Advanced Trainee Positions NSW and ACT

Transcription

1 St George Hospital (February 2013) TRAINING SITE NAME: St George Hospital A/Prof Allan Sturgess Phone: Fax: A/Professor Allan Sturgess Professor Marissa Lassere Dr Bill Giannakopolos Dr Louis McGuigan Dr Ian Portek RA Evaluation Thrombotic mechanisms in SLE Use and validity of surrogate measurements in rheumatology Drug Toxicity Assessment Office Space for all members of department Secretarial Assistance Procedure Area Resident one RMO, one AT Average Inpatients: 7-8 Average Consultations: 4-5 Average Outpatients: 6 new patients (including 1-2 urgent patients), 20 follow-up patients per week Joint Injection/Aspiration: several weekly Muscle Biopsy: neurosurgery Nerve Conduction Studies: neurology EMG's: neurology Arthroscopy: orthopaedics Inflammatory/Connective Tissue Disease: 40-50% Degenerative/Soft Tissue: 40% Chronic Pain: 5% Sports Injuries: 5% Other: 10% Clinical Conference: weekly X-Ray Conference: weekly Histopathology Conference: 3 monthly Journal & Research Meeting: weekly Monthly full day clinic at Griffith Base Hospital; from 2013 the rural clinic will be Mt Isa 2012 Dr Jeff Tsai 2011 Dr Anne Chung 2010 Dr Barry Kane 2009 Dr Jane Oliver 2008 Dr Ling San Wong The advanced trainee in rheumatology for St George Hospital is allocated through the central NSW/ACT training system. The registrar spends a year at the hospital and is exposed to all aspects of adult rheumatology. The strengths of the hospital are in inflammatory diseases such as RA and SLE but the trainee is exposed to all aspects of adult rheumatology. There are no paediatric rheumatology clinics.

2 Prince of Wales Hospital (May 2015) TRAINING SITE NAME: Prince of Wales Hospital Dr Jim Bertouch Phone: Fax: Mobile : Dr Jim Bertouch Dr Fred Joshua Dr Amel Katrib Dr Arvin Damodaran Resident Shared intern or second year resident. Ultrasound studies in Inflammatory Joint Disease, particularly RA and Spondyloarthropathies. Inflammatory mediators in Rheumatic Disease Clinical Trials Scleroderma Own office with computer, copier and fax machines. Link to Biomedical Library. Access to Up to Date online. Limited secretarial assistance Equipment: Departmental Ultrasound machine. Polarising light microscope Procedure Area Ultrasound Clinic room. In-patient ward round with 4 consultants Registrar is first on-call for consultations during daily work hours Average Inpatients: 6 Average Consultations: Adult Rheumatology outpatient clinics per week with consultants. 1 Paediatric Rheumatology outpatients clinic every 2 weeks at Sydney Children s hospital (adjoining facility) Average Outpatients: 40 Inflammatory/Connective Tissue Disease:70% Degenerative/Soft Tissue: 25% Chronic Pain: < 5% Sports Injuries: < 5% Joint Injection/Aspiration: 6-10 per week Ultrasound of joints and tendons Synovial Biopsy: occasionally Clinical Conference: Combined meeting with St George Hospital Rheumatology Unit and other rheumatologists in private practice (the Friday Group): weekly Registrar responsible for case presentations and subject/topic review: fortnightly X-Ray Conference: fortnightly Journal Club: fortnightly Grand Rounds: weekly Grand Rounds Rheumatology Unit presentation twice per year Muscle histopathology Meeting every 3 months

