welcome to austin health - austin doctors - home to austin health 2010... · internship (pgy1)...

WELCOME TO AUSTIN

HEALTH

2010

Intern Roles

Joint appointments; expecting

around 100 for 2011

Positions include the usual plus

some unique, some more new

Each service has different

aspects and

strengths/weaknesses

Overview

Major Tertiary Hospital

3 main sites- Heidelberg, Repat Campus and Royal Talbot

Links with Rural, Private and interstate services

> 900 beds; 7,000 staff;> 85,000 IP,>150,000 OP, ED>65,000

State-wide services in: Liver Transplant + SBT

Respiratory Support Service

Spinal Unit

Child inpatient Mental Health

Toxicology

Internationally recognized

Services

Neurology, especially Epilepsy

Endocrinology

Oncology ONJ Centre

Cardiothoracic Surgery

Infectious Diseases

Diagnostics

Research Facilities (FNI redevelopment)

Aged Care (Dementia)

Psychiatry (inc Child Psych and Maternal)

Medical Structure

7 Clinical Support Units, each with a Medical Director and a Director

HMOs managed by HMO Services

Registrars & Fellows managed primarily at CSU level

HMO Committee

Medical Education Unit and Director, Skills Lab etc.

Extensive Library and e-access to many facilities and resources

Strengths at Austin

Academic milieu at all levels, including Research Austin Lifesciences

Range of services & exposure, including Diagnostics

Layers of support

Facilities

Affiliations

Culture & Pride

Medical Education Unit

Dr Heather GrusauskasDirector of Medical Education

Our Focus

Undergraduate

Pre-vocational (PGY1, PGY2-4)

Registrar/Specialist Training

Senior Medical Staff

Research

Education Resource Management

Medical Education Unit

Director of Medical Education, Dr Heather Grusauskas

Medical Education Officer

Clinical Support

Supervisor of Intern Training, Dr Natasha Holmes

Elizabeth Austin Registrar, Dr Brad Gardiner

Further support from Supervisors of

PGY 2/3 Training

General Practice Training

Physician Training

Surgical Training

International Medical Graduates Training

Dedicated Support Structure

Specifically for Interns 3 day Orientation Program reviewed each year

Intern Hospital Orientation Handbook

Way Finder Navigation Tool

Unit Specific Handbooks

Structured Weekly Education Program

Mid Term Feedback

End of Term Formal Assessment

End of Term Unit Evaluation

MEU website/ Jr doctor portal

What makes us different

Surgical Skills Centre

- Simulation training

Surgical Skills Workshops

- Knot tying & Suturing

- Laparoscopic

- Fracture Management

- Bowel Anastomosis

- Vascular Anastomosis


Medical Skills Workshops

-Diabetes Management

-Sports Medicine

-Paediatrics

-Ophthalmology

-Dermatology

-Asthma

-Family Planning

-Cytology


Dedicated and Enthusiastic Team

Information Evenings on Training Programs

Mock Interviews & CV Writing

Basic Life Support Training

Leadership & Communication Workshops

Committee of Medical Education

Mentoring Program

Hand-in-Hand Mentoring & Support Program

Based on being a good work place buddy

Austin mentors range from junior to senior medical staff as well as non-clinical staff

List of Mentors available on the intranet

Evaluation of Mentor Training Sessions

Annual review of the program



Career Progression

Career Information Session

Careers Forum

Career Booklet to help with CV writing and preparing for a job interview

Provision of Individual and vocational training advice

Mock Interviews - Surgical & GP

Medical Careers Expo


Research A variety of research opportunities available for Junior Medical Staff

Brokerage system for JMS Research

Research Week

Thank You

Ms Sarah McConchie, HMO Manager, Austin Health

Ms Geraldine Apswoude, HMO Manager, Northern Health

Rotations & Rosters

Internship (PGY1) Rotations

Largest intern training program in Victoria

89 Positions in 2010

Possibly 100 positions in 2011

Rotations at:- A teaching hospital (Austin Health)- A large community hospital (The Northern

