2011 Medical Division Information

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2011 Medical Division Information

  1. 1. Ballarat Health Services  PO.BOX 577, BALLARAT 3353 Telephone (03) 5320 4238  Facsimile (03) 5320 4554 diannema@bhs.org.au Ballarat Health Services offers opportunities for Intern, HMO and Registrar Training. Ballarat Health Services comprises the Base Hospital (221 acute beds), Queen Elizabeth Centre (Sub Acute Care 70 beds) and Psychiatric Services (67 beds]. New state-of-the-art emergency, critical care, ambulatory, aged care and rehabilitation facilities uniquely integrate in-patient, ambulatory, community and home based services. Ballarat Health Services is a major training site for the University of Melbourne Rural Clinical School, and from 2010 the Deakin University Clinical School. Senior staff are strongly committed to teaching and the professional development of Interns, HMOs and Registrars. Ballarat offers a superb regional lifestyle with excellent public and private schools, recreational and sporting facilities, shopping, entertainment and cultural pursuits. Country or city living is available within minutes of the hospital and there is easy access to Melbourne (80 minutes). INTERNS: 18 positions appointed through the PMCV Intern Computer Match. 1 position [Urology] is filled via rotation from Melbourne Health. Interns complete five (5) terms of 10 or 11 weeks, with rotations in General Medicine, General Surgery, Emergency Medicine and sub specialties; Orthopaedics, ENT, Cardiology, Geriatrics and Gastroenterology. Two weeks annual leave is allocated during the clinical year and the remaining three weeks are taken at the completion of Intern year. Paired applications are accepted and every effort is made to accommodate paired annual leave. Interns choose their rotations by mutual agreement and this is finalised prior to the commencement of the clinical year. A comprehensive three day orientation program is held in the week prior to the commencement of the Intern year. Shared accommodation is available for the duration of intern year and a $60.00 per week rental subsidy is offered to Interns who arrange their own accommodation. Applications can be made on the attached application form and must include passport photo; current CV; copies of relevant Qualifications and Registrations; and a cover letter detailing the reason/s why you have applied for Ballarat Health Services. The closing date for receipt of applications by the hospital and submission of Candidate Priority lists to the Computer Matching Service is Thursday 17 June 2010. Lists can be altered between Friday 18 June and Thursday 8 July 2010. Interviews will be conducted between Tuesday 15 June and Friday 2 July 2010. HMO Year 2: 6 positions are appointed through the HMO2 PMCV Computer Match. HMO Year 2-4: 20 positions are appointed directly by Ballarat Health Services. HMO2/3: Five (5) terms of 10 or 11 weeks, with rotations available in Emergency Medicine, Intensive Care Medicine, Oncology, General Surgery, Geriatrics/Palliative Care, Rehabilitation, Psychiatry, Paediatrics, Obstetrics and Gynaecology. Applications are to be made on the attached application. Ballarat Health Services participates in the Computer Match for six HMO2 positions. The closing date for receipt of applications by the hospital is Friday 20 August 2010 and Candidate Priority lists must be submitted to the Computer Matching Service by Friday 20 August 2010. All remaining HMO positions are filled through direct application to Ballarat Health Services. Applications should be received by Friday 20 August 2010. HMO3/4: Two 12 month Critical Care positions are available and offer 6 month rotations in Anaesthesia and ICU. Three and six month O&G rotations are available. Six month rotations allow interested hospital medical officers to complete the Diploma in Obstetrics and Gynaecology. Recruitment is by direct application to Ballarat Health Services.