3 Orthopaedic hand outpatients clinic (Dr S Myers) Orthopaedic foot outpatients clinic (Dr D Lunz) Advanced Trainee Positions NSW and ACT Histopathology Conference: irregularly Other: Compulsory attendance at NSW ARA Rheumatology Training programme (monthly) Case and/or research presentation at NSW ARA Hospital meeting (annually) and State Scientific Meeting (annually) Participation in formal Lecture programme to 4th year Medical students (8 week cycle) Clinical teaching 4th and 6th year Medical Students attached to Rheumatology Unit Participation in FRACP Part 1 training programme Arthritis Education Programme (in conjunction with paramedical staff) - every 4 months Dr Jeff Tsai Dr Ted Tsai Dr Suren Jayaweera Dr Michael Tjew Dr Vivek Thakkar Comments: The unit offers experience in a wide range of inflammatory rheumatology and has close clinical, laboratory and research associations with infectious diseases, and immunology. All consultants are involved with inpatients and clinics as well as teaching and research. Dr F. Joshua is an acknowledged international expert in the field of musculoskeletal ultrasound and has an ongoing research program. Dr J. Bertouch supervises an active Clinical Trials programme. Dr A. Katrib specialises in all aspects of biologic therapy. Dr A Damodaran is Head of the Clinical teaching Unit responsible for University of NSW medical students. The Royal Newcastle Centre/John Hunter Hospital (May 2015) TRAINING SITE NAME: Royal Newcastle Centre / John Hunter Hospital Dr Gabor Major Phone (02) ; (02) ; Fax (02) Dr G Major Dr J Glass Dr D Mathers Dr S Oakley Number of Training Positions: 1 Clinical, including cardiovascular consequences of inflammatory joint disease Office Space Secretarial Assistance Procedure Area Library

4 Dr S Ratnarajah Dr J Van der Kallen Paediatric Rheumatologists: Dr Geoff Chaitow Dr Davinder Singh- Grewal Resident 1 Advanced trainee 1 Jnr RMO Average Inpatients: 12 Average Consultations: 6-8 Average Outpatients: 150 Joint Injection/Aspiration: several per day Muscle Biopsy: average 1 per week Synovial Biopsy (needle): infrequent Types of Patients Seen (Approx. %): Inflammatory/Connective Tissue Disease:66% Degenerative/Soft Tissue: 20% Metabolic Bone Disease: 10% Other: 4% Clinical Topic revie : weekly X ray conference: weekly Grand Rounds: weekly Research Seminar: monthly Journal Club: monthly Fracture prevention clinic - twice weekly Multidisciplinary pulmonary hypertension clinic - monthly Paediatric rheumatology clinic - monthly Suren Jayaweera Jeff Tsai Aishwarya Sukdheo Alex Honey Ayano Nakayama Comments: Opportunity offered for trainee to enrol in diploma or degree course in clinical epidemiology/biostatistics while doing rheumatology registrarship. The Canberra Hospital (February 2013) TRAINING SITE NAME: The Canberra Hospital Dr Chandi Perera Phone: Alt.Phone: Fax: chandima.perera@act.gov.au Immuno-Rheumatology SLE - Regulatory/Genetic Aspects Quality Assurance projects Dr A Brook Dr K Tymms Office Space Library

5 Dr A K Dorai Raj Prof Gatenby Dr M Cook Dr C Hawkins Resident 1 Registrar, 1 Jnr RMO Average Inpatients: 5 Average Consultations: 10 Average Outpatients: 20 Inflammatory/Connective Tissue Disease:70% Degenerative/Soft Tissue: 15% Chronic Pain: 5% Sports Injuries: 0 Other: 10% Joint Injection/Aspiration: as required Soft tissue injection Other: Yttrium Synovectomy: as required Clinical Conference: weekly(combined with immunology/dermarology) X-Ray Conference: monthly Histopathology Conference: monthly Journal Meeting: monthly Other: ARA (NSW Branch) Registrar Teaching Sessions 1/month ARA (NSW) Monthly Meeting Grand Rounds for the TCH Hospital: weekly Rheumatology Private Clinics Early Arthritis clinic Regular paediatiatric rheumatology clinic by Dr K Tymms Stanley Seah Jane Oliver Lin San Wong Peter Cheung Chandi Perera Comments: Rheumatology Unit provides excellent training with close supervision. Cases seen are varied and range from inflammatory arthropathies to connective tissue disease as well as soft tissues and regional pain problems. The close relationship with Dermaqtology and Immunology enhances the opportunities and exposure to wider varieties of cases during the weekly meetings. Research conducted in the department is mainly Clinical research with special interest in biologic use in inflammatory arthritis. RPA Institute of Rheumatology/Orthopaedics (20 July 2015) TRAINING SITE NAME OF SITE: RPA Institute of Rheumatology/Orthopaedics Dr Bethan Richards Phone: (See Coffs Harbour entry for details on shared accredited position) Rheumatoid arthritis and sero-negative

