Department of Anaesthesia & Pain Medicine
Post-Fellowship Job Descriptions & Consultant Employment
Senior Registrars, Provisional Fellows and Fellows
Clinical anaesthesia and pain medicine services are provided at Wellington St (WSC) and Shenton Park (SPC) Campuses Royal Perth Hospital. The Pain Medicine Centre is located at SPC. The Department hosts the University of Western Australia's academic anaesthesia unit with two professors, one associate professor and two lecturers on site. There are 24 full-time consultants, 26 part-time consultants, 18 senior registrars, provisional fellows and fellows, 15 pre fellowship registrars, two Residents, three pain service nurses, two research nurses and four administrative staff
WSC is located in the centre of the city of Perth and is easily accessible by road, rail or bike. SPC is located in the suburb of Shenton Park some 5km west of WSC and is linked by rail. Perth is a modern city well known for its outdoor lifestyle and superb beaches. It has a Mediterranean climate that facilitates all sporting activities. Being the capital of the largest state in Australia with a population of approximately 1.8 million, it is the gateway to a huge variety of landforms, an enormous coastline and extensive recreational opportunities.
RPH Anaesthesia and Pain Medicine is accredited for basic and advanced training by the Australian and New Zealand College of Anaesthetists (ANZCA) and the Faculty of Pain Medicine, ANZCA. The Department also hosts trainees on rotation from Joint Faculty of Intensive Care Medicine and the Australian College for Emergency Medicine.
Senior registrars, provisional fellows and fellows are appointed for periods ranging from 6 to 24 months. Priority is given to ANZCA trainees in their ATY3 / Provisional Fellowship year who apply 9 to 12 months in advance of their planned start date. Applications from advanced trainees and post fellowship anaesthetists from other training programs and countries are most welcome. The Department has a long and highly successful history of collaboration with such programs, trainees and anaesthetists and continues to look forward to the opportunity to enrich our professional environment and build our international network through these appointments.
Service Role and Support
All senior registrars, provisional fellows and fellows will work on the weekday and after-hours roster under the supervision of the allocated on-duty or rostered on-call consultant. After-hours, the senior registrars, provisional fellows and fellows will usually be the most senior member of the junior staff team on-duty and will take the leadership role. The on-call consultant will attend whenever requested, whenever clinical need arises or whenever required for supervision of ANZCA trainees according to College policies. Consultants are scheduled on the 'General', 'Cardiac' and 'Pain' rosters 24hours x 7 days. This makes RPH a highly supported environment for all junior staff.
Applying for a post as senior registrar, provisional fellow or fellow
All candidates apply to the Department for 12 - 18 month senior registrars, provisional fellows or fellow positions. If they have an interest in a particular Fellowship, then they should indicate their interest at the time of application.
Selection for Fellowships
After appointment of senior registrars, provisional fellows and fellows, the coordinators will undertake a selection process for fellowships if the number of candidates exceeds the number of posts in a particular fellowship. This process usually takes the form of interview.
In any 12 - 18 month appointment all senior registrars, provisional fellows and fellows will work at least six months exclusively on the 'general' rotation. The Department has a highly developed academic, skills development, QI and QA program that ensures productivity for all staff at all times. Anaesthesia is provided for all adult surgical specialities except obstetrics and gynaecology. The Anaesthesia department at Royal Perth Hospital is charged with providing anaesthetic services for a large hospital with a significant emergency load which includes general, orthopaedics/trauma, urology/renal, transplant, ENT, plastics, burns, vascular, maxillofacial, radiology and neuroradiology.
12 - 18 month 'Pain Fellow'
The Faculty of Pain Medicine, ANZCA (FPMANZCA) has accredited the Pain Medicine Centre for training towards its Fellowship (FFPMANZCA). The Pain Fellow is therefore always a registered trainee of the faculty and is preparing for the Fellowship examinations. This post is separately advertised, interviewed and appointed. Contact person: Professor Stephan Schug (Director of Pain Medicine).
Six month 'Cardiac Fellow'
The cardiac fellow works 1:2 in cardiothoracic theatres and 1:2 on call. The remainder of the time is on general duties. While the number of cardiac and thoracic cases is relatively small (~450pa), the mix includes VAD, transplant (heart and lung) and trauma as well as coronary, valve and lung surgery. RPH cardiology is very active in all interventional catheter and electrophysiological procedures. RPH hosts end-stage heart and lung failure and transplant clinics. TOE is used extensively with a new IE33 machine greatly improving our images. At any time, one ANZCA junior trainee is also on rotation 1:2 to cardiothoracic anaesthesia. Contact person: Dr Chris Cokis.
