Beruflich Dokumente
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AUSTIN SURGERY
EDUCATION PROGRAM 2012
Austin Surgery Publication Volume 9 Issue 1 Copyright 2012 The University of Melbourne Department of Surgery, Austin Health. Designed, Edited and Produced by V Muralidharan Photography by C Malcontenti-Wilson Printed by Digital Print Centre, The University of Melbourne Disclosure: Printing of this publication is kindly financed by Investec Medical Finance
The major focus of The University of Melbourne Department of Surgery, Austin Health is the development and delivery of high quality surgical education and training. The Department provides a comprehensive surgical education program to both undergraduate and postgraduate students in parallel with the clinical surgical training delivered by the members of the Division of Surgery. In addition the department provides opportunities for scientific research in a wide variety of fields in a warm, friendly and collegial atmosphere. Four separate research groups with international repute provide excellent oppportunities for advancement in both basic science and clinical research. Researchers and students have easy access to supervisors and support and close supervision at all times. Modern facilities and easy access to transport ensure a pleasant working environment.
Table of Contents
................................................................................................................ WELCOME MESSAGE 5 ................................................................................................................
SURGICAL EDUCATION PROGRAM 6 ................................................................................................................ EDUCATION PROGRAM SUMMARY 7 ................................................................................................................ AUSTIN SURGICAL TRAINEES 8 ................................................................................................................ AUSTIN SPECIALIST SURGICAL TRAINEES 10 ................................................................................................................ SURGICAL TRAINEES & ROTATIONS NSET 12 ................................................................................................................ SURGICAL TRAINEE ROTATIONS SET 2-5 14 ................................................................................................................ SURGICAL TRAINEE ROTATIONS SET 1 16 ................................................................................................................ ................................................................................................................
SHOCK & AWE EXAM PREP COURSE 17 ................................................................................................................ SURGERY TUTORIALS & JOURNAL CLUBS 18 ................................................................................................................ SURGICAL FORUM 20 ................................................................................................................ SURGICAL FORUM - INVITED LECTURES 21 ................................................................................................................ MESSAGE FROM THE SPONSOR - INVESTEC 22 ................................................................................................................ SURGICAL FORUM - ANNUAL AUDITS 24 ................................................................................................................ DIVISION OF SURGERY WEEKLY AUDIT & MEETING 25 ................................................................................................................ CLINICAL CASE DISCUSSIONS 26 ................................................................................................................ SATURDAY SURGICAL SEMINARS 27 ................................................................................................................ AUSTIN SET1 SSE / CE EXAM COURSE 30 ............................................................................................................... SURGICAL SKILLS WORKSHOPS 32 ............................................................................................................... SET MOCK INTERVIEWS 31 ............................................................................................................... ................................................................................................................
RESEARCH OPPORTUNITIES IN SURGERY 34 ................................................................................................................ AUSTIN SURGERY TRAINING & RESEARCH REQUIREMENTS 36 ................................................................................................................. AUSTIN SURGERY RESEARCH PRIZE 37 ................................................................................................................ MASTERS OF SURGICAL EDUCATION 38 ................................................................................................................ AUSTIN SURGERY TRAINEES DINNER 39 ................................................................................................................ AUSTIN SURGERY WEB SITE 40 ................................................................................................................ DEPARTMENTAL PUBLICATIONS 41 ................................................................................................................ IMPORTANT DATES 42 ................................................................................................................
Welcome Message
We wish to welcome all Surgical Trainees together with all members of the Division of Surgery to the General Surgery Education Program for the year 2012. This program is aimed at providing a comprehensive series of tutorials, seminars and journal club sessions to Surgical Trainees at all levels. It also provides participation to all members of the Division of Surgery through the Surgical Forums and the Annual Surgical Unit Audits. The strength of the program and its success over the past eight years has been predominantly due to the commitment and dedication by the members of the Division of Surgery who have volunteered their valuable time for the benefit of our trainees. The program continues to evolve each year based on the general attendance, impact and feedback received from both trainees and consultants. A number of changes have been incorporated in to the program for 2012 to reduce the demand on trainees and surgeons while concentrating the teaching in to manageable segments. The Saturday Surgical Seminars held once a month on Saturday afternoons have been an outstanding success with record attendances by trainees and have been open to all surgical trainees in Victoria. Another notable success was the new SET1 refresher course for trainees preparing for the surgical sciences and clinical examinations. The program will remain concentrated between April and November 2012. Some of the changes to the Surgical Education program for 2012 will demand an increased and proactive role by trainees in successfully implementing it. This includes a greater role in defining the content of the Journal Clubs as well as more emphasis on the Trainee Education Co-ordinator to ensure a seamless progression of educational activities. On Friday the 3rd of December 2011 the third Annual Austin Surgical Trainee Dinner was hosted by the trainees to demonstrate their appreciation of the time and effort imparted to them by the Surgeons and Fellows of the Austin Hospital. This will be held in 2012 at the same venue on Saturday the 1st of December. Finally, the Austin Research Prize will be held on Tuesday the 27th of December 2012 and we encourage all surgical trainees to participate. We wish to emphasize that the program is open to anyone who is interested from the Austin and other centres, including all Surgical Trainees, Unaccredited Registrars, Surgical HMOs, Interns and International Medical Graduates. The success of this program is dependent on active participation from all Surgical Trainees and staff members. Thank you to all the members of the Division who participate in the surgical education program and we look forward to another successful year.
