About Us
Area | Specialties | Training | Research
Our Area
With a population of approximately 220,000, the historic city of Aberdeen with many architectural splendours stands between the Rivers Dee and Don. The use of sparkling local granite has earned Aberdeen the name of the Silver City. Recognised as the oil capital of Europe, Aberdeen nevertheless retains its old-fashioned charm and character making it an attractive place in which to live.
Aberdeen enjoys excellent flight connections with other European cities with flying time to London of just over one hour. There are direct air links to London (City, Gatwick, Heathrow, Luton), Manchester, Birmingham, Leeds, Southampton, Belfast and East Midlands within the U.K. There are also flights to international hub airports: Amsterdam (Schipol), Paris (Charles De-Gaulle) and Frankfurt as well as flights to other European destinations. Road and rail links are also well developed with overnight sleeper services to London.
Grampian Region has a population of approximately 545,000 and is made up of the five districts of Aberdeen, Banff & Buchan, Gordon, Kincardine & Deeside and Moray. The city and the surrounding countryside provide a variety of urban, sea-side and country pursuits. Aberdeen has first class amenities including His Majesty's Theatre, Music Hall, Art Gallery, the Aberdeen Exhibition Centre, Museums and Beach Leisure Centre. The city and the surrounding countryside are repeatedly given high ratings for quality of life in surveys.
Our Specialties
A full range of surgical specialties is provided on the one site, including general surgery, orthopaedic trauma, urology, gynaecology, plastic surgery including free flap reconstruction work and cardiothoracics.
Many of our consultant anaesthetists are dual accredited in intensive care medicine. Our critical care unit work closely with anaesthesia but maintain a unique identity and their website can be found here. Joint job plans with critical care, anaesthesia and transfer medicine/prehospital interests are routinely accommodated.
A number of anaesthesia subspecialty interests are supported:
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The Acute Pain Team at ARI consists of five nurses. We have four Consultant sessions every week with one session at Woodend for Orthopaedic surgery and Rehabilitation. In addition, we have a Clinical Pain Fellow who does a ward round, fitting in with their other clinic commitments.
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Aberdeen is the regional cardiac surgical unit for the North of Scotland. Approximately 550 adult cardiac procedures are performed each year by its four Cardiac Surgeons and seven Cardiac Anaesthetists.
The Cardiac Anaesthetists are responsible for a Consultant-led, Consultant delivery to the two cardiac theatres and the Cardiac ITU and also cover elective activity in the Cath Lab.
Workload consists of the normal range of adult cardiac procedures including less invasive valve surgery and aortic surgery. Most of the Cardiac Anaesthetists are proficient in transoesophageal echocardiography (TOE) with several holding formal UK and/or European TOE accreditation. In addition they also often provide a TOE service to the neighbouring General Intensive Care Unit and supervise Intensivists learning Critical Care echo.
Trainees attached to Cardiac Anaesthesia do not provide any service commitment and are purely there to gain experience in the speciality.
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An outpatient based Pain Management Clinic has been run in Aberdeen for over 30 years and has expanded steadily over that time. The clinic is based at the Aberdeen Health Village and around 1600 new patient referrals are received per annum from the Grampian region and also from Orkney and Shetland. Referrals for supraregional services such as spinal cord stimulation are received from the Highland region.
The clinic offers a wide range of pain management treatments including a full range of advanced interventional techniques, provided by a multidisciplinary team that includes a consultant psychiatrist, clinical psychologist, specialist nurses, and a specialist physiotherapist. A Pain Management Programme has also been established and this is accompanied by an extension of the range of assessment techniques and tools used. There are regular multidisciplinary group meetings of the pain clinic team and also with other specialities involved in the treatment of spinal pain and maxillofacial pain.
Pain procedure lists are undertaken at Woodend Hospital, a mile from the main site, and within the day surgery unit at Aberdeen Royal Infirmary. A formal session is provided at Roxburghe House, the centre for palliative care in Aberdeen.
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There is a wealth of opportunity for gaining experience in management of difficult airway cases, with a busy otolaryngological and maxillo-facial service. Awake fibre-optic intubation, jet ventilation and laser airway work are regular events and major head-and-neck malignancy cases are undertaken.
Aberdeen runs its own course on advanced airway skills annually and mannequin training of surgical cricothyrotomy occurs on several sessions a year.
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The North East’s Hepato-Pancreatico-Biliary (HPB) Unit, situated within Aberdeen Royal Infirmary, is a regional centre providing highly specialised care for the management of HPB conditions.
Within our team we currently have three HPB Consultant Surgeons and two HPB Consultant Anaesthetists and undertake a comprehensive range of surgical procedures including major liver resection, pancreatic resection and gallbladder/biliary tree surgery. With the recent advances in laparoscopic techniques for both hepatic and pancreatic surgery we undertake regular lists within the new minimally invasive theatre suite.
As a team, the HPB Unit works closely together and enjoys social events such as the ‘Annual Summer HPB Barbeque’.
Paediatric Anaesthesia
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The Hyperbaric Medicine Unit in Aberdeen is a nationally funded service providing consultant delivered care for the whole of Scotland. Emergency and elective treatment is provided for decompression illness, carbon monoxide poisoning, osteoradionecrosis, and other wounds and infections. This is backed up by a 24 hour medical advice line for emergency referrals.
Medical cover is provided by consultants from Anaesthetics, Medicine and Accident & Emergency. Each consultant continues to work within their base specialty but with a part-time commitment to the hyperbaric service in their job plan. The unit provides internationally recognised courses in hyperbaric medicine and opportunities regularly arise for consultant colleagues, who wish to develop an interest, to be trained locally and join the service. We also provide training for nursing staff and opportunities for medical students from the UK to undertake elective attachments.
For more details, please visit the Hyperbaric Medcine Unit website.
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Aberdeen Royal Infirmary, along with Royal Aberdeen Children’s Hospital, is one of the four units comprising the Managed Service Network for Neurosurgery in Scotland. It covers the largest geographical catchment area serving a population of 800,000.
The neurosurgical service has been expanding over the decades and is now delivered by five substantive consultant surgeons, four consultant anaesthetists, a dedicated neurosurgical theatre, access to emergency theatres, CT (including intra-operative), MR (including functional), PET scanner, neurophysiology, speech and language, specialist nursing and physiotherapy support and neuro-rehab. The neurosciences unit comprises neurosurgery, neurology, neurophysiology and the acute stroke unit, along with a dedicated neuro-HDU. There is access to a large ITU facility.
Sub-specialty neurosurgical interests include base of skull surgery, endoscopic surgery (including pituitary surgery), complex spinal surgery, spinal tumours, brain tumours and awake craniotomy.
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Aberdeen Maternity Hospital (AMH) was built in 1937 and now caters for over 5000 deliveries a year. A new Women's Hospital is due to be built and completed by 2021, bringing together the Obstetric, Neonatal and Fertilty services with Gynaecology and Breast Surgery.
There is 24 hour resident Labour Ward anaesthetic cover, backed up by a sub-specialty group of consultants. Two consultants are present at AMH all day during the week, with on-call cover being provided at other times. As well as specialist Obstetric clinics, there is an Anaesthetic clinc for higher risk patients and one for pre-operative assessment prior to Caesarean section.
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Elective orthopaedic surgery is performed at Woodend Hospital, a mile from the main Foresterhill Site, whilst trauma surgery is managed at Aberdeen Royal Infirmary (ARI). Woodend Hospital has six dedicated orthopaedic theatres, carrying out over 4500 cases per year.
A number of orthopaedic subspecialty and ‘general’ lists are catered for: shoulder, hand, spinal, sarcoma, revision/complex hip and knees and foot and ankle lists are all part of the weekly theatre schedule. Although a separate hospital to ARI, both the anaesthetists and surgeons work across both sites.
We have an evolving ERAS system for the primary hip and knee arthoplasty, and care for a large number of cases on an ambulatory basis using regional anaesthesia. A dedicated HDU facilitates complex and major surgery in our patient population, and support from acute pain team nurses helps ensure good practice.
Trauma surgery has a dedicated theatre list six days per week in ARI. We provide tertiary care for complex trauma in the North East of Scotland.
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Built in 2004, Royal Aberdeen Children’s Hospital (RACH) is an 85 bed tertiary paediatric hospital providing high quality care for children up to the age of 16 years from the north-east of Scotland and the Orkney and Shetland Islands. Wider clinical networks exist enabling children from other parts of Scotland to receive their specialist care at RACH.
A team of six consultant paediatric anaesthetists lead the delivery of paediatric anaesthesia care to neonates, infants and children attending RACH for surgery or other procedures requiring general anaesthesia.
RACH covers a wide range of elective and unscheduled paediatric surgical specialities including neonatal surgery, general surgery (major GI, urology and thoracic cases), major orthopaedic surgery, ENT, ophthalmology, plastic, maxillofacial and dental surgery. There is a variable neurosurgical caseload that is accommodated within the unscheduled theatre activity.
Anaesthetic support is frequently required for insertion of long term venous access lines.
Theatre sessions exist to cover medical paediatric specialities in particular oncology, gastroenterology and respiratory medicine. RACH is the regional oncology centre for the north of Scotland.
We are currently advertising for posts aimed at paediatric anaesthetists, with a mix of blended adult-paediatric or 100% paediatric work accommodated. Find out more about working in Royal Aberdeen Children’s Hospital!
Our Training
Aberdeen is a fantastic place to undertake training in anaesthesia. We work with a large group of some 60+ trainees of all grades including MTIs, and provide the full curriculum for a CCT in Anaesthetics on one site. This is a totally unique offering and the benefits of longevity with a department during your training cannot be overstated.
Our trainees seldom move site during their potentially seven years in the deanery, and are able to form long term professional relationships with colleagues within our department and around the rest of the local NHS. It's no wonder that the majority then go on to apply for substantive consultant posts!
We try to provide a positive training environment in every way possible:
Clear training pathways for novice trainees working with a core group of consultants to maximise their early progress
Weekly Primary FRCA teaching sessions and regular all day FRCA teaching sessions, fully protected
Interview practice for CT1/ST4 applicants
Mock viva and OSCE sessions for exam candidates
EDT embedded in the weekly rota
Post-Final FRCA teaching days
Active trainee committee with representation on the senior staff committee
Strong support for external SIAs/fellowships in stage 3
Established pathway to access LTFT training
LAT and MTI posts commonly available
Transparent, accessible training faculty
Strong social programme in the department
Our Research
The research work undertaken within the department occurs within the NHS Grampian hospitals, the Institute of Medical Science (IMS) and the Institute of Applied Health Sciences (IAHS) on the Foresterhill site. These state-of-the art facilities provide:
Research support
Training for students and staff
Technology Development
We collaborate with national and international organisations and participate in multicentre studies.
Research programmes are interlinked and work together to facilitate inter-disciplinary research:
Pain, acute and chronic
Outcomes research
Global health
Clinical pharmacology
Immunity, infection, inflammation and cancer
Translational neuroscience
Methodology assessment, evidence appraisal
Technology development
There are close links between NHS Grampian and the University of Aberdeen. There are extensive opportunities to be involved in undergraduate teaching of medical students. All medical students rotate through the Anaesthetic Department in Year 4, with the option of a longer attachment in Year 5. In addition, anaesthetists are frequently involved in teaching on other modules of the course and in examining.