Core Medical

Medical instrumentsAt Canberra Hospital we offer a wide range of general medical and sub-specialty rotations.

Gastroenterology and Hepatology

Cardiology

General Medicine

Geriatric Medicine

Haematology

Neurology

Infectious Diseases

Respiratory and Sleep Medicine

Medical Assessment and Planning Unit (MAPU)

Medical Oncology

Rotation features

  • Term supervisor: specialist physician responsible for patient care
  • Appropriate caseload: considering acuity, co-morbidities and patient turnover
  • Patient management ward rounds for the ongoing care of patients conducted with the same senior clinician (minimum PGY3) at least three times a week
  • Immediate senior clinical assistance available at all times
  • Supervision to continuously evaluate aspects of the trainee’s history-taking, physical examination skills, discharge planning and communication skills (both written and verbal)
  • Supervision to ensure that the trainee safely prescribes therapeutic agents

Gastroenterology and Hepatology

  • Inpatient and outpatient management of diseases involving the liver and gastrointestinal tract
  • Exposure to various endoscopic procedures eg colonoscopy, polypectomy, ERCP, upper gastrointestinal endoscopy, ultrasound guided liver biopsy, ultrasound guided fine needle aspiration of masses, small bowel series and barium enemas
  • Weekly pathology meetings
  • Weekly radiology meetings
  • Daily outpatient clinics
  • Weekly unit teaching meetings
  • Extensive opportunities for involvement in research

Cardiology

Cardiology rotations are available at Canberra Hospital and Calvary Hospital

Canberra Hospital

  • 24 hour emergency cardiology cover
  • 16 bed inpatient Coronary Care Unit with both acute and subacute areas
  • Inpatient cardiology ward patients
  • Echocardiogram services
  • Exercise stress testing
  • Elective and emergency angiograms and angioplasties
  • Intra-aortic balloon pump insertion exposure
  • Pacemaker insertion (temporary and permanent cardiac pacing) and follow up clinics
  • Outpatient cardiac rehabilitation services
  • Extensive research opportunities on cardiovascular diseases
  • Weekly cardiology clinical meetings, cardiac catheter meetings and ECG interpretation tutorials
  • Daily outpatient clinics

Calvary Hospital

  • 24 hour emergency cardiology cover
  • Inpatient Coronary Care Unit
  • Inpatient cardiology ward patients
  • Echocardiogram services
  • Exercise stress testing
  • Cardioversions
  • Outpatient cardiac rehabilitation services
  • Extensive research opportunities on cardiovascular diseases
  • Weekly cardiology clinical meetings, cardiac catheter meetings and ECG interpretation tutorials

General Medicine

General Medicine rotations are available at Calvary Hospital and Goulburn Base Hospital.

Calvary Hospital

  • Five general medical teams - each team supervised by physicians with sub-speciality interests including gastroenterology, respiratory medicine, cardiology, rheumatology, infectious diseases and geriatrics
  • Inpatient workload and opportunity to participate in outpatients if interested
  • Daily handover teaching rounds
  • Weekly JMO tutorials on top of weekly JMO education sessions
  • Weekly grand rounds
  • Exposure to cardioversions in coronary care
  • Exposure to endoscopies – exposure to common procedures such as nasogastric tube insertion, bladder catheterisation, defibrillation
  • Weekly long case and short case sessions with VMOs for PREP trainees
  • Monthly radiology teaching sessions

Goulburn Hospital

  • Two general medical teams - each team supervised by physicians with sub-speciality interests including gastroenterology, respiratory medicine and cardiology
  • Inpatient workload and opportunity to participate in outpatients if interested
  • JMOs liaise directly with consultants
  • Day to day involvement in the care of ICU patients liaising closely with physicians and anaesthetists
  • Exposure to procedures such as lumbar punctures, pleural aspirations, ascitic taps, bronchoscopies, endotracheal intubation in theatre lists
  • Weekly tutorial sessions
  • Weekly clinical meetings

Geriatric Medicine

  • 26 bed inpatient unit
  • Multidisciplinary care of elderly patients with complex, multi-system medical issues
  • Unit provides a wide range of experience in acute general medical, surgical and psychogeriatric management and geriatric rehabilitation
  • Weekly falls clinics
  • Daily outpatient clinics – exposure to comprehensive geriatric assessment and cognitive assessment
  • Exposure to geriatrics syndromes – dementia, delirium, falls, osteoporosis, incontinence, mood disorders, capacity assessments and guardianship legislation
  • Exposure to procedures – nasogastric tube insertions, pleural taps and abdominal paracentesis
  • Weekly unit education meetings – enables JMOs to practice public speaking and presentation skills
  • Regular journal clubs
  • Weekly radiology meetings
  • Extensive opportunities for involvement in research
  • Three monthly morbidity and mortality meetings

