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Paediatric Intensive Care

At the Paediatric Intensive Care Unit of Vall d'Hebron University Hospital, we provide life support treatment. We treat patients who, when an organ fails, require specific treatment to replace that organ’s function. We are a leading reference ICU for congenital heart disease, solid organ transplants, neurocritical patients, burns and spinal cord injuries.

Authorship: Vall d'Hebron
Creation date: 17.12.2021, 10:03
Modification date: 09.03.2022, 10:00
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Paediatric Cardiology

The goal of the Paediatric Cardiology Department is to provide care, teaching and research in the field of heart disease, be it congenital or acquired, from before birth up to adulthood. With more than 40 years’ experience offering patient care, this Department created the Adolescent and Adult Congenital Heart Disease Unit (UCCAA) to provide continuity in care for patients with congenital heart disease

The National Health System has designated as CSUR in Comprehensive baby care with complex cardiopathy, pediatric complex pulmonary hypertension and childhood cardiac transplantation the Vall d'Hebron University Hospital.
Authorship: Vall d'Hebron
Creation date: 17.12.2021, 10:03
Modification date: 21.12.2022, 12:48
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Arrhythmia Unit

The Cardiology Department Arrhythmia Unit treats heart rhythm disorders. It is responsible for diagnosis, treatment, research and training for all illnesses related to arrhythmias. These may be slow or fast. Slow arrhythmias often need a pacemaker to be fitted. Fast arrhythmias may cause the patient to lose consciousness, or even cardiac arrest. 

Creation date: 17.12.2021, 10:03
Modification date: 08.03.2022, 17:12
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Anaesthesia, Resuscitation and Pain Management

The Anaesthesia, Resuscitation and Pain Management Department provides comprehensive perioperative care for surgical patients, from their arrival to the hospital until they return home. We offer care with more than 30,000 operations a year.

Authorship: Vall d'Hebron
Creation date: 17.12.2021, 10:03
Modification date: 11.01.2024, 12:38
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Neonatology

At the Neonatology Department, we are committed to offering personal, individualised care focussed on the development of the baby and encouraging family participation as a key element in the process.

Authorship: Vall d'Hebron
Creation date: 17.12.2021, 10:03
Modification date: 26.01.2022, 11:52
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Paediatrics

The Paediatrics Teaching Unit has extensive experience in training specialists. There are a total of 60 Paediatrics residents at Vall d’Hebron University Hospital, 15 per year. Over the last few years, Paediatrics at Vall d’Hebron has been the first choice for new residents, and in the 2017 exam session achieved the best results of any Spanish hospital. In addition to this, we receive residents from hospitals all over the world. 

Accredited places

18

Research groups
Document

Pediatric training itineraries

Over the last few years, paediatrics at Vall d’Hebron has been residents’ first choice, and in the 2017 exam session achieved the best results of any Spanish hospital. 

The Department has a Paediatrics Teaching Subcommittee, comprising twelve tutors and twenty residents overseeing the practical application of the training and its integration into healthcare activities. Thanks to the involvement of these professionals, we can ensure supervised completion of the training programme objectives.

This Teaching Unit comprises different healthcare departments and units, including the Paediatrics, Nephrology, Neonatology, Paediatric Oncology and Haematology, Intensive Care, Neurology, Endocrinology, Infectious Diseases, Allergies, Cardiology, Respiratory Medicine, Gastroenterology, and A&E Departments. 

It is vital for residents to train in research methodology as this is necessary to take part in and develop research projects. From the second year onwards, we invite residents to carry out research work, and a minimum number of papers and publications is required in addition to their full cooperation in sessions within the Department.

Why specialise at Vall d’Hebron?

  • Because you will work in a hospital that is a direct point of reference for the other hospitals in Catalonia and other autonomous communities.
  • Because we have a perinatal unit with advanced technology to treat any pathology.
  • Because we treat paediatric patients who require the most advanced medical-surgical technology due to the complexity of their illnesses.
  • Because we are equipped to carry out different kinds of surgery, such as cardiac surgery, neurosurgery, kidney transplants; and because our facilities enable us to perform ECMO, extracorporeal cardiac surgery and a whole other range of interventions.
  • Because a tutor will provide ongoing supervision during your four years of training.

