Nepean Hospital Critical Care Echo Fellowship is the flagship Fellowship at Nepean Hospital ICU. It is a 1-year position, at least 40% non-clinical time dedicated to echocardiography, in a busy metropolitan adult 24-bed ICU with a keen interest in critical care echo. Non-clinical time is spent working in the echocardiography lab with sonographers, cardiologists and other trainees as well being involved in ultrasound teaching and research. Applicants need to be focused on obtaining advanced echo qualifications (eg: DDU or ASEcXAM). Candidates will gain experience in TTE and TOE, advanced echo skills (eg: speckle tracking, contrast, 3D) as well as experience with teaching echo and echo research.
Dr Sam Orde
GCUH ICU is an ANZICS Level 3 intensive care unit and provides an extensive tertiary service to the Gold Coast Hospital and Health Service of Queensland. The ICU manages a varied case mix of patients and conditions; it is a high-volume ECMO centre, with all associated echocardiography provided within ICU. The unit performs most of the urgent echocardiography 24/7 for both TTE and TOE.
The Echo Fellow role is a year-long program with
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The Alfred hospital intensive care department is a quaternary unit, which is the Victorian state service referral hospital for heart and lung transplantation, advanced heart failure, mechanical circulatory support, burns and trauma.
The ICU runs an in-house echocardiography service which consists of 9 DDU accredited ICU FCICM consultants, a cardiac sonographer, and an echocardiography Fellow. The service performs over 1200 studies per year, which includes both transthoracic & transesophageal imaging, “Definity” contrast imaging, agitated saline “bubble” studies, mechanical support weaning studies, and vascular and lung ultrasound.
The echocardiography service holds weekly audit and education meetings and has close links with the cardiology and cardiac anaesthetic departments at the Alfred. All echocardiography consultants and Fellows are instructors on the basic and advanced Alfred echocardiology courses held each year. There is a comprehensive basic echocardiography education program for the ICU registrars led by the echocardiography Fellow and run weekly.
The echocardiography Fellow position is a 12-month appointment, and the Fellow will participate in audits, case review and consultant meetings. The position is primarily an imaging Fellowship however there is a small clinical component to enable trainees to maintain their clinical skills. The Fellow will commence a formal qualification such the DDU in critical care during the 12-month appointment. A basic level of scanning is required to be eligible for selection and most Fellows have completed a basic course and performed at least 30-studies prior to commencing. All Fellows must have completed the CICM Fellowship exam prior to commencing the role.
The 12-month position commences in February each year and advertised from May the year prior on careers.alfred.org.au.
Dr Trent Hartshorne
Dr Lloyd Roberts