PENINSULA HEALTH
Information on
Intern
HMO
Registrar
Positions
For
2013
PENINSULA HEALTH
Peninsula Health is a major Metropolitan Health Service with over 850 beds across 12 sites on the Mornington Peninsula, one of the most scenic and historic tourism areas of Victoria. Major sites include FrankstonHospital, RosebudHospital, and Rehabilitation,Aged, and Palliative Care facilities at Golf Links Road, Frankston, Rosebud, and Mornington. The Health Service offers a full range of investigative services, including MRI and cardiac catheterisation laboratory. Major building works to expand the Surgery and Intensive Care facilities at FrankstonHospitalcompleted in late 2010.
This brochure details the Intern, HMO and Registrar positions offered for the 2013 clinical year.
EXECUTIVE DIRECTOR MEDICAL SERVICES
The Executive Director Medical Services & Quality and Clinical Governance, Dr David Rankin, has overall responsibility for professional medical matters within Peninsula Health.
MANAGERS, MEDICAL WORKFORCE UNIT (MWU)
Mr Peter Naughton is the Manager of the Medical Workforce Unit and supports the Junior Medical Staff (JMS) at Peninsula Health. Mr Denis Mason in the Manager of the Medical Workforce Unit and supports the Senior Medical Staff (SMS) at Peninsula Health. The Unitundertakes:
- Human Resources support including recruitment and retention of approximately 500 medical staff (Consultants, Registrars, Residentsand Interns) each year.
- Allocation of JMS across the clinical programs on an annual and term basis.
- Provision of support and assistance with the development of annual and term rosters.
- Allocation of annual leave to Interns and HMO’s in the general program. Residents normally take leave when on rotation in the Frankston Hospital Emergency Department.
- Coordination and monitoring of the performance management system for JMS.
- Orientation for JMS.
- Monitoring of HMO costs and assistance with budget preparation.
- Coordination of JMS accreditation.
- Support to medical students on rotation.
- Co-ordination of the Peninsula Health Clinical Skills and Simulation Centre located at the Mount Eliza Centre.
DIRECTOR OF CLINICAL TRAINING and SUPERVISOR of INTERN TRAINING
Dr Patrick Fiddes is the Director of Clinical Training(DCT) and Supervisor of Intern Training. He is responsible for:
- Supervision of Intern Training
- Oversight of continuing education and self-development opportunities for HMO’s.
- Support in the recruitment and retention of Interns and HMO’s
- Support in development of orientation programmes in conjunction with the MEO
- Provision of advice to Interns and HMOs, along with the HMO Mentors and other support services
- Assistance with and support of the Intern and HMO accreditation process
MEDICAL EDUCATION OFFICER
The Medical Education Officer (MEO) is Ms Sarah Hawkins. The Medical Education Officer is responsible for:
- Weekly Intern Education sessions
- HMO Education Program
- International Medical Graduates (IMGs) education program including Australian Medical Council examination support
- Orientation Program development
- Preparation of on line resources to support JMS
- Liaison with Clinical Directors for education support
- Assisting with cultural support for International Medical Graduates (IMG’s)
- Program delivery support to the Medical Clinical Educator
MEDICAL CLINICAL EDUCATOR
Dr Ifeanyi Chiezey is the Medical Clinical Educator (MCE). The MCE focuses on provision of individual support to International Medical Graduates (IMG’s) who are employed at Peninsula Health. In concert with other members of the HMO Support Unit the MCE develops and delivers tailored education plans to suit the development needs of IMGs.
ASSISTANT MANAGER
Ms Jo Kennedy is the Assistant Manager oversights the Medical Officers Bank (MOB).The Assistant Manager is responsible for providing support to the MWU Manager in recruitment and retention of junior medical staff. The MOB is the Health Services internal locum agency and undertakes placement of medical officers to fill short term “one off” vacancies arising as a consequence of unplanned and examination leave.
