Welcome to Trainee Night!
Dr Jim Griffiths
Coordinator Haematology Advanced Training
Victoria, Tasmania & Northern Territory
10 May, 2016
Network News
AMC Standards of Assessment 2016
• Selection and Appointments
– CAPHAT Process and Selection Process
• Trainee Wellbeing
– No Bullying or Harassment
• Trainee Participation in Governance
CAPHAT Trainee Committee
Network News
RCPA Position Statements
• Joint RCPA RACP Training (1/2016)
– Number of new joint trainees accepted
• RACP Clinical Only Trainees (2/2016)
– Access to Laboratory Training Positions
Network Structure
Rotation between institutions
CAP HAT Process 2017
• Detailed information and documents pertaining
to this network will be available on the RCPA
website tomorrow. Including:
– CAP HAT Process description
– Selection Process document
– Institution information on positions
– Sample timetables
– Slide presentations from tonight
– Spreadsheet summary of positions
Application Process 2017
• Application information on the RCPA website from 29th
June 2016.
• Applications to include:
– Cover letter & CV
– Coversheet(s)
• Separate coversheets for new applicants and existing trainees
• One coversheet for each application
– Supervisor Report (most recent)
– Referee Report Template
• Trainees send a copy of the template to each of their three chosen
referees:
– One current supervisor
– One nurse, allied health practitioner or senior scientist
– One of your own choice
Trainee Selection Process 2017
• First year Clinical and first year Laboratory
applicants will be assessed, scored and ranked
by the network panels to define the cohorts on
the basis of:
– CV: 20%
– Referee Reports: 10%
– Semi-structured Interview: 70%
• Trainees matched on the basis of the Trainee
and Institution Preferences only.
Matching Process 2017
• Matching process will be conducted on the
basis of the cohorts of trainees:
– Senior Clinical trainees
– Senior Laboratory trainees
– Existing trainees who missed out on laboratory
placement the previous year
– Existing trainees wishing to enter the laboratory
– New applicants to the training program
Summary
• Single advertisement on the 29th June.
• Application Forms available on RCPA website.
• Separate application form for new applicants &
for existing trainees.
• One application for each position.
• Referee Report template available on RCPA
website.
• Submit to Verity Jolliff - verityj@rcpa.edu.au
The Alfred
Hospital
The Alfred
Hospital
Laboratory supports large haematology unit (17
consultants)
– Allogeneic transplants, 2 haematology
IP units, haemostasis/thrombosis unit,
full-time transfusion medicine specialist
– Extensive clinical trials (AML &
myeloma)
– State haemophilia centre
– Links to:
• haematology research
laboratories (Australian Centre for
Blood Diseases)
• Transfusion Outcomes Research
Collaborative (Monash Uni Dept.
of Epidemiology)
Laboratory supports 3 hospitals
– The Alfred
• Victoria’s largest trauma centre
• Heart & lung transplantation
– Sandringham Hospital
• General medicine, obstetrics
– Caulfield
• Aged care, rehabilitation
Broad experience of malignant &
non-malignant haematology
Opportunities for collaboration
in research
Support & education in
preparation for FRCPA
examinations
2017 laboratory haematology training positions
• 4 full-time registrars Alfred Hospital laboratory
– All registrars do 3 month rotation to Australian Red Cross Blood
Service (2 days at ARCBS West Melbourne, 3 days at Alfred Hospital)
– 2 first year laboratory training
– 2 second year laboratory training
Contact:
Dr Sue Morgan
Head, Haematology Laboratory
s.morgan@alfred.org.au
Laboratory Haematology
Consultants
A/Prof Carole Smith (Medical
Director, Pathology)
Dr Wai Khoon Ho
Dr Frank Hong
Dr Daniela Zantomio
About us…..
• Provide pathology service for
•
•
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•
– Mercy Hospital for Women
– GP and specialists in private rooms
Bone marrow biopsies
Warfarin dosing service
Flow cytometry
Blood banking, including autologous
stem cell lab, allografting
• Haemoglobinopathy
• Growing molecular haematology lab
and…
• Modern laboratory
• Friendly and helpful
scientists
• Supportive consultants
• No weekend/public
holiday on call
• Research projects
• Contact: frank.hong@austin.org.au
Eastern Health
Dr Marija Borosak
Eastern Health
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Employ 8000 people
Care episodes to 800 000 patients
25 locations
3 major hospitals
2800 sq. km east – largest
geographical catchment area of any
metro health service in Victoria
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Friendly supportive haematology staff
Large catchment area
Full spectrum of malignant and non malignant haematology including
primary diagnosis, antenatal, paediatrics
Team focused on haematology laboratory teaching
Opportunities for projects and research
•
•
1 laboratory position
1:5 on-call (including Oncology)
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Contacts;
Dr Marija Borosak
– marija.borosak@easternhealth.org.au
– Mobile 0409 239 120
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621 beds (increase of 200 beds)
Large Emergency dept.
Dedicated Women’s services
11 new operating theatres
New 18 bed ICU
Specialist cardiology
Additional inpatient and day beds for
cancer & renal patients
Public underground parking (220
spaces)
Victoria’s largest Public Health Service
Our care at a glance
2014-2015
3.1 million Total episodes of care
More than 3.1 million episodes of care provided across the
community.