 

Neurosurgery

The Neurosurgery Teaching Unit is led by the Neurosurgery Department, with participation from Neurology, Pathological Anatomy, Clinical Neurophysiology, Intensive Care and Neuroradiology.

Accredited places

1

Research groups
Document

Neurosurgery training itinerary

Why specialise at Vall d’Hebron?

  • Because we care for a high volume of patients, which enables residents to gain knowledge and experience.
  • Because we are a tertiary hospital with leading departments in the different areas that make up residents’ essential training.
  • Because you will have the opportunity to see complex pathologies and to use ground-breaking diagnostic methods and treatments.
  • Because our training programme provides different options to adapt to the personal initiative and vocation of each resident; from the most patient-facing roles to those more focused on research in collaboration with different laboratories from the Vall d’Hebron Research Institute; one of the most important in the country.
  • Because we have a demanding programme with all the necessary resources for professional advancement in academic neurosurgery and all its components.
  • Because our objective is to stimulate the personal growth of future neurosurgeons who wish to work in centres where research and education are not optional extras, but form an integral part of the department.

Plastic, Cosmetic and Restorative Surgery

The Plastic, Cosmetic and Restorative Surgery Teaching Unit is led by the Plastic Surgery and Burns Department, who work in a team with General Surgery, Thoracic Surgery, Vascular Surgery and Neurosurgery. The unit also participates in plastic surgery services in other public and private hospitals.

 

Accredited places

2

Research groups
Document

Training itinerary for plastic, aesthetic and restorative surgery

During their training, residents learn about different aspects of internal medicine, with particular emphasis on cardiology, pulmonary pathology, the renal system, and diabetes mellitus. For this reason they do rotations in Pneumology, Nephrology and Endocrinology. After the rotation, specialists deepen their knowledge in intensive care for trauma and burns patients. During their final year, specialists have the opportunity to rotate through specialised areas such as hand surgery or paediatric plastic surgery.

The Vall d’Hebron Research Institute (VHIR), has its own animal facilities where students can practice microsurgery. Students may also study in the Burns Unit and take part in national and international publications and presentations.

Why specialise at Vall d’Hebron?

  • Because we are leading centre throughout the National Healthcare System of Catalonia, the Balearic Islands and Andorra for surgery for burns patients and external ear reconstruction.
  • Because we are the creators of the Telecremats project, which allows remote consultations so that patients do not have to travel to a health centre, and which also supports professionals working in the unit.
  • Because we are experts in Catalonia in the treatment of epidermolysis bullosa.
  • Because we have a Face and limb transplant programme and the Facial Traumatology Treatment Unit.
  • Because we have a unit for surgical treatment of facial paralysis and another for pressure sores in patients with spinal cord injuries.
  • Because we have a Cutaneous Tumour Unit.
  • Because we have a unit dedicated to treatment of morbid obesity sequela.
  • Because we have a Paediatric Plastic Surgery Unit, and in particular, a unit for treatment of paediatric vascular defects.
  • Because we have a breast and lower limb reconstructive microsurgery unit.
  • Because we treat serious cutaneous disease in the Exfoliative Dermatitis Treatment Unit (Lyell’s syndrome).
  • Because we offer round-the-clock care, with shifts on duty 24 hours a day (consultant and resident).
  • Because we oversee our residents’ surgical training so that they can take part in committees dealing with vascular defects, cutaneous tumours, septic patients, breast pathology and epidermolysis bullosa.
  • Because residents take part in monthly morbidity and mortality sessions, and weekly single-specialisation and literature review sessions.
  • Because we enable attendance at conferences and courses in the specialisation.
  • Because we enable residents to undertake rotations at external national and international centres.
  • Because we offer the chance to follow doctorate, postgraduate and doctoral thesis courses.