6 Fax: inflammatory arthritis, osteoporosis, crystal diseases Dr Bethans Richards Prof Jane Bleasel A/Prof Peter Youssef A/Prof Neil McGill A/Prof Jan Vaile Dr. Griffith Richards Dr Angela Fu Office Space: for all members of Department Secretarial Assistance: dedicated rheumatology secretary Dedicated outpatient area including BMD machine Musculoskeletal ultrasound machine Laboratory: synovial fluid microscopy, nail fold capillaroscopy both with TV projection Resident 1 basic physician trainee (registrar), 1 intern Average Inpatients: 5-10 Average Consultations: 5-6 Average Outpatients: 10 new, 70 follow-up patients Inflammatory/Connective Tissue Disease: 45% Degenerative/Soft Tissue: 20% Osteoporosis: 15% Crystal arthritis: 15% Other: 5% Joint Injection/Aspiration: 5-10 wkly Nail fold capillaroscopy: 2-4 weekly Synovial fluid analysis: 2-3 weekly Bone densitometry: on site in Department, weekly Ultrasound clinic weekly Clinical Conference: weekly Grand Rounds RPAH: weekly X-Ray Conference: weekly Histopathology Conference: 2 monthly Mortality-Morbidity Conference: 2 monthly Journal Meeting: weekly Combined Meeting with Orthopaedics Department: monthly Combined Meeting with Immunology Department: monthly Pulmonary hypertension clinic twice monthly Interstitial lung disease meeting twice monthly Rural visits to Wagga every month Haemophilia Arthritis Clinic RPAH Osteoporosis clinics Biologics clinics weekly Interstitial lung disease clinics Dr Yuen Leow, Dr Peta Petony Dr Alex Honey, Dr Teck Choon Tan Dr Diana Chessman, D Daniel Sumpton Dr ShirleyYu, Dr Richard Holland Dr Michael Tjeuw

7 Comments: Excellent clinical training facilities. Westmead Hospital (May 2105) TRAINING SITE NAME OF SITE: Westmead Hospital, Sydney Professor Nick Manolios Phone: Fax: Molecular Biology of T-cells Drug design and development -Nanotechnology -Peptide therapeutics Dr G Howe Dr D Spencer Dr H Englert Dr H Bak Dr W Lau Resident 1 Research personnel (Laboratory): 4 Office Space Secretarial Assistance Procedure Room Laboratories Library Average Inpatients: 4-6 at any one time Inflammatory/Connective Tissue Disease: Average Consultations: % Average Outpatients: 10 new 12 f/u fortnightly Degenerative/Soft Tissue: 40% (incl. spinal) Chronic Pain: 5% Other: Infections, malignancies, etc. 5% Joint Injection/Aspiration Orthotics Clinic monthly Children's Outpatients Pulmonary H/T clinics Biologics Clinics Osteoporosis Clinical Conference: weekly X-Ray Conference: fortnightly Histopathology Conference: fortnightly Journal Meetings Research Meetings Combined Conferences: Hand Surgery Registrar for 2015: Dr Adam Maundrell

8 Comments: Busy inpatient unit with wide exposure to hospital based Rheumatology. Easy going excellent teachers. Both clinical and laboratory based research facilities available. Concord Hospital (February 2013) TRAINING SITE NAME OF SITE: Concord Hospital A/Prof Les Barnsley Phone: Fax: Musculoskeletal medicine osteoarthritis Neck pain Dr A Ananda A/Prof Les Barnsley Dr B Kane Dr B Shenstone Registrar Office Space Secretarial Assistance Integrated office/inpatient/outpatient floor Co-located in Immunology Resident Advanced Trainee Basic Physician Trainee RMO/SRMO shared with Immunology Biologics/research nurse Average Inpatients: 8 Average Consultations: 9 new 3 f/u Average Outpatients: 70 Inflammatory/Connective Tissue Disease: 30% (RA 55%, Seronegative 30%, Lupus 10%, Scleroderma 5%) Degenerative/Soft Tissue: 40% (includes backs) Chronic Pain: 10% Sports Injuries: 10% Other: Crystal Arthropathy: 7-8% Polymyalgia Rheumatica: 2-3% Joint Injection/Aspiration: per week, inpatient & outpatient Epidural Injections: one per fortnight Synovial Biopsy: rarely Crystal analysis: regularly Combined teaching round: weekly X-Ray Conference: weekly Journal Club Meeting: weekly Sports clinics: 1 per week Physicians Workshop: weekly

