There will be an opportunity to spend sometime in Australia in an unaccredited paediatric Plastic Surgery Post in Sydney. The post will be advertised through NSW Health e-recruit and applications are made via that portal. Please see a brief description of the course:
MAIN PURPOSE OF POSITION
The Department of Plastic surgery at CHW provides a wide range of surgical services to children, including cleft and craniofacial surgery as well as the management of trauma and burns. Consultant staff consists of 5 plastic surgeons. This position is not currently recognized by the Royal Australasian College of Surgeons for advanced Training in Plastic and Reconstructive Surgery. Successful applicants will gain exposure to a broad range of general paediatric plastic surgery exposure and be expected to conduct clinical research.
MBBS or equivalent qualification
GENERAL DUTIES OF THE PAEDIATRIC PLASTIC SURGERY TRAINEES:
There are two Trainee positions in the Department. A roster system exists so that the Trainees cover both morning and evening care of patients. These responsibilities include inpatient, operating rooms and on call commitments to the Emergency Department. It is expected that the hours of the two positions will be staggered on a rotating basis so that the evening Trainee can attend to emergency call in the early evening prior to ceasing work.
A major portion of the Trainee's duties will revolve around theatres. These are divided into Day Stay Theatre and Main Theatre, with minimal overlap of services. The main theatre is intended for inpatient and emergency operation, while day stay theatre is organised to accommodate patients undergoing operations, which don't require overnight admission. Theatre sessions are scheduled to begin at 0800 and at 1300. The theatre schedule runs on a four-week cycle, so each week the Trainee needs to confirm his or her theatre commitments.
Trainees are responsible for organising the main theatre sessions. The theatre list for inpatient operations needs to be given to the schedular in theatres by noon of the preceding working day. In general, the nurse coordinator in day stay theatre will independently organise that particular operative list. Scheduling of emergency cases must be approved by the anaesthetic consultant of the day. The anaesthetic ward Trainee (page 6008) and the front desk in theatres must be notified as well.
Each Trainee is responsible for the day to day management of all the patients on his or her service. This includes daily rounds, knowledge of each patient and their pertinent investigations and appropriate supervision of the resident. Rounds with consultants and/or residents are generally organised at the mutual convenience of the people involved. It is preferable for rounds to be completed prior to the beginning of each days scheduled obligation.
Out Patient Department Clinics:
Trainees should attend the Out Patient Clinics of the consultants in the Department. This is an opportunity to participate in pre-operative evaluation and planning, as well as post-operative care of patients on service. Clinics are held on Tuesdays, Wednesdays and Thursdays. It is understood that Trainee attendance at some of these clinics may be difficult due to conflicts with theatre commitments of other consultants on the team. In that case, the senior surgical Trainee may cover theatre, or delegate resident staff to assist in either theatre or clinic.
Most patients in the clinics will be for pre-operative consultation or for post-operative follow-up. If the patient is being scheduled for a procedure, either in day stay theatre or in the main theatre, it would be preferable to obtain the operative consent at the time of initial consultation. This will facilitate the processing of these patients when they are actually admitted. Additionally, the consultant should be immediately available to answer any particular questions or provide assistance in obtaining the consent. It is mandatory to dictate a brief letter to the referring consultant and/or GP to keep them informed.
On Call Roster:
There is a set schedule for daytime and evening Trainee coverage of new consults and calls to the Emergency Department. The schedule is organised on a four-week cycle such that there should be minimal clashes with other commitments.
After hours Trainee coverage is assigned on a rotating basis by the Dept. Head. Rostered hours are from 2100 to 0800 on weeknights and from 0800 until 2300 on weekends and holidays. On Saturday and Sunday mornings, as well as public holidays, the Trainee on call the previous night joins the Trainee of the day at 0800 to do rounds/theatre cases.
Please note that all entries in the record should be dated and timed as well as signed. When an operation has been completed, in addition to the regular operative report, it is customary to make a brief entry in the chronologically correct location in the progress notes. In the ICU's this implies making a brief computer entry under the title "Operative Report" and in the progress notes. The front "purple sheet" must be filled in.
3. Research and Teaching
Critically assess research literature and develop to become a productive investigator.
Gain formal instruction in statistics, epidemiology, research design and critical reading and writing skills.
Gain formal guidance in the design, implementation, completion and submission of research projects.
Assist with the preparation of grant applications.
Deliver formal instruction competently in teaching and presentation skills, including teaching one-on-one, small groups, large groups, peer and supervisor review.
Supervise and teach other junior medical officers attached to the department/team.
There are regular clinical meetings, tutorials and teaching sessions, which the Trainees are encouraged to attend. The weekly schedule is as follows: