The Surgery, Anaesthesia and Critical Care Directorate (SACC) focuses on the surgical patient process from outpatients through to discharge. Core principles are based around delivering a safe, personal, clinically effective and high quality service to all patients, with clear accountability for all staff members. 13 Specialties within SACC These are; Urology, Gynaecology, General Surgery, ENT, Breast Care, Maxillofacial, Vascular, Plastics, Orthopaedics, Cardiothoracic, Pain Management, Anaesthesia and Critical Care. Department of Anaesthesia The Department of Anaesthesia provides the anaesthesia, intensive care and pain medicine services at St. James's Hospital, which is the largest acute academic hospital in Ireland affiliated with TCD. There are twelve theatres, including a stand-alone Burns theatre, a stand-alone endovascular suite and a dedicated stand-alone Day Case suite, with two major and one minor theatres and a pre-operative assessment unit. The Intensive Care service covers the General Intensive Care Unit, High Dependency, cardio-Thoracic ICU, Burns Unit, in addition to ventilated patients in the Coronary Care Unit and an emergency consult service to the wards and Emergency Department. The Department provides anaesthesia for adult patients in the following disciplines: general surgery, cardio-thoracic, vascular, otorhinolaryngology, plastic and reconstructive surgery including burns, Maxillo-facial, orthopaedics and gynaecology. In addition, the ICU admits trauma and acute medical patients. The ICU takes nation-wide referrals. The Department is recognised for training by the following bodies: College of Anaesthetists for both BST and Sp R training, by the Royal College of Surgeons in Ireland for two months' BST in Intensive Care Medicine Royal College of Physicians in Ireland for Sp R training in Intensive Care Medicine The Irish Board of Intensive Care Medicine The Pain medicine team, led by Dr OGara and Dr Fitzgerald run the acute and chronic pain service, with a Pain Medicine Fellow and a rotating registrar. There are three Clinical Nurse Specialists in the Pain Medicine service. There is a ward-based epidural and peripheral nerve block infusion service. There is an active teaching programme in which the successful applicant will participate. The Department is involved in teaching under-graduate medical students, post-graduate anaesthesia and intensive care trainees and nursing and paramedical staff. The Department also participates in the Primary and Final Fellowship pre-examination courses and in the Intensive Care Diploma Course. The Registrar post contributes to a thirty-nine-person team which includes thirteen Specialist Registrars. Learning opportunities are based around simulation teaching, daily Consultant-led patient handover and ward rounds, daily formal registrar teaching, regular inter-specialty seminars and a clinical audit programme. Candidates will: