Careers

C1MJA 199 (7) · 7 October 2013

CareersMJA

Editor: Cate Swannell • cswannell@mja.com.au • (02) 9562 6666

continued on page C2

effectively. Since its establishment in 2001, more than 1000 clinical teachers have completed the workshops and online modules.

Some of the key points from the course, which is taught at up to 70 workshops around the country each month, include:

• providing effective feedback — understanding how, when and why;

• identifying teaching moments — structuring rounds or consultations to allow time for teaching; and

• teaching skills — basing teaching around Rodney Peyton’s four-step approach: demonstration, deconstruction, comprehension and performance.

Dr Lake bases her own teaching on the idea that if something can be learnt from a textbook, it is of no help for her to teach it as well. “It’s a complete waste of time for me to teach it!

“The way to use clinicians is to fi ll in all of that other stuff, to give people experience, giving feedback about what they’ve done. Getting them to understand processes like clinical reasoning and how you apply it to patients.”

Teaching on the Run is offered to all registrars training at the Royal Prince Alfred Hospital (RPA) in Sydney, one of New South Wales’s leading tertiary teaching hospitals. Director of Physician Training at RPA, Dr Ted Wu, says it is part of providing trainees with a more rounded education, looking beyond examinations and assessments.

The endocrinologist says there is great enthusiasm from younger doctors to be involved in teaching,

In this section

C1FEATURE

Teaching in practice

C2Taking medicine to extremes

C4Impeccable pedigree

“... most of us would say we learn as much from our registrars as they learn from us

’’ Dr Trish Baker

The medical apprenticeship has a history stretching back at least as far as the Hippocratic Oath.

It’s an integral part of all medical careers and for many doctors is part of their entire working life — fi rst as student, then intern, junior doctor and registrar, and later as teacher, trainer or supervisor.

But the recent dramatic growth in the numbers of those on the learning side of the relationship — the students, interns, junior doctors and registrars — without any corresponding increase in numbers on the teaching side — the teachers, trainers and supervisors — means it is a model under pressure.

Alongside increasing student numbers, the accreditation and training requirements for providing clinical education have increased dramatically within the past decade, putting greater strain on the hospitals and practices seeking to provide on-the-job experience and guidance for the next generation of doctors.

Anecdotally, clinical teachers in all sectors of the profession are working at close to maximum capacity. Some general practices are beginning to feel more like education campuses and teaching hospitals talk about not having suffi cient patients to service the students rotating through — sometimes as many as six to a ward.

Chair of General Practice Supervisors Australia (GPSA), Trish Baker, says these pressures have made it increasingly diffi cult to recruit and maintain the pool of supervisors in general practice. “But most people

Teaching in practice

who do it, do it because they love it”, says Dr Baker. “It’s very sustaining for them professionally and most of us would say we learn as much from our registrars as they learn from us. There’s renewal. It revitalises the practice. It’s good for everybody.

“We certainly don’t do it for the money.”

In a small step towards addressing the problems, on the eve of the election the Coalition pledged $119 million towards doubling the practice incentive payment (PIP) for general practices that host medical students, from $200 per student per day to $400 per student per day.

It also promised $46 million for grants to improve general practice teaching and supervision infrastructure (see box).

What difference is this new money likely to make for those doctors already teaching and training? How are our clinical teachers bearing up under the new pressures? And what is it that makes a good clinical educator?

Teaching on the runDr Fiona Lake is a respiratory physician who often has a slew of students and trainees with her when she does her ward rounds. Those learning at her side at Fremantle Hospital on any one round may include a fourth-year student, a sixth-year student and a registrar.

Dr Lake is one of the developers of Teaching on the Run, one of Australia’s few non-degree courses designed to help clinical educators teach more

i hhi h h d i d i b h l i ”

Australia’s medical apprenticeship system is undergoing dramatic growing pains and more is being demanded from our clinical teachers, trainers and supervisors than ever before.

C1-C5_071013.indd 1 9/27/2013 12:29:39 PM

Careers

C2 MJA 199 (7) · 7 October 2013

partly as it has become a necessity in order for applicants to distinguish themselves when applying for future roles.

Dr Wu has been helping to manage the hospital’s training programs for nearly 10 years and says they try to encourage greater recognition of the importance of the role.

“The role of clinicians as teachers I think is sometimes under-recognised.”

To address this and reward outstanding teaching skills, the RPA gives end-of-year prizes for the best consultant and the best advanced trainee, chosen by popular vote.

Ultimately, Dr Wu says the best teachers are those who recognise the importance of teaching and have an enthusiasm for it. “People think you need to have a great knowledge or great skills. No, the vast majority of doctors are smart people. They know their stuff already. People think they need to have some superhuman knowledge to become a good teacher but that’s not true.

“An enthusiasm and an appreciation of teaching is an important thing both for the future generation and for themselves. Teaching is often one of the best ways to learn.

“It keeps me on my feet.”Regardless of enthusiasm or ability, like Dr Lake

in Western Australia and specialists teaching in hospitals around the country, Dr Wu is concerned about the combined pressures on clinical education of increasing student numbers, a shrinking proportion of patients suitable for teaching and

no apparent increase in resources.At RPA the number of vocational trainees

accepted in the past 6 years has increased by more than half, without any corresponding increase in those providing the teaching or administration support. And for the 30 positions available, there were more than 400 applications.

“If hospitals can’t fund any more clinician places, then there are no more senior clinicians to supervise or train these people”, Dr Wu says. “And there is now a tiny proportion of patients who are appropriate for teaching purposes because they’re not too sick but have some visible or usable pathology. That small group of patients are overwhelmed by requests from either students, interns, residents or registrars. There’s a certain level of fatigue, I think, among the patients.”

Looking ahead, with student numbers set to continue increasing in the near future, the pressures facing Australian medicine’s currently shaky apprenticeship system are among those put forward for consideration by Health Workforce Australia’s yet-to-be-established National Medical Training Advisory Network.

In the meantime, increased funding such as the new government’s boost to the PIP for teaching in general practice may go some way towards preventing the gap between the number of teachers and learners increasing even further in at least one sector of the profession.

Annabel McGilvray

Taking medicine to extremes

New funding for general practice teaching

The fi eld of remote medicine will be the focus when the second World Extreme Medicine Conference and Expo convenes at Harvard Medical School in Boston at the end of this month.

According to the organisers, the four-day conference will deliver “knowledge, insight and innovation in the fi eld of remote medicine including prehospital medicine, expedition medicine, disaster medicine and other ‘extreme’ medicine fi elds”.

Speakers include Amy Hughes, medical director of Expedition and Wilderness Medicine, a leading provider of expedition, remote and wilderness medicine training courses for medical professionals; Charles Pozner, assistant professor of emergency medicine at Harvard Medical School; Gordon “Professor Popsicle” Giesbrecht, professor of thermophysiology and an authority on hypothermia; Greg Ciottone, world expert in disaster medicine and emergency management; Luanne Freer, director for Yellowstone National Park and founder of Everest ER; Michael Barratt, NASA astronaut and space medicine specialist; Jim Ramsey, former Presidential Communications Offi cer for Bill Clinton and George W Bush; and wildlife biologist Mark “the Croc Doc” Read.

Prompted by the bombings at the 2013 Boston Marathon and with the full and complete backing of a number of local emergency service organisations, the conference will also feature a preconference Trauma Management Workshop.

Developed specifi cally with physicians, fellows and residents in mind, the World Extreme Medicine Conference and Expo will also be of interest to allied health professionals (nurses, emergency medical technicians and paramedics) as well as accessible for medical students.

The conference runs from 28 to 31 October. Details available at http://boston.extrememedicineexpo.com

The recent promise to boost to the practice incentive payment for teaching has been welcomed as a long overdue recognition of the value of general practice teaching to the development of the profession and the fi nancial impact that it has on private practice income.

When implemented it will mean that practices will no longer lose money when they take on medical students.

For example, teaching a medical student is likely to mean that a general practitioner will see fewer patients over an hour — perhaps three instead of four — in order to properly introduce and brief the student and the patient before each consultation.

This means seven fewer patients in any one session. But the running costs of the practice don’t change during that time, eff ectively meaning a $350 hit to the practice bottom line.

Under current arrangements, practices receive $200 per day to cover the cost of having medical students, resulting in a loss of $150 per session per student. With the government’s promised doubling of the compensation to $400 per session, GPs may now earn $50 each day for the teaching contribution.

Similarly, the new funding for infrastructure is likely to help general practices to create the extra room required when providing supervision for registrars as they need a consultation room to practice from.

Dr Trish Baker says the big issues for general practice training are capacity and capability issues that have been created by the addition of prevocational training in addition to medical students and registrars.

At the same time she says supervisor recruitment and maintenance has become

diffi cult over the past decade as the accreditation and compliance demands have dramatically increased.

“A lot of practices today are basically working as integrated educational centres. There may be the situation where you have a registrar or two, you’ll have a medical student or two, you may have a nursing student, you may have an allied health student.”

Even with the increased government funding, the business case for training in general practice is still to be made, Dr Baker says.

“If you off er a practice a choice between having a full-fellowship and experienced GP who can operate independently and doesn’t need any supervision and will stay in a practice, or a registrar who will inevitably turn over and need supervision, the business case is a no-brainer: you don’t teach; you don’t supervise.”

C1-C5_071013.indd 2 9/27/2013 12:29:50 PM

Careers

C3MJA 199 (7) · 7 October 2013

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Careers

C4 MJA 199 (7) · 7 October 2013

Look up the defi nition of “focused” ... there should be a picture of Professor Gail Risbridger next to it.

Professor Risbridger is one of Australia’s leading researchers into prostate cancer. She is a National Health and Medical Research Council Research Fellow and a career academic and researcher, and is now director of Monash University’s Centre for Urological Research in Melbourne.

She studied at Monash and at the University of Edinburgh, and won an International Fulbright Senior Scholar Award that took her to the University of California, San Francisco, and into the heart of one of the leading “families” of cancer biology, led by Professor Gerald Cunha.

And none of that happened by accident.

“I knew what I wanted to do”, Professor Risbridger tells the MJA.

“I’d worked in andrology research for many years. Prostate cancer 12 to 15 years ago was just becoming more prominent in people’s awareness.

“I decided to switch fi elds and use my expertise in andrology to work on prostate cancer research.”

Her connection with the Cunha “family” — “a long line of cancer biologists out of Colorado” — was a crucial step.

“[Professor Cunha] taught me to do something that underpins my research to this day”, she says. “I learned how to grow and graft human tissue in mouse avatars.”

On her return to Australia in 2000, Professor Risbridger pulled together another set of crucial collaborations, this time with urologist Mark Frydenberg and pathologist John Pedersen.

“We’ve all worked together in a longstanding partnership that is highly productive”, she says.

“There’s a synergy between us that is very dynamic.

“That’s the foundation of this research work — making the right connections.”

Pedigree is important in research and, as part of the Cunha “family” and now with a collaboration of her own, Professor Risbridger and her colleagues

have been able to set up a world-class laboratory and active specimen collection.

“You have to be able to get incredibly good specimens to do this research. We sit down and say, ‘this is what we need for this project’, and then the urologist and pathologist have to make sure we get the right bit of tissue from the patient specimens.

“Only a few labs around the world do work of this quality and ours is one of them”, she says.

These days, Professor Risbridger is focused on castration-tolerant cancer-repopulating cells. What that means is best left to the editor’s summary of her latest paper:

“In advanced stages, [prostate cancer] is typically treated with medications that mimic castration, depriving the tumor of androgen stimulation. Unfortunately, these cancers eventually become castration-resistant and begin to grow even in the absence of hormonal input. What isn’t known is how these cancer cells develop the ability to survive androgen deprivation, and whether some types of stem-like castration-resistant cells are already present in prostate cancer from early stages or evolve later during the course of treatment.”

