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.                                                                          

The Cardiology Department Teaching Unit at Vall d’Hebron Hospital is divided into nine operational units. These include Outpatients, conventional wards, the Day Hospital, the Coronary Care Unit, Intensive Coronary Care, Semi-critical Care, Echocardiography and Cardiac Imaging, Haemodynamics and Angiocardiography, Arrhythmia, Nuclear Cardiology and the Experimental Laboratory. It should be said that the Cardiovascular Epidemiology Unit, part of the Cardiology Department, is unique within Spain.

We work in multidiscipline areas to treat specific medical problems such as Marfan syndrome and Congenital Heart Disease, and are national leaders in both fields. Our activity is always patient-centred and aims to maximise outpatient care and general cardiology. To this end we regularly run clinical care and scientific sessions that involve all professionals in the Department.

During training, residents progressively increase their level of skill, from taking medical histories at the start of their training, for example, to the use of automatic defibrillators in the final phase of their residency. 

During the first year residents undertake shifts in Internal Medicine, with one shift a month in Cardiology. In the second and third year they do shifts in clinical cardiology within the Accident and Emergency Department. The fourth and fifth year include shifts in the Coronary Care Unit and Haemodynamics.     

In terms of training, there are sessions, seminars and courses, and residents’ participation in national and international congresses, conferences, seminars and courses is encouraged.

At the end of the cardiology residency, it is possible to continue training in research as part of the Riu Ortega programme for the Carlos III Health Institute. We also take part in undergraduate and postgraduate research staff training programmes run by the Generalitat of Catalonia’s Department for Education and Universities and the Ministry of Education.

Research activities  of note include collaboration with the International Doctorate School on myocardial consequences, in cooperation with the University of Giessen (PROMISE), funded by the German organisation DFG and BIOCAT.

Why should you specialise at Vall d’Hebron?

• Because the Multidiscipline Unit of Adult and Adolescent Congenital Heart Disease is a leader within Spain.
• Because we are a national point of reference through the development of the European Cardiology Society’s clinical practice guides for disorders such as valvulopathy, endocarditis, aortic pathology, coronary syndrome, syncope, congenital heart disease, acute coronary syndrome and pericardium disease.
• Because we are national and international pioneers who have been developing our own healthcare protocol for each cardiac pathology since 1981.
• Because we offer residents shifts in Cardiology within the Accident and Emergency Department, supported by a consultant and two residents in person, and a haemodynamics specialist who can be reached if necessary.
• Because in Cardiac Care we have a daily meeting with the previous shift attended by the team on duty, the Head of Department and the Heads of Unit.
• Because we have a daily Coronary Care Unit meeting at the end of every day, attended by staff doctors, residents, and the consultant and resident who have been on duty.
• Because we organize two weekly nuclear cardiology sessions, attended by the cardiologist in charge of the section, the cardiology resident and doctors from Nuclear Medicine.
• Because we carry out three cardiac imaging sessions a week, attended by the doctors training in the echocardiography and ergometry unit, during which cardiac MRI and CT scans are discussed, along with echocardiographic and magnetic resonance assessments of particular interest.
• Because we hold a weekly session on electro physiology and arrhythmia with paediatric cardiology and adult congenital heart disease.
• Because we deal with infectious endocarditis (in collaboration with Bacteriology, Infectious Diseases and Cardiac Surgery) in a dedicated weekly session.
• Because we hold weekly seminars in the Experimental Cardiology Laboratory, and fortnightly seminars from the Vall d’Hebron Research Institute.
• Because the top cardiologists and cardiovascular researchers in Spain and Europe take part in our clinical sessions, which are recognised by the SNS (National Health Service) Continuous Professional Development Commission, and the Catalan Council for Continuing Medical Education.
• Because every year we offer courses in echocardiography, pacemakers and arrhythmia, adult congenital heart disease and nuclear cardiology, and Advanced cardiopulmonary resuscitation courses organised for Cardiology residents, in addition to other courses.
• Because we encourage residents to take part in the National Cardiology Congress and the European Cardiology Congress during the final years of their residency.
• Because we enable residents to undertake part of their residency training in other centres, particularly in New York, Washington, London and Cologne.