Hospital)- A rural hospital (Bendigo Healthcare Group or

Echuca Regional Health)

Career pathways to all major postgraduate training programs

Internship (PGY1) Rosters

Each Intern will rotate through 5 rotations of 10-12 week terms including 1 rural term. Terms included are:

General Medicine (min 10 weeks)

General Surgery (min 10 weeks)

Emergency Medicine (min 8 weeks)

Term in Echuca, Orthopaedics, Aged Care, ENT, Cardiac Surgery, Spinal, Psychiatry, Vascular Surgery, PGPPP and VIFM

Composite term of annual leave, night duty, Anaesthetics or Radiology

Hours and Remuneration

38 hours base

Roster average 44 hours/week

Yearly base salary $55,000

Double Salary packaging through Austin Health and Northern Health

Process to take time in lieu for overtime worked

Overtime claim process MUST be adhered to

Our goal: to produce excellent doctors who

deliver excellent care

By attracting and retaining quality staff, who are

Supported (flexible yearly and weekly rosters)

Happy (working in rotations of choice)

Healthy (working reasonable safe hours)

Wealthy (paid for the work they do*)

And Wise (supporting education activities)

*time in lieu strategy in place as preferred method

Physician Training:

The RACP Physician Readiness for Expert Practice (PREP) Program

Brad Gardiner

Elizabeth Austin Registrar

Stephen Warrillow

CDPT

Physician Training at Austin Health

Consortium-based model Austin, Northern, Bendigo, Horsham

Largest consortium in Victoria (35 trainees sitting clinical exam in 2010)

Flexible with many options all sub-specialities available

Supportive environment, well supervised

Once upon a time in Physician Training

No syllabus

Just a cover all major disciplines pep talk & list of topics

Read Harrisons (pretty much all of it!)

Attend tutes & lectures (plus do lots of recalled papers!)

Often no continuous feedback

Only the ultimate feedback of a..

Pass (or Fail) in the written and clinical exams

What Has Not Changed

Six year program

Three years Basic training (broad-based)

Three years Advanced training (specialty focused)

May commence PGY2 (year after internship)

Written and Clinical Summative Assessments (EXAMS) at the conclusion of basic training to assess readiness to proceed to Advanced Training

What Has Not (Yet) Changed

Mandatory Terms

Three months of general medicine

Twelve months specialty medicine

Three months rural terms (Bendigo, Horsham)

Twelve months in a major referral centre

No more than six months in any given specialty*

Up to twelve months of non-core terms

Three months of ED, night duty, research, paediatrics, others approved by DPE

*some special exceptions may apply

What Has Not Changed

Trainees are expected to:

Direct their own learning

Be motivated and organised

Know all their training requirements

Organise all assessment tasks

Log all progress with the college (now via online portal)

Physicians are expected to supervise the education, training and development of their trainees (as has always been the case)

So Whats New?

Lots of acronyms!

A training curriculum

Basic Training (Adult and Paediatric)

Professional Qualities

More formalised feedback: Formative Assessment

More demands on (and guidance for) supervisors

New Formal Roles (and titles) for Supervisors

Formalised Supervision Roles

Director of Physician Education

Essentially the same as the old DPT role

Main link between college and hospital

Major leadership role in Physician Education

Responsible for PREP implementation at hospital

Doug Johnson & Scott Patterson are the Austin DPEs

Educational Supervisor

Supervises training of a small number of trainees

Between 3 and 5 (College: certainly no more than 10!)

Initial contact for trainees requiring advice or support with the PREP program

Completes short progress report every 6 months

Ideally will develop a mentor type relationship with trainees

Ward Consultants & Advanced Trainees

Provides direct clinical supervision and training support during rotations

Will assist with

Developing learning plans

Providing feedback on progress

Undertake some elements of formative assessment

Professional Development Advisor

Works with Trainees on non-clinical aspects of professional practice

Also has a mentorship role

Role may be undertaken by ward consultant, educational supervisor or DPE/CDPE

The New Acronyms..