Professor Risbridger and her colleagues are out to try and answer a whole series of questions about these stem-like cells.

“Are those types of cells present much earlier and are only revealed by castration? Do we need to really focus on the biology of these cells? Do they have mutations? Are they hypersensitive to low levels of antigens? Are they dangerous? Do we need to know about them earlier? Are they a critical component of how tumours develop?

“It’s really fundamental science — basic biology — but it is clinically relevant because understanding tumour heterogeneity is essential if we are to interpret biomarkers that correctly diagnose or predict latent from aggressive localised disease. As we enter the era of personalising treatment for patients with all types of prostate cancer, the biology is a critical step in the

“It’s really fundamental science — basic biology — that is clinically relevant. Prostate cancer research is at a really exciting stage

’’

Impeccable pedigree

process. Prostate cancer research is at a really exciting stage”, she says.

Professor Risbridger, who says she has a “strong feminist streak”, is well on her way to creating a research family of her own. She has two daughters; one is a second-year resident, and the other is about to complete her medical degree.

“I’m going to take some credit for the fact they are very capable women who will be researchers and clinicians”, she says.

“Their father is a researcher ... their pedigree is research.”

Tellingly, Professor Risbridger’s favoured hobby is “a lot of very fi ne needlework”.

“You’ve either got the hands or you haven’t”, she says.

Movember (the charity that raises awareness of, and raises funds for, prostate cancer, through men growing mostaches during November each year)is coming up and Professor Risbridger is keen to give the charity and its partner, the Prostate Cancer Foundation of Australia (PCFA), credit for their fundraising efforts.

“Prostate cancer research is signifi cantly supported by external funding agencies like PCFA and Movember, who also value collaboration and are well networked internationally non-governmentally”, she says.

“They have done as much, if not more, for prostate cancer research than anyone.”

It’s a partnership, and that, according to Professor Risbridger, is crucial to any successful assault on prostate cancer, or any cancer for that matter.

“Linking in with key people, coming up with something, that’s vital. The work I’m doing today is only one example.

“Synergy ... chemistry ... that is what is important and that is how it has to be done. Often clinicians don’t have PhDs or extensive laboratories. Collaborations are the key.

“These days, if you look at big collaborative institutions and groups, it is always clinicians working alongside scientists.”

Cate Swannell

Professor Gail Risbridger has a particular skill, and she worked out early how best to apply it in a fi eld of research that is at a very exciting stage — prostate cancer

C1-C5_071013.indd 4 9/27/2013 12:29:52 PM

Careers

C5MJA 199 (7) · 7 October 2013

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Careers

C6 MJA 199 (7) · 7 October 2013

MJA Jobs

Visit us at: www.mja.com.au/jobs • Ph: 02 9562 6688

MJA JobsGeneral RegistrantOpportunities in Cairns, QLDGeneral PractitionersThis busy practice is located in Cairns. There are currently 2 FRACGP’s working at the practice with room for up to 4 additional GP’s to join their team.Well supported by an experienced practice manager. Fully qualifi ed receptionists and experienced nurses available onsite. Can off er 457 sponsorship to GP’s with General Registration who are. . . .Full details: www.mja.com.au/jobs

MJA JobsLocum, Melbourne, Regional, Rural and Remote VICGeneral Practitioners• GPs with 2+ years of experience• Must hold full general registration with AHPRA and have passed AMC examinations.• Must have 3 - 6 month’s work of experience in Australia• Positions available in all specialties• Flexibility to decide when and where you work . . .Full details: www.mja.com.au/jobs

HAVE YOU FOUND THE JOB YOU’RE LOOKING FOR?At MJA Jobs we are solely focused on the medical community so you won’t waste time searching through irrelevant job opportunities. You can fi lter your jobalerts on key words and categories specifi c to your interests and specialisation. Don’t miss your dream job — sign up for MJA Job Alerts:www.mja.com.au/jobalert

General Practice

Remote GP Positions Available

The companyInternational Health and Medical Services (IHMS) is contracted to provide healthcare to people in immigration detention throughout Australia and beyond.

