HAND AND UPPER LIMB FELLOWSHIP

JOB DESCRIPTION

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1. AT MODBURY PUBLIC HOSPITAL

Modbury Public Hospital is a 174-bed hospital located 12 kilometres north east from the centre of the city of Adelaide. It is a teaching hospital affiliated with the University of Adelaide.

 

2. ORTHOPAEDIC DEPARTMENT, MODBURY HOSPITAL

The Department of Orthopaedic Surgery at Modbury Hospital has six Visiting Orthopaedic Surgeons, an advanced trainee, two service registrars.

 

3. CONSULTANT ORTHOPAEDIC SURGEONS

(A) ROBERT ATKINSON

Robert Atkinson is the director of the Orthopaedic Unit. He is a Brigadeer in the Australian Army and has extensive experience in military surgery. He served in Vietnam, the Gulf War and Rwanda. He has an active interest in arthroscopic surgery and surgery of the knee and is a member of the Australian Knee Society and the Australian Shoulder and Elbow Society. Rob Atkinson is a recipient of the Australia Day Honours.

(B) GREG BAIN

Greg Bain will be the supervisor of the Hand and Upper Limb Fellowship at Modbury Hospital. He is a Fellowship-trained hand and upper limb surgeon. He completed upper limb training with Jim Roth in London, Ontario, Canada. He has been actively involved with clinical and laboratory research and has had a number of recent publications and is an active member in the Australian Hand Society and the Australian Shoulder and Elbow Society. Greg Bain also runs a rheumatoid hand clinic at Modbury Hospital. He also attends the hand and upper limb clinic at the Royal Adelaide Hospital.

(C) LINDA FERRIS

Linda Ferris specialises in treatment of disorders of the foot and ankle. Dr Ferris completed her Orthopaedic training in Adelaide, did subspecialty training in foot surgery in USA, and then spent 10 years in Sacramento, California as specialist foot surgeon. Dr Ferris also has an interest in Women's Health and Osteoporosis.

(D) BEN ALLEN
Ben Allen is a visiting orthopaedic surgeon with special interest in lower limb arthroplasty and sport medicine.

(E) NICHOLAS CHABREL

Nicholas Chabrel is a visiting orthopaedic surgeon who specialises in upper limb and arthroplasty.

(F) BEN BEAMOND

Mr Ben Beamond specialises in lower limb surgery with an interest in foot and andle surgery. He has completed a foot and ankle fellowship in Melbourne, then a knee and sports fellowship in Belgium. He is currently the director or registrar training and also visits the Royal Adelaide Hospital.

(G) ROB BAIRD

Mr Rob Baird is a general orthopaedic surgeon with extensive experience in trauma and military surgery. He has recently served in Afghanistan.

 

4. JUNIOR MEDICAL STAFF

(A) ADVANCED TRAINEE
Modbury Hospital has an accredited advanced trainee from the Australian Orthopaedic Association who rotates throughout Modbury Hospital on a six-monthly basis.
(B) SERVICE REGISTRARS
There are two service registrars who are attached to the Orthopaedic Department. The on call roster is shared among the two service registrars and the advanced trainee.

 

5. EDUCATIONAL ACTIVITIES

MODBURY HOSPITAL

(A) CONSULTANT WARD ROUNDS.
A meeting is held every Wednesday morning at 1030 at Modbury Hospital. The meeting is attended by the five visiting orthopaedic surgeons, registrars, interns, para-medical staff and nursing staff.
(i) ACADEMIC PRESENTATION
Specific topics are presented. Fellows are expected to give a presentation at some stage.
(ii) INPATIENT DISCUSSION
The residents present the clinical histories and radiographs of the inpatients at the meeting. This enables a peer review discussion from all consultants on the management of inpatients.
(iii) FORTHCOMING ELECTIVE SURGERY
A service registrar will present the histories and radiographs of those patients who are booked to have elective surgery in the following 2 weeks.
(iv) INPATIENT WARD ROUND
A ward round is performed by all visiting medical staff, junior medical staff, para-medical staff and senior nursing staff of the inpatient.
(v) AUDIT
An audit is conducted of patients who are managed at Modbury Hospital on a three-monthly basis.
(B) HAND AND UPPER LIMB ACADEMIC MEETING
On Thursday morning there is a one-hour session dedicated to discussion of a selected upper limb topic. Fellows and a future Fellow would be expected to review relevant text books and published papers on the selected topic. The meeting is conducted by Greg Bain and attended by the advanced trainee, service registrars, interns and physiotherapists.
(C) GRAND ROUND
The Hospital has a weekly academic session. This is attended by medical staff and para-medical staff of all disciplines.