206,602 Emergency presentations
More than 206,602 people came to our three emergency departments
for treatment.
238,851Hospital admissions
More than 238,851 people admitted to our hospitals.
45,759 Surgical operations
More than 45,759 operations performed.
1,186,825 Outpatient services
More than 1,186,825 occasions of service provided by our outpatient
services.
9,489 Babies
There were 9,489 babies delivered.
257,180 Mental health
More than 257,180 client contacts.
36,453 Paediatric admissions
More than 36,453 admissions of children under age 19 to our
children’s wards and neonatal units.
51,476 Ambulance arrivals
More than 51,476 ambulance arrivals handled by our emergency
departments.
Unit Heads
• Areas of Special Interest
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Clinical Research Unit
Basic/Translational Research Unit
Lymphoid cancer Service
Thrombosis Service
Clinical Transfusion
Myelodysplasia/Myeloproliferative
Neoplasms
State Thalassaemia service
Paediatrics Haematology Service
Obstetric Haematology
Molecular Pathology
• Laboratory Statistics 2015
– FBE 800K per year
– Bone marrow biopsies > 700
Assoc Professor Stephen Opat
Clinical Haematology
Dr. Sanjeev Chunilal,
Laboratory Haematology
Consultants
Assoc Professor Jake Shortt
Assoc Professor Huyen Tran
Assoc Professor Erica Wood
Assoc Professor Harshal Nandukar
Dr. Susan Brown
Dr. Natasha Curtin
Dr. George Grigoriadis
Dr. Zane Kaplan
Dr. Zoe McQuilten
Dr. Sushrut Patil
Dr. Sukanya Roy
Dr. Noel Chan
Dr. Michael Gilbertson
Dr. Gareth Gregorgy
Dr. Michael Low
Dr. Pasquale Fedele
Dr. Ashwini Bennet
Dr. Shaun Fleming
Dr. Shahla Vicassim
Dr. Kottayam Radhikrishan
Dr. Anthea Greenway
Service Coordinator
Nicole Porter
Administrative Assistant
Tanya Ter-Kuile
Outpatient Service Administrator
Jasmine Souki
Nurse Coordinators
Michelle Cruz (Lymphoma)
Kylie Porch (CML)
Laboratory Registrars 2016
Dr. Cherry Keragala
Dr. Olga Motorna
Dr. Danielle Oh
Dr. Indu Raman
Dr. Shreerang Sirdesai
Dr. Jonathan Wong
Clinical Registrars 2016
Dr. Leigh Beveridge
Dr. Jennifer Brotchie
Dr. Melissa Chen
Dr. Ashwarth Gurumurthi
Dr. Wayne Hauw
Dr. Jasmine Singh
Dr. Abbey Wilcox
Dr. Agnes Yuen
Haematology Research (Clinical)
Dr. Allison Mo
Dr. Tishya Raman
Dr. Sumi Ratnasingam
Matt van Dam
Anita Cummins
Carmen Dicorleto
Jeanette Gamgee
Annette Opat
Diana Puot
Lynn Stafford
Sumitra Suderson
Micheleine Uhe
Charmaine Martis
Haematology Research (Basic)
Dr. George Grigoriadis
Dr. Ashish Banerjee
PhD Students
Dr. Shallah Vilcassim
Dr. Gareth Gregorgy
• Haemaglobinopathy and Thalasemmia
– State Reference Laboratory
• Special Coagulation
– HITs testing
- NOAC Monitoring
– Dabigatran, Rivaroxaban, Apixiban
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•
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– ADAM-TS 13 Assay
Paediatric Oncology
Molecular/ genetic pathology
JAK-2/Bcr-abl/CALR
FISH
Pediatric FISH panels
Hemophilia Genetic Testing
Four registrar positions for 2017
• 1 First year
• 3 Second years
3 Locations
• 2, Monash Health: Clayton
• 1, ARCBS ½ time ½ time- Monash Clayton
• 1, Monash Health: Dandenong
Only 1 registrars required on call roster
Contact Sanjeev Chunilal, Laboratory Head of Haematology 9594 4366
Sanjeev.Chunilal@monashhealth.org
NicoleM.Porter@monashhealth.org
MP, Pmac, RMH: 2017
Haematopathology
Laboratory Training:
8 EFT registrars; 24 months training
1 molecular Reg EFT (senior trainee) – 2017 N/A
Rotation with Melbourne Pathology (6 months)
Integrated with RMH
Rotation to ARCBS (3 months)
>15 consultants – primary at each site
Entry level and senior trainees
Exam success rate –v high
Responsibilities/Reporting
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Basic morphology
Bone Marrows
Flow cytometry (computersied)
Molecular pathology
Transfusion medicine ARCBS &
all 3 institutions
Coagulation consults
Haemoglobinopathy
Paediatric films
Quality & Management
Value adding to patient care
• Teaching/teachers – ample!