The locationsLocum or ongoing placements across 26 locations including Christmas Island, Nauru, Manus, Leonora and Weipa.

The rewardsGain experience in treating tropical diseases and isolated primary health care management. Flights and accommodation provided, excellent remuneration including bonus and allowances. Flexible dates.

Contact Aysha O’Connor at aysha.oconnor@ihms.com.au 02 9372 2307

PERMANENT & LOCUM GENERAL PRACTITIONERSYOU’RE IN DEMANDDefence forces. Metro & remote. Excellent remuneration.

We have excellent opportunities within defence facilities in NSW. We’re looking for VR General Practitioners who are Fellowship of Royal Australian College of General Practitioners (FRACGP) or are eligible to sit for FRACGP.

There are also excellent locum opportunities while the permanent posts are being filled, with assignments lasting up to six months with excellent remuneration offered.

Contact Maneesha Dablar at maneesha.dablar@hays.com.au or 02 8226 9843.

hays.com.au

GP Specialist - Maternal & Child HealthDarwin

Working in an Aboriginal community-controlled health service is both rewarding and challenging. Practitioners deal with a broad range of clinical medicine often not seen in general practice and are at the cutting edge of health service delivery. You also get the opportunity to work closely with Aboriginal people, learn about Aboriginal culture and experience spectacular locations.

Danila Dilba Health Service is going through a dynamic period of expansion, growth and review and is seeking to fill the above position as part of this.

improve early childhood outcomesfocus on antenatal and postnatal carenon-clinical time to develop program as part of the Maternal and Child health leadership groupwork with Aboriginal Health Workers, midwives, family support staff and visiting obstetriciansattractive salary with salary packaging benefitssix weeks leave

Position description at: www.daniladilbaexperience.org.au

For more information contact Dr James Stephen on 0407 275 633 or emailhr@daniladilba.org.au

Aboriginal and Torres Strait Islander people are encouraged to apply

Careers

C7 MJA 199 (7) · 7 October 2013

Careers

C8 MJA 199 (7) · 7 October 2013

Flying Doctors and GP Registrars needed in Western Australia

We have opportunities for broadly experienced doctors to join

our growing service in Western Australia. The work is varied and

exciting and offers the opportunity to work with a team of other

doctors and allied staff servicing a large area of Western Australia.

Expressions of interest can be sent to medical@rfdswa.com.au or contact

The Director of Medical Services, RFDS Western Operations3 Eagle Drive Jandakot Airport WA 6164

Telephone (08) 9417 6300

REQUIREMENTS

postgraduate experience. The ideal applicant for a Flying Doctor position will have

a minimum of six months postgraduate experience in anaesthetics, obstetrics and

paediatrics, coupled with experience in emergency medicine and experience in general

practice. Registrars and staff specialists will also have broad clinical experience.

TERMS AND CONDITIONS Employment contracts are normally for a minimum of

two years but shorter periods apply to Registrar positions. A formal orientation

program is provided, plus opportunities to complete EMST, APLS and other courses.

We offer excellent remuneration packages with allowances and salary packaging.

A mobile phone and laptop are also provided.

Doctors working in the booming rural areas of the State also receive housing,

a motor vehicle, relocation and travel expenses.

two weeks study leave and additional procedural skills leave.

Flying DoctorsIf you are a career doctor or procedural GP with acute care

experience, there are opportunities for you to work at our

We provide a range of clinical services, including:

The work is varied and interesting, provides an opportunity to

work in the Australian Outback with a team of supportive staff

and mix emergency medicine with rural general practice.

GP Registrar (Meekatharra)A new position has also been created for a GP Registrar at our

Meekatharra Base where a wide range of challenging clinical work

is accompanied by mentoring by experienced rural RFDS doctors.

