HAND AND UPPER LIMB FELLOWSHIP

JOB DESCRIPTION

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1. AT MODBURY PUBLIC HOSPITAL

Modbury Public Hospital is a 235-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. Modbury Hospital is managed by Healthscope and is the first hospital in South Australia to be managed by a private organisation.

 

2. ORTHOPAEDIC DEPARTMENT, MODBURY HOSPITAL

The Department of Orthopaedic Surgery at Modbury Hospital has five 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 and the Lyell McEwin Hospital.

(C) LINDA FERRIS

Linda Ferris is the head of the department of Orthopaedic Surgery, specializing 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.

 

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. The orthopaedic department at Modbury Hospital participates in the weekly Tuesday afternoon teaching sessions with the advanced trainees. This commitment rotates throughout the teaching hospitals within metropolitan Adelaide. Consultants from the orthopaedic department are involved with the teaching sessions which are performed on Thursday afternoons on selected topics.
(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

(A) CONSULTANT WARD ROUNDS.
A meeting is held every Wednesday morning at Modbury Hospital. The meeting is attended by the five visiting orthopaedic surgeons, registrars, interns, para-medical staff and nursing staff.
(i) ACADEMIC PRESENTATION
The first 30 minutes of this meeting is dedicated to a specific topic. Fellows and future Fellows would be expected to give a presentation.
(ii) INPATIENT DISCUSSION
The interns 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 week.
(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.
(D) INSERVICE TEACHING
There is a weekly one-hour meeting on selected topics for interns and residents. A Fellow would be able to attend.
(E) ADVANCED TRAINEE TEACHING SESSIONS
There are teaching sessions held at Modbury Hospital as part of the training program for advanced trainees. These sessions rotate amongst the metropolitan teaching hospitals. The advanced trainee would attend.

 

6. CLINICAL LOAD

(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. 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. Discretion would be used to ensure that 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 may include North Eastern Community Hospital and Memorial Hospital.

 

7. ON CALL ROSTER FOR ACUTE HAND INJURIES

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

 

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 (approximately) from a combination of Royal Adelaide Hospital and Private Assisting Fees). In addition
- $5000 in professional development and conference fees is available from Modbury Public Hospital.
- $1000 in professional development and conference fees is available from Royal Adelaide Hospital.
Details of these grants need to be obtained from the relevant institutes.

 

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 Hand and Upper Limb Fellowship at Modbury Public Hospital is for 12 months. Modbury Hospital is a 235 bed public hospital located 12kms from the city of Adelaide. Modbury Hospital is a teaching hospital associated with the University of Adelaide. There are five Visiting Orthopaedic Surgeons, one Advanced Trainee of the Australian Orthopaedic Surgeons, one Advanced Trainee of the Australian Orthopaedic Association Training Program, two Service Registrars.
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. 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 the Hand and Upper Limb Surgeon 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 Director 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.

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