Our Teaching Unit attracts medical students from the Autonomous University of Barcelona, residents and specialists. Every year, it teaches over 120 resident doctors (45 of whom are the service's own residents) in the cross-cutting, specific skills of Anaesthesia and Resuscitation, and in Entrustable Professional Activities (EPA) for anaesthesia, and complements the training of over 20 specialists in anaesthesia and other specialities. It also offers an advanced international training programme in Paediatric Anaesthesia. 

On our Campus, you have the opportunity to attend, learn and reflect on the care performed for all kinds of pathologies. In order to facilitate integration into the service and speciality, during the first month of rotation, the resident is trained in cross-cutting skills, via the Hospital's Teaching Unit, and in the basics of Anaesthesia and Resuscitation, through a personalised training plan. In addition to assisting in various areas, sessions and compulsory courses, the individual training plan for our residents includes participation in the theory-practical modules specifically designed for each training year. These are run by experts in the specific subject skill of the module.

The efforts of our Teaching Unit are directed towards training excellent, thoughtful professionals with a critical spirit, by and for our present-day society. 
 

Why practise this speciality at Vall d'Hebron?

• Because the teaching here ensures safe, high-quality clinical practice, with Teaching Coordination that continually reviews and supervises the protocols and knowledge that are taught.
• Because we prepare you for a future in which residents can perform anaesthesia and resuscitation applied to all existing specialities and in any healthcare hospital.
• Because we have trained over 400 professionals and we have had extensive experience in training Anaesthesia and Resuscitation specialists since 1972.
• Because we offer residents a weekly course where practice and simulation is the most commonly used methodology, in order to ensure real, high-quality learning.
• Because we foster the participation of residents in existing lines of research.
• Because we also offer residents the opportunity of doing their doctoral thesis with us.
• Because we are the cutting edge and we include new surgical techniques, new diagnostic methods and treatments on demand. 
• Because the training we offer is cross-cutting and residents learn not only the most common, but also the most complex procedures.

The Allergology Unit has been training residents since 1982, and is where most heads of allergology divisions in Catalonia did their training.

We attend to outpatients regarding allergic respiratory disease, paying special attention to asthma, complex food allergies, hymenoptera allergies, chronic urticaria, atopic dermatitis, and drug allergies.

The Day Hospital carries out controlled drug exposure tests and chemotherapy and other drug desensitization therapies. The paediatric unit carries out food desensitization therapies. We also deal with hospital consultations on a daily basis.

The unit carries out clinical research  in the fields of  anaphylaxis, hereditary angioedema, food allergies  and  chronic urticaria. In terms of  experimental research , we offer the opportunity to carry out specific immunoglobulin E and G tests by biochip, and  basophil activation tests. Five doctoral theses have been supervised by the Unit and all its staff physicians are qualified Doctors of Medicine.

Why specialise at Vall d’Hebron?

• Because we are a tertiary hospital with outstanding departments. The number of patients who pass through the centre offers great potential for learning and gaining experience.
• Because we cover most specialisations and you will have the opportunity to see complex pathology and to use cutting-edge diagnostic techniques and treatments.
• Because our training programme can adapt to the initiative and vocation of each resident, with more emphasis on patient-contact or research according to their needs.
• Because you will have the opportunity to see complex pathology and use cutting-edge diagnostic techniques and treatments, such as monoclonal antibodies, the application of drug desensitization protocols and the management of hereditary angioedema.
• Because you will have the opportunity to present papers at national and European allergy conferences. At the most recent events we received awards for the best paper in several areas.
• Because we give fourth year residents contacts to assist with research and stays abroad. In recent years our residents have spent time in clinical allergy units in Rome and Montpellier, and in research centres such as the Karolinska Institute in Stockholm, Sweden. All fourth year residents are offered funding for the European Examination in Allergology and Clinical Immunology, which 85% of our residents have successfully passed to date.
• Because your knowledge will be continuously updated through a programme of specialised, literature and clinical sessions, which take place four days a week.
• Because in 2010 the Allergology Teaching Unit was assessed by the Allergology Department of the European Union of Medical Specialists, who accredited it as a Specialised Allergy and Immunology Training Unit.

Prospective radiologists need a solid medical foundation to work closely with specialists from other medical disciplines. For this reason, training in diagnostic imaging, clinical radiology and bioethics is complemented with knowledge on pathological and functional aspects of diseases. 

Why specialise at Vall d’Hebron?