Applicants will be involved in:

Whilst a training position, competency in the management of

is necessary.

join the team...make a difference

www.uhljobs.nhs.uk

Consultant in Paediatric Anaesthesia with a Cardiac InterestOne PostApplications are invited for a Consultant in Anaesthesia with a special interest in Paediatric Cardiac Anaesthesia. This is a replacement post in the Department of Anaesthesia and Pain Medicine based at The East Midlands Congenital Heart Centre, Glenfield Hospital and possibly Leicester Royal Infirmary.We are looking for a potential leader with exceptional abilities and vision to improve and expand our services. Team working skills will be essential as the successful applicant will become a key member of the multidisciplinary team of anaesthetists, surgeons, cardiologists and intensivists. You will be required to provide anaesthesia for elective and emergency paediatric cardiac procedures. Experience in paediatric diagnostic and interventional catheter laboratory work is desirable as is competency in transoesophageal echocardiography. There will be the potential to provide anaesthesia for non cardiac surgery if the candidate wishes to maintain a broader practice base. There is also the potential for sessions in PICU and ECMO for suitably qualified candidates. Candidates with relatively limited paediatric cardiac experience but who have completed a formal training programme in the generality of paediatric anaesthesia will be considered as the department can provide ongoing training and experience in this area. The post will attract a minimum of 10 PA. On call duties will involve paediatric work on a 1 in 4 rota. Initially 1.5 PA’s will be allocated to supporting professional activity (SPA).You must already be on the GMC specialist register or within six months of the interview date have a certificate of completion of specialist training. As this post is regulated by the Protection of Children Act 1999, The Criminal Justice Courts Act 2000 and/or the Care Standards Act 2000 an enhanced police criminal records disclosure will be requested by the Trust in the event of a successful application.Further information about the disclosure scheme visit www.disclosure.gov.ukThe successful appointee will be expected to participate in undergraduate and postgraduate clinical supervision and clinical audit. They will be required to undertake relevant clinical management duties and work in a multidisciplinary team.The University Hospitals of Leicester NHS Trust consists of three acute teaching hospitals serving the population of Leicestershire. It is fully committed to Continuing Medical Education for consultants.

For further information and for an informal discussion, please contact Dr Justin Williams. Clinical Lead, Department of Anaesthesia, and Dr Tim Bedford on Leicester 0116 250 2315.

Information packs and application forms are available via the web site www.uhljobs.nhs.uk

This post will be subject to a Criminal Records Bureau Disclosure (CRB). For more information visit www.crb.gov.uk All our hospitals are working towards Equal Opportunities with flexible working practices. New Deal Applicants are encouraged to apply. At UHL, all our hospitals are smoke free.

General Practice Overseas Appointments

Careers

C9 MJA 199 (7) · 7 October 2013

www.amawa.com.au

To work with AMA Recruit contact us on:

Telephone +61 (0)8 9273 3033 Fax +61 (0)8 9273 3043 Email recruit@amawa.com.au

AMA Recruit, 14 Stirling Hwy, Nedlands WA 6009

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General PracticeOpportunities

AMA (WA) is the premier organisation representing the medical profession and is a leader in medical recruitment services.

We currently have contract and permanent positions available throughout Australia.

Careers

C10 MJA 199 (7) · 7 October 2013

HAVE YOU FOUND THE JOB YOU’RE LOOKING FOR?

Register for email alerts •• Save your favourite jobs • Create a profi le

MJA Jobs

MJA Jobs

MJA JobsED Registrar - Regional NSWEmergency MedicineThis large teaching hospital in Regional NSW is looking for an ED Registrar to join their established ED team. A regional teaching facility that also provides a wide range of services from obstetrics to aged care, rehabilitation, emergency, intensive care, oncology, psychiatric services.You must hold: • Full AHPRA Registration • Full work rights within Australia • Be keen to join ED training programme • Minimum fi ve years work history (Post Grad) . . .For full details visit: www.mja.com.au/jobs

These are just a few of the exciting career opportunities available to you on your MJA Jobs site.

