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
Australia
Contact Details
Dr Miriam Priglinger
miriam.priglinger@health.nsw.gov.au
Phone : +61 2 9463 1733 (Rita Marando)
www : http://intranet.nslhd.health.nsw.gov.au/Sectors/RNSRyde/Services/NeurologyRNSH/Pages/default.aspx
Positions
Training Positions : Four Advanced Training Positions
Elective Training Positions : We have an active MPhil (2 year) and PhD (3-4 year) training program. These training positions can be accredited for 1 year of elective training. If interested in enrolment, please enquire directly with HOD
Fellowships : Three
Core Position Descriptions
A full-time rotation for 3 months into 13 different outpatient clinics is part of the training for all 4 AT core positions!
An information evening will be held on 24th July 2024 at 6 pm at RNSH. Pre-registration is required. Please contact 02 9463 1733 or email Rita.Marando@health.nsw.gov.au for details.
The Department of Neurology at Royal North Shore is well recognised for its clinical excellence and multiple opportunities to extend your training in a sub-speciality of your interest.
The neurology department in RNSH has one of the highest in-patient volume and the highest complexity in NSW. It provides one of the busiest and broadest sub-specialty neurology outpatient services in NSW and offers a dedicated rotation for 3 months in the outpatient clinics.
17 leading 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 neurogenetic, movement disorders, neurophysiology, Botox, myology, multiple sclerosis, stroke, neurovascular ultrasound, headache, neuro-ophthalmology, acute neurology and neuro-otology, concussion, neuropathology and interventional and diagnostic neuroradiology.
The Kolling Institute provides ample opportunity to participate in research and further your career prospects.
Close working relationships with the Departments of Interventional Neuroradiology, Diagnostic Neuroradiology, Neurosurgery, Neuropathology, and neuro-rehabilitation provide broader training opportunities with colleagues of the highest calibre.
The core positions consist of 3 months rotations through inpatient care, ED & acute neurology consultations and one rotation of protected full time outpatient clinics. All clinics are consultant led providing unprecedented supervision and training opportunities.
Our neurology advanced training positions are supported by one intern, two residents and one BPT.
We offer protected time for learning opportunities and conference attendance.
Elective Position Descriptions
The following fellow positions are available:
Neuro-immunology
Neurophysiology
Stroke
Elective positions 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 will 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 Neurophysiology Fellowship (Supervisors: A/Prof Karl Ng and Dr Christina Liang) 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 Stroke Fellowship (Supervisors: A/Prof Martin Krause, Dr Miriam Priglinger): RNSH has one of the busiest stroke services in NSW. We currently treat over 100 patients per year with thrombolysis and a further 100 with intra-aterial embolectomy. We use the latest advanced stroke imaging with Multimodal CT and CT perfusion. The TIA and stroke clinic had over 800 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 vascular 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 by participation in the TIA Clinic. 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 referral centres in Sydney providing tertiary services to a population of approximately 1.3 million in Northern Sydney Local Health District. 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 lower North Shore has some of the most liveable and affluent suburbs of Sydney and Australia with ample cultural, culinary and sport activities in the vicinity.
The Neurology Department constitutes of 8 monitored Acute Stroke Unit beds and 21 neurology beds in one collocated and dedicated, multidisciplinary neurology and stroke unit (7F).
Currently, 16 neurology consultants provide services at RNSH. Neurology accounts for over 1600 inpatient encounters per year of which approximately 1/3 are acute stroke.
The acute stroke service benchmarks consistently above the national average in all key performance indicators. RNSH treats over 100 stroke patients with intravenous thrombolysis per year and preforms an additional 100 device assisted embolectomies for patients with large vessel occlusion stroke. RNSH offers a 24/7 INR service. The Neurology Department offers around 3500 ambulatory care encounters per year in 13 subspecialty outpatient clinics.
All Advanced Trainees will rotate for 3 months into a full time consultant led outpatient service. These clinics include cerebrovascular disease, neuro-immunological disorders, neurogenetic, movement disorders, neuro-ophthalmology, muscle disorders, neurophysiology, botulinum toxin, concussion, headache, spasticity, as well as rapid access acute neurology clinics and general neurology. One additional session of outpatient clinic will be available per week during the inpatient ward rotation.
The department provides a weekly neuroscience journal club and case conference, a multidisciplinary neuro-radiology meeting, EEG training and a movement disorder meeting. A dedicated Neurovascular INR meeting is held fortnightly and a dedicated INR training session is available fortnightly.
Monthly neuropathology, brain tumour meeting and muscle biopsy meetings are offered alternating at RNSH.
Participation and presentation in the quarterly morbidity and mortality meetings are part of your training at RNSH.
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 :
30 (General Neurology and Acute Stroke Unit)
Department Clinics
2 sessions per day Monday - Friday
Department Specialty Clinics
Rapid Access Neurology, Multiple Sclerosis, TIA & Stroke, Epilepsy, Neurophysiology, Neuromuscular, General Neurology, Headache, Neuro-Ophthalmology, Movement Disorders &Parkinson’s Disease, Neurogenetics, Concussion
Department Meetings
Weekly:
• Neurology journal club and case conference
• Neuroradiology Meeting
• Hospital Grand Rounds
• EEG teaching
• MDT
Fortnightly:
• Neurovascular INR meeting
• Reperfusion meeting
• Movement Disorder
Monthly/Quarterly:
• Neuropathology
• Muscle biopsy
• Neurophysiology
• M&M meeting
Department Staff
Dr Christina Liang (Neuromuscular and Neurogenetics)
• Dr Miriam Priglinger (Stroke Medicine, Headache, Concussion; HOD)
• Dr Kate Ahmad (Neuro-ophthalmology and Neurogenetics)
• Dr Tania Farrar (Epilepsy)
• Dr Jane Frith (Multiple Sclerosis)
• Dr Bronwyn Jenkins (Headache)
• A/Prof Martin Krause (Stroke Medicine, Neuro-sonology, Movement Disorders)
• Dr Joseph Nogajski (Neurophysiology and General Neurology)
• A/Prof Philip Cremer (Neuro-otology and Vertigo)
• Prof Con Yiannikas (Botox, Neurophysiology, Movement Disorders, MS)
• Dr Michal Lubomski (Movement Disorders)
• Dr Mark Thieben (General Neurology and Epilepsy)
• Dr James Lee (General Neurology and Neurophysiology)
• Dr John Parratt (Multiple Sclerosis and Neuro-Immunology)
• Dr Paul Silberstein (Movement Disorders) • A/Prof Karl Ng (Neurophysiology and Botox)
Junior Staff Positions In Neurology
There will be 4 Neurology teams in 2025: The Advanced Trainees rotate every three months into the following rotations: 1) Ward Team A; 2) Ward Team B; 3) ED and inpatient consultation; 4) Outpatient Clinics. The ward and ED / consult teams are supported by a Basic Physician trainee, 2 residents and one intern.
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
We are 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 granting bodies to perform research that can be undertaken within the Department.
Neurology Training In State
Other Information
An information evening will be held on 24th July 2024 at 6 pm at RNSH. Pre-registration is required. Please contact 02 9463 1733 or email Rita.Marando@health.nsw.gov.au for details.