OBSTETRIC MEDICINE
SURVEY FORM TO ACCREDIT TRAINING SETTINGS
General Information
Site
Royal Brisbane and Womens Hospital
Training alliance or
Area Health Service, if
applicable
Metro North health Service District , QLD Health
Site Address
Butterfield St, Herston
Contact Telephone
07 36468111
Head of unit/Site
Contact
Dr Karin Lust
Contact Email
Karin_Lust@health.qld.gov.au
Date of survey
completion
13/3/13
Supporting documents attached:
Rosters for department and members of Department
Names of current Trainees
Katherine Poulsen
Contact Fax
1. Supervision
RACP STANDARD
1.1 There are two designated supervisors for each Trainee.
1.2 Trainees have access to supervision, with regular meetings.
1.3 Supervisors are RACP approved and meet any other specialty specific requirements
regarding qualifications for supervisors.
1.4 Supervisors are supported by the setting or network to be given the time and resources to
meet RACP Supervision requirements and criteria on supervision.
MINIMUM REQUIREMENTS FOR ADVANCED TRAINING IN OBSTETRIC MEDICINE
1.1.1
The hospital has a Director of Physician Education- at basic or advanced training level.
1.1.2
A minimum of one supervisor can be provided by a subspecialty service at the hospital
when the Trainee is on rotation to this area.
1.1.3
One supervisor must be an obstetric physician. This supervisor may not have a direct
clinical supervisory role during the full training period. A role with training and career
advice is important.
1.2.1
The Trainee has adequate time and opportunities for interaction with his/her supervisor(s)
1.3.1
Supervisors will have attended an RACP Supervisor’s workshop within the last 5 years or
intends to attend within 6 months of commencing as a supervisor
1.4.1
Consultants have dedicated time allocated to supervision of Trainees.
Please specify the consultant physicians practicing in obstetric medicine at the site who are
involved in advanced training. (FTE should only refer to time spent practicing in obstetric
medicine).
Name
FTE
Specialist qualifications
Title
Acts as
Supervisor
Yes/No
Karin Lust
0.4
MBBS, FRACP
Dr
yes
Narelle Fagermo
0.3
MBBS, FRACP
Dr
yes
Leonie Callaway
0.2
MBBS, FRACP,
PHD
Prof
yes
Penny Wolski
0.3
MBBS, FRACP
Dr
yes
Helen Barrett
0.3
MBBS, FRACP
Dr
yes
Michael D’Emden
0.1
MBBS, FRACP, PHD
Dr
yes
Amanda Love
0.1
MBBS, FRACP
Dr
yes
William Parsonage
0.05
MBBS, FRACP
Dr
yes
Is there a Director of Physician Education?
Name
No
Yes
No
Ann Gillett
Is there a director of advanced training?
Name
Yes
Marion Woods
What are the supervision arrangements for each trainee?
Very well supervised with consultant ward rounds 3 times per week and advise over phone,
Consultant supervision in outpatient clinic
Surveyor Comments (RACP/SOMANZ use only)
Standards for Supervision achieved? Yes
Needs Improvement
Action Required
To be actioned by (date)
2. Facilities and Infrastructure
RACP STANDARD
2.1 There are appropriate facilities and services for the type of work being undertaken.
2.2 Each trainee has a designated workspace including a desk, telephone and IT facilities
2.3 There are facilities and equipment to support educational activities, such as study areas
and tutorial rooms.
MINIMUM REQUIREMENTS FOR ADVANCED TRAINING IN OBSTETRIC MEDICINE
2.1.1
The unit is staffed by obstetric physicians, or sub-specialists from another discipline who
practice in obstetric medicine.
2.1.2
The hospital may also have a General Medicine Department, Unit(s) and/or Acute Medical
Unit (MAPU), Emergency Department and have access to Intensive Care Unit, High
Dependency Medical Unit and/or Coronary Care Unit
2.2.1
A suitable workplace is provided for the trainee, including desk, telephone and IT facilities.
2.3.1
There are meeting rooms and other facilities available for the activities under section 4.1,
below.
Please detail the administrative structure of the General/Obstetric Medical Service at your hospital
(eg HOD, office space/support) Registrar has a shared office in Endocrine department.
The consultants have office space in General Medicine and Endocrine Department. We have
secretarial support in Internal Medicine department.
Please detail the service delivery structure of Obstetric Medicine at your hospital (eg does it also
involve AMU/MAPU, Women’s Assessment Unit? Is there an acute roster?)
Obstetric medicine provides a consultative service to the obstetric patients. The registrar is
available for consults to the obstetric wards, birth suite, and antenatal day assessment service and
obstetric review service and emergency department every weekday.
The registrar is also available for external calls to give advice.
There is a consultant on for the wards who undertakes a regular ward round 3 times per week.
There is an afterhours Obstetric Medicine roster of which 6 consultants participate in.
There is a weekly High risk Obstetric Medicine lunch time meeting where all complex patients are
discussed.
Are there meeting rooms easily available for educational activities?
Yes
No
Please detail: Numerous meeting rooms available
Do trainees have their own workspace within General/Obstetric Medicine Department or Ward?
Yes
No
Please detail how/where this is provided.
The have a desk in the endocrine department.
Surveyor Comments (RACP/SOMANZ use only)
Standards for Facilities and Infrastructure achieved? Yes
Action Required
Needs Improvement
To be actioned by (date)
3. Profile of work
RACP STANDARD
3.1 The setting shall provide a suitable workload and appropriate range of work.
MINIMUM REQUIREMENTS FOR ADVANCED TRAINING IN OBSTETRIC MEDICINE
3.1.1
The Trainee has access to patients presenting with undifferentiated obstetric medicine
conditions, appropriate to the trainee’s level of seniority.
3.1.2
The trainee is rostered and guided in a manner appropriate to his/her level of seniority, in
particular a clear delineation between the role of an advanced Trainee and a basic Trainee
must be made.
Indicative weekly Trainee workload
Please complete a timetable below for trainees when they are completing training time with
Obstetric Medicine, General Medicine Unit/MAPU/AMU. Please show typical weekly activities,
inclusive of teaching, audit and personal professional development sessions.
Do not provide timetables for sub-specialty rotations
Please note whether ward rounds are with consultants
See above and attached documentation for registrars roster
At each clinic there are approximately 12- 15 patients with 3 new patients per clinic.
Each week the trainee sees approximately 15 new consults on the ward. Each day there are
beween 5- 14 patients to see on average.
Trainee #1 See attached timetable
Monday
Tuesday
Wednesday
Thursday
Friday
Tuesday
Wednesday
Thursday
Friday
AM
PM
Trainee #2
Monday
AM
PM
Please detail outpatient clinics attended by Trainees during their Obstetric Medicine
rotations See attached timetable
Clinic name/type
Supervising
Consultant
Frequency
# patients
New/review please
Please detail after hours on take/on call service undertaken by Trainees in Obstetric Medicine?
Registrar participates in General Medicine on call on the weekend one day a month -has
support from consultant
Registrar is on call for all Obstetric medicine consults during working hours. Has support
from consultant
Do Trainees have reliable access to sub-specialty rotations in General Medicine on a yearly basis?
Yes
No
If Yes, please detail these rotations
Site already approved for advanced training in Internal Medicine
Please give examples of subspecialties completed by your trainees in General Medicine over the
last two years.
Respiratory, cardiology, ICU, Infectious diseases,
Endocrinology
Do advanced trainees in subspecialties undertake on-take/on-call duties after hours within Acute
General Medicine?
Yes
No
Approximately how many deliveries does the Maternity Service perform each year? 4500
What is the minimum gestational age for deliveries at the Maternity Service? 24 weeks
What is the level of the neonatal nursery on site: Tertiary
Is there an adult HDU on site?
Yes
No
Is there an adult ICU on site? Yes
Does the hospital have a Maternal Fetal Medicine service?
Yes
No
No
Surveyor Comments (RACP/SOMANZ use only)
Standards for Profile of Work achieved? Yes
Action Required
Needs Improvement
To be actioned by (date)
RACP STANDARD
3.2 Trainees participate in quality and safety activities.
MINIMUM REQUIREMENTS FOR ADVANCED TRAINING IN OBSTETRIC MEDICINE
3.2.1
Participation in maternal morbidity/ perinatal mortality audits or meetings, quality
assurance/audit evaluations of clinical management of common conditions, intake
meetings
Please detail Trainee involvement in maternal morbidity / perinatal mortality audits or meetings,
intake meetings quality assurance/audit evaluations of clinical management of common conditions.
Include the frequency of these meetings.
Weekly Multidisciplinary Obstetric medicine education Session
At the end of each clinic there is a meeting to discuss all of the patients seen the medical
conditions and management plans.
Monthly Cardiac disease in pregnancy multidisciplinary meeting
Attendance At Annual Society of Obstetric medicine meeting
Attendance at Annual Diabetes in pregnancy meeting
Presentation at Medical and Obstetric Grand rounds
Attendance at weekly Mothers and Babies research meeting
Teaching on the run regarding Obstetric medicine patients seen on ward rounds
Weekly medical Grand rounds
Fortnightly Obstetric Grand rounds
Access to Herston medical Library and to Clinicians Knowledge Network on the intranet
Daily ward rounds and 3 times per week consultant ward rounds.
