Trainee Positions At Royal North Shore Hospital

Royal North Shore Hospital
Department of Neurology, Royal North Shore Hospital
Reserve Rd, St Leonard's NSW
NSW, 2065

Contact Details

Martin Krause
Phone : +61 2 9463 1731
www :


Training Positions : three
Elective Training Positions : We have an active MPhil (1 year) and PhD (3-4 year) training program and a 100% completion rate. These training positions can be accredited for 1 year of elective training. If interested in enrolment, please enquire directly with HOD
Fellowships : 4-6

Core Position Descriptions
The Department of Neurology at Royal North Shore is well recognised for its clinical excellence and multiple opportunities to career progress our successful applicants. Our consultant neurologists have a broad range of sub-speciality interests that provide daily opportunities to our advanced trainees to familiarise themselves with specific areas of expertise such as neurogenetics, movement disorders, neurophysiology, myology, multiple sclerosis, stroke and neuro-otology. Close working relationships with the Department of Neuroradiology, Neurosurgery and Neuropathology provide broader training opportunities with colleagues of the highest calibre. The core positions consist of 4 month rotations amongst all consultant neurology teams. These are busy positions with exposure across a wide spectrum of clinical neurology. The three core position advanced trainees work with the support of junior medical staff, together with a basic physician trainee to form teams of inpatient neurology service, inpatient consultations and specialised outpatient services.

Elective Position Descriptions
The following fellow positions are available:
Movement Disorder

In detail:
The Neuro-immunology Fellowship (Supervisor: Dr John Parratt) offers training in the assessment and treatment of neuro-immunological disease, including multiple sclerosis and demyelinating diseases, autoimmune encephalitis and epilepsies, vasculitis, sarcoidosis and PNS inflammatory disorders. The successful applicant will participate in neuro-immunology and MS clinics and have the opportunity to undertake clinical (and if desired) laboratory research, work that may be expanded to a higher degree later. The successful candidate will be involved in the running of clinical trials of therapeutics for MS and other neuro-immunological disorders.

The Neuromuscular Fellowship (Supervisors: Professor Carolyn Sue, Professor Con Yiannikas and Christina Liang) offers specialised training in the clinical evaluation of neurogenetic, mitochondrial and muscle disorders as well as hands on training in clinical electrophysiology across a broad range of neurophysiological investigations. The successful applicant will gain experience in the clinical assessment of patients with neuromuscular and neurogenetic disorders and the follow through with neurophysiological evaluation. This elective position has allocated time for considerable research activities, with multiple opportunities that may lead to publishing papers within this elective training year.

The Neurophysiology Fellowship (Supervisors: A/Prof Karl Ng and Dr Christina Liang, Professor David Burke) offers specialised training in all aspects of neurophysiology including specialised tests such as evoked potential and EEG reporting, SFEMG, motor evoked potentials, thermal threshold quantitative sensory testing and some autonomic tests in the EMG lab. Completion will allow Level 2 accreditation in NCS/EMG. There is a strong focus on botulinum toxin supervision and there is a weekly clinical neuromuscular clinic. There is a significant commitment to research with the successful applicant expected to enrol in a higher postgraduate degree (MPhil or PhD) with the University of Sydney. This position is also accredited to allow exposure to a private practice patient case-mix for neurophysiology and botulinum toxin use.

The Movement Disorder Fellowship (Supervisors: Professor Carolyn Sue, Dr Paul Silberstein and Professor Con Yiannikas) offers specialised training in the clinical evaluation of movement disorders such as Parkinson's disease, dystonias, ataxias, spasticity, functional disorders and tics. There is an emphasis of familial or genetic forms of movement disorders. Hands on training in botulinum toxin injections for the treatment of movement disorders is available. This elective position has allocated time for considerable research activities, with multiple opportunities that may lead to publishing papers within this elective training year.

The Stroke Fellowship (Supervisor: A/Prof Martin Krause): RNSH has one of the busiest stroke services in NSW. We currently thrombolyse around 100 patients per year and treat around 40 patients with intraaterial embolectomy. We use the latest advanced stroke imaging with Multimodal CT and CT perfusion. The TIA and stroke clinic had over 700 episodes of care last year investigating patients with TIA and minor stroke. The stroke fellowship provides ample opportunity to be involved in acute and subacute stroke research including publications. All stroke fellows will have the opportunity to present their research to national and international conferences. We offer training in extra and transcranial ultrasound and exposure to all acute stroke treatments. The stroke fellow will gain in depth knowledge in the latest and most effective secondary prevention strategies. The stroke fellow will be exposed to patient outcome following severe stroke and develop the skills to achieve optimal outcomes for their patients.

Hospital Information

Royal North Shore Hospital is one of the largest tertiary referral centres in Sydney providing primary care for Northern Sydney, a population of approximately 1.3 million. Conveniently located in St Leonards (on the lower North Shore of Sydney) near train and bus stations, it forms the major teaching site of the Northern Clinical School, University of Sydney.
The Neurology Department has 8 monitored Acute Stroke Unit beds, 21 neurology beds and 9 neuro-rehab beds in one collocated and dedicated, multidisciplinary neurology and stroke unit (7F).

Currently 14 neurology consultants provide services at RNSH. The neurology department accounts for 1000 to 1200 admission per year of which approximately half are for acute stroke. The acute stroke service benchmarks above the national average in all key performance indicators with a thrombolysis rate around 22%.
The Neurology Department offers ambulatory care to 2000 - 4000 patients per year in 9 subspecialty outpatient clinics.
Advanced Trainees have the opportunity to participate in supervised outpatient clinics for cerebrovascular disease, neuro-immunological disorders, neurogenetics, movement disorders, neuro-ophthalmology, and muscle disorders, as well as rapid access acute neurology clinics, Nerve conduction, neurophysiology and botulinum toxin clinics.
The department provides a weekly neuroscience meeting for interesting cases and recent developments in Neurology. A mulidisciplinary neuro-radiology meeting is held every Wednesday together with interventional neuroradiology and neurosurgery. The Neurology Department provides a multidisciplinary movement disorder meeting for interesting cases and training every week.
RNSH hosts diagnostic and interventional neuroradiology and a dedicated ICU for neurological and neurosurgical patients.
Together with the Kolling Institute and the University of Sydney main campus, we have a strong research focus and encourage engagement in clinical and basic science research.
The Neurology Department in RNSH is an open, welcoming, supportive and friendly environment. Our patients are at the centre of our work. We have a strong teaching focus for both undergraduate and post graduate training.
We value social skills, team work and encourage leadership and excellence.

Department Beds :
Twenty one general neurology (includes eight monitored stroke unit beds)

Department Clinics
Routinely attended by Advanced Trainee: cerebrovascular disease, neuroimmunological disorders, neurogenetics, movement disorders, and muscle disorders, as well as rapid access acute neurology clinics, Nerve conduction, EEG and Botox clinics

Department Specialty Clinics
Cerebrovascular Disease, Multiple Sklerosis, Neurogenetics, Mitochondrial Disease, Neurophysiology, Movement Disorders, Botulilnum Toxin Clinics

Department Meetings
Weekly Neurology lunchtime meeting (Presented by Advanced Trainee)
Neuroradiology Meeting
Hospital Grand Rounds
Weekly multidisciplinary meetings
Movement Disorder Review meetings
Monthly Neuropathology Meetings
Monthly Muscle biopsy meetings
Monthly Neurophysiology meeting

Department Staff
There are 14 Neurologists (1 Full time Senior Staff Specialists, 9 Part-time Senior Staff Specialists and 3 Visiting Medical Officers, 1 Honorary Medical Officer)

In alphabetical order with special interests in parentheses:

Dr Kate Ahmad (Neuro-ophthalmology / DPT)
Clin. A/Prof Phillip Cremer (Hearing and balance)
Dr Jane Frith (Multiple Sclerosis)
Clin. A/Prof Geoffrey Herkes (Stroke / Epilepsy)
Dr Ron Joffe (Movement disorders)
A/Prof Martin Krause (Cerebrovascular Disease and Movement Disorders)
Dr Kishore Kumar (HSP / Movement Disorders)
Dr Christina Liang (Neurogenetics and myology)
A/Prof Karl Ng (Neurophysiology and Neuromuscular, Botulinum Toxin)
Dr John Parratt (Multiple Sclerosis and neuroimmunology)
Dr Joe Nogajski (Neurophysiology)
Dr Paul Silberstein (Movement Disorders and Deep Brain Stimulation)
Prof Carolyn Sue (Neurogenetics & Movement Disorders)
Dr Mark Thieben (Acute Neurology / Epilepsy)
Clin. Professor Con Yiannikas (Neurophysiology, Botulinum Toxin)

Junior Staff Positions In Neurology
There are three Neurology teams: All teams consist of Advanced trainee/Basic Physician trainee and a member from the junior resident staff. The Advanced Trainees rotate every four months so that there is an opportunity for training from all the Neurologists on staff.

Trainee Responsibilities
Emphasis on training - This is a strong clinical department where the emphasis is on the acquisition of clinical skills and experience. On call responsibilities for neurology and general medicine are required. Advanced Trainees are encouraged to become involved in clinical or scientific research projects and to present at local and national meetings.

Selection Criteria
Excellence in clinical training
Ability and enthusiasm to learn
Ability to work within a team
Demonstrated interest to become involved in extracurricular activities

Philosophy Of Training
This a strong clinical and academic department with a number of research interests. Advanced Trainees are encouraged to become involved in clinical research projects and to present at local and national meetings. A number of our Trainees have gone on to do higher degrees within the Department. The Department currently receives support from NH&MRC and other external granting bodies to perform research that can be undertaken within the Department.

Neurology Training In State

Other Information