Aims of fellowshipAcquire specialized skills, clinical judgement, and knowledge required to provide safe, evidence based antenatal and peri-partum care for women with or without associated medical conditions.To provide a foundation for effective collaboration in a multidisciplinary team for antenatal and peripartum care.Acquire skills and knowledge to manage acute, and chronic pain conditions during pregnancy and in the peri-partum period.Develop as a clinical leader.Develop as a clinical teacherGain familiarity with research methods and carry out a research project.Gain familiarity with quality improvement (QI) methods and carry out a QI projectClinical ActivityTo develop clinical skills and expertise in managing a wide variety of elective and emergency obstetric and gynecologic cases and to personally develop gaining experience, skills and maturity to manage patients and collaborate with team members in preparation for a consultant role.OBSTETRIC ANAESTHESIA & ANALGESIAThe fellow will be an integral member of the team and will have the opportunity to rotate through the delivery suite, obstetric high-dependency unit (HDU) and obstetric theatre. The fellow will also participate in a 1:5 in house on-call rota. The learning objectives are:Demonstrate proficiency in a range of neuraxial blockade techniques such as spinal anaesthesia, epidural, combined spinal epidural (CSE).Demonstrate proficiency in ultrasound scanning for neuraxial blockade.Demonstrate appropriate evidence-based care for the critically ill parturient.FETAL-MATERNAL MEDICINEThe fellow will join a multidisciplinary team (MDT) to provide collaborative antenatal and peripartum care of a wide variety of parturients with medical disorders such as cardiac disease, haematologic and coagulation disorders, morbid obesity, diabetes and polysubstance abuse along with parturients requiring routine obstetric anaesthesia care. Clinical activity of the fellow will include:Weekly antenatal combined clinic with Fetal Maternal specialists, Haematologist, Cardiologist, and Renal physicians.Monthly MDT meetings where treatment plans are discussed.Peripartum care of all parturients under the care of the MDT team.PAIN MANAGEMENTThe department of perioperative medicine provides support and assistance in the management of pain during pregnancy and in the peripartum period. The fellow will be involved in the following activities:Ward rounds managing post-delivery pain and acute pain after gynaecological surgery.In-patient pain consults for pain during pregnancyOutpatients' women's pain clinic.FUSIC HEART ACCREDITATIONThe fellow will also gain Focused Ultrasound in Intensive Care Society (FUSIC) heart accreditation. FUSIC heart is endorsed by both the British Intensive Care Society and the Joint Faculty of Intensive Care Medicine in Ireland (JFICIMI). Training in ultrasound will be provided in collaboration with St James's Hospital.Didatic teachingThe fellow will be expected to partake fully in the following didatic teaching sessions:Twice-weekly departmental CEPD academic activity that take the form of didactic sessions, journal clubs, case-based discussions and clinical debates.The fellow will also be encouraged to attend other relevant obstetric meetings that occur in the hospital in order to gain an understanding the interdisciplinary approach to the management of high risk parturient.To participate in a bi-monthly review of department activity and morbidity.ResearchThe department has an extensive research portfolio and proven track record in publishing peer reviewed research in both the clinical and scientific arena. Current areas of interest include:Ultrasound-guided neuraxial analgesia and anaesthesiaAcute and chronic childbirth painEnhanced recovery after caesarean sectionHaemodynamic and cardiac index changes during labour, delivery and caesarean sectionMedical EducationVirtual pre-operative assessmentConsent in obstetric anaesthesiaIn collaboration with our academic partner, University College Dublin (UCD), the fellow will join The UCD Centre for Human Reproduction as an Honorary Lecturer and Researcher. There is also opportunity for translational research collaborating with science departments of UCD. The fellow will be supported in any endeavors to establish or continue ongoing research projects and will be encouraged to present findings at national and international meetings.Medical educationThe department strives to provide a supportive and safe learning environment emphasizing on a collaborative approach to learning where trainees learn while also developing personally and professionally. There is also a strong emphasis on the development of the non-technical skill in this setting. The fellow can develop as a medical teacher with the following learning goals:CLINICAL TEACHING & TRAININGEngage in the design and content (with specified learning outcomes) of obstetric anaesthesia clinical teaching programme.Opportunity to improve and refine teaching skills through a variety of strategies such as peer observation of teaching, cased based teaching; problem-based teaching and in-situ simulation training.Participate in multidisciplinary teaching and skills training.Develop an appreciation of the role of assessment in the clinical environment and refine feedback provision skills.EVALUATION AND RESEARCHDesign and administer trainee evaluation of the teaching and learning environment to feed into the continuous improvement of clinical learning environment.Engage in formal evaluation of hospital multidisciplinary team training.Participate actively in the design and execution of educational research e.g. acquisition of clinical skills (through application of leaning theory), feedback practices and multidisciplinary team training.Non-Clinical ActivitiesThere will be training opportunities in hospital management such as patient safety, quality improvement projects, clinical governance, and participation in hospital committees.QUALITY IMPROVEMENT INITIATIVESWorking under the supervision of the director, the fellow will formulate and implement quality improvement initiatives in the clinical workplace. The learning objectives are:Analyse the need for change and opportunities for improvementLead, develop and implement an improvement project in the workplacePut the theory of quality improvement into practiceRecognise what change management is and how to lead change in a healthcare settingMotivate teams and improve quality through team based initiativesUnderstand how to engage with patients and implement theories of patient-centred careSustain change and quality improvement28-Jan-26