• Because we are a tertiary hospital with outstanding departments. The number of patients who pass through the centre offers great potential for learning and gaining of experience.
• Because we cover most specialisations and you will have the opportunity to see complex conditions and to use cutting-edge diagnostic techniques and treatments.
• Because our training programme can adapt to the initiative and vocation of each resident, with more emphasis on patient-contact or research according to their needs.

The Obstetrics and Gynaecology Teaching Unit trains residents in the physiological and pathological aspects of human reproduction, and also pregnancy, birth and post-partum care, and their disorders. It also deals with the organs that make up the female genital tract and breast care. Related preventative, psychic, and social aspects are also within its scope.

Why specialise at Vall d’Hebron?

• Because we offer maximum complexity care to mother and son, and that differs from the rest of the hospitals. This advantage causes the mother-son binomial to be separated at no time if there is any complication.
• Because we are a tertiary hospital with outstanding departments. The number of patients who pass through the centre offers great potential for learning and gaining experience.
• Because we cover most specialisations and you will have the opportunity to see complex conditions and to use cutting-edge diagnostic techniques and treatments.
• Because our training programme can adapt to the initiative and vocation of each resident, with more emphasis on patient-contact or research according to their needs.

Paediatric nursing specialists provide independent nursing care to babies, children and adolescents at all levels, as well as dealing with disease prevention and rehabilitation. They work as part of a multidisciplinary team and in collaboration with specialist nursing staff from other areas.

Why Vall d’Hebron?

• Because we are a reference hospital, both in Catalonia and at the national and international levels, with 200 highly specialised paediatric beds and a large team of paediatric nurses who will accompany you throughout your training programme.
• Because we have the capacity to provide specialised care for paediatric patients requiring all kinds of complex surgical interventions (cardiac, neurosurgery, solid organ transplantation, foetal interventions, etc.).
• Because you will be able to do rotations in specialised paediatric units such as EMS, Palliative Care, Primary Care, Burns Unit, Dialysis, Oncohaematology, Haematopoietic Progenitor Transplantation, Complex Chronic Patient Care Units of multiple specialities, etc.
• Because we have a large Neonatal Unit accredited in the NIDCAP model of care as well as a highly specialised Paediatric Intensive Care Unit, and because we are a centre accredited for our commitment to excellence in healthcare.
• Because you will be able to develop your skills in an immersion course at the start of your residency and in various specific paediatric care courses throughout the programme.
• Because you will have access to tutors with a high degree of training and involvement who will accompany you throughout your learning process and ensure that you receive the best possible training and have the opportunity to research and participate in innovative projects.

This includes basic clinical knowledge of diagnostic techniques, dietary and therapeutic measures and all aspects of preventative medicine related to these fields. Other specialist departments are also involved in the Endocrinology and Nutrition Teaching Unit, such as Internal Medicine, Cardiology, Nephrology, Neurology, Paediatrics, Nuclear Medicine, and the Nutritional Support Unit and the Accident and Emergency Department.

Why specialise at Vall d’Hebron?

• Because we are a tertiary hospital with outstanding departments. The number of patients who pass through the centre offers great potential for learning and gaining of experience.
• Because we cover most specialisations and you will have the opportunity to see complex conditions and to use cutting-edge diagnostic techniques and treatments.
• Because our training programme can adapt to the initiative and vocation of each resident, with more emphasis on patient-contact or research according to their needs.

Why specialise at Vall d’Hebron?

• Because you will be trained in the care, diagnosis and treatment of skin problems, and will be able to advise patients on how to prevent dermatological conditions.
• Because you will be able to spend a significant part of your residency on the severe and complex dermatoses seen in a technologically advanced hospital such as Vall d’Hebron. This means you will be able to work in subspecialisations such as cutaneous oncology and hospital admissions due to dermatological disorders as well as in the Day Hospital.
• Because at the end of the residency you will have gained experience in therapeutic management of the most common dermatoses, which are likely to be the most common reason for patient visits throughout your career.
• Because you will have mastered complementary diagnostic examination procedures and therapeutic techniques specific to the specialisation, such as phototherapy, cryotherapy, and dermatoscopy.
• Because you will be able to undertake rotations in the unit on cutaneous tumours, minor dermatological outpatient surgery, paediatric dermatology, and outpatient clinics on oncohaematological cutaneous diseases and pigmented lesions.