9 Grand Rounds: weekly Sports Medicine Dr Daniel Sumpton Dr Richard Holland Dr Diana Chessman Dr Wendy Lau Dr Denise Tong Comments: Unit Description Royal North Shore Hospital (February 2013) TRAINING SITE NAME OF SITE: Royal North Shore Hospital Dr Rodger Laurent Phone: Fax: Genetics Molecular biology Angiogenesis Synovial endothelial adhesions molecules Cytokine research Clinical trials of anti-rheumatic drugs Epidemiology of rheumatic disease Osteoarthritis Osteoporosis Professor D Hunter A/Prof L Schrieber Dr R Laurent Dr S Potter Professor L March Dr C Needs Dr M Arnold Dr B Janssen Dr G Carr Dr D Massasso Office Space: Registrar's work station within Department Secretarial Assistance Procedure Area Fully equipped molecular and cell biology Laboratory - Department and Hospital Resident 1 Basic Physician Trainee, 1 Intern Average Inpatients: 7 Average Consultations: 10 Average Outpatients: Inflammatory/Connective Tissue Disease: 65% Degenerative/Soft Tissue: 28%

10 Chronic Pain: 5% Sports Injuries: 2% Joint Injection/Aspiration: daily Synovial Biopsy: weekly Clinical tutorial: weekly Combined teaching round: weekly X-Ray Conference: monthly Histopathology Conference: 4 times a year Journal Meeting: weekly Research Meeting: weekly Chronic pain Back pain Fracture prevention Information not available Comments: We are keen to encourage trainees who wish to develop research interests, either laboratory or clinically based, and encourage trainees who wish to apply for research scholarships to contact the Department. Campbelltown Hospital (April 2015) TRAINING SITE NAME: Campbelltown Hospital/Liverpool Hospital Prof Kevin Pile Phone: Fax: kevin.pile@sswahs.nsw.gov.au Mobile : Prof Kevin Pile Quality of life Pharmacology of gout treatment Shared office with computer, copier and fax Secretarial support Library and full internet library facilities Resident Linked with Gen Med C JMO and registrar, and Immunology registrar for cover In-patient ward round with 1 consultant Registrar is first on-call for consultations during daily work hours Average Inpatients: 1-2 Average Consultations: 2-3 per day 4 Adult Rheumatology outpatient clinics per Gout 20% Inflammatory joint disease 35% Connective Tissue Disease 10% Degenerative/Soft Tissue: 25% Chronic Pain: 10%

11 week with consultants. (2 Campbelltown, 2 Liverpool) Average Outpatients: 2 new and 4 reviews per clinic Advanced Trainee Positions NSW and ACT Joint Injection/Aspiration: Grand rounds weekly Case presentation/radiology weekly Immunology discussion weekly Journal discussion weekly ILD multidisciplinary monthly Other: Compulsory attendance at NSW ARA Rheumatology Training programme (monthly) Case and/or research presentation at NSW ARA Hospital meeting (annually) and State Scientific Meeting (annually) Additional Clinics Dr Yuen Leow Comments: Campbelltown is a 350 bed hospital servicing the Macarthur region. It is a rapidly developing hospital with nearly all medical specialties providing BPT and advanced training positions. Rheumatology training is supervised by Professor Kevin Pile, with trainees spending 3 days per week at Campbelltown and 2 days at Liverpool. Trainees service two outpatient clinics at each hospital and undertake consultations at the hospital they are attending. Within Campbelltown, inpatient lo Liverpool Hospital Rheumatology Advanced Trainee Number of Training Dr Geraldine Hassett Positions: 1 Type of Training Phone: Position: Core Fax: Rheumatology Training Geraldine.Hassett@sswahs.nsw.gov.au Scheme: NSW Research Interests of WebPagehttp:// Unit: Pathogenesis and treatment of SLE, Scleroderma and Pulmonary HT Qualitative research Pathogenesis of synovial inflammation in RA Use of the electronic medical record to promote workplace innovation Patient Based Outcome Measures