ROYAL ADELAIDE HOSPITAL

(A) ACADEMIC PRESENTATION

A xray meeting is held at 0815 on a Wednesday morning in the orthopaedic department. Trauma cases are presented and discussed. A particular topic is presented by the registrars. Industry is in attendance.

 

6. CLINICAL LOAD

MODBURY HOSPITAL

(A) HAND AND UPPER LIMB OPERATING SESSION.
Every Thursday morning there is an operating theatre for disorders of the hand and upper limb supervised by Greg Bain or Nick Chabrel. There is also an emergency operating theatre available on Thursday mornings to enable other upper limb traumatic disorders to be managed. The surgical management of the elective and traumatic cases would be performed by the training registrar and research fellow. The allocation of cases would depend on the complexity of the case and the experience of the advanced trainee and the fellow. Both the advanced trainee and fellow obtained a high level of training.
(B) HAND AND UPPER LIMB OUTPATIENT CLINIC.
There is a dedicated hand and upper limb outpatient clinic at Modbury Hospital. This is supervised by a consultant hand and upper limb surgeon. The clinic is also attended by physiotherapists and occupational therapists. This has enabled prospective independent information to be obtained on patients for clinical trials.
(C) GENERAL ORTHOPAEDIC SURGERY
The Fellow would be able to attend the general or specialist orthopaedic clinics.
(D) PRIVATE PRACTICE
The Fellow would be able to assist Greg Bain at consulting sessions in his private rooms and operating sessions within the private hospitals. These include North Eastern Community Hospital and Memorial Hospital. This also includes Ashford Hospital on occasions.

 

ROYAL ADELAIDE HOSPITAL

(A) HAND AND UPPER LIMB OPERATING SESSION.

An elective list occurs one Monday per month.

(B) HAND AND UPPER LIMB OUTPATIENT CLINIC.

There is a dedicated hand and upper limb outpatient clinic at the Royal Adelaide Hospital on a Friday morning. This is supervised by several consultant hand and upper limb surgeons including Mr Greg Bain, Mr Michael Sandow and Mr Aman Sood. The clinic is also attended by physiotherapists.

 

7. ON CALL ROSTER FOR ACUTE HAND INJURIES

The Clinical Fellow is availablel for the management of acute upper limb injuries. Shared with the advanced trainee as it is a community hospital this not arduous. The fellow would be on-call for hand trauma at the Royal Adelaide Hospital once per week on a Thursday evening from 1700.

 

8. RESEARCH

The Fellow would be expected to perform clinical research. Research protocols have been established and prospective data has been collected.
The Modbury Hospital library has computerised data retrieval including CD Rom, Medline and internet. The library is a member of the Australian Bibliographic Network so journal articles not available in the hospital can be obtained. Computer facilities would be available in Mr Bain’s private rooms for preparation of papers, slides and posters. Access to CD Rom, Medline and e-Mail are also available.

 

9. SALARY

Fellowship Income - $100,000 (approximately)
(Modbury Hospital = $50,000, with a further $50,000 salary (approximately) from a combination of Royal Adelaide Hospital and Private Assisting Fees). In addition
Professional development and conference fees are available from Modbury Public Hospital.
Details need to be obtained from the Modbury Hospital and are determined by state government enterprise baraining agreements and are subject to change.

 

10. SUPERVISOR

Gregory Bain will be the supervisor for the Hand and Upper Limb Fellowship. He will be responsible for supervision of consulting and operating sessions in private and public hospitals. He will supervise all research undertaken by the fellow.


A summary of the curriculum vitae of Gregory Bain is presented on www.gregbain.com.au

 

11. JOB DESCRIPTION

The candidate will have a fellowship from the Royal Australasian College of Surgeons or have extensive clinical experience in Orthopaedic Surgery. Candidates from overseas would have qualification of equal standing.
The fellow would perform clinical duties involved with the management of disorders of the hand and upper limb. He would also be involved with general orthopaedic surgery but only occasionally. The fellow would be responsible for the management of disorders of the hand and upper limb after hours under the supervision of a hand surgeon.
The fellow would be expected to perform clinical research throughout his twelve month attachment and would have time specifically allocated for research. The fellow would also assist Mr Greg Bain in his private rooms and in private operating sessions. He would visit other public hospitals and would attend academic meetings on disorders of the upper limb.
This fellowship is accredited with the Australian Orthopaedic Association.

 

12.CHAIN OF RESPONSIBLITY

The fellow reports directly to the supervisors (Mr G I Bain) and the Head of the Department of Orthopaedic Surgery (Mr R Atkinson). Ultimately this position follows the chain of command in regard to responsibility and is therefore answerable to the Director of Medical Services and the Director of the Hospital. When on call the fellow is directly responsible to the consultant surgeon on call at the time.

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