PROJECT & MWUCOORDINATOR
Ms Val Reid is the Project andMWU Coordinator and supports unit activities in addition to managing the MOB. Val is also responsible for management reporting and projects. She acts as Patient Transport Manager and Assistant Manager when those staff members are absent.
MWUADMINISTRATION ASSISTANT
Ms Andrea Hoffman is the Administration Assistant of the Unit. She leads management of visa issues and undertakes general support to the JMS.
HMO MENTORS
Interns at Peninsula Health are offered the opportunity to have the support of HMO Mentors in a purpose developed program. Mentors are drawn from across the health service workforce and have received special training to provide support to our Interns.
DIRECTOR UNDERGRADUATE CLINICAL EDUCATION (DUCE)
In addition to being the DCT, Dr Patrick Fiddes is the DUCE at Peninsula Health. He co-ordinates all aspects of education and support for medical students rotating to Peninsula Health from MonashUniversity.
CLINICAL SKILLS AND SIMULATION CENTRE
Medical Officers at Peninsula Health have access to a state of the art medical skills and simulation centre incorporating SimMan which opened at the Mount Eliza Centre in early 2007. Ms Jean Louw is the Nurse Educator responsible for co-ordination of activities at the Centre.
ANAESTHESIA
Director:Dr Chris Bowden
Deputy Director:Dr Tzung Ding
Supervisor of
Training: Dr Sam Leong
Director of
Anaesthetic Research
& Education:A/Prof Terry Loughnan
Staff:Dr Rogier Backx
Dr Tyron Crofts
Dr Eric Gunasekera
Dr Helen Kolawole
Dr Julian Mahood
Dr Andrew McLaughlin
Dr Gary McKenzie
Dr Wai Tam
Dr Theresa Trinh
Dr Anand Thillaisundaram
Dr Ashley Webb
VMOs:Dr Peter Brown
Dr John Campbell
Dr Mae Chen
Dr Rebecca Dabars
Dr Mihaela Diacon
Dr Thomas Edgley
Dr David Henry
Dr Tony Prendergast
Dr Elliot Rubinstein
Dr Tony Vulcan
Dr Jim Shim
Dr Jinny Marxsen
Dr Tony Stambe
Dr Andrew Green
Dr Jacqualine Sushames
Dr Stuart Marshall
Dr Jannett Marxsen
Dr David IP
The Department of Anaesthesia is staffed by the above staff and 20 Registrars, 13 Registrars in accredited training positions and 7 in non-accredited positions. The Consultant Anaesthetists provide Anaesthetic services to the hospital on a 24 hour basis.
The Department of Anaesthesia provides all forms of anaesthesia for elective and emergency surgery and obstetric care. Experience for Registrars is gained in general anaesthesia, regional blocks, spinal anaesthesia, paediatric anaesthesia, pain relief and thoracic anaesthesia.
Registrars are supervised by Consultant Anaesthetists at all times. The level of supervision being that appropriate to experience and competency.
Quality Assurance programs are conducted within the Department and the Registrars have an opportunity to research and report on the various programs instituted. Reports are given at the Department meetings held towards the end of each anaesthetic rotation. Four weekly Morbidity and Mortality meetings are held in the Academic Centre at which Registrars present cases.
Primary examination tutorials are held at Monash Medical Centre and accredited trainees are rostered for this.
Secretarial support is provided to the Department and can be used for compilation of QA reports, or as needed.
ANAESTHETIC REGISTRARS
The Department of Anaesthesia is accredited for anaesthetic training with the Australian and New Zealand College of Anaesthetists.
The positions involve provision of anaesthesia both in hours and out of hours and provide a range of experience for both elective and non-elective surgery. FrankstonHospital is a busy general metropolitan hospital and provides a range of surgical services:
- Obstetrics
- Gynaecology
- Major Vascular Surgery
- General Surgery
- Orthopaedic Surgery
- ENT Surgery
- Specialist Paediatric Surgery
- Plastic Surgery
- Specialist Gynaecology Oncology
- Ophthalmology
- Urology
- Thoracic Surgery
- Therapeutic and diagnostic Endoscopy
- Cardiac pacemaker insertions
- Anaesthesia for radiological procedures in adults and children
- ECT in the Psychiatric Service
In addition to the above surgical procedures, the Anaesthetic Department also provides cover for labour ward epidurals, acute resuscitation in the Emergency Department, conducts regular daily rounds of patients for pain relief on the general wards and the Department also runs a Pre-Admission Anaesthetic Clinic for assessment and optimisation of patients prior to admission.