• Projects/research/and beyond…
Contacts:
Melbourne Path:
Dr Ellen Maxwell: ellen.maxwell@mps.com.au
Peter MacCallum Cancer Centre:
Dr David Westerman: david.westerman@petermac.org
Royal Melbourne Hospital:
A/Prof Surender Juneja: surender.juneja@mh.org.au
Melbourne Pathology
Melbourne
Pathology
Melbourne Pathology
Melbourne
Pathology
Melbourne Pathology
• Broad exposure & high volume throughput
– Malignant and general haematology
– OP and IP management
– Specialist and GP exposure
• ICU, CCU, A&E, theatres, haemato-oncology, obstetric, paediatric,
• anti-coagulation clinic
• Newest/advanced technology
• Multiple consultants across 2 campuses
• Different styles and different expertise
• Scientists actively involved in teaching
• Learning resources: slide sets, journals, tests, on-line
Melbourne
Pathology
Melbourne Pathology
•
Senior/junior registrar pairs
•
Supportive of scheduled and optional teaching activities
•
No on-call / after hours
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Contact:
Mentors and teachers
Work balance for exam candidates.
Central to College of Surgeons
Close to IH meeting venues
Site of slide night
Dr Ellen Maxwell
Director of Haematology
9287 7703
ellen.maxwell@mps.com.au
Haematology Trainees’ Night
10th May 2016
A/Professor Merrole Cole-Sinclair
Head, Laboratory Haematology
Haematology Department, St Vincent’s Hospital
41 Victoria Parade, Fitzroy VIC 3065
Tel: 9288 3996 Fax: 9288 4214
Merrole.COLE-SINCLAIR@svha.org.au
Haematology Laboratory, STV
The Haematology laboratory is part of STV Pathology providing
diagnostic services to:
•
St Vincent’s Health Melbourne (St. Vincent’s Fitzroy, St. George’s, Caritas Christi etc.,
including ED, ICU, cardiac, orthopaedic and neurosurgery, haematology, oncology)
•
St Vincent’s Private Hospital (Fitzroy, East Melbourne & Kew including O & G, neonatal
nursery, clinical haematology)
•
External specialists, GP practices
General and special diagnostic haematology:
•
1200 FBEs/day
•
150 INRs/day
•
10 – 15 BMs/week
•
Flow, Hb studies, transfusion lab, special coagulation, stem cell processing,
limited molecular studies, VCCS on site
•
7 haematopathologists, variety of interests
•
1.5 Haematology lab registrars
Haematology Laboratory, STV
For Advanced Trainees in Haematology:
• excellent exposure to most aspects of general diagnostic
haematopathology including tertiary hospital and
community based work
• good support for teaching/training from experienced
consultants and scientific laboratory staff
• remain involved with Clinical Haematology – weekly clinic,
on call, MDMs, clinical meetings, etc.
• support/encouragement to participate in projects etc.
Haematology Laboratory, STV
Positions Available in 2017:
1 Laboratory Haematology Registrar
•
FT in laboratory with 1 OP clinic/week, laboratory and clinical on-call
•
suitable especially for trainees sitting Part 1 RCPA Haematology exam
1 Laboratory/Clinical Haematology registrar [STP funded]
•
0.5 EFT clinical (at St Vincent’s Private Hospital)
•
0.5 EFT laboratory (at St Vincent’s Public Hospital)
•
suitable especially for trainees in last year of training
with interest in private sector clinical practice &/or
ongoing laboratory haematology commitment
Australian Red Cross Blood Service
RCPA –
Haematology –
Trainee Night
•
•
10 May 2016
Modern laboratories in West Melbourne
• 10 minutes from Southern Cross station & trams
Medical testing laboratories / services
– on site at West Melbourne facility:
•
Red Cell Serology
•
Red Cell Reference Laboratory
–
Serology
–
Access to Red Cell Genotyping & Next Gen Sequencing
facility in Brisbane
•
Tissue Typing
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•
Serology / Luminex / Genotyping / Sequencing
Platelet & Granulocyte Immunology
–
Serology / Genotyping
•
Infectious Disease Serology
•
Infectious Disease Molecular Testing
•
Bacterial Screening
Accredited Haematology Advanced Training
at the Australian Red Cross Blood Service
• For registrar academic year of Feb 17 to Jan 18
and the match (JSAC / Single Discipline):
– Shared positions with
• The Royal Melbourne Hospital / VCCC
• The Alfred Hospital
• Monash Medical Centre
The advertisements for these
lab positions at each site will
state “shared” with the
Blood Service
– Option for dedicated senior registrar positions
in transfusion medicine
– Research post in partnership with Monash
University, Department of Epidemiology &
Preventive Medicine - Transfusion Outcomes
Research Collaborative
(not via the computer match)
Contact:
Dr Chris Hogan – 0499 770 272
chhogan@redcrossblood.org.au
Dr Frank Hong
fhong@redcrossblood.org.au
Dr Amanda Ormerod
aormerod@redcrossblood.org.au
Presented by
Dr Vetha
Aravindan
Transfusion
Coag
Automation
Flow
Morph
HBE
Haematology
Department
Heidelberg
Laboratory
• Massive inpatient and outpatient workload.
There is nothing you will not see.
• Share office with the senior haematologists.
There is constant teaching.
