CLINICAL HAEMATOLOGY REGISTRAR INFORMATION FORM 2019 A.

Transcription

1 A. Institution: Launceston General Hospital Director: A/Prof Muhajir Mohamed Consultants: Number: 3 Full Time, 4 part-time haematologists Full Time EFT equivalents: 5 FTE in total Number of Registrars: 1 (Clinical Haematology) Awaiting RCPA (Lab) accreditation late 2018 New: 1 Second/ Subsequent: 0 Number of Haematology Fellows: 0 Clinical Nurse: 1 B. Clinical Haematology Scope Inpatient Number Beds 15 beds BMT Outpatient Non- Haemostasis Outpatients and Consults Thrombosis Mainly outpatients reviews and consults, (8 to 10 /week) Haemoglobinopathy Rare, outpatient referrals only Acute leukaemia 6 beds Lymphoma 6 Allogeneic Not available Autologous Stem cell mobilization and harvest done in Launceston. Conditioning and Reinfusion in Hobart Supervisor Support Internal Teaching Sessions Protected Time for External Teaching muhajir.mohamed@ths.tas.gov.au Average reviews per day: 6 to10 (Haematology) Outpatient Clinics per Week: 3 half day clinics per week 2 outreach clinics (Burnie / Mersey hospitals) monthly Inpatient Consultations per Week: 10 to 12 per week 10 Hours per week: 2 Hours per week: 2 Hours per week: Expected Presentations per Registrar / year: 10 to 12 Journal clubs, grand rounds and intra departmental Expected Registrar input into publications:. Will facilitate that Expected Registrar presentations at conference(s)?. Will facilitate that Source of Funding: Hospital Rostered Hours Paid per Week: 40 Usual Overtime Hours Worked per Week: Week nights: 1 in 4 (first on-call) Weekend Ward Round Requirements?, 1 in 4 planned Weekends: 1 in 4 (first on-call)

2 A. Institution: Launceston General Hospital Annual 4 weeks Is cover available? Examination Conference Leave available + Professional development allowance

3 CLINICAL HAEMATOLOGY REGISTRAR INFORMATION FORM Institution: Royal Darwin Hospital Director: Ferenc Szabo Consultants: Tina Noutsos, Akash Kalro Number: 3 Full Time EFT equivalents: 2.5 Number of Registrars/Fellows: 1 Clinical Nurse: 1 Clinical Haematology Scope: General haematology Inpatient 4-8 Number Beds: varies Outpatient 2 clinics/wk General Haematology Non- Bleeding disorders Thromboembolism Trauma/critical bleeding Review once a week Acute leukaemia Lymphoma Myeloma Allogeneic referred to RAH Autologous referred to RAH On-Call Requirements Clinics per week 1 outpatient clinic 1 chemotherapy review Haematology: 1:4 General medicine: 2/months gen med evening cover Weekend Ward Round Requirements?, rostered Paid overtime? TBA Expected Presentations per Registrar / year: Journal club, Conference Expected Registrar input into publications: Expected Registrar presentations at conference(s)? Leave 5 Weeks Conference Funding Available TBA

4 E. Institution: Royal Hobart Hospital Director: A/Prof Rosemary Harrup Consultants (N = 4.5 FTE) A/Prof Rosemary Harrup, Dr Anna Johnston, Dr Anna Hutchinson, Dr Nicholas Murphy, Dr Tracey Batt Number of Registrars: 2 New: 1, potentially 2 Second/ Subsequent: 0 Number of Haematology Fellows: 0 Clinical Nurse: FTE 4.0 F. Clinical Haematology Scope Inpatient Beds 5-10 BMT 0-2 Non- Haemostasis Thrombosis Haemoglobinopathy Y Y minimal Acute leukaemia Lymphoma incl salvage, trials etc AutoSCT Allogeneic No (some post Tx patients) Autologous 30-35/year (staewide) G. Clinical Registrar Education Supervisor Support Internal Teaching Sessions Protected Time for External Teaching Outpatient 17 Chairs (Med Onc Incl) Average reviews per day: 5 (includes inpatient consults) Outpatient Clinics per Week: Registrar has own weekly clinic with consultant supervision Allograft Clinic (RMH): Quarterly Late effects clinic: 6 monthly Inpatient Consultations per Week: Variable, average N = 1-5 Hours per week: as needed Hours per week: multiple formats (JC etc) Hours per week: one afternoon Expected Presentations per Registrar / year: 5-10 across all formats Registrars are associate investigators on most clinical trials open at RHH Expected Registrar input into publications: ideally more than one/year Expected Registrar presentations at conference(s)? ideally more than one/year H. Employment Source of Funding: Tasmanian Health Service Rostered Hours Paid per Week: 40 Usual Overtime Hours Worked per Week: Minimal One week in 5 with consultant back-up. Weeks rotate Wednesdays at handover meeting. Weekend Ward Round Requirements? One week in 5 with JMO and consultant back-up. Handover on a Wednesday. There is NO Medical Oncology weekend cover requirement There is a requirement to do 2-3 weekend Gen Med Registrar weekends/year. Annual 5 weeks Is cover available? Examination Conference 2 weeks equivalent