12 Dr G Hassett A/Prof K Gibson Dr Diana Chessman Dr I Gotis-Graham Dr V Thakkar Dr S O'Neill Dr D. Massasso Dr D Tong Dr D Mackay Dr D Singh-Grewal Nursing: Ms H Rickard Ms Fiona Briggs Allied Health: Ms C Gray (OT) Ms S Bossina (physio) Resident One intern and one basic physician trainee shared with immunology Office Space for all members of Department Dedicated outpatient clinic space adjacent to the office area Secretarial Assistance: Three full-time secretaries Laboratory Library on site Average Inpatients: 5-8 Average Consultations: 10 Outpatient Clinics: 3-4 per week attended by trainee. This includes combined rheumatology/connective tissue disease clinic. Once every 3 months connective tissue disease clinic runs as combined clinic with the dermatology department. One paediatric rheumatology clinic per month attended by the trainee. Monthly Pulmonary HT clinic Joint Injection/Aspiration: 5-10 weekly Muscle Biopsy: Neurosurgery Nerve Conduction Studies: Neurophysiology EMG's: Neurophysiology Arthroscopy: Orthopaedics Attendance at Dr Gotis-Graham's private rooms as time permits Types of Patients Seen (Approx. %): Inflammatory/Connective Tissue Disease: 50-60% Degenerative/Soft Tissue: 30-40% Chronic Pain: 2-3% Sports Injuries: 1-2% Other: 5% Departmental Clinical Conference: weekly X-Ray Conference: weekly Histopathology Conference: every 6-8 weeks Grand Rounds: weekly Research Meeting: as required Combined Immunology Clinical Conference: weekly 2010: Dr V Thakkar 2011: Dr D Tong 2012: Dr A Jordan 2013: Dr T Tsai 2014: Dr C El-Haddad Liverpool Hospital Liverpool Hospital Rheumatology Advanced Trainee

13 Number of Training Dr Geraldine Hassett Positions: 1 Type of Training Phone: Position: Core Fax: Rheumatology Training Geraldine.Hassett@sswahs.nsw.gov.au Scheme: NSW Research Interests of WebPagehttp:// Unit: Pathogenesis and treatment of SLE, Scleroderma and Pulmonary HT Qualitative research Pathogenesis of synovial inflammation in RA Use of the electronic medical record to promote workplace innovation Patient Based Outcome Dr G Hassett A/Prof K Gibson Dr Diana Chessman Dr I Gotis-Graham Dr V Thakkar Dr S O'Neill Dr D. Massasso Dr D Tong Dr D Mackay Dr D Singh-Grewal Nursing: Ms H Rickard Ms Fiona Briggs Allied Health: Ms C Gray (OT) Ms S Bossina (physio) Resident One intern and one basic physician trainee shared with immunology Measures Office Space for all members of Department Dedicated outpatient clinic space adjacent to the office area Secretarial Assistance: Three full-time secretaries Laboratory Library on site Average Inpatients: 5-8 Average Consultations: 10 Outpatient Clinics: 3-4 per week attended by trainee. This includes combined rheumatology/connective tissue disease clinic. Once every 3 months connective tissue disease clinic runs as combined clinic with the dermatology department. One paediatric rheumatology clinic per month attended by the trainee. Monthly Pulmonary HT clinic Joint Injection/Aspiration: 5-10 weekly Types of Patients Seen (Approx. %): Inflammatory/Connective Tissue Disease: 50-60% Degenerative/Soft Tissue: 30-40% Chronic Pain: 2-3% Sports Injuries: 1-2% Other: 5% Departmental Clinical

14 Muscle Biopsy: Neurosurgery Nerve Conduction Studies: Neurophysiology EMG's: Neurophysiology Arthroscopy: Orthopaedics Advanced Trainee Positions NSW and ACT Attendance at Dr Gotis-Graham's private rooms as time permits Conference: weekly X-Ray Conference: weekly Histopathology Conference: every 6-8 weeks Grand Rounds: weekly Research Meeting: as required Combined Immunology Clinical Conference: weekly 2010: Dr V Thakkar 2011: Dr D Tong 2012: Dr A Jordan 2013: Dr T Tsai 2014: Dr C El-Haddad