Physical Medicine and Rehabilitation

The residency in Physical Medicine and Rehabilitation allows you to gain experience of clinical practice in rehabilitation; an area where all aspects of the specialisation are considered, from orthopaedics, neurology, spinal cord injuries, infant rehabilitation, amputations, lymphoedema, pelvic floor and speech therapy; to pulmonary rehabilitation and community-based treatment for back pain and burns.

Accredited places

4

Research groups

We are an active research centre with a high number of publications, at the same time as participating in several national and international programmes. We have also received awards at different conferences in the specialisation. 

The Physical Medicine and Rehabilitation teaching programme includes key aspects for research, such as training in clinical epidemiology and clinical research methodology. In addition, our residents undertake research competence courses to complement their practical work. 

Why specialise at Vall d’Hebron? 

  • Because the Rehabilitation Department at the Traumatology and Rehabilitation Hospital has 30 beds, allowing residents to undertake a rotation in Rehabilitation programmes, and carry out highly specialised management and integrated rehabilitation treatment.
  • Because you will attend to patients with neurodegenerative illnesses and adults with cerebral palsy in particular.
  • Because you will attend interdisciplinary consultations related to neurodegenerative diseases, including those in the Stroke Unit, Neuro Orthopaedics and Neuromuscular Diseases.
  • Because you will take an active part in the team and the care team meetings.
  • Because we are one of seven hospitals in the country accredited by the Ministry of Health (CSUR accreditation) to care for patients with hereditary ataxia or paraplegia.
  • Because you will treat both adults and children with spinal cord injuries of traumatic or non-traumatic origin, and the subsequent complications that may arise.
  • Because we offer residents a rotation to treat amputee patients, and training in their ongoing care in the acute pre-prosthetic hospitalization and subsequent rehabilitation training programme.
  • Because you will take part in all aspects of injury rehabilitation, pain management and prosthetic prescription evolution analysis.
  • Because you will work on prosthetic fitting and manufacture.
  • Because you will work both in the hospital wards and with outpatients across the complete spectrum of chronic and acute musculoskeletal pathologies and pain syndromes.
  • Because you will assess and treat infant and adult patients with cardiac and chronic respiratory disorders, using respiratory physiotherapy and strength training.
  • Because we enable active participation in the infant cardiac and lung transplant rehabilitators programme.
  • Because we have an ergometry room to carry out spirometry and lung and heart stress tests to enable us to prescribe quality training programmes.
  • Because you will work with neuropaediatricians and infant orthopaedic surgeons on rehabilitation of patients with conditions such as brain lesions, cerebral palsy, spina bifida, scoliosis and hip dysplasia.
  • Because you will work with all kinds of speech and language disorders that affect swallowing and communication, such as asphasia, dysarthria, dysphonia, laryngeal paralysis, dysphemia, cochlear implants, dysphagia, language development delays or disorders, diglossia, brain injury scar tissue, and hyperacusis.
  • Because you will be an integral part of the communication and swallowing rehabilitation team, using techniques such as clinical audiometry, laryngeal stroboscopy, fibreoptic endoscopic evaluation of swallowing (FEES) and video fluoroscopy.  
  • Because  we enable you to attend congresses and take part in conferences on advances in prostheses and orthotics, as well as a biannual course on evidence-based  rehabilitation and medicine, and courses on exercise programmes for pathologies of the musculoskeletal system and electrotherapy.

Paediatric Surgery

The Paediatric Surgery Unit is divided into the surgical sub-specialisations of digestive surgery, neonatal and foetal surgery, maxillofacial surgery, surgical oncology, thoracic surgery and urological surgery. We are a leader in paediatric surgery in Catalonia and perform the highest number of surgical procedures in Spain. This foremost position would not be possible without the work of other hospital professionals such as anaesthetists, paediatricians, radiographers and specialists, nurses and other professionals. 

Accredited places

2

Research groups
Document

Pediatric Surgery Training Itinerary

We offer residents the opportunity to master infant surgical pathology, physical examination and interpretation of clinical symptoms in patients who are often unable to express themselves or explain their medical history due to their age.

