Trainee Positions At St Vincent's General Hospital, Sydney/Wagga Wagga

St Vincent's General Hospital, Sydney/Wagga Wagga
390 Victoria St, Darlinghurst Sydney
NSW, 2010

Contact Details

A/Prof Steven Tisch
Phone : 83823305
www :


Training Positions : Three
Elective Training Positions :
Fellowships :

Core Position Descriptions
Registrars will rotate through three four-month terms, two at St Vincent's Hospital and one at Wagga. The rotations at St Vincent's Hospital will be for a stroke Registrar and a general neurology Registrar – the latter having maximum opportunity for outpatient clinic exposure.

The clinical load will be busy and varied in all three rotations. All Consultants take a particular interest in patient care and close supervision of trainees, striving towards a standard of excellence in the practice of clinical neurology.

At St Vincent's, presentation of cases and associated literature review occur weekly at the Neurology meeting. There is a monthly Journal Club and time is set aside for Registrars to attend educational meetings including the annual Australian and New Zealand Association of Neurologists’ meeting.

Position 1: St Vincent's Hospital: General Neurology Registrar

The General Registrar is primarily responsible for all non-stroke admissions and consultations. Consultations can be complex, given the hospital has an active heart, lung and bone marrow transplantation programme as well as at times quite ill patients with HIV disease. The General neurology Registrar will also share the after-hours thrombolysis on-call roster with the Stroke Registrar. Within the limitations of this clinical load, the Registrar is encouraged to attend as many outpatient clinics of choice. These currently include:

• Nerve conduction and EMG clinics, conducted twice weekly.
• EEG reporting, conducted twice weekly.
• Movement Disorders clinic, conducted weekly. St Vincent's Hospital is a centre for deep brain stimulation (DBS) for Parkinson's disease, dystonia and tremor. Registrars are encouraged to attend DBS surgeries.
• Botulinum toxin (for the management of movement disorders including spasmodic dystonia) clinic, conducted weekly.
• General Neurology Outpatient Clinic, conducted weekly
• HIV clinic, conducted weekly.
• Opportunity to attend rooms with Dr Sutton who has a high throughput of Multiple Sclerosis patients including those requiring Natalizumab.
• Neurogenetics clinic weekly

Position 2: St Vincent's Hospital: Stroke Registrar

The Stroke Registrar position provides opportunities for training in the evaluation, diagnosis and management of stroke and all types of cerebrovascular disease. The clinical program includes an acute stroke unit, 24 hour ischemic stroke thrombolysis service, stroke registry, stroke outpatient clinic, advanced neuroimaging including exposure to neurointerventional procedures and on-site rehabilitation services. The Stroke Registrar will participate in several acute stroke treatment and secondary stroke prevention trials.

Specific areas of focus include:

• Clinical training in stroke and cerebrovascular disease
• Interpretation of neuroimaging
• Assess eligibility for thrombolysis and other stroke interventions in acute stroke patients
• Inpatient acute stroke care
• Outpatient secondary stroke prevention
• Exposure to endovascular procedures
• Active participation in acute stroke treatment (ischemic and haemorrhagic) and secondary stroke prevention trials

Position 3: Wagga Wagga Base Hospital
The Advanced trainee in Wagga will be exposed to extensive undifferentiated Neurology presentations, typical of a general Neurology service in both inpatient and outpatient settings over a 4 month rotation. Wagga is the centre of neurology services for a regional population of over 200,000 people and operates one of the most active acute stroke services in Regional Australia. The trainee will have oversight of the management of the Stroke Unit, including stroke thrombolysis, and manage inpatient neurology admissions and consultations under specialist guidance. This will be supplemented by outpatient general neurology, EEG and EMG/NCS clinics in a private rooms setting. Conjoint appointment with the UNSW rural clinical school is expected, and both undergraduate and postgraduate teaching will be undertaken. Research opportunities with a particular focus on Regional stroke management are significant. Videoconferenced connection with St. Vincent’s clinical, radiological and Brain School meetings will maintain a tertiary connection. At the end of this rotation, the trainee will have a good understanding of Neurology practice in a non tertiary and private clinic setting, to complement the metropolitan components of the year.

Elective Position Descriptions

Hospital Information

St Vincent's Hospital is situated in the Eastern suburbs of Sydney close to the CBD. It is co-located with St Vincent's Private Hospital and Sacred Heart Hospice. The campus has approximately 600 beds. All major medical and surgical disciplines are represented.

