Trainee Positions At Eastern Health (Box Hill)
Eastern Health (Box Hill)
8 Arnold Street
Box Hill
VIC, 3128
Australia
Contact Details
Associate Professor Patrick Carney
patrick.carney2@easternhealth.org.au
Phone : + 613 90952425
www :
Positions
Training Positions : Three
Elective Training Positions :
Fellowships : Please contact Patrick Carney to discuss
Core Position Descriptions
Core Position Descriptions
Advanced Trainee will rotate through:
1) four months as Box Hill Hospital Stroke Unit registrar,
2) four months as Box Hill Hospital General Neurology registrar, and
3) four months as Ambulatory Neurology Registrar including outpatient clinics and Maroondah Hospital neurology and stroke cover.
The Stroke Unit Registrar will coordinate the acute stroke thrombolysis service and inpatient stroke care. The Advanced Trainee will have learned and experienced:
1) acute stroke thrombolysis
2) clinical decision-making process in complex stroke patients, including the role of appropriate neuroimaging and neurointervention
3) Multi-disciplinary stroke care
The General Neurology registrar will coordinate inpatient and outpatient care for non-stroke patients, at Box Hill Hospital .
The Ambulatory Neurology/Maroondah registrar has the opportunity to attend multiple sub-specialty neurology clinics as well as providing support in-person and via phone to the clinical units at Maroondah Hospital and phone support to the other health services in the network.
The Advanced Trainees will have gained understanding and experience of diverse spectrum of Neurological disciplines including cerebrovascular diseases, multiple sclerosis, movement disorders and epilepsy.
Each Advanced trainee will have the following opportunities during each rotation:
1) attendance at outpatients clinics
2) Weekly electrophysiology (with consultant supervision and tutoring)
3) Weekly EEG reporting session (with consultant supervision and tutoring)
4) Weekly attendance to Victorian and Tasmanian Trainees teaching
5) Monthly attendance to National Brain School
The experience has been that Trainees will comfortably complete their 12 month requirements for training in NCS/EMG and EEG. NCS/EMG time is quarantined within the roster. In addition teaching time, including the compulsory National Brain School and Victorian and Tasmanian Trainees Teaching is protected.
The afterhours on-call will be shared between the three Advanced Trainees, the stroke clinical and research fellow and the advanced trainee in general medicine who is part of the stroke team at Box Hill Hospital.
Remuneration is in accordance with the AMA EBA current agreement. Leave Arrangements - 5 weeks annual leave.
Elective Position Descriptions
Neurology/Stroke Clinical and Research Fellowship:
Successful applicant will be required to be actively involvement in the clinical management of stroke patients. Box Hill Hospital is a national leader in hyper-acute stroke treatment metrics (Door to Needle time, Door in Door out time) for consecutive years since 2020. We participate in a range of investigator and pharma sponsored trials and the fellow is actively involved in the recruitment and follow-up patient visits for these studies.
At the end of the fellowship year, the fellow will have expected to have acquired
1) the clinical expertise and knowledge of acute stroke thrombolysis,
2) basic interpretation skills of non-invasive neuroimaging, in particular multimodal CT and MRI,
3) clinical decision making process in complex stroke patients,
4) undertaken applied clinical research (research area to be discussed with supervisor)
5) develop other clinical skills/interests within the field of neurosciences
The fellow may also obtain experience in other neurology subspecialties as they undertake clinics, tutorials, and participate in Neurosciences clinical workload. The exact program can be discussed on application.
The fellow will be expected to cover the other Advanced Trainee registrars when they are on leave.
Cognitive Fellowship:
Opportunities are available to undertake a cognitive fellowship at Eastern Health. This provides exposure to in and outpatient assessment of patients with cognitive disorders as well as involvement in pharma sponsored and investigator initiated research.
Please contact Professor Amy Brodtmann to discuss this opportunity.
Hospital Information
Eastern Health is one of the largest metropolitan health services in Victoria and provides health services to a population of more than 800,000 people in the eastern corridor of Melbourne. Eastern Health has a large metropolitan base, but also serves rural areas in the Yarra Valley of Melbourne.
Box Hill Hospital lies in the eastern suburbs of Melbourne and admits more than 48,000 patients annually. It is the tertiary referral centre for all other hospitals in Eastern Health. It is a teaching hospital affiliated with Monash, La Trobe and Deakin Universities.
Box Hill Hospital currently has in excess of 500 beds with all the major medical, surgical and obstetric disciplines represented, except neurosurgery.
Box Hill is the primary stroke centre for Eastern Health. Given the large geographic drainage there is an extensive exposure to General Neurology. Box Hill Hospital is the only hospital in the Eastern Health service undertaking stroke thrombolysis. Box Hill hospital has been reported and cited as a centre of excellence for acute stroke thrombolysis.
The MS unit in Eastern Health (under the direction of Dr Katherine Buzzard) is one of the largest in Australia. The ageing demographic of Eastern Health also delivers significant access to patients with dementia, Parkinson's, and other neuro-degenerative diseases. Epilepsy services include prolonged video EEG monitoring.
Diagnostic non-invasive neuroimaging (multimodal CT, MRI) service is available 24 hours. Limited neuro-interventional services is available on site. Complex neurointerventional services is undertaken in collaboration with Royal Melbourne and Austin Hospital.