Learning Tools

Learning Needs Analysis Tool (LNAT)

Significant Incident Analysis Tool (SIAT)

Formative Assessment

Mini-CEX

Multi-source Feedback (MSF)

LNAT

A learning plan based on the PREP curriculum

Initiated by trainees and completed with ward consultant or advanced trainee

Done at the beginning of each rotation-takes less than ten minutes

Trainees lodge plan with college

Minimum of four per year

SIAT

A short written reflection on a significant incident that impacted on the trainee and had the potential to positively or negatively influence the quality and safety of patient care

Discussed with supervisors and logged on portal

Two per year

NOT just confessions about mistakes/errors

Mini-CEX

A focused assessment of clinical performance

Can occur in many clinical areas

Ward, ED, Outpatients, Tutorial room

Trainee evaluated in context of their level of training

Mini-CEX

Not necessarily just like a short-case

Can assess examination, history taking, counseling, interpretation of investigations, procedures

An assessment of tasks undertaken by trainee in their everyday work

Immediate feedback provided

Takes about 20 minutes

Total of four per year

Trainee responsible for logging outcome on portal

Multi-Source Feedback

Initially for Advanced Trainees only

Ultimately will be introduced for all physician trainees

On-line tool gathers feedback from a range of staff (other trainees, supervisors, nursing staff, allied health)

One required per year

Perhaps a useful preparation for consultant practice

Summative Assessment- Exams

Can be sat in the third year of basic training

The major focus for trainees

Determines eligibility for progression to Advanced Training

The Written

The Knowledge Test- March each year

Very high level of detailed knowledge across all specialties

Two papers: Both A-Type best of five options MCQ

Medical Science 70 MCQs in 2 hours

Clinical Applications 100 MCQs in 3 hours

Structured exam preparation program (tutorials, lectures etc.)

The Clinical

The Clinical exam is designed to assess

Clinical skills

Attitudes

Interpersonal/Communication skills

Two longs plus four shorts over a day

Aim is to assess clinical competence at conclusion of basic training

Is candidate ready to progress to 3 years of advanced training?

NOT an exit exam

Summary

Well structured program, supportive environment

Many options available

A great place to do physician training!

All details available at: www.racp.edu.au

Teaching and Training at Northern Health

Prof Judy Savige

Director of Clinical Training

Northern Health

Northern Health

5 campuses, 330 beds, 190 subacute

Bigger than St Vincents

All specialties except Neurosurgery and Thoracic Surgery

Junior medical staff all rotate Austin-Northern-Bendigo-Echuca-Horsham

Why train with us

Training in all specialties, including all medical specialties, General Practice, Paediatrics, O and G

Excellent training programs usually shared with Austin

Interesting diseases, often first presentations, many in recent immigrants

Work is immensely rewarding, fantastic staff

You can help shape the health service

Many opportunities for new consultants

Youre travelling against the traffic!

Why train with us

We videoconference our Grand Rounds to other campuses of Northern Health

National RACP lecture programme coordinated from Northern Health

Congratulated by the RACP on our clinical exam twice!

Austin Surgery Surgical InternshipAustin Surgery Surgical InternshipDepartment of Surgery Austin HealthDepartment of Surgery Austin Health

Opportunities for 2011

ExpectationsExpectations

Department of Surgery Austin HealthDepartment of Surgery Austin Health

Work Hard!!!!

Take ownership of your patients

Prepare seamless transit to surgery

Plan your patients journey from surgery to home

Learn

Enjoy your experience

OpportunitiesOpportunities

Austin SurgeryAustin Surgery

Consultant

Surgeon

Pre SET

Years

SET1 SET 2-5 Fellowship

Years

Identify and Look for fellowship jobs

Search for Research

Requirement



Consultant

Surgeon

Pre SET

Years

SET1 SET 2-5 Fellowship

Years

Identify subspecialty interest

Search for Research

Requirement



Clinical Surgical Experience

Opportunities for Research

Ongoing Surgical Education

Support and direction for surgical career pathway

Clinical Surgical ExperienceClinical Surgical Experience


Largest General Surgical Training Hub in Victoria

20 SET 2-5 positions

8 SET 1 positions

Intern positions at Austin Health

HPB & Transplant Unit (Surg 1)

