Advanced Training


All trainees working towards the CCT should receive a broad based training. However there isn’t time to become an expert in all subspecialty areas. Advanced level training (included in years 6, 7) allow trainees to spend up to one year in one or two special interest areas during which they are encouraged to encounter a wide range of clinical experiences. This could be either all within the School, or out of programme or a combination of the two. Whatever your intentions, planning well in advance (preferably in ST3/4) and discussion with the programme director at an early stage is essential.

Advanced Training Opportunities within the School

Paediatrics @ BRHC 6m (general 2m, cardiac 2m, PICU 2m)
Cardiac/Thoracic @ BRI 6-12m
Neuro 6-12m @ Southmead
Plastics and burns 6m @ Southmead
Obstetrics 2-3m @ St Michael’s
Obstetrics 3-6m @ RUH Bath
Regional @ GWH Swindon
Regional @ RUH Bath
Pain 12m @ Frenchay 6m and Chelt/Glos or RUH or BRI 6m
Intensive Care Medicine 12m @ UHB, Southmead and RUH

Advanced Training Out of Programme (OOP)

Higher/Advanced training out of programme ('OOP') attachments are discretionary and will depend on satisfactory progress within the training programme (after completion of intermediate training including the FRCA). A minimum of 6 months notice is required to organise time out of programme. OOPT is limited to 1 year and training recognition must be arranged prospectively with the Royal College of Anaesthetists. If you are considering OOPT/E for part of your ST5/6/7 training, early planning and discussion with the programme director (i.e. during ST3/4) is essential. Your plans will have to fit in with both the programme and the Anaesthetics curriculum. The curriculum on and OOP document on the deanery website provide further useful information.

HESW - Out of Programme guidance

Download RCoA Guidance Form 

OOP Glossary

OOPT Clinical training taken out of programme that will count towards the CCT provided certain conditions and requirements are met (see curriculum on college website)
Interdeanery secondment Similar to OOPT but within an approved UK training post
OOPE Out of programme clinical experience that does not count towards the award of a CCT
OOPR Out of programme research; usually for a registered degree; none, some or all may count towards training; abroad or in UK
OOP Out of Programme opportunities

The school has good links with centres in UK, Australasia and North America that provide training in a variety of subspecialties. The following is a list of hospitals where the School has links or Bristol trainees have been in the recent past with local contacts where available. It is obviously not exhaustive and suggestions of places we should add are most welcome. If you want to know who has been where so you can contact them directly and find out more please ask Julie Flowers in the school office.


  • Great Ormond Street Hospital (paediatrics) - Dr Glyn Williams
  • Charing Cross Hospital (head and neck, ENT, vascular, regional, neuro, bariatric, research) 
  • Musgrove Park Hospital, Taunton (bariatrics) - Dr Nick Kennedy
  • London HEMS, Royal London Hospital (transfer/retrieval)
  • Dundee (regional)
  • Papworth Hospital (cardiac/thoracic)
  • Birmingham (advanced ICM)
  • Oxford (advanced ICM)
  • Plymouth (advanced ICM)
  • St Thomas’ Hospital, London (advanced ICM)
  • NHS Southwest Clinical Fellowship Scheme (leadership/management)
  • Fellowship in Medical Education, London Deanery (education)


  • Akademiska Sjukhuset Hospital, Uppsala (general, research) 


  • Alfred Hospital, Melbourne
  • Royal Children’s Hospital, Melbourne (paediatrics)
  • Royal North Shore Hospital, Sydney (ICM, research)  
  • Ambulance Service of NSW (retrieval)  
  • St George Hospital, Sydney (general, cardiac, trauma, liver, neuro) 
  • Prince Alfred Hospital, Sydney (general, neuro, cardiac, vascular, liver transplant)
  • Sir Charles Gairdner Hospital, Perth (regional, general)
  • King Edward Memorial Hospital, Perth (obstetrics) 

New Zealand

  • Middlemore Hospital, Auckland (general)
  • Starship Children’s Hospital, Auckland (paediatrics)
  • Auckland Hospitals, Auckland (cardiac, general)
  • Christchurch Hospital, Christchurch (general) 
  • Hutt Hospital, Wellington (burns, plastics)


  • R Adams Cowley Shock Trauma Center, Baltimore (trauma)
    University of Michigan, Ann Arbor (general)
    Children’s Hospital, Seattle (paediatrics)


  • Hospital for Sick Children, Toronto (paediatrics)
    BC Children's Hospital, Vancouver (research)
    Sunnybrook Hospital, Toronto (pain) 


  • Africa Mercy ship (paediatrics, airway) - Dr Chris Elsworth, Yeovil – no Bristol trainees have yet been but there may be opportunity for them to do so]

Fellowships Advertised through Subspecialty Websites

Cardiothoracic - Association of Cardiothoracic Anaesthetists 
Obstetrics - Obstetric Anaesthetists' Association
Neuro - Neuroanaesthesia Society of Great Britain and Ireland 

Author: Ted Rees
Last updated: 3 May 2017