Visit us at www.mja.com.au/jobsEnquiries Ph: 02 9562 6688 • • Email: mjajobs@mja.com.au

MJA JobsGP – Great Southern, WAGeneral PractitionersThis fully computerised mixed billing private practice is located in a large regional town surrounded by one of the most rugged coastlines in Australia and is just a leisurely 5 hours drive from Perth. Whether you prefer whale watching, touring some of the best vineyards in the world or just walking through the majestic old forest of the region, this position off ers a tremendous opportunity for a lifestyle change. . . .For full details visit: www.mja.com.au/jobs

MJA JobsSenior Medical Offi cer - Aged Care, ACTMedical Offi cerSeeking a General Practitioner able to operate at a senior level in the delivery of Clinical Governance, Medical Administration, Aged Care and Clinical Delivery in both Primary Care and Occupational Health Settings. As the Senior Medical Offi cer (SMO) you will have ability to develop innovative solutions in an Aged Care setting. You will be an active contributor to the development and review of clinical policies and procedures and to assist with ensuring high quality and safe health . . .For full details visit: www.mja.com.au/jobs

MJA JobsProfessor/Associate Professor of Nursing, Sydney, NSWUniversity AppointmentsFaculty of Nursing and Midwifery - Charles Perkins Centre

Seeking a scholar of international distinction. You will have leadership and representational responsibilities in forming, developing and maintaining links between the faculty and the Charles Perkins Centre by leading research in chronic diseases, specifi cally obesity, diabetes or cardiovascular disease. Applications from candidates with expertise in any of . . .For full details visit: www.mja.com.au/jobs

Re

These are career o you on

VEn

Careers

C11 MJA 199 (7) · 7 October 2013

l fiRoyal Victoria Infi rmaryDirectorate of Children’s Services

Consultant inPaediatric Respiratory Medicine

317-CON-13-113

We are delighted to offer an opportunity for a highly motivated, ambitious individual to join our well integratedteam in Paediatric Respiratory Medicine. This new postwill support this busy department and in particular theexpanding CF service. This is a great opportunity to join awell established and cohesive team based in our tertiarychildren’s hospital. You will join 4 established consultantcolleagues to make a total of 6 consultants pending theexpected appointment to a 6th academic post in thenear future.

The Children’s Respiratory Department offers acomprehensive clinical service including Cystic Fibrosis,Severe Asthma, and Technology dependent children’s services, Home Ventilation and Sleep Medicine,Bronchiectasis, and General Respiratory medicine. We also run multi-disciplinary children’s services with colleaguesincluding: Airways, Lung Transplantation and RespiratoryImmunology. The service covers the North East of Englandand Cumbria with supra-regional Lung Transplantation andImmunology/BMT cover for the North of England, Scotlandand Ireland. Many of our complex patients originate fromoutside of our core catchment area.

There will be a requirement to provide respiratory on callon 1:5 or 1:6 basis, the exact arrangements for this are likelyto be modifi ed in the coming months.

We would welcome applications from establishedconsultants as we have the breadth, scope and fl exibility to develop a wide variety of specialist interests.

We would also be interested to receive applications or enquiries from general paediatricians with a major interestin paediatric respiratory disease.

You must possess be a medical practitioner with MRCP or equivalent. You must be on the GMC Specialist Registeror eligible to join this within six months of the date of themeeting of the appointments Committee.

For an informal discussion and more details about thepost and the Directorate please contact:Dr Michael Mckean, Head of Department,on 0044 (0) 191 2824888or e-mail michael.mckean@nuth.nhs.uk.

For a recruitment pack relating to this post or to apply, please contact:Louise Scorfi eld, Senior HR Administratoron 0044 (0) 191 2820827or email Louise.Scorfi eld@nuth.nhs.uk.

Please quote the above reference number on all correspondence.