  2. 2. REGISTRARS The following positions are available for 6 and 12 month appointments: General Medicine; Advanced Trainee in Oncology; Advanced Trainee in Gastroenterology, Advanced Trainee in Rehabilitation; Advanced Trainee in O&G; Emergency Medicine Registrars; Advanced Trainee/Provisional Fellow in Anaesthesia; and Non-Accredited Orthopaedic Registrar. Three Basic Physician Trainees are appointed locally and the remaining eight positions are filled through the consortium process, either on rotation from Melbourne Health or Western Health. Surgical, surgical sub specialties and Obstetric and Gynaecology positions are filled via rotation from Melbourne Health, St Vincents Hospital or specific College training programs. Anaesthetic Registrars rotate from Melbourne Health and rotations vary from 3 to 6 months. The closing date for receipt of applications by the hospital is Monday 16 August 2010. Medicine Director of Physician Training: Dr Grant Phelps(03) 5320 4322 The Internal Medicine Service is committed to the provision of high level general medical services alongside rapidly developing subspecialty services in Oncology, Cardiology & Gastroenterology. In addition, individual Physicians have major subspecialty interests in respiratory and sleep medicine, renal medicine, endocrinology, infectious diseases, geriatric medicine, rehabilitation medicine, oncology and palliative care. The Service provides inpatient and outpatient medical and consultative services. Specialty investigations and procedures include: coronary angiography, cardiac pacing, echocardiography, holter monitoring, advanced pulmonary function testing, bronchoscopy, gastroscopy, colonoscopy, ERCP, renal biopsy, dialysis, pulmonary and cardiac rehabilitation and special clinics in diabetes, dementia, continence and falls. Opportunities for Training and Experience: Intern - Broad based, hands on, general medical training with exposure to sub-specialty disciplines. HMO – Oncology, Geriatric/Palliative Care and Rehabilitation Medicine Registrar - Rotation through the medical units with exposure to sub-specialties depending on attachment and involvement in the investigations, procedures and clinics described above. BHS has eight basic trainees, who will be appointed via the Greater Western Consortia. Advanced Trainees - BHS appoints a General Medicine Advanced Trainee to a Chief Resident position. A program will be designed for Advanced Trainees around their special interests and the stage of their advanced training. Previous General Medicine Advanced Trainees have had interests in gastroenterology, thoracic and general medicine and are now working in the Victorian regional and rural physician workforce. From 2010, BHS will also have Advanced Trainees in Gastroenterology, Cardiology and Oncology, appointed through RACP managed state based processes. Teaching, Professional Development and Quality Activities:  Medical Division Grand Round held monthly  Daily MAP Unit and CCU/ICU Ward Rounds  Weekly unit case presentations/x-ray sessions  Participation in various multi-centre trials  Fortnightly Division Journal Clubs  Weekly Senior Registrar tutorials.  Ongoing audit of asthma management 2
  3. 3. Surgery Clinical Director: Mr. Philip Reasbeck (03) 5320 6858 The Division of Surgery provides a full range of general surgical and sub-specialty surgical services. Sub-specialties include Orthopaedic surgery, Vascular surgery, Urology, ENT surgery, Head and Neck surgery, Ophthalmology, Thoracic surgery, Plastic surgery and Facio-maxillary surgery. The Division provides inpatient and outpatient surgical and consultative services. Facilities include six major operating theatres, day ward / Endoscopy Unit and Perioperative Service. Opportunities for Training and Experience: Intern - Broad based general surgical training; Lower GI, Upper GI and Vascular/Plastics with exposure to sub-specialty disciplines including Orthopaedics and ENT. Training includes theatre, outpatient and pre admission clinic responsibilities relevant to each unit. Urology intern post is filled via rotation from Royal Melbourne Hospital. HMO – General Surgery (HMO2) position providing excellent training and experience. Registrar - Four surgical registrar positions provide excellent training and experience in general surgery and selected sub-specialties (including vascular and plastic surgery). An ENT surgical registrar post is filled via rotation from St Vincents Hospital. Six month accredited position in Orthopaedic surgery and twelve month accredited position in Urology are appointed through the respective training programs. Ballarat Health Services also offers a twelve month non-accredited Orthopaedic registrar position. The Ophthalmology registrar position rotates from Royal Victorian Eye and Ear Hospital. Appointment to Surgical Registrar and Orthopaedic (non-accredited) Registrar posts is by direct application to Ballarat Health Services. Teaching, Professional Development and Quality Activities: • Weekly radiology / pathology / morbidity and mortality / case presentations • Daily teaching ward rounds and student teaching (4th and final year) • Unit and service based utilisation review and audit activities • Registrar topic presentation 3