Haematology

  • A dynamic department that runs both an inpatient and outpatient unit to deal with various haematological malignancies and other haematological disorders
  • Exposure to autologous stem cell transplantation for malignant disorders
  • Opportunities to perform procedures such as lumbar punctures with intrathecal chemotherapy administration, paracentesis, thoracocentesis, central line insertions, PICC line insertions and bone marrow biopsies
  • Unit has regular haematology laboratory meetings to ensure JMOs get exposure to the pathology of haematological disorders
  • Daily outpatient clinics fully supervised by haematologists
  • Exposure to a busy day clinic that manages the administration of chemotherapeutic agents and exposure to facilities for plasmapheresis
  • Exposure to patients referred to the Hospital in the Home program
  • A weekly clinical haematology meeting allows JMOs the opportunity to practice presentation skills
  • Opportunities to be involved in clinical research in haematology

Neurology

  • Expanding unit providing expert care for patients with neurological disorders
  • Includes inpatient stroke unit
  • Daily outpatients clinics
  • Weekly journal clubs
  • Weekly radiology meetings
  • Supervisors are extensively involved in teaching of undergraduate and postgraduate trainees
  • Exposure to a clinical neurophysiology service which provides JMOs with the opportunity to learn EEG and EMG interpretation
  • Extensive opportunities for involvement in research

Infectious Diseases

  • A unit run by supervisors with extensive experience in undergraduate and postgraduate education
  • Provides inpatient and outpatient care for patients with a wide range of infectious diseases
  • Opportunities to attend outpatient clinics
  • Extensive involvement with patients discharged to Hospital in the Home which provides hospital level care to patients living at home
  • Weekly face to face appointments with term supervisor to discuss long cases if requested by JMO
  • Exposure to performing various procedures such as lumbar punctures
  • Opportunities to be involved in research not just in infectious diseases but also in medical education
  • Weekly infectious diseases meetings give JMOs the opportunity to present interesting cases
  • Weekly radiology meetings
  • Opportunity to be involved in the management of patients with sexually transmitted diseases and HIV/AIDS
  • For those interested in microbiology, special laboratory sessions can be organised
  • Extensive opportunities for involvement in research

Respiratory and Sleep Medicine

  • Unit provides comprehensive investigative and therapeutic services for inpatients and outpatients
  • Inpatient sleep laboratory allows for opportunities to interpret complex sleep studies
  • Exposure to procedures like pleurocentesis and bronchoscopy
  • Weekly radiology meetings
  • Weekly multidisciplinary meetings with oncology/radiation oncology department.
  • Weekly journal clubs
  • Daily outpatient clinics
  • Extensive opportunities for involvement in research

Medical Assessment and Planning Unit (MAPU)

  • 16 bed general medical unit providing care for patients with undifferentiated medical conditions
  • 10 bed short stay surgical care for patients with undifferentiated surgical conditions
  • Unit is staffed by supervisors with an interest in general medicine
  • Supervisors also have special interests in geriatric medicine, infectious diseases, cardiology, respiratory medicine and gastroenterology
  • Exposure to multidisciplinary assessments
  • Term emphasises the importance of safe handover to ensure safe transition of patient care to other ward medical teams
  • Weekly radiology meetings
  • Weekly geriatric unit meetings
  • Extensive opportunities for involvement in research

Medical Oncology

  • Expanding unit providing expert medical care for inpatients and outpatients (including rural outreach clinics) with various oncological disorders
  • Exposure to common malignancies such as breast cancer, lung cancer, bowel cancer, prostate cancer and gynaecological cancers
  • Opportunity to train in chemotherapy write ups and managing patients with complications arising from therapy
  • Exposure to management of emergencies such as febrile neutropenia, spinal cord compression, superior vena cava obstruction, hypercalcaemia
  • Exposure to a wide range of procedures including pleural taps and insertion of intercostal drains, abdominal paracentesis, lumbar puncture and PICC line insertion
  • Daily outpatient clinics
  • Extensive multidisciplinary and multi-team (palliative care, radiation oncology) involvement
  • Weekly journal clubs and academic meetings
  • Weekly combined radiology and pathology meetings to ensure holistic approach to patient care
  • Extensive opportunities for involvement in research

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Contact us

Contact ACT Health's Medical Officer Support Unit by emailing: tchmosu@act.gov.au on +61 2 6244 2779.