• Very dedicated senior scientific staff who are
all keen to join in the teaching
• Free parking
Contact: Dr Mark Levin, Director of Haematology.
mark.levin@dorevitch.com.au
Tel: 92440384 (direct line)
1 position based at Western Hospital Footscray
and central laboratory 18 Banksia St Heidelberg.
Australian Clinical Labs
• Main lab in Dandenong – Clayton
• Formerly ‘Healthscope’, prior to that ‘Gribbles’
• Provider to a wide variety of GP and specialists
as well as 2 public and numerous private
hospitals
Highlights
• 1. Primary healthcare setting – you get to diagnose
things first
• 2. Exposure to a wide variety of experienced
haematologists from multiple other institutions
• 3. Referred hospital work via Northern, Bendigo, John
Fawkner, Peninsula Private, Knox and other hospitals
• 4. Part of an Evolving haematology service at The
Northern
Positions
• 2016 – 2.2 EFT positions
– 0.2 EFT (Friday) rotating registrar from Monash
– 1.0 EFT Australian Clinical Labs haematology registrar
– currently trainee in second lab year
– 1.0 EFT 2nd position - currently trainee in first lab year
(will likely go into second year)
• Funding not yet established for anything other
than 1.0 EFT in 2017
• Contact Paul Turner
paul.turner@clinicallabs.com.au
Royal Hobart Hospital
We are here
HOBART:
• 57 minute flight from Melbourne
• 3rd Lowest annual rainfall of capital cities (Adelaide and Perth dryer)
Department of Haematology
• RHH Services south of Tasmania (Pop’n ~250k)
• Most State-Wide referral services are provided
in Hobart
– All Autografts (~30/year) at RHH as well as
haemophilia service. All Flow and Cytogenetics
performed RHH
– CTS, Neurosurg, Paed-Onc (ALL), O&G etc.
• Hobart is a great sized City to live in – big
enough, but not too small
– You don’t bump into patients at Coles!
Registrar positions
• One clinical haematology position (definitely)
– Contact Dr Rosemary Harrup
• rosemary.harrup@ths.tas.gov.au
• nick.murphy@ths.tas.gov.au
• One laboratory haematology position
– Contact Dr Anna Johnston
• anna.johnston@ths.tas.gov.au
• nick.murphy@ths.tas.gov.au
• Relocation assistance funding available
• Suitable individual can remain in the service for 3
years (1 clinical, 2 lab years).
• Need mainland/other experience.
Highlights of training experience
• Moderately Busy, full spectrum of benign and malignant haem
• (We do basically everything* and its usually not too crazy)
• Comprehensive diagnostic haematology service (including
flow, molecular, cytogenetics & stem cell transplant)
• (We do basically everything)
• Committed consultants (5 lab, 5 clinical) and senior scientists,
regular teaching, research opportunities
• (We are very nice)
• LIFESTYLE!
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–
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AND
Everything is closer and easier in Hobart (Walk to work, traffic etc.)
Hobart recently (for 2013) voted Top 10 cities to visit in the world!
Australia’s smallest and most historic capital
Close proximity to beautiful natural surrounds
Vibrant, improving food/wine and cultural scene
Multiple good quality caffeine providers
20 minutes from Hospital...
Or
Or
Or
Darwin
Royal Darwin Hospital
• 363 beds
• Teaching hospital,
affiliated with Flinders
Uni and Uni of Sydney
• National Critical Care
and Trauma Response
Centre
• Referral centre for other
NT hospitals
• Tropical climate
• Large Indigenous
population
• Extremely interesting
Haematology and
Transfusion cases
• 2.5 FTE Consultants +
Scientists
• 1 registrar position
• High exposure to
experienced staff
• Fantastic training
ground – wide variety
of patients
• New Sysmex XN-20
Haematology platforms
• New coagulation analysers
CS2100i
• Establishing flow cytometry
testing
• Great training facilities
• For more
information contact
Dr Ferenc Szabo
• RDH Switchboard
08 89228888
• ferenc.szabo@nt.gov.au
RCH Haematology Registrar Training
Also providing services to the RWH
RCH Clinical training
RCH Haematology training
• Haemophilia Centre
• Sickle
Cell/Haemoglobinopathy/
Apheresis services
• Congenital marrow
disorders
• Thrombosis clinical and
research
• ECLS
• Anticoagulation Service
• Trauma and
transplantation centre
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•
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•
•
COG centre
Flow and MRD
Special Coags
Thalassaemia testing
Blood banking – trauma,
transplantation support,
chronic transfusion
program/apheresis,
antenatal/obstetric
support- Massive
Transfusion
• Paediatric and Obstetric
morphology
RCH Haematology training
• 2 accredited positions (RCPA/JSAC) available in 2017
• Combining laboratory and clinical rotations
• Contacts:
– Dr Helen Savoia, Head of Clinical Haematology
• 9345 5916, helen.savoia@rch.org.au
– Dr Anthea Greenway
• 9345 4947, anthea.greenway@rch.org.au
Barwon Health Haematology
Andrew Love Cancer Centre
Highlights of Geelong
1) Broad range of malignant and non-malignant haematological
experience, including autograft transplants.
2) Well maintained, computerised system for medical records,
outpatient bookings and chemotherapy prescription.
