St Michael’s Hospital SIA in Obstetric anaesthesia (6 months)
Structure of Module
Daytime duties on delivery suite 07:45 - 17:45 alongside two consultants and two more junior resident who usually split to manage up to five elective sections and the delivery suite workload.
Attendance in clinics, labour ward forums and MDTs audit meetings can be arranged in EDT time or on your rostered advanced obstetric days.
Typical Day
CDS – receive handover from the night shift anaesthetist at 07:45 then join the MDT board round at 08:00 followed by the ward round. Tasks for the day will include reviewing mothers on HDU care, providing analgesia for labour and anaesthesia for surgical procedures. We would expect an SIA anaesthetist to step into the role of the 3037 coordinator and ensure additional tasks such as the inpatient and outpatient follow ups are completed, coordinate and gynae emergencies and ensure the smooth running of general theatres at St Mikes in addition to CDS.
Elective – arrive by 8am to pre-op assess the first two elective cases for a team brief at 8:15 in theatre 2. There are up to five elective Caesarean’s and the theatre is staffed until 6pm.
On call will be split between obs cover and 2nd on. You may find you have one or two more obs shifts than other second on's.
Training opportunities:
Southwest Maternal Medicine Network Meetings
-Moments in Maternal Medicine’ teaching – 3rd Tuesday of the month at 1315
MDT schedule
Obstetric medicine Wednesdays 10:00-11:00
Obstetric cardiology Tuesdays 12:00-13:00
Obstetric nephrology Wednesdays (alternate) 11:00-12:00
Obstetric haematology Mondays 3:00-4:00 (alternate)
Local Management Meetings
-Post Partum Haemorrhage Forum
-Maternal M+M
-Clinical effectiveness
-CDS Working Party
Local Teaching – opportunity to deliver teaching
-Intrapartum forum
-Post Partum Haemorrhage Meeting
-Wednesday Morning Obstetric Anaesthesia Meeting
Clinics
-Wednesdays 1pm Obs Anaesthesia clinic
-Alternate Fridays Cardiac MDT 9.15 followed by clinic – contact Jo Trinder
-Monthly Thursday pm Epilepsy clinic – Aarthi Mohan
-Alternate Fridays am Haematology clinic – Becky Sims
-Thursday am Diabetes/Endocrine clinic
Obs Emergency Training
You will be scheduled to attend this. At the end of the day is the Epidural lecture to the midwives which you will be able to present over the course of your SIA
Shadowing
It is worth spending some time shadowing members of the team allied to Delivery Suite to gain a better understanding of their point of view in obstetric management and aid multidisciplinary team working.
· CDS registrar
· Elective caesarean surgeon – scrub in and assist in LSCS
· Neonatal registrar
Obstetric Anaesthesia Team
Helen White – secretary
Ruth Murphy and Nicola Harvey – joint obstetric anaesthesia leads
Contact Liz Hood, Obs anaesthesia module lead for any enquiries or expressions of interest.