We train residents in the most common surgical techniques in the specialisation from general surgery, hepatobiliary and pancreatic surgery, colorectal surgery, oesophagogastric surgery, and paediatric digestive surgery. Our residents also carry out neonatal surgery, paediatric thoracic and surgical oncology, paediatric urology, paediatric maxillofacial surgery and paediatric plastic surgery.            

Residents take part in duty shifts in all the subspecialisations of paediatric surgery with the support of the paediatric surgery staff and a resident medical intern. Laparoscopy is currently commonly used by different areas and units within the Digestive System Department, such as neonatal care and urology.

During the first two years of the residency, rotations are carried out in General Surgery, on the paediatric surgery ward, in Outpatient Surgery and Digestive Surgery. The remaining three years are spent in Urology, Oncology and Thoracic Surgery, Neonatal and Research, Maxillofacial and Plastic Surgery. The final year of training is dedicated to optional rotations, Transplant Surgery and a stay at a hospital abroad, with the option to repeat one of the previous rotations.

Residents are obliged to undertake duty shifts during their training period. Apart from the months during the general surgery rotation, duty shifts in Paediatric Surgery are carried out at the Maternity and Children's Hospital.

As far as research is concerned, participation in the department’s active lines of research is stimulated, as well as proposals for any research project that may or may not be related to them and which may result in a doctoral thesis.

The Vall d’Hebron Research Institute maintains different well-established lines of paediatric research, in areas such as experimental surgery, and  foetal surgery in particular. In 2015 we created the Congenital Defects Surgery Cellular Therapy  bioengineering group , which currently carries out research on spina bifida focusing on prenatal and perinatal aspects. In addition we undertake research on amniotic bands, gastroschisis, oesophageal atresia, congenital diaphragmatic hernias, diaphragmatic and labio-palatine fissure reconstruction, and research into treatments for premature birth.

In terms of clinical research, our Department has pioneered coordination of the first randomized multi-centre study on treatment of parapneumonic empyema  (during which video-assisted thoracoscopic surgery is compared with drainage and fibrinolytics), and which was later published in the study “Urokinase Versus VATS for Treatment of Empyema: A Randomized Multicenter Clinical Trial”Paediatrics. 

Why should I specialise at Vall d’Hebron?

  • Because we undertake surgery planning sessions during which the most interesting and complex cases in the different paediatric specialisations are discussed.
  • Because we are patient-focused, and once a month, residents of paediatric surgery prepare and present a clinical case resulting in some kind of complication.                     
  • Because in the Paediatric Surgery Unit we hold continuous professional development sessions to keep up to date with the latest knowledge, research methods and new technologies.
  • Because we are one of 25 centres in Europe to be recognised as a centre of excellence for paediatric surgery training by the European Board of Paediatric Surgeons.
  • Because we are pioneers in the use of Da Vinci® robot-assisted surgery for safe endoscopic procedures.
  • Because we pioneered the first paediatric kidney transplant in 1981, and the first paediatric liver transplant in 1985.
  • Because we have created successful surgical techniques to increase the number of viable donations, such as reduced-liver transplants and split-liver transplants.
  • Because we have the first Foetal Surgery programme, which began in 2001.
  • Because we were the first to treat severe congenital diaphragmatic hernias and the first centre worldwide to undertake fetoscopic repair of myelomeningocele.
  • Because Paediatric Oncology at Vall d’Hebron is a national and international leader with the highest number of patients in the country.
  • Because we  treat the most complex cases in paediatric patients with polytraumatism.
  • Because we also encourage residents to carry out external rotations in leading international centres.
  • Because in Neonatal Surgery we offer the chance to do rotations in experimental surgery or research, as the Head of this Unit is also Head of Research.
  • Because we motivate residents to attend congresses and there are frequent opportunities  to attend various conferences such as the National Paediatric Surgery Congress, the Congress of the Mediterranean Association of Paediatric Surgeons, the Catalan Paediatrics Society Annual Meeting, the Catalan Language Paediatricians’ Congress and the Annual Meeting of the Spanish Paediatrics Association.
  • Because we offer the option to do a rotation in liver and intestinal transplant.                                                                          

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