3) Highly competent clerical and nursing staff, and supportive
consultants.
Details
Number of Positions:
2 Clinical Haematology Registrars
(Full Time)
-1 for ward and referrals
-1 for clinics and day oncology
Other Team Members:
Point of Contact:
A/Prof Philip Campbell
Consultants:
Philip Campbell, Hannah Rose,
David Kipp,
AdamFriebe, Helen Fairweather,
Sumi Ratnasingham
Email: philipc@barwonhealth.org.au
Tel: (03) 4215 2778
Clinical Trials Leader:
Lea Anne Harrison
Contact: Dr Geoff Davey
geoff.davey@sjog.org.au
03 5225 1100
ROYAL COLLEGE OF PATHOLOGISTS OF AUSTRALASIA
Dr Kathy Robinson,
Education Advisor
kathyr@rcpa.edu.au
Haematology Training
RCPA only – 5 years after completion of two clinical years
CJCT – 4 years after completion of Basic Physician Training
Training needs to be identified as:
• Core laboratory - 2 years
• Core clinical - 1 year
• Elective year that generally includes a
research project
All training must be supervised and take place in an accrediated
an accredited institution
Registration with two Colleges
• Existing registration with RACP
• Need to lodge Initial registration with RCPA –
certified copies of all qualifications
• After Initial registration all originals go to
RACP with copies to RCPA
• Pay training fees to both Colleges
Rural Supplementation
• Trainees with Australian citizenship or permanent residence who
are training away from major centres are eligible for
Commonwealth support for some training expenses.
• Rural supplementation is currently offered to Haematology trainees
in Darwin, Hobart, Geelong.
• The funding may be used for travel expenses to attend conferences
and teaching sessions, for textbooks or approved items of
equipment.
• The amount available is related to distance from major teaching
centres.
Trainee Handbooks
Clinical Haematology at Austin

Consultants : 7
(Head of Department – Professor Andrew Grigg)
Clinical Registrars : 3-4*
 Clinical Fellow: 1-1.6* (0.6 may suit part-

time role)
 Residents : 2-3*
 Clinical Trials : approximately 6 nurse EFT
 Clinical Trials: 15+ in active or anticipated
recruitment
 Outpatient Clinics : 4
 Transplant co-ordinators: 2
 Nurse counsellor: 1-2*
 Data manager: 0.6
About Us
 3 Registrars; possibly 4
 Rotate through inpatients, outpatients,
day oncology/referrals
 Planned for less clinical trial responsibility
than before
 Close interaction with laboratory team
 Extensive range of benign (including
obstetrics, liver transplant) and malignant
haematology
 Autografts and allografts (RMH-Austin
unit)
 Close links with Northern and Ballarat
 Aiming for I in 4 weekends ( Thursday off
if work weekend! )
Teaching, Education, Research, Career Pathway
 3+ specific educational sessions per week:
journal club,
lab meeting
formal specific registrar focused training
following college curriculum
 informal discussions on alternate Monday
evenings
in addition to unit meetings (pathology,
radiology etc.) and MDMs
 Part of new consultant role will include registrar
mentoring
 Each registrar responsible for and mentored in at
least one research study
 Responsibility for protocol manual review and
disease specific databases
 Attend at least one national or international
conference
 Transition into laboratory position
Contact
 Ask our registrars on a good
day after their weekend off:
Genevieve.douglas@austin.org.au
Katherine.cummins@austin.org.au
Adrian.minson@austin.org.au
 Having chats +/- tours with
interested people pm 27th May
andrew.grigg@austin.org.au
or telephone 9496-5093 or
natalie.villani@austin.org.au
NORTHERN HEALTH
In Evolution…
3 Undeniably Excellent Reasons to Work
@ The Northern Hospital:
1. The Patients
2. The Position
3. The People
Not just about “Big Haematology”,
but all about what you do with it…
Our Ever Increasing Scope of Service
•
>20 Acute Leukaemias/year
•
including induction + consolidation
•
•
•
ALLG registered site / international trials
Tx of high grade lymphomas / HD-Mtx
Local Lymphoma MDM and link to Austin Lymphoma
•
•
Oz 1st Myeloma MDM, clinical trials / MRDR
Experienced Nurse Practitioner support, transplant referral program
•
•
Multiple dedicated clinics, total >40 patients per week
Multiple international papers, clinical trials and research opportunities
•
publications and international presentations.