Monthly Journal Club
Monthly Obstetric medicine Telehealth education Session to hospitals across State of QLD
Fortnightly Mothers and babies research meeting
Weekly Endocrine meeting
Weekly endocrine breakfast meeting
Monthly General medicine journal club
Weekly Internal Medicine education session
Surveyor Comments (RACP/SOMANZ use only)
Standards for Profile of Work achieved? Yes
Needs Improvement
Action Required
To be actioned by (date)
RACP STANDARD
3.3 There is the capacity for project work (including research) and ongoing training.
MINIMUM REQUIREMENTS FOR ADVANCED TRAINING IN OBSTETRC MEDICINE
3.3.1
The trainee has one session per week dedicated to personal professional
development and project work
Does the Trainee have the opportunity for research in Obstetric Medicine or subspecialty areas?
Yes
No
Please detail opportunities:
Unit is very active in research . Has an active PHD programme with supervisors, frequent audits
and case reviews and involvement in multicentre trials.
Surveyor Comments (RACP/SOMANZ use only)
Standards for Profile of Work achieved? Yes
Action Required
Needs Improvement
To be actioned by (date)
4. Teaching and Learning
RACP STANDARD
4.1 There is an established training program or educational activities such as multidisciplinary
meetings, academic meetings, rounds, and journal clubs.
4.2 There are opportunities to attend external education activities as required.
4.3 There is access to sources of information, both physical and online, including a medical
library or e-library facility appropriately equipped for physician training.
MINIMUM REQUIREMENTS FOR ADVANCED TRAINING IN OBSTETRIC MEDICINE
4.1.1
The Trainee will have access to a structured advanced training program, which will include
opportunities for formal teaching sessions, seminar participation, and regularly scheduled
clinical meetings, journal clubs, peer review presentations, or other methods that can be
documented.
4.1.2
The trainee has designated time and opportunities for undergraduate and post-graduate
teaching.
4.2.1
The Trainee will attend, scientific meeting of educational value in each year of their
training, to the Trainee.
4.3.1
The Trainee has access to a medical library with current books and access to online
content including relevant journals.
Please review your answer to question 3.2 and add further information here if other educational
events occur and are attended by trainees
Trainee will be able to attend weekly Obstetirc and medical grand rounds as well as weekly
high risk Obstetric medicine meeting.. The trainee has a structured training programme
including formal teaching and teaching on ward rounds and in clinic with consultant
Obstetric Physicians. The trainee presents at all of these sessions . The trainee also
presents at grand rounds.
The trainee has no patient contact time to be involved in research
The trainee will attend SOMANZ and rheumatology meetings during the year.
Does the advanced trainee(s) have opportunities for undergraduate and postgraduate teaching?
Yes
No
If yes, please provide details: (e.g. University affiliation, BPT numbers, Obstetric Registrars,
Midwifery teaching etc.)
University affiliation, teaching of medical students attached to Obstetric medicine, teaching of
midwives and Obstetric registrars
Are Trainees able to attend a scientific meeting of educational value in each year of their training?
Yes
No
Comment:
If yes, please detail how your department supports this
Provides time off to attend with conference leave provided by QLD Health
Is it possible to access a library or journals online?
Please detail:
Yes
No
Library onsite and access to CKN through hospital network
Are there computer retrieval and search facilities available to trainees?
Please detail:
Yes
No
CKN and access to internet at work
Surveyor Comments (RACP/SOMANZ use only)
Standards for Teaching and Learning achieved? Yes
Needs Improvement
Action Required
To be actioned by (date)
5. Support Services for Trainees
RACP STANDARD
5.1 There are workplace policies covering the safety and well-being of Trainees
5.2 There is a formal induction/orientation process for Trainees
MINIMUM REQUIREMENTS FOR ADVANCED TRAINING IN OBSTETRIC MEDICINE
5.1.1
There are a range of policies dealing with health and safety of Trainees, and Trainees are
aware of these policies.
5.2.1
Supervisors or designees provide an orientation/induction into training at the setting to
new Trainees within the first week of commencement of training
Please list any policies in place relevant to the safety and wellbeing of Trainees
All relevant policies for workers at QLD health
Do Trainees receive an orientation/induction within their first week of training? Yes
No
Please detail who attends, organises and the structure of orientation: Orientation provided by
head of Dept as well as generic hospital orientation provided by Medical Education and training
department
Does it include details on RACP policies such as Trainees in Difficulty, Flexible Training?
Yes
No
Surveyor Comments (RACP/SOMANZ use only)
Standards for Support Services achieved? Yes
Action Required
Needs Improvement
To be actioned by (date)
Accreditation Decision (RACP/SOMANZ use only)
Overall recommendations
Accreditation status
Not accredited
Provisional (pending Trainee feedback)
Accredited
Conditional (action/s required)
Action/s
To be actioned by (date)
Areas of training accredited and maximum number of months training time
Accreditation length (years)
Year of next review