The Hospital, along with Prince of Wales and St George Hospitals, serves the population of the South Eastern Area of Sydney Area and is a national referral centre for cardiac and lung transplantation, as well as deep brain stimulation for Parkinson's disease.

It is one of the four University of New South Wales Teaching Hospitals, and is affiliated with the University of Notre Dame medical school.

The hospital is the oldest teaching hospital in Australia. It has large internationally recognized research facilities - the Garvan Institute and ST Vincent's Centre for Applied Medical Research. Staff hold a high number of NHMRC and NIH grants. It has one of the highest success rates for FRACP candidates.

The Neurology Department at St Vincent’s Public Hospital offers a general neurology service with 10 -20 in-patient beds, a 6-bed acute stroke unit and a 24-hour, consultant led, acute thrombolysis service.

Wagga Wagga Base Hospital is the centre of medical services for the Murrumbidgee and Riverina area of NSW. There are 320 acute beds and all major subspecialties are supported, with Neurosurgery consultations provided by 3 visiting specialists. There is a dedicated 4 bed Acute Stroke Ward. Short of PET, Wagga has exceptional imaging and pathology infrastructure and is currently undergoing a $380 million hospital rebuild. 6 BPT and Advanced trainee positions in Cardiology and General medicine provide additional support. Accommodation is of a high standard. Wagga is close to wine and Ski field regions, and maintains a friendly and collegiate atmosphere amongst all levels of staffing.

Department Beds :
St Vincent's: Fifteen general Neurology beds Six Stroke Unit beds; Wagga Wagga: see above

Department Clinics
General Neurology,Stroke Clinic, MS Clinic, EMG/NCS Clinic, EEG reporting session Botox Clinic

Department Specialty Clinics
Movement Disorders, Stroke, HIV Neurology, Botox for movement disorders and spasmodic dysphonia,

Department Meetings
Weekly Neurology Meeting (presented by the Advanced Trainee)
Weekly combined Neurology, Neurosurgery Neuroradiology Meeting
Weekly Hospital Grand Rounds
Monthly Journal club
Monthly Neuropathology meeting
Weekly muscle biopsy reporting

Department Staff
St Vincent's Hospital
Professor BJ Brew MD FRACP (Neuroimmunology, Neuro infectious diseases, HIV Cognitive disorders, and stem cells)
A/Prof R Markus (Stroke and general neurology)
A/Prof S Tisch (Movement disorders and general neurology)
Dr Dudley O'Sullivan (Movement disorders and general neurology)
A/Prof P Darveniza MD FRACP (Muscle disease and Botox)
A/Prof R Garrick FRACP (Clinical Neurophysiology; Neuro-oncology, Pain management, neuro-ophthalmology)
Dr John O'Neill (neurophysiology)
Dr I Sutton PhD FRACP(Multiple Sclerosis)
A/Prof S Tomlinson FRACP (headache, channelopathies and axonal excitability studies)
Dr Neil Simon (neuromuscular disease, MND, neurophysiology)
Wagga Wagga
A/Prof Martin Jude (General and Stroke neurology)

Junior Staff Positions In Neurology
St Vincent's Hospital: Basic Physician Trainee and 2 junior medical officers Wagga Wagga: Basic Physician Trainee and RMO

Trainee Responsibilities

Selection Criteria
RACP examinations parts 1&2 (written and clinical)
Appointed to Neurology advance training programme by ANZAN
Ability to work effectively in a team
Highly developed communicaton skills

Philosophy Of Training
This is a strong clinical department where the primary emphasis is on the acquisition of clinical skills and experience. Advanced Trainees are encouraged to become involved in clinical research projects, to learn clinical research methodology in particular clinical trials and to present at national and international meetings. Most of our Trainees have gone on to do higher degrees either within the Department or at internationally recognized centres elsewhere.

Neurology Training In State

Other Information
The Neurology department at St Vincent' Hospital takes an interest in mentorship and planning career development for the advanced trainee. We seek to facilitate research and fellowships both within Australia and abroad, and aid with career planning. We have extensive links to fellowship positions in the UK and the US including New York (Cornell and Columbia), San Francisco (UCSF)and Baltimore (Johns Hopkins), and the United Kingdom.