Training Program
- Mortality and Morbidity Meetings within the Department of Anaesthesia of the Health Service with Registrars’ presentations.
- Divisional Academic Meetings of the Division of Anaesthesia.
- One on one instruction in Operating Theatre lists.
- One on one instruction in Delivery Suite.
- One on one instruction in the Endoscopy Suite.
EMERGENCY DEPARTMENT
Clinical Director:Dr Helen Hewitt
Director of Emergency Training:Dr Mark Smith
Dr Mohan Kamalanathan
Consultants:Dr Varna Amarasinghe
Dr Kate Bristow
Dr Ifeanyi Chiezey
Dr Darsim Haji
Dr Andrew Rosengarten
Dr Andrew Tay
Dr Martin Jackson (Lead Clinician in HITH)
Dr Denise Van Vugt
Dr Leong Goh
Ass/Prof Pamela Rostengarten
Dr Jakub Matera
Dr Nalini Hooper
Dr Allan Whitehead (Director Rosebud)
The Emergency Department at Frankston Hospital is a busy department which sees approximately 55,000 patients per year. Of these almost 25% are children. A wide range of clinical problems is dealt with by the Department including multiple trauma and acute medical, surgical, gynaecological and psychiatric emergencies. Most of the patients seen in the Emergency Department have significant medical problems.
The Department has a full establishment, which includes 15 Emergency Physicians, 26 Registrars, 4 Principle Registrars, 21 HMO’s, 7 Interns and a few part-timers. The HMO Reliever(s) also work in Frankston ED when not on loan to another Department.
The Department is a Monash University Teaching Department.
The triage mix and workload is that of a major metropolitan emergency department and not an urgent care centre or a casualty. We see the entire trauma for the Health Service and at this stage the only trauma we send on to trauma centre or tertiary referral hospital are complex orthopaedics, neurosurgery, spinal cord injury and cases requiring cardiac bypass. All investigations, including CT, are available 24 hours a day.
Medical officers working in the department are supported by the in-house Registrars in Medicine, Surgery, Paediatrics, Psychiatry, Gynaecology, Anaesthesia and Intensive Care as well as specialist consultants on call. Broad clinical experience is gained in a wide range of medical and surgical conditions and the opportunity exists to learn and perform several clinical procedures under supervision. A structured teaching program is also in place with weekly lecture/tutorial sessions as well as case reviews and individual case tuition provided by the consultants within the department.
The Emergency Department undergoes continuous reviews and redevelopment to provide a more pleasant working environment and permits an expansion of acute medical services including increased procedural work and an increased critical care role. The Department has access to most of the latest technologies and equipment.
All general hospital appointments with rotation positions include at least a three month term in Emergency Medicine. Annual leave is taken during this term. Rotations may include Rosebud Hospital Emergency Department.
Rosters are set to cover the unit appropriately and to ensure that staff members have adequate breaks between duties.
Emergency Department Intern
Duties
- Provide acute medical care to Emergency Department patients and assist more senior doctors in complex cases.
2.Participate in educational and clinical audit activities organised by the Department of Emergency Medicine.
3.Other duties as determined by the Director of Emergency Medicine, or as directed by an Emergency Physician or Registrar.
Interns are inexperienced and therefore must work in the Emergency Department under the supervision of more senior doctors. Registrars are primarily responsible for their interns, who should actively seek the Registrar’s advice.
More mistakes are made by not asking than by not knowing. If in doubt, ask!
Clinical Privileges
- All ECG’s and x-rays ordered by an intern are to be reviewed by the Emergency Department Registrar or Consultant.
- Interns must discuss all patients with the Emergency Department Registrar or Consultant prior to contacting a specialty registrar.
- Interns are not to discharge from the Emergency Department ANY patient without the approval of the Emergency Department Registrar or Consultant.
- Interns are not to undertake any procedure or to initiate any treatment unless:
(a)They have previously demonstrated competence in that particular area.
(b)They have discussed the case with the Emergency Department Registrar or Consultant.
- Investigations ordered must comply with the Traffic Lights Policy of the hospital.
- All surgical procedures performed by interns, including sutures, are to be reviewed by the Emergency Department Registrar or Consultant prior to the application of sterile dressings.
- All plaster of paris splints and casts are to be reviewed by the Emergency Department Registrar or Consultant prior to the patient being discharged or transferred to a ward.
MEDICINE
Director of Medicine:Dr Gary Braun
Director of Cardiology:Dr Geoffrey Toogood
Director of General Medicine:Dr Anmol Bassi
Director of Endocrinology:Dr Steven Morris
Director of Thoracic Medicine:Associate Professor David Langton
Director of Palliative CareDr Brian McDonald
Director of Cancer ServicesDr Romayne Holmes
Director of Physical Education: Dr Bill Slater
Deputy Director of Medicine: Dr Kim Wong
Heads of Units
Dr David BadovGastroenterology
A/Prof Ernie Butler Neurology
Dr Kim Wong Nephrology
Dr Paul VintonInfectious Diseases
Physicians:
Dr Sheena Broughton (Clinical Microbiology/Infectious Diseases)
Dr John Catalano(Haematology/Oncology)
Dr Askin Gunes(Gastroenterology)
Dr Nicole Potasz(Oncology)
Dr Nick Manolitsas(Thoracic Medicine)
Dr Prakash Nayagam(GeneralMedicine)
Dr Rebecca Reed(Cardiology)
Dr Murray Taverner(Pain)
Dr Eric Thevathasan(Rheumatology/Palliative Care)
Dr Jacqui Thomson(Oncology)
Dr Greg Szto(Cardiology)
Dr Arunothayaraj(Cardiology)
Dr Steven Morris(Endocrinology)
Dr Mark Frielich(Cardiology)
Dr Robert Lew(Cardiology)
Dr Robert Herrmann(Gastroenterology)
Dr Rodney Teperman(Cardiology)
Dr Brian Wood(Cardiology)
Dr Robert Lewis(Palliative Care)
Dr Jayantha Rupasinghe(Neurology)
Dr Kati Matthiesson(Endocrinology)
Dr Juan Aw(Rheumatology)
Dr Robert Flanc(Nephrology)
Dr Chanad Harangozo(Infectious Diseases)
Dr Catherine Marshall(Infectious Diseases)
Dr Sanjay Raghav(Neurology)
Dr David Blakey(Oncology)
Dr Vinod Ganju(Oncology)
Dr Leon Fisher(Gastroenterology)
Dr Aaron Thornton(Gastroenterology)
Dr Debra Renouf(Endocrinology)
Dr Philip Carrillo(Cardiology)
Dr Michelle Gordon(Endocrinology)
Dr Sanjeev Sewak(Oncology)
Dr Lisa Lefkovitis(Cardiology)
Dr Robert Lewis(Oncology)
Dr Huy Tran(Oncology)
Dr Yoland Antill(Oncology)
Dr Jun Shen(General Medicine)
Dr Chiu Sze Fung(General Medicine)
Dr Bhupendra Pathik(General Medicine)
Dr Sam Gardiya Punchhewa (Neurology)
Dr Peter Kelley (Infectious Diseases)
Dr Anita Vinton (Neurology)
Dr Robert Flanc (Nephrology)
Dr Vinod Venkataraman (Nephrology)
Department of Cardiology and Coronary Care Unit
FrankstonHospital operates a fully equipped 14 bed Unit. A range of facilities is available including permanent and temporary pacing. The Unit is run on a day to day basis by appropriately trained nursing staff and supported by a Director of Cardiology and nine Cardiology VMOs. HMO’s rotating through the Unit and will gain experience and teaching in aspects of modern coronary care patient management.