Closing Date: 27 October 2013 • Interview date: 21 November 2013

Overseas Appointments

Opportunity for a General Practitioner in Hong Kong Island Health Family Practice in Discovery Bay offers a wide range of primary health care services in Family Practice and Paediatrics, primarily to English-speaking expatriates. An opportunity has arisen for an enthusiastic and committed General Practitioner to join our team. Requirements:

Fluent English (spoken & written) Registered Medical Practitioner with Medical Council of Hong

Kong Specialist interest in Paediatrics and/or Family Practice Holder of Employment visa or Hong Kong Permanent ID card Excellent interpersonal skills Experience of international health care system an advantage

Successful candidate will be required to participate in our out-of-hours on call roster. Please email your CV to anita@centralhealth.com.hk

Hospital Appointments

C11 MJA 199 (7) · 7 October 2013

Careers

C12 MJA 199 (7) · 7 October 2013

Newcastle Medical Practice For Sale• Over 40 years established in inner Newcastle suburb

• Huge potential for further development in growing area• Surgery on main street with parking • Close to all amenities

• Excellent patient profi le.Principal willing to stay on to assist and helpwith the development of the surgery further.

Surgery property for Sale or RentPlease call 02 4957 5791

Medical Centre For Leasein the

Greensborough Activity Centre

• Location: Next to Greensborough Plaza and Train Station.

Flanked by Centre link development at rear,

David Stagg Tonkin Law offi ces to the South

and the Watermark across the Road.

• Address: 12 Flintoff Street, Greensborough, VIC 3088

• Land: 968 m2 approx.

• Building: 180 m2 approx.

• Zoning: Activity centre - Schedule 1

• Availability: Negotiable

• Internal layout: To clients specs

• Operating hours: To clients requirements STCA

• Car parking: On site

• Public transport: Train and busses

Inquiries: Peter 04 11 666 090

Real Estate

Headings

For more information contact Sarah Lander at the MJATel: (02) 9562 6666 orEmail: advertising@mja.com.au

MJA Careers and Classifi eds is Australia’s largest niche medical and health care career centre reaching over 30,000 Australian doctors every fortnight.

Employment Executive Appointments

GP Opportunities

Hospital Appointments

Locums

Marketplace Accounting Services

Conferences

Continuing Medical Education

Holidays and Lifestyle

Overseas Appointments

Remote Health

Specialist Appointments

University Appointments

Medical Equipment

Practices for Sale

Real Estate

Research Grants & Fellowships

You can choose Print, Web or both!

It’s as easy as: 1 • 2 • 3

Reach over 30,000 Australian doctors every fortnight by advertising here in

123

Email your copy to the MJA.

We will create your advert and email you a proof and the cost.

Sign-off on your proof!

• Book 3 consecutive issues and receive a 10% discount

• Additional discounts for longer bookings

MJA Classifi eds

MJA Advertising IndexAFT PharmaceuticalsCoco-Scalp . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . p438Ferro-Tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . p466 AstraZenecaForxiga . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . p434-435Aspen Pharmacare AustraliaAldomet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . p446Cardizem . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . p436Cymbalta . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . p490Elocon . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . p462Ferinject . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . p479Tritace . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . p474Valtrex . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . p484Doctors Health FundInsurance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . p470 Ego PharmaceuticalsZatamil . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . p452 Macquarie Medical SystemsEquipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . p504Merck Sharp & DohmePegatron . . . . . . . . . . . . . . . . . . . . . . Inside front coverVictrelis . . . . . . . . . . . p432, Outside back cover

NovartisGalvus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . p500Novo Nordisk PharmaceuticalsLevemir & NovoRapid . . . . . . . . . . . . . . . . . . . . . p455NovoFine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . p507NovoMix 30 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . p508Vagifem . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . p497Pfi zerLyrica . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . p493Reed Exhibitions AustraliaConference . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . p489Roche Diagnostics AustraliaEquipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . p469University of NewcastleEducation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . p458WestpacFinance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . p430

To advertise, please contact Mike Mata at the MJA: 02 9562 6666or Email: advertising@mja.com.au