Six month 'Airway Fellow'
The creation of the 'Airway Fellow' is a recent development in the Department reflecting the innovative approach taken to training and development in this area. Under Consultant supervision, the Fellow contributes to the airway training program in the Department's 'Dry Lab', the Research Centre's 'Wet Lab' and in the clinical areas. This program received a 2005 WA Department of Health 'Patient Safety Award' for improving the management of patients with airway emergencies. Contact person: Dr Kirk Langley.
Six month 'Regional Anaesthesia Fellow'
The creation of 'Regional Fellows' is another recent development in the Department reflecting the opportunities in our environment for innovative training in regional anaesthesia. Under Consultant supervision, the Fellow undertakes training and clinical experience in regional anaesthesia. This includes developments in the program in the Research Centre's 'Wet Lab' and in the clinical areas. Contact person: Dr Kirk Langley.
Six month 'Simulation Fellow'
Working under Consultant supervision, the Fellow provides simulation based training for anaesthesia and general hospital staff. Training is based at the medium fidelity simulator in the WASON (WA School of Nursing) building and the low fidelity simulator in the theatre training room at the Wellington Street Campus. Two days a week are dedicated to education sessions. During these sessions the Fellow provides hospital-wide medical emergency team training, acute speciality crisis resource management training and anaesthetic department advanced life support updates. The other two days of the week involves working on the general registrar roster. The Fellow will also have an opportunity to participate in the MSOAP (Medical Specialist Outreach Assistance Program) which provides training to GP anaesthetists in country areas. The post provides numerous opportunities for formal teaching experience in a well-supported environment.Contact person: Dr. Wim Smithies
Six month 'Research Fellow'
Under the direction of Professor Michael Paech (Director of Clinical Research) and Professor Stephan Schug (Professor of Anaesthesia, UWA) and assisted by Dr Tomas Ledowski and 2 research nurses, the two 'Research Fellows' contribute to the rolling program of local, national and international clinical trials. This is a very active research team with a demanding program of studies, presentation and publications. Contact person: Prof Michael Paech.
Six month 'Malignant Hyperthermia Fellow'
The Department provides the state service for MH testing and counselling. The Fellow works in the service one day per week to assist the Consultants with biopsy procedures, counselling clinics, audit and research projects. Contact person: Dr Phil Nelson.
Six month rotation to Department of Intensive Care Medicine
The Department sends Senior registrars, provisional fellows and fellows to the Department of Intensive Care Medicine for six month blocks. This 23 bed unit is a fully staffed highly advanced unit for adult intensive care. It is accredited for training by the Joint Faculty of Intensive Care Medicine and has trainees on that career path at all times. The anaesthesia SR therefore works in an consultant led environment under close supervision by specialist Intensivists. It is an excellent for training with all modalities of diagnosis and support applied to the patients. Contact persons: Dr Grant Turner and A/Prof Geoff Dobb.
Goals for Senior Registrars, Provisional Fellows and Fellows
To further develop your:
Employment - General
Resident Medical Officers
The RPH Clinical Services rotate RMOs to the Anaesthesia. Contact person: Ms Joyce O'Hara.
Junior Trainees in Anaesthesia
The Department only takes registrars in their first four years of training for the specialty of anaesthesia as part of the WA inter-hospital rotation.
Candidates apply to the WA rotation and are selected by a panel of representatives from the training hospitals.
The WA Regional Education Officer of the Australian and New Zealand College of Anaesthetists manages the rotation (contact Dr Andrew Gardner email@example.com). All trainees are registered with the College.
Click here for more information from ANZCA
ATY3 / Provisional Fellows, Senior Registrars and Fellows
The Department directly appoints its senior trainees (ATY3, PF and senior registrars) and specialist fellows for periods ranging from six to twenty months. Priority is given to ANZCA trainees who apply 9 to 12 months in advance of their planned start date.
Applications from advanced trainees and post fellowship anaesthetists from other training programs and countries are most welcome. The Department has a long and highly successful history of collaboration with such programs, trainees and anaesthetists and continues to look forward to the opportunity to enrich our professional environment and build our international network through these appointments.
Fellowships are offered in pain medicine, cardiothoracic anaesthesia, airway, regional anaesthesia, simulation and training, malignant hyperthermia and clinical research. The Department of Anaesthesia and Pain Medicine also provides a six month rotation to the Department of Intensive Care Medicine.
Advertisements for Consultant Staff appear in The Australian (Saturday's edition).
All staff are paid according to Department of Health Medical Practitioners (Metropolitan Health Services) AMA Industrial Agreement 2004. Details are available from RPH Clinical Services. Overtime and penalty allowances add to the base salary.
Four weeks paid annual leave.
Perth is a medium sized city with a pleasant Mediterranean climate of hot summers and mild winters. There is a huge range of opportunities for recreation, many with a heavy emphasis on beach and water sports. Australia is an enormous country with a diverse range of landforms from desert to snowy alpine and climates from cool temperate to tropical monsoonal. It is a fascinating place to visit.
Dr Leigh Coombs