5 A. Institution: University Hospital Barwon Health Director: A/Prof Philip Campbell Consultants: P Campbell, D Kipp, H Rose, H Fairweather, A Friebe, S Ratnasingam, D Routledge, S Htet Number: 8 Full Time EFT equivalents: 4.1 Number of Registrars: New: Second/ Subsequent: 2 Number of Haematology Fellows: N/a Clinical Nurse: B. Clinical Haematology Scope everything except allografts Inpatient Number Beds BMT 28 Outpatient Non- Haemostasis Thrombosis Haemoglobinopathy Acute leukaemia Lymphoma - 1 Allogeneic Autologous Average reviews per day: 5-10 Outpatient Clinics per Week: 3 Supervisor Support Hours per week: 1 Internal Teaching Sessions Hours per week: 4 Protected Time for External Teaching Hours per week: 3.5 Inpatient Consultations per Week: 5-10 Expected Presentations per Registrar / year: (Interhospital & HAA 1 each) Expected Registrar input into publications: Expected Registrar presentations at conference(s)? HAA Source of Funding: Barwon Health Rostered Hours Paid per Week: Contracted 86 hours (when on call for a weekend they are paid 4 hour ward round then on call, so when they are on for weekend = 94 hours (8 hours overtime). Usual Overtime Hours Worked per Week: See comment above Week nights: (rotation 1:6) Weekends: rotation 1:6 Weekend Ward Round Requirements? rotation 1:6 4-5 weeks Annual Is cover available? Examination Conference

6 I. Institution: Austin Director: Andrew Grigg Consultants: Consultants (tumour stream lead): Simon He (BMT), Chun Fong (acute leukaemia/mds), Andrew Lim (myeloma), Wai Khoon Ho (thrombosis and haemostasis), Eliza Hawkes (lymphoma) Daniela Zantomio (apheresis), Tony Schwarer, Paul Turner, Number: 8 Full Time EFT equivalents: 4.5 Number of Registrars: New: Second/ Subsequent: Number of Haematology Fellows: Two Fellows in Clinical Trials in lymphoma and CLL Clinical Nurse: 6 dedicated to haematology. Also have survivorship programme, allograft and autograft co-ordinators, data manager, myeloma/mds and lymphoma/cll nurse counsellors Clinical Haematology Scope exposure to the complete spectrum of adult malignant haematology, and transplantation (autografting, and allografting ), thrombosis and haemostasis (not much haemophilia). as well as the spectrum of referrals from a large teaching hospital, including liver transplant /complex hepatology, some obstetrics. Inpatient service is located in a 32 bed inpatient ward at the ONJCWC. Clinical trial programme covers the spectrum of common haematological malignancies such as AML, CML, CLL, HL, myeloma, indolent and aggressive NHL etc., with a focus on novel immunotherapy agents in lymphoma under the auspices of the Austin Lymphoma service A. There is a close relationship between the clinical and laboratory registrars. Inpatient Number Beds on average BMT Non- Haemostasis Thrombosis Haemoglobinopathy Acute leukaemia Lymphoma Allogeneic yes Autologous yes B. Clinical Registrar Education Supervisor Support Internal Teaching Sessions Protected Time for External Teaching Expected Presentations per Registrar / year: 4 Outpatient Average reviews per day: 5-10 Outpatient Clinics per Week: 4 clinics per week ( including one dedicated to thrombosis and haemostasis ), located at ONJCWC Inpatient Consultations per Week: 1-2 Hours per week: 4 Hours per week: 1-2 Hours per week: yes; see above for clinical trial programme and projects Expected Registrar input into publications: yes Expected Registrar presentations at conference(s)? yes hopefully but acknowledge time constraints (usually projects come to fruition in the second year!) C. Employment Source of Funding: hospital Rostered Hours Paid per Week: 43 hr week

7 I. Institution: Austin Usual Overtime Hours Worked per Week: paid overtime for after hours recall and public holidays ; Week nights: 1 in 5 during week Weekend Ward Round Requirements? 1 in 4 weekends on average over the year Weekend cover includes a ward round on Saturday with consultant and resident. Annual 5 weeks Is cover available? Examination N/A Conference 1 week

8 A. Institution: Peter MacCallum Cancer Centre and Royal Melbourne Hospital Director: Prof. John Seymour (Cabrini) or Consultants : Seymour, Ritchie, Szer, Bajel, Khot, He, Ng, Chee, Mason, Roberts, Harrison, Anderson, Dawson, Dickinson, Conyers, Herbert, Wolf, Prince, Westerman, Tam, Burbury, Blombery, Carney, Lieschke, Routledge, Van Der Weyden Number: 26 Full Time EFT equivalents: 13 Number of Registrars: 9 New: 4 Second/ Subsequent: 5 Number of Haematology Fellows: 3 Clinical Nurse:, 3 teams of research nurses and study co-ordinators supporting active trials covering a wide range of diseases. Patients on studies comprise ~20% of clinic appts. B. Clinical Haematology Scope Comprehensive range of malignant and non-malignant haematology Inpatient Number Beds 60 BMT 30 Outpatient Non- Haemostasis Thrombosis Haemoglobinopathy Acute leukaemia Lymphoma Allogeneic 120/year Autologous 150/year Average reviews per day: 25 Outpatient Clinics per Week: 8 Supervisor Support Hours per week: 8+ Internal Teaching Sessions Hours per week: 3 Protected Time for External Teaching Expected Presentations per Registrar / year: 3 Inpatient Consultations per Week: 10 Hours per week: Expected Registrar input into publications: Expected Registrar presentations at conference(s)?. HAA (Blood) abstracts expected. International (e.g. ASH) strongly encouraged Source of Funding: DHHS Rostered Hours Paid per Week: 86 Usual Overtime Hours Worked per Week: 5 Week nights: 1-2 Weekends: 1 in 4 Weekend Ward Round Requirements? when rostered

9 A. Institution: Peter MacCallum Cancer Centre and Royal Melbourne Hospital Annual 5 weeks Is cover available? Examination Conference

10 A. Institution: St. Vincent s Hospital Melbourne (Public) Director: Con Tam constantine.tam@svha.org.au Consultants R Filshie, Hang Quach, A Bazargan, M Cole-Sinclair, N Lee, F Firkin, C Chaiwatanatorn, A Dykes Number: 8 [+ 2 PT locums] Full Time EFT equivalents: 1.8 Number of Registrars: 2 Clinical Registrar-Public (one 50/50 shared with PMCC, 6 months each, 1 FT at SVHM), 1 Clinical Registrar (Private hospital-shared with pathology, 50/50), 4 x HMO 2 s New: 2 Second/ Subsequent: 2 Number of Haematology Fellows: 2 Clinical Nurse: 8.0 EFT B. Clinical Haematology Scope Inpatient usually Number Beds BMT Non- Haemostasis Thrombosis rarely under haem (mostly under gen med but with haem consultation) Haemoglobinopathy none Acute leukaemia 5 Lymphoma 7 Allogeneic No Autologous Outpatient 1 OP clinic weekly [8-10 pts approx.] Average reviews per day: 10 Outpatient Clinics per Week: 5-10 (incl. inpatient consults) Supervisor Support Hours per week: 2 Internal Teaching Sessions Hours per week: 2 Protected Time for External Teaching Hours per week: 2 Expected Presentations per Registrar / year: 4-8 / year Expected Registrar input into publications: Expected Registrar presentations at conference(s)? Source of Funding: Hospital Rostered Hours Paid per Week: 40 Usual Overtime Hours Worked per Week: 0 Inpatient Consultations per Week: 30 Averages at once in 5-6 weeks Week nights: 1 in 5 to 6 Weekends:, Saturday and Sunday Weekend Ward Round Requirements?

11 A. Institution: St. Vincent s Hospital Melbourne (Public) Annual Is cover available? Y Examination Y Conference - as per entitlements

12 A. Institution: Western Health Director: Dr William Renwick Consultants William Renwick, Duncan Carradice, Michael Gilbertson, Sophie Lee Number: 4 Full Time EFT equivalents: 1.6 Number of Registrars: New: Second/ Subsequent: 1 Number of Haematology Fellows: N/A Clinical Nurse: 5 - shared with oncology B. Clinical Haematology Scope Inpatient Number Beds BMT Outpatient Shared Oncology Ward usu inpatients Non- Haemostasis Thrombosis Haemoglobinopathy Acute leukaemia elderly only Lymphoma Allogeneic - No Autologous - No Average reviews per day: ~ 5 per day Outpatient Clinics per Week: 2.5 Supervisor Support Hours per week: 2 Internal Teaching Sessions Hours per week: 1 Protected Time for External Teaching Inpatient Consultations per Week: 10 Hours per week: Expected Presentations per Registrar / year: Journal Club every 6 weeks Expected Registrar input into publications: Aim to present 1 paper at a conference Expected Registrar presentations at conference(s)? Source of Funding: Hospital Rostered Hours Paid per Week: 43 Usual Overtime Hours Worked per Week: Week nights: 1 in 5 Weekends: 1 in 5 Weekend Ward Round Requirements?, covering Onc/Haem Annual Is cover available? - sometimes Examination - Conference -

13 A. Institution: The Northern Hospital Director: Dr Prahlad Ho Consultants Number: 9 Dr. Lachlan Hayes, Dr. Teresa Leung, Dr. Prahlad Ho, Dr. Frank Hong, Dr. Rachel Cooke, Dr Vanessa Manitta, Dr. Pohan Lukito. Dr Shaun Fleming, Dr. Hui Yin Lim Full Time EFT equivalents: 3.3 Number of Registrars: New: 1 Second/ Subsequent: Number of Haematology Fellows: 1 Clinical Nurse: B. Clinical Haematology Scope Inpatient Number Beds BMT General/ Haematology Outpatient Non- Haemostasis Thrombosis Haemoglobinopathy Acute leukaemia Lymphoma Allogeneic No (refer to Alfred/RMH) Autologous No (refer to Austin/Alfred) Average reviews per day: Chemotherapy Reviews: 4-6 Non-chemotherapy Reviews: 3-5 Outpatient Clinics per Week: 3 Inpatient Consultations per Week: 5-8 Post transplant follow up care at Northern Health Supervisor Support Hours per week: 2 Internal Teaching Sessions Hours per week: 2-3 Protected Time for External Teaching Hours per week: 5 Expected Presentations per Registrar / year: 8-10 (teaching session, journal club, grand rounds etc) Expected Registrar input into publications: at least one project per year Expected Registrar presentations at conference(s)? 1-2 including HAA Source of Funding: Rostered Hours Paid per Week: 43 Usual Overtime Hours Worked per Week: 1

14 A. Institution: The Northern Hospital Week nights: 1 per week Weekends: 1 in 4 Weekend Ward Round Requirements? (1 in 4) Annual- 5 weeks Is cover available? with notice Examination 3 days prior to exam Conference- 2 weeks (must apply)

15 A. Institution: Epworth Healthcare - Freemasons and Richmond Director: Prof Miles Prince miles.prince@epworth.org.au Consultants: Prince, Fox, Yannakou, Fleming, Tuckfield, Griffiths, Blombery, Cutts, Savoia Number: 2 Full Time EFT equivalents: 2-1XCORE - Freemasons 6m (malignant) and Richmond 6M(non-malig + obs/paeds) -1xNON-CORE - Freemasons (50% - malignant) and PeterMac (50% - genomics) Number of Registrars: New: 1 (core) Second/ Subsequent: 1 (non-core) Number of Haematology Fellows: 1 - Myeloid malignancies (2-3 yrs) Clinical Nurse: x4 B. Clinical Haematology Scope Inpatient Number Beds = 24 Outpatient Non- Haemostasis/Thrombosis: large referral practice at Freemasons and Richmond for VTE, ITP. Perioperative, maternity Blood Management/Trans: YES -extensive Haemoglobinopathy A/A (no formal clinics) Acute leukaemia/mds: elderly, relapsed Lymphoma entire spectrum Myeloma entire spectrum Clinical trials Allogeneic NO Autologous - pre transplant, apheresis and longterm follow up Average reviews per day: 15+/d Chemotherapy/day: Reviews/day:10-15 (incl. inpatient consults) Transfusions Iron infusions IVIg Outpatient Clinics per Week: 2 Supervisor Support Hours per week: 5+ Internal Teaching Sessions Inpatient Consultations per Week: Hours per week:3+ Protected Time for External Teaching Hours per week: 4 Expected Presentations per Registrar / year: monthly Expected Registrar input into publications: yes Expected Registrar presentations at conference(s)? yes Source of Funding: Epworth Helathcare Rostered Hours Paid per Week: 43 Usual Overtime Hours Worked per Week: 0 Week nights: 0 Weekends: 0 Weekend Ward Round Requirements? 0 Annual Is cover available? yes Examination yes Conference

16 A. Institution: Alfred part of Monash and Peninsula rotation Director: Harshal Nandurkar Consultants: Avery, Bergin, Cooke, Curtis, Davis, Fleming, Grigoriadis, Hauw, Jane, Kalff, Kaplan, Lim, McFadyen, Nandurkar, Patil, Perkins, Puliyayil, Spencer, Teh, Tiong, Tran, Walker, Wei, Willcox Number: 24 Full Time EFT equivalents: 12.5 Number of Registrars: 9 on rotation within Monash, Alfred and Peninsula (At Alfred: 2 haematology, 1 BMT, haemophilia-thrombosis) New: 5 Second/ Subsequent: 4 Number of Haematology Fellows: 4 (BMT, Myeloma, Leukaemia, Haemophilia-Thrombosis) Clinical Nurse: Ward: 6 (Nurse Practitioner/candidates); Unit: 17 B. Clinical Haematology Scope Inpatient: average 48 inpatients Non- Haemostasis/Thrombosis 5 Acute leukaemia 24 Lymphoma 4 BMT 15 Allogeneic (varies) Autologous 70 Supervisor Support Internal Teaching Sessions Protected Time for External Teaching Expected Presentations per Registrar / year: 2-3 Outpatient Average reviews per day: Outpatient Clinics per Week: 1 per registrar Inpatient Consultations per Week: pager never stops! Hours per week: Hours per week: 1 week Hours per week: one afternoon off Expected Registrar input into publications: ; Presentations at conference(s)? Source of Funding: Hospital Rostered Hours Paid per Week: EBA Usual Overtime Hours Worked per Week: as required (weekend on-call is paid) Week nights: 1 night per weeknight; Weekends: 2 registrars/fellow on Sat and Sunday Weekend Ward Round Requirements? 4 consultants on for the 4 streams and each do at least one round on the weekend Annual: as per award Is cover available? Examination Conference: Probably

17 A. Institution: Monash Health Clayton/Dandenong/Moorabbin and Casey, Alfred and Peninsula Health Director: Susan Brown Consultants Opat, Chunilal, Brown, Shortt, Curtin, Wood, Kaplan, Grigoriadis, McQuilten, Gilbertson, Kaplan, Greenaway, Bennett, Gregory, Fedele, Low, Vilcassim, Ratnasingam, Mo Number: 19 Full Time EFT equivalents: 8.3 Number of Registrars: New: 9 Second/ Subsequent: 0 Number of Haematology Fellows: 3 Clinical Nurse: 8 B. Clinical Haematology Scope Inpatient Number Beds BMT Outpatient Non- Haemostasis 1 2 inpatient Thrombosis 14 day / 1 2 inpatient Haemoglobinopathy 1 inpatient Acute leukaemia 2-4 Lymphoma 7-12 Not currently applicable at Monash Average reviews per day: each team Outpatient Clinics per Week: 7 clinics (registrars attend 1-2) Inpatient Consultations per Week: 5 10 each team Supervisor Support Hours per week: 3.5 Internal Teaching Sessions Hours per week: 13 Protected Time for External Teaching Hours per week: 4 Expected Presentations per Registrar / year: 5 Expected Registrar input into publications: Expected Registrar presentations at conference(s)? Source of Funding: Shared Hospital Funding PHCN, AH, MH Rostered Hours Paid per Week: 43 Usual Overtime Hours Worked per Week: Minimal, 1x rostered day off following working weekend Week nights: 1 in 5 Days Weekends: 1 in 5 Weeks Weekend Ward Round Requirements? Saturday and Sunday ward round with consultant Annual Factored into yearly roster Examination By approval Conference By approval

18 A. Institution: Peninsula Health (Monash & Alfred) Director: Dr Kay Htun Consultants: Dr. Kay Htun, Dr Natasha Curtin, Dr Huy Tran, Dr Trish Walker Number: 4 Full Time EFT equivalents: 1.0 Number of Registrars: New: 1 (9 in rotation) Second/ Subsequent: 0 Number of Haematology Fellows: 0 Clinical Nurse: 4 B. Clinical Haematology Scope Inpatient Number Beds BMT Outpatient Non- Haemostasis Thrombosis Haemoglobinopathy Acute leukaemia Lymphoma Not currently applicable at Frankston Average reviews per day: Consults per week Outpatient Clinics per Week: 2 1 clinical Trial patients Private rooms weekly news and follow up Inpatient Consultations per Week: Supervisor Support Hours per week: 3.5 Internal Teaching Sessions Hours per week: 6 Protected Time for External Teaching Hours per week: 4 Expected Presentations per Registrar / year: 3 Expected Registrar input into publications: Expected Registrar presentations at conference(s)? Source of Funding: Shared Hospital Funding PHCN, AH, MH Rostered Hours Paid per Week: 43 Usual Overtime Hours Worked per Week: Minimal, 1x rostered day off following working weekend Weekends: 1 weekend per month Weekend Ward Round Requirements? 1 weekend per month Annual Factored into yearly roster Examination By approval Conference By approval

19 2019 CLINICAL HAEMATOLOGY REGISTRAR INFORMATION FORM A. Institution: Eastern Health Director: Stephen Ting Consultants: Stephen Ting, Paul Coughlin, Catherine Fong, Simon Gibbs, Jay Hocking, Denise Lee, Marija Nedeljkovic, Anthony Schwarer, Alison Slocombe Number: 9 Full Time EFT equivalents: 3.5 Number of Registrars: 2 New: 1 Second/ Subsequent: 1 Number of Haematology Fellows: 1 Clinical Nurse: EFT 4.8 B. Clinical Haematology Scope Inpatient Number Beds BMT ~ 1/week Non- Haemostasis - yes Thrombosis - yes Haemoglobinopathy - yes Acute leukaemia - yes Lymphoma - yes Allogeneic - no Autologous - yes Supervisor Support Internal Teaching Sessions Protected Time for External Teaching Expected Presentations per Registrar / year: 3-5 Outpatients:, HATH/General, Myeloma/Amyloid, Lymphoma Average reviews per day: 10 Outpatient Clinics per Week: 3 to 4 Expected Registrar input into publications: yes Expected Registrar presentations at conference(s)? yes Source of Funding: Eastern Health Rostered Hours Paid per Week: 43 Usual Overtime Hours Worked per Week: 5 Inpatient Consultations per Week: 5-10 Hours per week: one Hours per week: every consultant ward round, weekly clinical meeting, weekly scientifictranslational meeting Hours per week: one afternoon Week nights: 1 in 3, possibly 1 in 4 Weekends: 1 in 3, possibly 1 in 4 Weekend Ward Round Requirements?, when on-call Annual Is cover available? yes Examination - yes Conference - yes