regularly performing both anterograde and retrograde procedures.

The TAVI programme has recently achieved its 100th implant and active participation is encouraged, with Fellows often leading on Balloon Aortic Valvuloplasties.

The successful applicant can expect to spend 4 days a week in the cathlabs with remaining time spent in the research offices supporting a number of industry and investigator established studies and also formulating and developing your own research projects with encouragement to present at international meetings and publish data.

Off the Pacific coast of Canada, Vancouver Island itself is almost otherworldly in its beauty and one of the few places in the world I have seen snow-topped mountains whilst standing on a sunny beach. Whether travelling alone or with family, quality-of-life and work-life balance are superb making for an unforgettable experience.

The Vancouver Island Fellowship is a fantastic and prestigious opportunity that will advance the scope and technical abilities of anyone undertaking it and which I would thoroughly recommend. I am happy to be contacted on hussaincontractor@doctors.org.uk.


Author: Dr Bilal Iqbal (biqbal@excite.com) – fellow 2014-2015

The interventional fellowship at the Royal Jubilee Hospital, Victoria on Vancouver Island is a fantastic fellowship for advanced training in PCI. The Royal Jubilee Hospital is a tertiary cardiac centre on Vancouver Island serving a population of over 1 million and is the only centre providing interventional cardiology services. There are 11 referring hospitals over the island, and thus there is a very high volume of interventional work.
The case mix is very diverse with a large proportion being complex cases with multivessel intervention; bifurcation lesions; vein graft intervention; unprotected LMS intervention; chronic total occlusion intervention; rotational and laser atherectomy. There is a busy primary PCI program, and you will be expected to participate in the primary PCI call rota. Depending on your level of experience, you can expect to be sole operator for most cases, and you can anticipate to have between 600-700 first operator (solo) procedures in your fellowship year. There is an established hybrid CTO program with exposure to antegrade and retrograde techniques. The TAVI program has been established for over 2 years, and fellows participate in TAVI and balloon aortic valvuloplasty procedures.

When you are not in the cath lab, you are actively involved in research at the Victoria Heart Institute which is involved in multiple large international trials. You are encouraged to develop and conduct your own research project during the fellowship.

Besides the interventional training, Vancouver Island is beautiful with plenty of activities and places to visit. My family have really enjoyed their time there. I strongly recommend this fellowship. If you have any further questions about the fellowship please feel free to contact me via email at biqbal@excite.com


Author and previous Fellow: Dr C Aengus Murphy

The PCI fellowship at the Royal Jubilee Hospital (RJH), Victoria on Vancouver Island is a fantastic opportunity for anyone seeking advanced training in PCI, whilst living in a beautiful part of the world.

You will be exposed to a varied case mix that one might expect in a large PCI centre including primary PCI, bifurcations, multi-vessel PCI, CTOs, vein grafts interventions and unprotected LMS. You will be sole operator for the majority of cases and, based on your experience, can operate with a certain degree of autonomy.

When not in the cath lab, you will be working in the affiliated Victoria Heart Institute Foundation, where you will participate in clinical research and be given the opportunity to develop your own research project.

My family and I will forever be grateful for the time we have spent here, from both a professional and family point of view. I cannot recommend this fellowship highly enough.

I am happy to answer any questions about the fellowship, and can be contacted via the email address aengus_murphy@hotmail.com