Trainee Positions At John Hunter Hospital

John Hunter Hospital
Locked Bag #1
Hunter Region Mail Centre NSW
NSW, 2310

Contact Details

A/Prof David Williams
Phone : (02) 4921 3490
www :


Training Positions : Two
Elective Training Positions :
Fellowships : Two (Stroke) and One (MS)

Core Position Descriptions
To provide for the core trainee a balance of training across general neurology including epilepsy, stroke, movement disorders, multiple sclerosis, and neurodegenerative conditions, including MND and HD, as well as clinical neurophysiology. This includes the opportunity to act as a consultant (under supervision) and conduct clinics in Stroke, MS, movement disorder and clinical neurophysiology, and to participate in out-of-hours rosters in General Neurology and Stroke. The core trainee will also gain experience in stroke thrombolysis at one of the most active stroke centres in the country.

Elective Position Descriptions
Stroke Elective : The John Hunter Hospital is the region’s only comprehensive stroke centre and has one of the highest stroke thrombolysis rates in the world. The Stroke Fellow will gain extensive experience in patient assessment and selection for acute therapy, and by the end of the year will be extremely confident in stroke thrombolysis. Further, our centre is a leader in advanced imaging for acute stroke – the trainee will become extremely confident in assessment of multimodal CT and MRI. With the establishement of a new interventional neuroradiology service (a partnership between Departments of Neurology and Radiology), there will also be exposure to acute endovascular procedures for acute stroke and the opportunity to gain experience in diagnostic catheter angiography. We also have a daily rapid referral TIA clinic with excellent access to multimodal CT and MR, as well as neurovascular ultrasound (which the trainee can also learn to perform and interpret). The Fellow will receive excellent supervision/education from 4 specialist Stroke Neurologists (including a new interventional Neurologist). There are ample opportunities for research – recent Stroke Fellows have published their research work at John Hunter in Annals of Neurology, Brain, and Neurology. The Fellow will ‘run’ the Acute Stroke Unit (with support where needed from the Consultants) so will gain extensive experience in acute and post-acute stroke managment, including an active role in secondary stroke prevention and rehabilitation. Telehealth stroke management is a rapidly growing service, assisting/overseeing thrombolysis at Tamworth Base Hospital and Taree District Hospital, as well as a fast-evolving 'hub-and-spoke' model for patient retrieval to John Hunter as needed.

Contact Dr Neil Spratt

MS Elective: The MS Fellow will predominantly help manage patients referred for diagnosis and management of demyelinating illness, including MS and NMO. The MS Clinic at JHH has a current registration of more than 700 patients who reside in the Central Coast, Newcastle, Hunter Valley, near and mid-North Coast, as well as New England and Northern NSW to the Queensland Border.

The MS Clinic has two specialist nurses, as well as interested Allied Health Staff providing sub-specialty care. In addition, the MS Clinic is heavily invested in both basic and clinical research. Currently there are studies into basic mechanisms of demyelination, clinical course of demyelinating illness, clinical care, and drug trials. There are multiple collaborations across Australia, Europe and the US.

Contact: Dr Jeannette Lechner-Scott

Hospital Information

The John Hunter Hospital (JHH) is situated in New Lambton/Rankin Park area, 12-15 minutes drive west of central Newcastle. It has approximately 400 beds, and in combination with Rankin Park Hospital, the Mater Misericordia Hospital and Royal Newcastle Centre treats patients in all the major medical, surgical and obstetric disciplines. Children are seen at the John Hunter Children's Hospital (Kaleidoscope) on the same campus.

The JHH Emergency Department is the busiest in NSW, and the Outpatients Departments provides more than a million occasions of service annually.

Plans for renewal and major expansion of the John Hunter Hospital Campus have just been announced by the NSW State Government (as at September 2018).

Department Beds :
12 general Neurology beds, 8 Stroke Unit beds

Department Clinics
Available to the Advanced Trainee: General Neurology, Stroke/TIA Clinic, Parkinson's Disease Clinic, EMG/NCS Clinic, EEG reporting sessionsAlso available: Memory disorders clinic

Department Specialty Clinics
Stroke and Acute TIA, MS, Movement Disorders, MND, Neuroimmunology

Department Meetings
Weekly Neurology Meeting (presented by the Advanced Trainee)

Hospital Grand Rounds Neuroradiology Meeting

Monthly Neuropathology Meeting

Department Staff
A/Prof David Williams PhD FRACP (MND, MS and genetic epidemiology)

Dr J D Blackie FRACP (Movement Disorders, Neurophysiology)

A/Prof Peter Schofield MD FRACP (Neuropsychiatry and Cognitive disorders)

Dr Neil Spratt PhD FRACP (Experimental stroke modelling and Clinical Stroke)

Dr Jeanette Lechner-Scott FRACP (MS and Neurogenetics)

Dr Elizabeth Pepper, FRACP (Movement Disorders and Stroke)

Dr Andre Loiselle FRACP (Neurophysiology & general neurology)

Dr Ferdi Miteff (Stroke and Interventional Neuroradiology)

Dr Tom Wellings PhD, FRACP (Vestibular Disorders, Neuroimmunology)

Junior Staff Positions In Neurology
There are two Neurology Teams: One comprises an Advanced Trainee and RMO. The Advanced Trainee swaps teams after 6 months so that there is an opportunity for training with all the neurologists on the staff The other comprises a Basic Trainee and Resident There is an acute stroke therapy sub-roster supported by 4 sspecialits and the stroke fellow.

Trainee Responsibilities
The training philosophy at JHH emphasizes the acquisition of broad clinical skills and experience (responsibilities include participating in the general medical overtime roster). Advanced Trainees are encouraged to take advantages of the numerous opportunities available to them, including participating in clinical research, and presenting at local and national meetings. JHH Neurology is ideal for a core neurology training year, but trainees have (in the past, and with ANZAN approval) stayed for two years. Some trainees have completed one core year and one fellowship year.

Selection Criteria

Philosophy Of Training
To provide for the core trainee a balance of training across general neurology including epilepsy, stroke, moveement disorders, multiple sclerosis, neurodegenerative disorders and clinical neurophysiology. This included the opportunity to "act up" under supervision and conduct clinics in stroke, MS, movement disorder and clinical neurophysiology.

To provide the elective stroke trainee with focussed training in stroke prevention, acute stroke clinico-radiological assessment, application of advanced multimodal stroke imaging, selection of patients for and delivery of tPA, involvement in phase 2 and phase 3 clinical trials of acute stroke therapies and stroke prevention. Clinical research outputs will be strongly encouraged and supported.

An environment of support an encouragement with a focus on development of academic career directions.

Neurology Training In State

Other Information