Trainee Positions At Canberra Hospital and Calvary Hospital
Canberra Hospital and Calvary Hospital
PO Box 11
Prof Christian Lueck
Phone : 02 6174 7090
Training Positions : Three
Elective Training Positions : Two (only one available in 2018)
Core Position Descriptions
Three jobs will be available at the Canberra Hospital and Calvary Hospital sites in Canberra. Each incumbent will spend a total of 4 months at Calvary and 8 monthas at the Canberra hospital. The duties listed below essentially apply to both units, but neurophysiology is only located at the Canberra Hospital. There is a neurology/stroke on-call commitment at both hospitals, and there may be a small amount of general medical on-call required as well.
MAIN DUTIES INCLUDE:
� Patient care
� day to day management of Neurology inpatients under the direction of the appropriate Consultant(s). This includes:
. taking a senior role in the development and implementation of care plans from admission to discharge
. attendance on ward rounds
. notification to the appropriate Consultant of patients requiring acute admission to hospital under their care, and notification of the Medical Admitting Officer
. production of Discharge Summaries (with other members of the Junior Staff)
. communication with General Practitioners after discharge (where necessary)
. organisation of admissions and discharges
� assessment of Ward Consultations requested by other Departments and subsequent discussion with appropriate Consultant
� assessment and formulation of a management plan for patients presenting for care (e.g. in the Emergency Department)
� communication of assessment and management decisions to the appropriate Consultant, junior medical staff and other staff involved in that patient�s medical care.
� communication with the patient, or with immediate family where appropriate, about his/her condition and management.
� assessment (under supervision) and production of letters on outpatients
� organisation of routine admission, day case admissions (e.g. for lumbar puncture), and of muscle and nerve biopsies with the Neurosurgical Dept
� Lines of Authority: The Neurology Registrar is clinically responsible to the appropriate Consultant who has the legal responsibility for the care of any given patient. The Neurology Registrar is administratively responsible through the Head of Department to the Hospital Administration
� Specific responsibilities also include:
. ensuring that accurate, relevant and up-to-date patient documentation exists.
. communicating and co-ordinating effectively with other health professionals in regard to management plans, diagnostic requests and consultations.
. regular review of patient progress and communication of any significant changes in a patient�s condition to the Consultant and nursing staff.
. initiation of change to the management plan within limitations set out by agreement with the Consultant
. management of unstable patients and ensuring an adequate handover to after-hours medical staff.
. participation in Annual Performance Review with the Senior Medical Registrar and Director of Physician Training
. participation in the Department�s quality assurance program and projects.
. abidance by the Guide to Codes of Conduct fo Clinical Staff at the Canberra Hospital
. provision of high quality customer service as outlined in the Customer Service Standards
. having an awareness and commitment to Workplace Diversity, Occupational Health and Safety, and Industrial Democracy principles and practices and the Canberra Hospital�s values.
. teaching and supervision of junior staff and ancillary staff as required
. presentation of cases at the weekly neurology/neurosurgery meeting
. participation in the Hospital Grand Rounds as required
. regular attendance at morning general medical handover round, and participation in the management discussion
� Core training Requirements (for ANZAN):
. regular supervised EEG reporting
. attendance at EMG/NCS clinic
. attendance at Neuropathology meetings
. attendance at appropriate rehabilitation meetings
� Participation in the Department's research projects (as applicable).
AFTER HOURS RESPONSIBILITIES
The advanced trainee will be expected to undertake on call for neurology and stroke. The roster varies between 1 in 3 and 1 in 4. There may be a small additional component relating to the general medical after hours roster at both hospitals.
OCCUPATIONAL HEALTH, SAFETY & REHABILITATION:
The registrar is expected to:
� demonstrate commitment to OHS&R through personal involvement.
� not to put him/herself or others at risk and to co-operate with the employer.
� follow the employer�s reasonable instructions concerning health and safety in the workplace.
� participate in OHS&R education, instruction and training.
� participate in annual emergency evacuation drills.
� attend annual mandatory education training.
� report any workplace hazards to the appropriate manager/supervisor.
� participate actively in the hazard identification, assessment and control process.
� participate in annual OHS&R staff training surveys.
� participate in annual Manual Handling staff training surveys.
� attend all OHS&R training sessions identified from surveys.
� attend all Manual Handling training sessions identified from surveys.
SMOKE FREE POLICY:
�The Canberra Hospital has a smoke-free environment policy.
Elective Position Descriptions
The two stroke 'fellows' (registrars) will gain extensive experience in management of stroke and, in particular, in patient assessment and selection for acute therapy. By the end of the year, the fellows will be confident to manage stroke thrombolysis and select patients for endovascular clot retrieval. The registrars will obtain exposure and training in advanced imaging for acute stroke and will become confident in the interpretation of multimodal CT (CTA and CTP) and MRI (including MR perfusion). The fellows will also run a rapid-access referral TIA clinic, a stroke follow-up clinic, and a general neurology clinic at each hospital. There are opportunities for research and it is expected that the fellows will each complete a novel research project in stroke which will be presented at national and international conferences and also have scope for publication in peer reviewed journals. The fellows will be responsible for the day-to-day management of the acute stroke units and the acute thrombolyis teams at each hospital (with support from the consultants) and will gain extensive experience in post-acute stroke management, including secondary stroke prevention and rehabilitation. The fellows will also participate in the on-call stroke roster at both hospitals. The positions are accredited for 1 year of elective/non-core neurology training.