Breast unit (Surg 2)

Upper GI & Endocrine Unit (Surg 3)

Colorectal Unit (Surg 4 )

Cardiac Surgery

ENT

Orthopaedics

Vascular

Surgical HMO 2 Positions

Emergency Department

Neurosurgery

Night duty

Orthopaedics

Plastics

Thoracic surgery

RCH (1 position)

The Surgery Centre

Urology



Surgical HMO 3 positions & Unaccredited

Registrar Positions

Selection criteria

- Interview (40%)

- Curriculum Vitae (30%)

- Referee reports (30%)

Research OpportunitiesResearch OpportunitiesAustin SurgeryAustin Surgery

Clinical Research with specific

Units

Basic science research

www.austinsurgery.unimelb.edu.

au

Research OpportunitiesResearch OpportunitiesAustin SurgeryAustin Surgery

HPB Research Group

Prof Chris Christophi

Cancer Biology Research Group

Prof Graham Baldwin

Regulatory Peptides Group

Prof Arthur Shulkes

Transplant Immunobiology Gp

Prof Mauro Sandrin

Surgical EducationSurgical Education


Benchmark program for

surgical education in Australia -

RACS

Clinical Training

Tutorials

Lectures

Seminars

Hands on Workshops

Exam & Interview Courses

Surgical EducationSurgical Education


"Listen to

your patient,

he is telling

you the

diagnosis.

Sir William Osler

Northern Health

Information Session Interns 2011

Overview of Northern Health

Background

The Northern Health Community

Catchment: Moreland, Hume, Darebin, Whittlesea, Banyule, Nillumbik

Current Population 700,000

An additional 159,000 people by 2021


Background

The Northern Health Community

A diverse area:

High concentration of socio-economic disadvantage

Higher than average numbers of younger and older people

Highest number ATSI people compared with other areas of Melbourne

126 different countries of birth

118 languages spoken

High levels of poor health, disability, disease, injury


Campuses and Services

Acute, Subacute and Community based services

Annual operating budget > $300 million

3500 staff


Campuses and Services The Northern Hospital

330 Acute beds

6 Operating Theatres

Emergency Department

Medicine, Paeds

Surgery

Obstetrics


Campuses and Services Broadmeadows Health Service

92 beds including

Aged Care

Rehabilitation

Palliative Care

Day Procedures and Endoscopy

Ambulatory services

Specialist Medical consulting


Campuses and Services Bundoora Extended Care Centre

70 Sub-acute inpatient beds

Geriatric Evaluation

Rehabilitation

30 Nursing Home beds

Ambulatory and Community services


Campuses and Services Panch Health Service

Range of services in partnership with:

TNH, BECC

Austin Health

Darebin City Council

Darebin Community Health

Other health providers


Campuses and Services Craigieburn Health Service

Opened April 2007

Services in partnership with:

TNH

Melbourne Health

City of Hume

Dianella Community Health Service

Busy lots of experience

Interesting clinical problems

Excellent Teaching

Day to Day Management responsibility

Career Guidance

Support with Ethical Dilemmas and Have I made an error?

Why is Northern Health

is a great place for Interns

Lots of hands on Experience Education Sessions and Programs Develop your Clinical Skills Develop your Communication Skills with

Patients and Colleagues Begin to understand Clinical Risk

Management

All the advantages of a small hospital and a large hospital!

Why is Northern Health for You?

IMPORTANT DATES

1. Medical EXPO - Northern Health STAND

2. How to Apply Guide - All the dates! 3. Interviews Interns - 18th to 21st of June

NEW BOOKLET

Northern Health

Medical CareersIncludes Positions Education &

FAQ

welcome to austin health - austin doctors - home to austin health 2010... · internship (pgy1)...

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