  4. 4. Critical Care Clinical Director of Emergency Medicine: Dr Jaycen Cruickshank (03) 5320 6455 Clinical Director of Anaesthesia: Dr Fred Rosewarne (03) 5320 4590 Clinical Director of Intensive Care: Dr Tony Sutherland (03) 5320 4590 The Division of Critical Care includes Anaesthetics, Intensive Care and Emergency Medicine. The Emergency Department sees 48,000 patients per annum (27% paediatric) with an 18% admission rate. The department services in excess of 200,000 people in the Grampians Region. Emergency Registrar posts are generally twelve month appointments however six month rotations are considered. Fully self contained accommodation is available at a significantly reduced rate which assists medical officers who are based in the Melbourne metropolitan area. Paediatric Logbook training is available and limited rotations to ICU and Anaesthesia. The Department of Anaesthesia offers registrars a great place to gain some experience prior to commencing their specialist career. Ballarat Health Services has six main theatres and one day theatre that undertake nearly 10,000 cases per year. Registrars are able to use non-clinical time for research, teaching and other professional development activities. All surgery specialties are catered for with the exception of elective cardiac surgery and neurosurgery. In particular, opportunities exist to gain further experience in paediatric and obstetric anaesthesia prior to commencing specialist practice. There is a long established culture of audit activities with M&M meetings being held every second week, and reports prepared and presented in the VCCAMM format. The Intensive Care Unit is a twelve bed unit; six beds are ICU and six beds are CCU/HDU. It is accredited for basic registrar training. All residents are actively involved in the care of ICU patients and fully supported by Intensive/Coronary Care Consultants. Appointment to the Senior Anaesthetic Registrar/Provisional Fellow and Emergency Registrar posts is by direct appointment to Ballarat Health Services. Opportunities for Training and Experience: Intern - Ten week term in emergency medicine providing experience in all areas of emergency care. HMO 2-4 – 10-11 week rotations are available in Intensive Care / HDU and Coronary Care. Six month rotations are available as an anaesthetic resident. Emergency medicine rotations are available at each HMO level with accredited training and progression to registrar training in emergency medicine or general practice. Registrar - Anaesthetic registrars rotate from Melbourne Health. Accredited emergency registrar positions are appointed by Ballarat Health Services. Advanced Trainee - Provisional Fellow in anaesthesia is appointed by Ballarat Health Services. Positions can be tailored to pre Fellowship/Senior Registrar. Teaching, Professional Development and Quality Activities: • First part FACEM tutorials in ED tailored to suit trainees • Active intern education program in the Emergency Department • Daily ward round including clinical teaching in ICU and Coronary Care • Weekly Divisional meeting with Department of Anaesthesia • Weekly tutorials through Department of Anaesthesia • Contributing to National Intensive Care Database and Quality Assessment 4
  5. 5. • Clinical trials in anaesthesia and emergency medicine / Trauma Response Audit. Women’s and Children’s Health (Comprising Obstetrics, Gynaecology and Paediatrics) Clinical Director: Dr Paul Davey (03) 5320 4000 The Division of Women’s and Children’s Health provides obstetrics services (1200 deliveries per annum), general gynaecology, gynaecological oncology and a comprehensive neonatal, paediatric and adolescent health service. The O&G unit consists of a team of five resident doctors [HMO2-4] and three registrars. Three and six month rotations are available for HMO2-4. The unit is supervised by two fulltime staff specialists plus four part time consultants. The Paediatric Unit is a 19 cot bed unit staffed by two residents [HMO2-3], one registrar, a full time staff specialist and visiting paediatric consultants. Ten 10-11 week rotations are available for HMOs. The paediatric rotation is highly sought after especially for those interested in general practice training. Opportunities for Training and Experience: HMO - Paediatric term includes coverage of Special Care Nursery and outpatient services. Positions in Obstetrics and Gynaecology offer general experience across all areas including theatre, birthing suite and antenatal/outpatient clinics. The Diploma of Obstetrics is available for general practice trainees. Registrar – Two third year O&G registrar position is filled via the respective college. It provides experience in all areas of obstetrics and gynaecology practice. Paediatric Registrar and Advanced Trainee in Obstetrics and Gynaecology positions are available as 6 or 12 month appointments. Both positions provide excellent training and experience with special relevance to regional and rural practice. Appointment is by direct application to Ballarat Health Services. Teaching, Professional Development and Quality Activities: • Diploma of Obstetrics • Advanced Obstetric training • Specialist registrar training • Two lectures per week from consultants and registrars • Monthly obstetric, gynaecology and paediatric lunchtime meetings • Monthly screening meetings • Grand Rounds • Divisional meetings • Current research program in gynaecological oncology 5