The Coronary Care Unit is supported by the Department of Cardiology's investigative facilities which include transthoracic and transoesophageal echocardiography, stress ECG and stress echocardiography. The hospital has a cardiac angiography suite performing cardiac angiograms and percutaneous coronary interventions. HMO’s with a specific interest in furthering their knowledge of diagnostic cardiology have an opportunity to undertake training in these various techniques.
Gastroenterology Unit
Specialised inpatient management and day procedural Gastroenterology activities are undertaken at Frankston Hospital. Over 2,000 endoscopic procedures including gastroscopy, colonoscopy and ERCP are done each year in a dedicated facility.
The Unit is staffed by five Gastroenterology VMO’s. A specialist Gastroenterology Advanced Trainee, along with an HMOrotate through the Unit.
Nephrology Services
Peninsula Health Renal Service (PHRS) provides secondary Nephrology service to residents of Mornington Peninsula. The in patient service includes management of patients with Nephrological conditions, acute dialysis service, in patient care for patients on haemodialysis and peritoneal dialysis, renal biopsy procedures, insertion and removal of central venous lines. The Renal Registrar is an accredited position for advanced training with RACP. There are on average 20-25 renal biopsies performed a year, 5-12 inpatients and about 10-15 CVL insertion per year. PHRS directly supervise Frankston and Rosebud satellite Haemodialysis dialysis service. The Alfred is the Renal Hub for PHRS. Home Haemodialysis and Peritoneal Dialysis patients are being cared for by the Alfred and PHRS.
Respiratory
The Respiratory unit is a busy department with not only complex inpatients but Outpatient Clinics, Bronchoscopy twice a week, Lung Function Testing and the Sleep Centre. Attendance at weekly unit meeting and MDT meetings weekly is a requirement of all respiratory staff.
MEDICAL HMO’S AND INTERNS
HMO’s would have the opportunity to work with a Senior Registrar managing the emergency and elective admissions to the hospital.
All Interns will be involved in these programs with supervision from Registrars and Consultants.
Duties
- Day to day clinical care of unit inpatients, including those in the Emergency Department awaiting transfer to the wards, supervised by the Registrar of the unit.
- Attend daily ward rounds and consultant ward rounds and ward team meeting.
- Keep patients and their relatives informed of progress and decisions as appropriate.
- Liaise with nursing and paramedical staff about patient management plans and strategies as they relate to nursing care issues and any allied health issues.
- Interns cover all medical patients until 2200 hours one in five evenings and one weekend in four.
CORONARY CARE UNIT HMO
The Coronary Care Unit HMO will be expected to attend to the following duties:
- Be the HMO in charge of admitting and managing all CCU patients during weekday working hours. In addition the Resident will seek a handover from the night medical staff each morning and similarly hand over any relevant patients to the night staff in the evening.
- Take responsibility for all routine activities including progress notes, discharge summaries as well as discharge planning, medication charts and intravenous drug orders. Where possible this paperwork should be completed in-hours to cover projected after hours needs including paperwork for weekend discharges where this can be reasonably done on a Friday afternoon.
- Arrange inter-hospital transfers for angiography/angioplasty/coronary bypass surgery as required.
- In most instances lead ward rounds with the unit consultant and liaise directly with the consultant about any acute patient problems and implement emergency management decisions.
- Keep patients and their relatives informed of progress and decisions as appropriate.
- Liaise with nursing and allied health staff about patient management plans and strategies as they relate to nursing care issues and any allied health issues.
- Be available for seeing potential CCU admissions in the Department and liaise directly with the on-call consultant about these patients if appropriate.
- Attend medically relevant rehabilitation sessions and assist in patient education.
- Actively seek educational opportunities whilst in the Unit and this may involve some or all of the following:
-Consultant ward rounds