OverviewSydney Local Health District Post Graduate Fellow Temp F/T Temporay in New South Wales
Sydney Local Health District
Branch NSW AU
Post Graduate Fellow Temp F/T
New South Wales
There is the opportunity to become involved with dry and animal based skills training workshops. The Department provides and supervises Parenteral Nutrition to…
The Fellow is also responsible for supervision of the junior registrar and the interns, and for efficient, courteous and collaborative communication with the Nursing staff and the Allied Health members of the Department.
The Fellow will usually be the first point of contact for other Departments and their AMO’s who wish to consult with this Department about the care of their patients. In this role the Fellow should provide a prompt response, with early communication to the relevant HPB / Upper GI AMO.
The Fellow is responsible for the efficient organisation of the Department’s clinical meetings, including timely notification of patient lists to Radiology, Anatomical Pathology. He/she is also responsible for ensuring that all operating theatre lists are complete, accurate and on time.
Aims and Expectations
- In a period of twelve months, the Fellow can reasonably expect to reach a level of experience and expertise in the assessment, investigation, operative and perioperative treatment of patients with hepatobiliary and upper GI disease that will equip him or her to function at the level of junior consultant in most circumstances.
- The structure of the Department and the Combined GI Cancer and Liver meetings in particular offer the Fellow the opportunity to be involved in the care of patients with GI malignancy in an environment that fosters critical discussion of the roles of surgery, chemotherapy and radiotherapy in their care
In particular, the Fellow can expect the following operative experience
- The Fellow will have frequent opportunity to perform routine biliary surgery such as laparoscopic cholecystectomy, but it will usually be the case that this level of operation should be delegated to the junior registrar, with the Fellow acting in a supervisory capacity.
- There will be opportunities to act both as first assistant and as operating surgeon for major hepatic and biliary resections on approximately 60 occasions in twelve months. By the end of the twelve month period, it is expected that the Fellow will be able to undertake most hepatobiliary resections (with the exception of those involving major reconstructions of the vena cava or portal vein) with the responsible AMO available in the theatre suite, but not necessarily scrubbed.
- There is the opportunity for the Fellow to be involved in the Liver Transplantation program – in particular with donor organ retrieval and recipient liver resection. This is dependant upon the needs and preferences of our Fellow and the Fellow in Liver Transplantation, but the expectation is that the HPB / UGI Fellow and the Liver Transplantation Fellow will exchange roles for the second or third quarter of the year.
- Relevant Consultants in the Department perform ERCP on a routine basis, but this can only be reasonably offered to a Fellow who is already experienced in routine upper GI endoscopy. The Unit cannot offer sufficient experience for the Fellow to meet the requirements of the Conjoint Committee in ERCP based on this twelve months alone, but can allow the Fellow to augment their experience by between 50 and 100 cases.
Upper GI disease.
- In a twelve month period, the Fellow can expect to have exposure to patients with oesophageal and gastric cancers, and to act as either first assistant or operating surgeon in approximately 20-30 major resections for these diseases. Again, it is to be expected that the Fellow with reach a level of experience that would enable them to perform radical gastric or oesophageal resection independently by the end of the period.
- The Department is responsible for the acute care of patients with the complications of peptic ulcer disease such as perforation or haemorrhage. Although it is now relatively rare for such patients to need operation, the Fellow can expect to be confident in their management by the end of the period.
- Routine and emergency upper GI endoscopy is performed by members of the Department, but the available experience is usually offered first to the junior registrar. This is negotiable according to the needs of both trainees.
- Members of the Department perform 40-50 major pancreatic resections per year, and the Fellow is expected to be able to perform a Whipple’s resection independently after their time with the Department. There are also patients with complicated acute pancreatitis and more unusual conditions treated by the Department, but the exposure is unpredictable.
- The Department provides and supervises Parenteral Nutrition to patients outside the intensive care areas of the hospital. Experience and competence in Parenteral Nutrition is available according to the Fellow’s needs. If they do not have a need for this training, this can be left with the junior trainee.
Research, Teaching and Quality Improvement
- The Department does not have any directly associated basic research programs, but here is ample opportunity on the RPAH campus to develop any avenues of enquiry that appeal to the Fellow. The clinical exposure ensures that there are frequent opportunities for clinical research and reporting.
- The Department is involved with teaching at all levels, and the Fellow can expect to derive experience in teaching and examining during their term. There is the opportunity to become involved with dry and animal based skills training workshops.
- The Department carries out regular, structured Quality Improvement / Peer Review Meetings that are attended by the senior nursing staff, and there is the expectation that the Fellow will organise those meetings with the assistance of the junior trainee. The Fellow will leave the training period with a clear understanding of the need for, and the potential and limitations of such meetings in Quality Improvement.
The SLHD vision is “To Achieve Excellence in Healthcare for All” . This embeds concepts of patient and family centred care, equity, health improvement, timeliness and efficiency, recognising that evidence-based service delivery requires highly skilled and valued staff supported by research, education and state-of-the-art technologies.
The SLHD goals focus on patients, staff, community and the need for excellence in services, education, research and organisational support. Central to the District’s workplace culture are the “CORE Values” articulated by the NSW Ministry of Health in our Code of Conduct. As an employee of SLHD you will be expected to uphold and promote these important CORE Values of Collaboration, Openness, Respect and Empowerment which inform every aspect of the District’s activities. These CORE values build upon the public sector values of integrity, trust, service and accountability.
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SLHD is an equal opportunity employer committed to providing a working environment that embraces and values diversity and inclusion. Aboriginal and Torres Strait Islander people and people with disability are encouraged to apply for all internal and externally advertised positions. If you require assistance, please advise the contact person at the time of your application.
Looking for fellow seeking training in Upper GIT and Hepatobiliary surgery at a high volume unit
• MBBS or equivalent medical qualification and registered or eligible for registration with AHPRA
• Good communication and interpersonal skills and ability to work in a team
• Fellowship of the Royal Australasian College of Surgeons (FRACS) or equivalent qualification recognised by AHPRA
• Post Fellowship experience in Upper GIT and Hepatobiliary surgery, preferably with GESA accreditation for Endoscopy and Colonoscopy
• Ability to undertake a range of general surgical and trauma emergencies independently
• Proven track record in medical research with previous publications and in undergraduate and post graduate teaching
* Demonstrated caring and compassionate attitute
* Organisational ability – both personal organisation and ability to supervise others.
This position requires a Working With Children Check (WWCC) issued by the Office of the Children’s Guardian. For more information on how to apply for the clearance, please visit the Office of the Children’s Guardian website www.kidsguardian.nsw.gov.au/Working-with-children/working-with-children-check
Employment Type: Temporary
Location: , NSW, AU
Posted on: 2017-04-24