  6. 6. Psychiatric Services Clinical Director: Dr Abdul Khalid (03) 5320 4870 Ballarat Health Services Psychiatric Services provides a comprehensive; community based rural and regional mental health service. The service includes general adult, child and adolescent and geriatric psychiatry. Psychiatric Service has a multidisciplinary teams operating in all areas of patient care. The service is focused in the routine delivery of evidence based and best practice clinical treatments for a person with a mental disorder, in a family inclusive context. There is an emphasis on early detention and intervention in the care and treatment of psychiatric illnesses. Wherever possible, services are provided in the client’s home with family involvement as an integral part of treatment. Staff Members and Special Interests: Grampians Psychiatric Services has a total of 13 Psychiatrists covering a range of particular interest areas. Opportunities for Training and Experience: All levels - Regular supervision is provided at individual and team level. All staff participate in the weekly Continuing Education Program at Ballarat Health Services – Psychiatric Services. This consists of: • Journal Club • Case Presentations • Visiting Speakers • Video Presentations • Departmental Round Training opportunities occur through participation in ward rounds, outpatient clinics, community visits and multidisciplinary team meetings. Training is also provided in the use of teleconferencing facility for patient/family interviews in outlying areas of the region. HMO - HMO2 or HMO3 take 10-11 week rotations which provides excellent training and experience for general practice trainees. Tutorials are provided in ECT and trainees are encouraged to participate in research programs and quality improvement activities. Experience is provided in specialist areas of psychiatry including general adult (inpatient), rehabilitation and old age psychiatry. Teaching, Professional Development and Quality Activities: • Staff hold lecturer and senior lecturer positions at the University of Melbourne of which GPS is an affiliated Clinical Academic Unit. • Regular publications in international peer reviewed journals • Designated Quality Improvement position with all medical officers actively involved • RANZCP Indicators used routinely and variances are developed into QI projects 6
  7. 7. Psychiatric Services Clinical Director: Dr Abdul Khalid (03) 5320 4870 Ballarat Health Services Psychiatric Services provides a comprehensive; community based rural and regional mental health service. The service includes general adult, child and adolescent and geriatric psychiatry. Psychiatric Service has a multidisciplinary teams operating in all areas of patient care. The service is focused in the routine delivery of evidence based and best practice clinical treatments for a person with a mental disorder, in a family inclusive context. There is an emphasis on early detention and intervention in the care and treatment of psychiatric illnesses. Wherever possible, services are provided in the client’s home with family involvement as an integral part of treatment. Staff Members and Special Interests: Grampians Psychiatric Services has a total of 13 Psychiatrists covering a range of particular interest areas. Opportunities for Training and Experience: All levels - Regular supervision is provided at individual and team level. All staff participate in the weekly Continuing Education Program at Ballarat Health Services – Psychiatric Services. This consists of: • Journal Club • Case Presentations • Visiting Speakers • Video Presentations • Departmental Round Training opportunities occur through participation in ward rounds, outpatient clinics, community visits and multidisciplinary team meetings. Training is also provided in the use of teleconferencing facility for patient/family interviews in outlying areas of the region. HMO - HMO2 or HMO3 take 10-11 week rotations which provides excellent training and experience for general practice trainees. Tutorials are provided in ECT and trainees are encouraged to participate in research programs and quality improvement activities. Experience is provided in specialist areas of psychiatry including general adult (inpatient), rehabilitation and old age psychiatry. Teaching, Professional Development and Quality Activities: • Staff hold lecturer and senior lecturer positions at the University of Melbourne of which GPS is an affiliated Clinical Academic Unit. • Regular publications in international peer reviewed journals • Designated Quality Improvement position with all medical officers actively involved • RANZCP Indicators used routinely and variances are developed into QI projects 6

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