• Rx of Broad Range of Lymphoma / CLL
•
Well-developed Myeloma Service
•
Dedicated Thrombosis Service
•
Growing clinical trial program and extensive investigator-led
research
Clinical Haematology - Northern Health
Accredited Position
Clinical Haematology Registrar (1 full-time position)
Current Registrar
Dr Alison Slocombe
Clinical Haematology Registrar
alison.slocombe@nh.org.au
Phone
03 8405 8000
(pager 899 via switch)
Contact for Enquiries
Dr Prahlad Ho
Acting Director, Clinical Haematology Services
prahlad.ho@nh.org.au
Phone
03 8405 8000 via switch
Western Health – Footscray, Sunshine
and Sunbury
Sunshine Hospital – Day Oncology
Western Health
– Clinical Haematology Registrar
• Broad range of General Haematology –
• Malignant – low grade/moderate grade
• Benign – including Obstetric
• Growing Unit – exciting time as the unit is
expanding
• Not too busy – time for 1 on 1 teaching from
Consultants, time to do projects,
involvement in Clinical trials
Western Health
– Clinical Haematology Registrar
• 1 position
• Contact Details
• Dr Bill Renwick: william.renwick@wh.org.au
The Alfred
Caulfield Hosp
Clinical
Haematology
@
The Alfred
Hospital
The Alfred
Hospital
Sandringham Hosp
Clinical Training 2016
• 9 Registrars shared between Alfred (4)-Monash (3)Peninsula (1) + 1 Reliever
• Alfred Registrar Rotations
– 2 Clinical Haematology
– 1 BMT
– 1 Haemostasis-Thrombosis-Haemophilia
• Fellows: BMT, Leukaemia, Myeloma, HTH
Strengths @ Alfred
• Exposure to all areas of haematology
• Back up by Fellows
• Clinical Research Unit:
– >250 patients on trial
– FTIH / Early phase treatment centre
• Academic Unit
Australian Centre for Blood Diseases
ACBD Profile
Victoria’s largest Public Health Service
Our care at a glance
2014-2015
3.1 million Total episodes of care
More than 3.1 million episodes of care provided across the community.
206,602 Emergency presentations
More than 206,602 people came to our three emergency departments for
treatment.
238,851Hospital admissions
More than 238,851 people admitted to our hospitals.
45,759 Surgical operations
More than 45,759 operations performed.
1,186,825 Outpatient services
More than 1,186,825 occasions of service provided by our outpatient services.
9,489 Babies
There were 9,489 babies delivered.
257,180 Mental health
More than 257,180 client contacts.
36,453 Paediatric admissions
More than 36,453 admissions of children under age 19 to our children’s wards
and neonatal units.
51,476 Ambulance arrivals
More than 51,476 ambulance arrivals handled by our emergency
departments.
Unit Heads
• Areas of Special Interest
– Clinical Research Unit
– Basic/Translational
Research Unit
– Lymphoid cancer Service
– Thrombosis Service
– Clinical Transfusion
– Myelodysplasia/Myeloprol
ferative Neoplasms
– State Thalassaemia service
– Paediatrics Haematology
Service
– Obstetric Haematology
Assoc Professor Stephen Opat
Clinical Haematology
Dr. Sanjeev Chunilal,
Laboratory Haematology
Consultants
Assoc Professor Jake Shortt
Assoc Professor Huyen Tran
Assoc Professor Erica Wood
Assoc Professor Harshal Nandukar
Dr. Susan Brown
Dr. Natasha Curtin
Dr. George Grigoriadis
Dr. Zane Kaplan
Dr. Zoe McQuilten
Dr. Sushrut Patil
Dr. Sukanya Roy
Dr. Noel Chan
Dr. Michael Gilbertson
Dr. Gareth Gregorgy
Dr. Michael Low
Dr. Pasquale Fedele
Dr. Ashwini Bennet
Dr. Shaun Fleming
Dr. Shahla Vicassim
Dr. Kottayam Radhikrishan
Dr. Anthea Greenway
Service Coordinator
Nicole Porter
Administrative Assistant
Laboratory Registrars 2016
Dr. Cherry Keragala
Dr. Olga Motorna
Dr. Danielle Oh
Dr. Indu Raman
Dr. Shreerang Sirdesai
Dr. Jonathan Wong
Clinical Registrars 2016
Dr. Leigh Beveridge
Dr. Jennifer Brotchie
Dr. Melissa Chen
Dr. Ashwarth Gurumurthi
Dr. Wayne Hauw
Dr. Jasmine Singh
Dr. Abbey Wilcox
Dr. Agnes Yuen
Haematology Research (Clinical)
Dr. Allison Mo
Dr. Tishya Raman
Dr. Sumi Ratnasingam
Matt van Dam
Anita Cummins
Carmen Dicorleto
Jeanette Gamgee
Annette Opat
Diana Puot
Lynn Stafford
Sumitra Suderson
Micheleine Uhe
Charmaine Martis
Haematology Research (Basic)
Tanya Ter-Kuile
Outpatient Service Administrator Dr. George Grigoriadis
Dr. Ashish Banerjee
Jasmine Souki
Nurse Coordinators
Michelle Cruz (Lymphoma)
Kylie Porch (CML)
PhD Students
Dr. Shallah Vilcassim
Dr. Gareth Gregorgy
Clinical Registrar positions
2017 Monash, Alfred & Peninsula
Monash rotations split into Two teams alternating weeks:
RED TEAM - Acute admissions/after hours/ ED Referal's
WHITE TEAM - Consults/ Non acute referals/ GPs
Ward Registrar’s and the Thalassaemia Registrar will attend outpatient
clinics:
959M: Clinical Haematology
8003C: Thrombosis
240C: General Haematology
259C: Pre Op Anemia
Total of 9 Positions
MONASH HAEMATOLOGY
Assoc Professor Stephen Opat
Clinical Haematology Unit Head
Dr. Zane Kaplan
Medical Therapy (Thalassemia) Unit Head
ALFRED HEALTH
Assoc Professor Harshal Nandurkar
Australian Centre for Blood Diseases
Tel: 03 9903 0122
PENINSUAL HEALTH
Dr. Trish Walker
Peninsula Health Unit Head
Tel: 03 9785 6344
Dr. Sanjeev Chunilal
Monash Laboratory Unit Head
Tel: 03 9594 4366
Dr. Sue Morgan
Alfred Pathology Service
Tel: 03 9076 3118
Dr Natasha Curtin
PENINSULA HEALTH
Clinical Haematology registrar 2017
Peninsula Health
Peninsula Health
Peninsula Health
• Clinical haematology registrar position – rotate
through the Alfred-Monash clinical rotation
• Job includes exposure to broad range of general
haematology
– Malignant haematology
– Non-malignant haematology
• General
• Thrombosis
• Obstetric
– Clinical trials
Peninsula Health
• 4 consultants
– Associate Prof John Catalano
– Dr Patricia Walker
– Dr Natasha Curtin
– Dr Huy Tran
• Expanding unit and increasing population
• Strong links with Monash and Alfred Health
Peninsula Health
• New dedicated Haematology Oncology ward
• Busy chemotherapy/ infusion centre
– 2012 – 1411 chemotherapy treatments given to 183
haematology patients
• Busy clinical trials unit
– In 2012 – 80 patients were enrolled in a clinical trial
– At least 10 clinical trials actively recruiting
– Dedicated outpatient trials clinic
• Exposure to Private medicine – 1 session in rooms at
Peninsula Private hospital
• Lymphoma/myeloma MDT fortnightly
Peninsula Health
• Includes Frankston hospital, Rosebud hospital,
Mornington centre
• New emergency department 2015
• 90 new beds
• Growing population and hospital
• Medical students from Monash uni
• Laboratory – currently Dorevitch (Dr Huy Tran)
– Bone marrow biopsy procurement
Eastern Health Clinical Haematology
Eastern Health Clinical Haematology
Box Hill Hospital
Maroondah Hospital
Angliss Hospital
Yarra Ranges (Lilydale)
Wantirna Hospital
Clinical Haematology
Stephen Ting
Paul Coughlin
# Catherine Fong
Simon Gibbs
Jay Hocking
Denise Lee
# Marija Nedeljkovic
Anthony Schwarer
(+ # Laboratory sessions)
Laboratory Haematology
Marija Borosak
Sukanya Roy
Tse Chieh Teh
Michael Tong
Eastern Health Clinical Haematology
A busy haematology unit
Acute leukaemia
50
Stem cell autografts
40
Bone marrow biopsies 443
(as per 2015 calendar year)
Target Trainee
Fourth year: An excellent general job
Competent First year: Challenging clinical job
Stephen.Ting@monash.edu
Haematology Trainees’ Night
Clinical Haematology @ St. Vincent’s
Clinical Haematology: Environment
• Consultant Support: Five Haematologists on ward
service plus more in the clinic
• Haematologists with sub-specialty interests to cover
most areas of care including non-malignant haematology
• All areas of haematology covered well (except dedicated
Haemophilia and allo-transplants)
• HMO Support: Two HMO2 positions to cover inpatient
and day ward
• State of Art new day Cancer Centre
• One week in five or six on-call roster shared with
oncology and lab haem registrars
Page 61
Clinical Haematology: Highlights
• Most patients are new diagnosis. So ability to initiate
diagnostic algorithm and follow care.
• Exposure to the full range of non-malignant consultative
haematology and all haem malignancies
• Wide referral pattern from regional Victoria , from
consultant private rooms and busy surgical services
• Exposure to the practice of haematology @ PMCC as
well in the shared SVHM/PMCC position
Page 62
Clinical Haematology: Positions
Available
Positions Available in 2017:
•
1 Clinical Haematology registrar; shared position with PMCC (6 months at each site). Essentially registrars are jointly selected between the two
sites.
•
1 Clinical Haematology registrar; 12 months at SVHM.
•
1 Laboratory/Clinical Haematology registrar [STP funded]
0.5 EFT clinical (at St Vincent’s Private Hospital)
0.5 EFT laboratory (at St Vincent’s Public Hospital)
– suitable especially for trainees in last year of training with interest in private sector clinical or laboratory
haematology commitment.
Contact:
Dr Robin Filshie (Coordinates clinical reg appointments): Robin.Filshie@svhm.org.au; T: 9231 2030 or Dr M. Cole-Sinclair: Merrole.COLESINCLAIR@svha.org.au; T:92313996
Page 63
VCCC Clinical Haematology
• 9 Clinical Registrar positions
• 5 x 12 month
• 4 x 6 months
• Cabrini x 2
• St Vincent’s x 2
• Roster
• 1/5 weekends
• 1 night/week
• Residents HMO 2 and HMO3
• Research fellows
AlloSCT
Acute Leukaemia
Non-malignant
Consults
AutoSCT
Myeloma
Lymphoma
Ambulatory Care
Day ward
VCCC Clinical Haematology
Comprehensive Training
Patient Care
•
•
•
•
Broad range of malignant and benign Haematology
Learning opportunities +++
Multi-disciplinary team
Ambulatory care – Chemotherapy Day Unit, Apheresis, Supportive
Care
• State of the Art Facilities
• Potential for Rotations to be tailored
Education
• Supportive environment: consultants, fellows, nurse practitioners
and co-ordinators
• Resources - staff, patients, meetings
• GCP training
Research
• Clinical trials ↔ translational ↔ basic science
• Project/manuscript opportunities
Cabrini Clinical Haem Registrar
• 6 month rotation between Cabrini/Peter Mac Haem Reg
• One of Melbourne’s largest Private Hospitals
• Clinical Service at Cabrini:
– Malignant Haematology service – large Day Onc unit plus inpatient ward
– General/consultative Haematology – bleeding, thrombosis, transfusion
medicine, obstetric haem, perioperative haematology medicine
• Autonomy, workforce preparedness
• Multidisciplinary meetings – anatomical pathology and haematopathology
meetings fortnightly
• Supported by/work with Specialist Haematology Nurse
• Medical Students
– clerking patients
– teaching opportunities
Clinical Work
• 5 consultant Haematologists (Herbert, Januszewicz, Kenealy,
Srivastava, Wolf)
• Daily Ward Rounds
• Inpatient Consults – encourage workup and presentation of
proposed plan
• Inpatient ward work 15-20 active Haem patients.
– Non malignant: general, haemostasis, thrombosis, transfusion,
obstetric, bleeding disorders, Hb-opathy
– Malignant: most conditions – lymphoma, myeloma, MDS, MPN,
chronic LPD, skin lymphoma, no acute leuk inductions, no transplant.
• Outpatient work – Chemotherapy pt reviews
Research Projects and Trials
• Research Projects/Publications – expected and
encouraged
– Allocated research Time
– Projects often in conjunction with Peter Mac supervisor
• Clinical trials – all Cabrini Consultants are PIs clinical
trials
– Trials run through Cabrini Institute
– Participation in multicentre clinical trials
through ALLG and CTA
– Excellent Trials Nurse Unit
Facilities
• Great amenities
–
–
–
–
Registrar Lounge
Great hospital Caf
Glenferrie Rd cafes
Close to tram and train (but car is optimal given travel
between Cabrini and PMCC)
• Great infrastructure
– Electronic Medical Record – clinical Viewer (iPad is a
must!)
– Electronic Prescribing – within next 6 months
– Admin support – dictate letters, practice secretaries,
ward secretaries
– Clinical Support: Haem Practice Nurse
– Clerical Support: Med Student Subterns
• Interested supervisors: day to day support, career
advice
Epworth Healthcare
Haematology Registrar
Professor H Miles Prince
Professor/Director Cancer
Immunology and Molecular Oncology
Summary
•
•
•
•
New Position in 2016
Await JSAC accreditation (next few weeks)
Epworth Freemasons (East Melbourne)
and Epworth Richmond – consultation service
predominantly
• Epworth is Victoria’s largest healthcare provider
(see website)
• Consultants: Prince, Tuckfield, Kamel, Dickinson
Focus of Epworth Position
• Inpatients/Outpatients – lymphoma, myeloma, MDS
• Day ward: chemotherapy, transfusions, infusions,
ambulatory chemotherapy
• Consultation service: Coagulation, Bleeding, perioperative,
large ICU, large emergency
• VCCC weekend roster
• Education programme:
–
–
–
–
–
–
Adequate allocated time
Enthusiastic supervisors
Genomics and Immunology focus research trials
Web-based MDT: genomic, T cell NHL, current patients
PeterMac/VCCC pathology meetings and journal club
Opportunities for presentations, publications ++
Monday
AM
Wednesday
7am-9am Ward Round
Mid morning Ward Round
7am-9am Ward Round
9am-11am
Day Ward
9am-11am
Day Ward
Ward patients and consults
11-12 Molecular
genomics MDT at VCCC
(Web-based)
1-2.30pm Consultant
tutorials by supervisors
PM
Tuesday
Ward patients and
consults
Ward patients and
consults
11-12am Weekly meeting
with Genomics Senior
scientist
Thursday
Friday
8-9am Peter Mac
Haematology Journal
Club
7am-9am Ward Round
Mid morning Ward Round
(1hr)
Ward patients/day ward
and consults
Afternoon Off
Ward Round
(1hr)
3.30-5pm Pathology
Review meeting (VCCC)
Victorian Haematology
Advanced trainees
training program
9am-11am
Private rooms
consulting
Ward patients/day
ward and consults
Private Study and
Projects
Monthly T cell MDT
(web-based) 3.305pm
Key Dates
Event
Day
Date
Advertisement Placed
Thursday
29 June
Applications Close
Thursday
10 August
Interviews Offered
Wednesday
24 August
Interview Days
Tuesday
Wednesday
30 August
31 August
Matching Process
Thursday
1 September
Offers emailed
Tuesday
6 September
Acceptance of Offers Due
Thursday
8 September
Review the position information presented this evening:
http://www.rcpa.edu.au/Trainees/Training-with-the-RCPA/TrainingPositions/Haematology
10 May, 2016