Specifically, the duties at each site will involve:
• Daily ward rounds on acute stroke unit and other stroke inpatients
• Participation in the 24/7 hyperacute stroke team
• Diagnosis and management of acute stroke patients using multimodal imaging, assessing eligibility for IV thrombolysis and/or endovascular clot retrieval
• 3 weekly outpatient clinics (2 TIA/neurovascular/stroke clinics and 1 non-stroke neurology clinic
• Participation in in-house research and multicentre clinical trials (recruitment and patient follow-up), e.g. ATTUNE, AFFINITY and TEMPO2
• Teaching of medical students, junior medical staff and nursing/allied health staff as required. Academic title with the ANU is optional.
• On call: participate in after-hours stroke on-call roster under consultant supervision
The Canberra Hospital is the largest public hospital in the Australian Capital Territory (ACT), providing health services to almost 500,000 people from the ACT and south-east region of New South Wales.
There are four major service areas within The Canberra Hospital - Medical, Surgical, Women's and Children's Health, and Mental Health - providing all medical services (except for organ transplants).
The Hospital is an acute care facility, with more than 500 beds, providing patients with specialised treatment during their critical phases of illness.
The Canberra Hospital is a teaching hospital and is currently linked by the Canberra Clinical School to the Australian National University.
Calvary Hospital is a slightly smaller hospital in the North of Canberra. A stroke unit opened early in 2014 with 4 high-dependency beds which flow on to beds on the neurology ward. Like the Canberra Hospital, Calvary offers a 24 hour thrombolysis service for suitable patients and refers potential candidates for endovascular clot retrieval to the Canberra Hospital.
Department Beds :
Twenty two general neurology beds
6 general neurology clinics/week; 1 neuro-ophthalmology clinic/month; 1 movement disorders clinic/week; 2 EMG clinics/week; 1 multiple sclerosis clinic/week
Department Specialty Clinics
neuro-ophthalmology, stroke, headache, movement disorders, multiple sclerosis
Weekly "book round"
Weekly journal club
Weekly EMG tutorial
Weekly EEG tutorial
Weekly Neuroradiology meeting
Weekly clinical meeting with neurosurgeons
Monthly neuropathology meeting
Weekly general medical grand round
Daily general medical handover round
Professor Christian Lueck (Senior Staff Specialist, The Canberra Hospital)
Dr. Andrew Hughes (Senior Staff Specialist, The Canberra Hospital)
Dr. Craig McColl (Senior Staff Specialist, The Canberra Hospital and Calvary)
Dr. Chandi Das (Senior Staff Specialist, The Canberra Hospital)
Dr. Rajat Lahoria (Staff Specialist, The Canberra Hospital)
Dr. Ram Malhotra (Visiting Medical Officer, The Canberra Hospital)
Dr. Yash Gawarikar (Senior Staff Specialist, Calvary)
Dr. Ronak Patel (Staff Specialist, Calvary)
Dr. Shaun Zhai (Staff Specialist, Calvary)
Junior Staff Positions In Neurology
At the Canberra Hospital 2 Advanced Trainee 1 Stroke Registrar ('fellow') 2 Basic Trainees 3 Intern/Residents At Calvary 1 Advanced Trainee 1 Stroke Registrar ('fellow') (remaining junior staff currently under discussion)
At the Canberra Hospital, the junior staff are divided into three firms with one registrar and one intern/resident each. One of the advanced trainees does a "consult" job while the other is attached to one of the three firms as the "ward' registrar. The inpatient teams comprise Drs. Lueck and Das, Drs. Hughes and Lahoria, and Drs. McColl and Malhotra.
The two Advanced Trainees at the Canberra hospital will each spend 4 months attached to one of the ward teams, and 4 months on the consult unit.
When attached to Calvary, the advanced trainee will be responsible for both inpatients and consults. A stroke unit consisting of four high-dependency beds opened at Calvary in 2014. The Advanced Trainees will be responsible for daily ward rounds on the stroke unit as well as assessing potential thrombolysis/ECR candidates.
There is also a neurology/stroke on call commitment to all components of the job at Calvary and the Canberra Hospital.
. fully registered medical practitioner with AHPRA or sufficient clinical exposure to gain registration
. FRACP Pt 1 written and clinical examination
. excellent written and verbal communication skills
. demonstrated ability to consistently display commitment and leadership in high quality customer service principles.
. knowledge and awareness of obligations to Casemix and maintenance of Patients' Records
. interest in teaching and research experience
. strong academic record; demonstrated ability to pursue both formal education programs and self-education
. basic computer skills
. ability to work effectively in a team
. independence appropriate to skill level.
. knowledge of the ethics of medical practice
. knowledge of quality improvement in medical practice
. demonstrated knowledge of occupational health and safety issues and equal employment opportunity principles and practices.
Philosophy Of Training
The neurology departments at the Canberra Hospital and Calvary are primarily clinical and place strong emphasis on the acquisition of sound clinical skills and general neurological experience. The link between neurology and general medicine is very strong and the advanced trainee is expected to take advantage of this to develop a good grounding in general neurology. Particular emphasis is also placed on the basic training in neurophysiology and the trainee is expected to develop a reasonable degree of competence in this area. Advanced trainees are encouraged to become involved in clinical research projects, and to attend/present at local and national meetings.
Neurology Training In State
Formal teaching is coordinated through ANZAN's Brain School which operates approximately once per month by means of videoconferencing.
In addition, the trainee is expected to attend the annual scientific meeting of ANZAN in addition to other specialist meetings such as the SSA and NOSA/NeuroVision meetings wherever possible.