Eastern Melbourne Neurosciences provides neurological services to Eastern Health hospitals.
The Neuro-Diagnostic Unit performs:
• nerve conduction studies (NCS)
• electromyography (EMG)
• evoked potential studies (EP)
• electroencephalography (EEG)
Ambulatory patient care service include:
• Stroke
• General Neurology
• Epilepsy
• Multiple Sclerosis
• Neuropsychology
• Eastern Cognitive Disorders Clinic (ECDC)
• Neurosurgery
• Movement Disorders – including multidisciplinary clinic (Wantirna Health)
• Botulinum Toxin (Botox) Clinic
• Neurosurgery – supported by St Vincent’s Health
Box Hill Hospital has a large research base and undertakes clinical trials in most of the major medical disciplines.
Department Beds :
twenty to twenty five inpatients at any one time of which 15 are stroke, and 10 are general neurology.
Department Clinics
General Neurology, General Neurology Rapid Access, Stroke, TIA, Multiple Sclerosis, Epilepsy and First Seizure, Electrophysiology, Movement Disorders, Cognitive Neurology – Eastern Cognitive Diseases Service(ECDC)
Department Specialty Clinics
Department Meetings
Weekly Neurology Meeting presented by the Advanced Trainees
Neuro Radiology Meeting
Hospital/ Medical Grand Rounds
Stroke Unit Meeting
EEG teaching, NCS/EMG teaching sessions
Box Hill Hospital and Eastern Melbourne Neurosciences are part of the Monash Neurosciences Institute which conducts regular clinical and research meetings.
Department Staff
Associate Professor Patrick Carney
Director
Neurologist
Subspecialty - Epilepsy
Dr Philip Choi
Acting Deputy Director and Clinical Lead in Stroke
Subspecialty - Stroke
MS and Neuro-immunology service
Dr Katherine Buzzard - Clinical Lead
Dr Olga Skibina
Dr Mark Marriott
Dr Izanne Roos
Dr Melissa Chu
Stroke Service
Dr Philip Choi – Clinical Lead
Professor Chris Bladin
Professor Helen Dewey
Dr. Poh-Sien Loh
Cognitive Neurology Service
Professor Amy Brodtmann - Clinical Lead
Dr Chris Kyndt
Dr Maja Christensen
Neurophysiology/Neuromuscular Service
Dr Dinushi Weerasinghe- Clinical Lead
A/Prof Gary Yip
Dr Saman Punchihewa
Dr Karmen Wai
Epilepsy Service
A/Prof Patrick Carney – Clinical Lead
Dr Gabby Tse
Dr Moksh Sethi
Dr Alex Bryson
Dr Suyi Ooi
Movement Disorders
Dr Will Lee
Dr Lin Zhang
Junior Staff Positions In Neurology
There are four HMOs assisting the Advanced Trainees including weekend and after hours dedicated neurology HMOs.
Trainee Responsibilities
Ensure that the Neurosciences unit functions in an efficient and effective fashion. Provide care for the patients (inpatient and outpatient) under the overall supervision of the supervising neurology consultant in charge of the unit.
Ensure that all patients referred or admitted to the Neurosciences unit are assessed according to clinical priority. Assess patients in the Emergency Department in a timely manner when requested, e.g. acute stroke thrombolysis.
Communicate regularly with the on-duty consultant. According to Neurosciences unit policy, the registrar is expected to inform or discuss with the on duty consultant:
1) new admissions, and critically ill patients.
2) clinical diagnosis and management plans.
3) any serious change in patient's condition/or patient's death.
Supervise and educate the junior staff in their area. Some duties may be delegated to the junior staff but responsibility for formulating a patient's diagnosis and management plan lies with the registrar. Provide opportunities for them to learn procedures and techniques relevant to the rotation.
Ensure that the care of the patient is accurately and appropriately documented. Supervise the quality of the HMO's electronic discharge summaries. Ensure that these are completed on the day of patient's discharge from hospital and signed and forwarded to LMO.
Develop and maintain good communication with other hospital specialty units, other medical, nursing and paramedical staff. Ensure that relatives are aware of patient's condition.
Communicate with Local doctors; especially in relation to discharge plans and post discharge follow up. This includes patients seen in outpatients.
Take part in quality improvement activities relevant to the unit and present findings to appropriate meetings.
Attend and take an active part in unit and hospital educational activities, including undergraduate student teaching.
Take part in afterhours roster.
Selection Criteria
Applicants must be:
1) a registered medical practitioner with the Medical Board of Australia (from July 1, 2010) AND
2) passed the Royal Australasian College of Physicians Fellowship exam
3) or have the appropriate exemption from the RACP Fellowship exam requirements (for physicians not trained in Australia).
Philosophy Of Training
Excellence, Accountability, Compassion, Team Work, Integrity, Respect and Collaboration.
This is a neurology training position and as such it is imperative that educational opportunities are our foremost priority for all our Advanced Trainees.
Neurology Training In State
Protected time for regular teaching opportunities:
1) Monthly National Brain School
2) Weekly Victorian and Tasmanian Trainees Teaching
3) Monthly Neurophysiology teaching.
Other Information
Further Online Information
http://easternhealth.mhr.com.au/jobdetail.asp?jobid=81136