Medical Specialties

The PREP program at the Canberra Hospital is a RACP Level 3 accredited training program.

The training program provides exceptional quality clinical training and educational opportunities for all their trainees.

In preparation for the Fellowship examinations, the hospital runs an intensive education program, access to the RACP Victorian video-conferencing program, daily teaching morning handovers and intensive clinical examination preparation courses.

Trainees also have the opportunity to experience medicine in rural practices. Trainees are rotated to secondment hospitals, Calvary Hospital, Bega Hospital and Goulburn Hospital. Trainees have the opportunity to manage patients liaising closely with senior general physicians.

To ensure trainees are adequately equipped to manage independently during night shifts, including the running of medical emergency teams, trainees are allocated to intensive care units terms.

To support the formal education program, trainees also have access to all the sub-specialties rotations. JMOs in their PGY3 year who have joined up to the PREP program are allocated three medical terms during the year. This enables them maximum opportunities to complete their training requirements.

Once PREP trainees have successfully completed the FRACP Part I examinations, they are allocated mentors to assist them in the months leading up to the Part II examinations. We understand that this is a very challenging time for PREP trainees, having to balance work and exam preparation. Mentors are available to provide support to the trainees during this difficult time.

The Canberra Hospital is also proud to host the Canberra Course for Physicians Trainees. This course is facilitated by the Director of Physician Training and sessions are run by an expert panel of physicians. The aim of the course is to equip examination candidates with the appropriate tools to not only pass their Part II FRACP examinations but also to utilise the necessary skills in their area of specialist training.

On completion of the PREP training program, trainees have access to advanced training in all medical sub-specialties – enabling trainees to continue their professional development in the Canberra Hospital.

Cardiology

The following Cardiology terms are available:

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 sessions

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

Endocrinology

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

General Medicine

South East Regional Hospital (Bega)

  • The unit is run by a general physician and seven general practitioners and general practice registrars
  • JMOs manage patients in high dependency unit in direct consultation with physicians and an Intensivist
  • Exposure to aboriginal health
  • Exposure to procedures such as pleural aspirates, abdominal paracentesis, elective cardio-version, non-invasive ventilation, ECG stress tests
  • Weekly case presentations
  • Weekly teaching sessions
  • Exposure to bronchoscopies

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

  • 44 bed inpatient unit - 26 acute and 18 sub acute
  • Providing medical cover for the 15 bed Transitional Therapy and Care Program, Mullangarie Unit, Red Hill
  • 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 and 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

Hospital in the Home (HITH)

  • Innovative unit is run by infectious diseases consultant
  • Unit provides hospital level care to patients living at home
  • Involves the care of both long stay inpatients being treated at home and day only patients who require regular infusions
  • Exposure to complex medical conditions including inflammatory bowel disease and vasculitides
  • Education by term supervisors in the management of adverse drug reactions.
  • Extensive exposure to procedures including PICC line insertion, lumbar punctures and abdominal paracentesis
  • Weekly radiology meetings
  • Ability to attend weekly infectious diseases meetings
  • JMOs can organise to attend sexual health clinics if interested

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

Intensive Care Unit

  • A 31 bed unit staffed by specialists and senior registrars 24 hours a day
  • Only offered to PGY3+ JMOs
  • An extensive week long orientation program to ensure all JMOs adequately educated prior to commencing on the unit
  • Exposure to a myriad of procedures such as central line insertions, arterial line insertions, lumbar puncture, intubation, non-invasive ventilation, insertion of chest drains, abdominal paracentesis and multiple other procedures
  • ACT Health also offers the Basic Assessment and Support in Intensive Care (BASIC) course free of charge to JMOs during their year of training
  • Twice daily teaching sessions
  • Extensive support for primary and secondary examinations
  • Simulated sessions for crisis team practice scenarios
  • 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 patieints 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 intracostal 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

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 the opportunity to learn EEG and EMG interpretation
  • Extensive opportunities for involvement in research

Palliative Medicine

Paediatric Medicine

  • Unit provides inpatient and outpatient care for paediatric patients
  • Exposure to general paediatrics as well as sub-speciality area
  • Unit also has a paediatrician working full time in the Emergency Department which allows for exposure to a wide range of emergency paediatric conditions
  • Follow up and management of neonatal patients
  • Experience in paediatric venepuncture/cannulation, suprapubic bladder aspiration, paediatric lumbar puncture
  • Weekly paediatric grand rounds
  • Weekly paediatric clinical meetings
  • Weekly paediatric journal club and FRACP lecture program
  • Weekly neonatal journal clubs
  • Extensive opportunities for involvement in research

Radiation Oncology

  • Dynamic unit providing highly specialised medical care, both in the inpatient and the outpatient settings, to the cancer patients from ACT and regional NSW
  • Exposure to:
    • curative and palliative management of common malignancies
    • management of common oncological emergencies (such as malignant spinal cord/cauda equina compression, major airway obstruction, uncontrolled bleeding from tumours, etc)
    • management of treatment-related complications
    • multidisciplinary input in formulating a tailored management plan for patients
    • decision-making process in discharge-planning of inpatients
  • Opportunities to:
    • become familiar with
      • radiation treatment planning process and to have a first hand experience of the functioning of a radiotherapy department
      • various treatment modalities such as external beam radiotherapy, brachytherapy, etc
    • improve upon the skills of effectively conducting a family conference, breaking bad news, etc
    • attend
      • outpatient clinics
      • regular academic meetings including
        • registrar teaching sessions
        • weekly Journal Club
        • weekly combined radiology and pathology meetings
        • streamed multidisciplinary oncology meetings
    • perform various diagnostic and therapeutic procedures (such as ascitic tap, pleural drainage, lumbar puncture, etc) under supervision
    • be involved in clinical and lab-based research

Renal Medicine

  • A dynamic unit providing inpatient and outpatient care for patients with renal diseases
  • Extensive exposure to inpatient dialysis and satellite dialysis units
  • Management of patients on renal replacement therapy
  • Exposure to renal transplantation and management of patients on immunosuppressive therapy
  • Renal transplant surgeries conducted in Sydney but are transferred to Canberra for the immediate postoperative period
  • Combined kidney/pancreas transplants also performed in a similar manner
  • Weekly radiology meetings
  • Monthly pathology meetings
  • Daily outpatient clinics including hypertension clinics
  • Exposure to renal biopsies
  • 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

Rheumatology/Immunology/Dermatology

  • Unit provides inpatient and outpatient care for patients with rheumatological, immunological and dermatological conditions
  • Exposure to procedures such as knee/shoulder joint aspirations, skin biopsies, skin allergy testing and cryotherapy
  • Daily outpatient clinics in rheumatology, immunology (adult and paediatric), dermatology
  • Weekly teaching sessions
  • Extensive opportunities for involvement in research

Sexual Health Medicine

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