Email: muv@unimelb.edu.au
Email: mafink@unimelb.edu.au
TIME
0700 - 0800
ACTIVITY
SURGERY TUTORIALS (Weekly, April - November) Journal Club (Monthly, April - November)
VENUE
Howard Eddey Library Level 8 LTB
Light Breakfast SURGICAL FORUM INVITED LECTURES (Weekly, February - June) ANNUAL AUDTS (Weekly, July - November)
THURSDAY
Light Breakfast SURGICAL UNIT WEEKLY AUDIT (Weekly, February - December) Clinical Case Discussions (Fortnightly, April - November) SATURDAY SEMINARS (Monthly, April - November)
FRIDAY
0700 - 0800
SATURDAY
1400 - 1630
SET1 Exam Preparation Course: Part 1 SET1 Exam Preparation Course: Part 2 Austin Surgery Research Prize Austin Trainee Dinner
SURGICAL HMO 3 Danny ABDULAHAD, Jessica (Jia Min) CHAN Greg CHANG Tony CHEN Chee Seng CHOW Justin EASTON Jason GOH Olivia HERDIMAN Kacharan KOGHAR Aaron KOH Tze Lui KOH Lisa LIM David MAO Ryan POWER Hardeep SANDHU Amar SOADI Nibo WU Chunxiao (Don) ZHANG
NON-SET TRAINEES (UNACCREDITED) Modher AL-SHAWI Mohamed ASHOUR Simon BAZADUUT Emily CHEN Chun CHONG Murtaza DUNGARWALLA Robindeep Singh GILL Su Kah GOH Rajan KAILAINATHAN Peng Luen (Nicholas) LOW Sandhya MENDON Alayne MOREIRA Amal ROYAN Gaurang SHAH Ashwini SUPPERAMOHAN Muhammed Farruk TUFAIL James WALCOTT
General Surgery (NSET) Subodh Registrar Kamble ENT / HEAD & NECK ENT Registrar ENT Registrar MAXILLO FACIAL UNIT Maxillo Facial Registrar Maxillo Facial HMO NEUROSURGERY Epilepsy Fellow Accredited Registrar Unaccredited Registrar
OPHTHALMOLOGY UNIT Accredited Registrar PAEDIATRIC SURGERY Accredited Registrar PLASTIC SURGERY Accredited Registrar Accredited Registrar Unaccredited Registrar Simon Chong (SET4) Mark Seifman (SET1) Danielle Nizzerro Robert Gilmore (SET2) Jeanaette Ting (SET2) Danielle Nizzerro Natasha Laidler Natasha Laidler Elaine Chong Elaine Chong
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TNH SURG 5A Relief Reg 4 Cardiac Surg Bendigo (SET1) Relief Reg 5 TSC Relief Reg 1 Echuca HPBT2 (SET2) Bendigo (SET1) Cardiac Surg Night Reg 2 Echuca Relief Reg 2
TNH SURG 5B TSC Relief Reg 4 TNH Night 1 HPBT2 (SET2) UGI Austin Relief Reg 3 TNH SURG 5B
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FEB-APR
MAY-JUL
AUG-OCT
NOV-JAN
METROPOLITAN MELBOURNE ROTATIONS TNH SURG 5A TNH SURG 5B TNH Night 1 Epworth R2 Su Kah Goh Gaurang Shah Farrukh Tufail Emily Chen Mohamed Ashour James Walcott Chun Chong Emily Chen Sandhya Mendon Robindeep Singh Gill Murtaza Dungarwalla Farrukh Tufail Alayne Moreira Peng Low Modher AlShawi Farrukh Tufail
VICTORIAN REGIONAL ROTATIONS Echuca Amal Royan Alayne Moreira Peng Low Simon Bazaadut
RELIEVING REGISTRAR Relief Reg 1 Relief Reg 2 Relief Reg 3 Relief Reg 4 Relief Reg 5 Alayne Moreira Mohamed Ashour
Chun Chong
Wei Ming Ooi Katharine Guggenheimer Amal Royan Farrukh Tufail Su Kah Goh Ying Ruey Yong Simon Bazaadut Emily Chen Modher AlShawi Ashwini Supperamohan
Robindeep Singh Gill Sandhya Mendon Murtaza Dungarwalla Gaurang Shah James Walcott
OVERLEAF: SET2 positions filed by NSET trainees are marked in red; SET1 positions filled by NSET trainees are marked in blue.
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SET YEAR SET2 SET2 SET2 SET2 SET2 SET2 SET2 SET3 SET 3 SET 3 SET 3 SET 4 SET 4 SET 5 SET 5 SET 5 SET 5 SET 5 SET 3 SET 4
ROTATION 1 Feb 12 - Jul 12 Bendigo 2 Hamilton Burnie Shepparton Hobart 2 Hobart 1 TNH Th Vasc Alice Springs Bendigo 1 Colorectal Launceston HPBT 1 TNH1 Breast Thoracics (Austin) UGI TNH3 (CRS) Nights/Relieving Research Research
ROTATION 2 Aug 12 - Jan 13 Thoracic TNH Th/Vasc Vascular Hobart 1 Bendigo 2 Burnie HPBT2 Launceston Alice Springs Shepparton TNH3 Colorectal UGI TNH1 TNH2 HPBT1 Hamilton Bendigo 1 Research Research
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Cris Cuthbertson
James Walcott Robindeep Singh Gill
4 U 5 5 3 U 5
5 2 U 4 4 2 2
David GOH Mary Ann JOHNSON Krinal MORI Simon Bazaadut Kevin HUNG
THE NORTHERN HOSPITAL TNH Unit 1 TNH Unit 2 TNH Unit 3 TNH Unit 4 TNH Thor / Vasc
4 5 U
5 3
Kevin Hung
2
5 2
Catherine Rudinski Rhiannon KOIRALLA Yahya Al-Habbal Holly Harman Chew Yin Lip
Holly Harman Ying-Ruey YONG David Liu Benjamin KEONG Krinal MORI
2 2 2 3
Noel Ramdwar Chew Yin Lip Su Kah Goh Synn Lyn CHIN
2 2 U 3
Rhiannon KOIRALLA
3 15
Epworth FM Bendigo
METROPOLITAN MELBOURNE ROTATIONS Epworth 1 (R) Epworth (FM) Trauma (Alfred) UGI/Endo (Austin) Enoch Wong Geraldine Ooi Wei Ming Ooi Chon Hann Liew Enoch Wong Esther Yu Geraldine Ooi Ashwini Supperamohan Chon Hann Liew Chun Chong Luke Bradshaw Gaurang Shah Chon Hann Liew Chun Chong Katharine Guggenheimer Enoch Wong
VICTORIAN & TASMANIAN REGIONAL ROTATIONS Bendigo Burnie Launceston Mersey Rajan Kailanathan Luke Bradshaw Rajan Kailanathan Luke Bradshaw Esther Yu Geraldine Ooi Wei Ming Ooi Enoch Wong Esther Yu Geraldine Ooi Wei Ming Ooi Rajan Kailanathan
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DATE
7 February 10 February 14 February 17 February 21 February 24 February 28 February 2 March 6 March 9 March Tuesday Friday Tuesday Friday Tuesday Friday Tuesday Friday Tuesday Friday
DAY
T Hyett
SURGEON
The GSA Victorian Fellowship Exam Course will be held between the 12 - 23 March 2012 rotating through various hospitals. It will be held at Austin as follows: 20 March AM 20 March PM Lectures and Exam Preparation Clinical Demonstrations Lecture Theatre Lvl 8 LTB Outpatients Lvl 3 LTB
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Howard Eddey Library, Dept of Surgery, Level 8, LTB. The format will be at the discretion of the tutor. Trainees should prepare for the tutorials by doing pre reading from text books and published articles in order to obtain the maximum benefit from each tutorial. The Surgical Trainee Representative will liaise with the tutor and assign articles to the trainees to review. Each trainee should have a relevant journal article ready for discussion.
DATE
3-Apr 10-Apr 17-Apr 24-Apr 1-May 8-May 15-May 22-May 29-May 5-Jun 12-Jun 19-Jun 26-Jun
TOPIC
Benign Breast Disorders Inflammatory Bowel Disease Approach to the Solitary Thyroid Nodule Journal Club: Breast Surgery Surgery for Liver Trauma RACS ASC Kuala Lampur, Malaysia Oesophageal Carcinoma Mastalgia and Nipple Discharge Journal Club: Colorectal Surgery Anorectal Incontinence / Rectal prolapse Parathyroid dieseases Benign Liver Tumours Journal Club: HPB - Liver Surgery
SURGEON
Sunil Jassa l Adele Burgess Bill Fleming Lindsay Castles Graham Starkey
Tom Sweeney Su Wen Loh Alex Wong Richard Brouwer Jane Harding V Muralidharan David Yeo
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DATE
3-Jul 10-Jul 17-Jul 24-Jul 31-Jul 7-Aug 14-Aug 21-Aug 28-Aug 4-Sep 11-Sep 18-Sep 25-Sep 2-Oct 9-Oct 16-Oct 23-Oct 30-Oct 6-Nov 13-Nov 20-Nov 27-Nov
TOPIC
Oesophageal motility disordes and GORD Mx of Early Breast Cancer The Difficult Colectomy Journal Club: UGI - Obesity surgery Investigating the Adrenal incidentaloma Splenectomy / Splenorrhaphy Gastrectomy for Malignancy Journal Club: Endocrine Surgery Surgery for Benign Breast Disorders Bowel Anastomotic Techniques Multiple Endocrine Neoplasia Journal Club: General Surgery Principles of Liver Resection Oesophagel Perforation & Fistulae Complications of Breast Surgery Journal Club: Gastric Surgery Lower GI Fistulae Adrenal Surgery MELBOURNE CUP Ix of an Incidental Solitary Liver Lesion Journal Club: HPB - Pancreas Surgery Mesenteric ischaemia
SURGEON
Ian Michell Caroline Baker Andrew Bui Hou Kiat Lim Bill Fleming Michael Fink Ahmad Aly Vivian YU Anthony Hyett Ian Pilmer Jason Tan Jason Tan Chirs Christophi Khiran Bhatia Elaine Bevington James Askew Adele Burgess Steve Farrell
TUESDAY
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Surgical Forum
Time: Day: Venue: Content: 0730 0830 (Light Breakfast at 0715) Wednesday Lecture Theatre, Dept of Surgery, Level 8, Lance Townsend Building The Surgical Forum will be conducted in two parts as described below:
WEDNESDAY
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INVITED LECTURES (February June) This will be conducted in the first half of the year from the 15th February to the 27th June. Speakers have been invited by the department to deliver clinical updates on current topics. A mix of internal and external speakers havs been chosen based on their expertise. SURGICAL UNIT ANNUAL AUDITS (July November) This will be conducted in the second half of the year from the 4th July to the 21st November. Each unit within the Division of Surgery is allocated a single day for a presentation of their Annual Surgical Audit. The Austin Surgery Annual Surgical Audits provide an opportunity for all surgical units to present their annual activity, trends, outcomes and benchmarking. The unit members are encouraged to present the figures for the unit activity and the general and specific morbidity and mortality rates for the previous 12 month period. The morbidity should preferably relate to both the operation and the indication if possible (criteria auditing). All deaths should be listed. Detailed discussion of complications and deaths should be avoided as this would have been performed at the weekly surgical audits. However, instances where morbidity or mortality had resulted in a change in practice should be highlighted and discussed if necessary. If available, other data on key performance indicators and comparative data from other comparable hospitals would be appreciated. The duration of the audit meeting should be approximately 45 minutes. All units are expected to supply an electronic version of the audit to the Department of Surgery archives. (See Kim McAughtry) It would be ideal if the heads of units would encourage other participating staff to attend (apart from the unit members) to their unit audits. This may include ward, theatre and anaesthetic nursing staff, as well as staff from other departments such as physiotherapy, nutrition, etc. In addition, members of similar units from other Melbourne hospitals may be invited and encouraged to attend. The Surgical Foum (Wednesday 7.30 - 8.30am) now forms part of the protected teaching time for all surgical HMOs at Austin and thus mandatory attendance is expected.
TOPIC
Assessment of the surgical patient Optimum fluid replacement following surgery Surgery for Spinal Trauma Maximising organ donation for transplantation Robotics in Surgery The new MD University of Melbourne Abdominal compartment Syndrome Surgical Education - Contemporary Issues The Artificial Eye Advances in Rx of Melanoma ANZAC DAY Advances in the Rx of septic shock RACS ASC Kuala Lampur, Malaysia Minimally invasive Surgery in Orthopaedics Management of Aortic Aneurisms Endovascular Intervention in Neurosurgery Surgical Management of Myocardial ischaemia Management of the Prostatic cancer Management of the adrenal incidentaloma Reversing co-morbidities by obesity Surgery
SPEAKER
D Story R Bellomo
G Hart
WEDNESDAY
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G Quan
22
23
UNIT
WEDNESDAY
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18 July 25 July 1 August 8 August 15 August 22 August 29 August 5 September 12 September 19 September 26 September 3 October 10 October 17 October 24 October 31 October 7 November 14 November 21 November
Audit Content: The audits should display the weekly activity of the relevant unit, including operative, endoscopic and non operative cases. Morbidity and mortality should be listed with all UR numbers and relevant cases discussed in detail highlighting specific issues and any suggested corrective measures. Audit Format: The surgical audit is presented electronically using the lectern computer and projector.
If you are unable to submit the audit in time, you may bring a copy on USB Memory Stick and physically load it on to the computer on Thursday morning. If you plan to do this, kindly arrive ahead of time (before 7.15am) to load the audit and avoid disrupting the smooth flow and conduct of the audit session.
The Division of Surgery meeting will be held once every three months in lieu of the audit meeting. Surgical trainees are not required to attend but may do so if they wish. Trainees are not required to attend. Dates: 01 MAR 2012 06 SEP 2012 07 JUN 2012 06 DEC2012 25
THURSDAY
Audit Submission: Electronic format of the audit should be sent to Kim McAughtry at the Department of Surgery (T: 9496 5468; E: kimem@unimelb.edu.au) to be received latest by 1400hrs on the Wednesday preceding the Audit. These will be uploaded to the computer in the Lecture Theatre ready for presentation. Late submissions will NOT be uploaded.
Howard Eddey Library, Dept of Surgery, Level 8, LTB. The clinical case discussions are a fortnightly open session with Professor Christophi and Andrew Bui which will be on a wide varitety of surgical topics. It is also an open forum to bring up any issues regarding training and education.
DATE
13 April 27 April 11 May 25 May 8 June 22 June July 20 July 3 August
TOPIC
Clinical Case Discussions Clinical Case Discussions RACS ASC Kuala Lampur, Malaysia Clinical Case Discussions Clinical Case Discussions Clinical Case Discussions Clinical Case Discussions Clinical Case Discussions Clinical Case Discussions Clinical Case Discussions Clinical Case Discussions Clinical Case Discussions Clinical Case Discussions Clinical Case Discussions Clinical Case Discussions Clinical Case Discussions Clinical Case Discussions
SURGEON
Andrew Bui C Christophi
C Christophi Andrew Bui C Christophi Andrew Bui C Christophi Andrew Bui C Christophi Andrew Bui C Christophi Andrew Bui C Christophi Andrew Bui C Christophi Andrew Bui
FRIDAY
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SATURDAY
TOPIC
THYROID SURGERY Chairman: Steve Farrell: Panel: J Harding, W Fleming, J Tan Operative Surgery Quiz Medical Updates: Advances in Mx of perioperative Coagulopathy & DVT prophylaxis Trainee Presentations: Technical Advances in Thyroid Surgery Contemporary approach to the multi nodular goitre Case Presentations: Thyroid Disease How I do it: Hemi Thyroidectomy
SPEAKERS
26 May
HEPATOCELLULAR CARCINOMA Chairman: Robert Jones Panel: M Fink, G Starkey Operative Surgery Quiz Medical Updates: Updates in the Diagnosis and Treatment of Viral Hepatitis Trainee Presentations: Indications for surgery for HCC Advances in Non operative interventions for HCC Case Presentations: Liver Tumours How I do it: Open Liver Resection in Cirrhosis Panel Paul Gow
Chairman: Adele Burgess Panel: A Bui, I Pilmer, R Brouwer Panel Celia Lanteri
Operative Surgery Quiz Medical Updates: Understanding and optimizing respiratory function pre operatively Trainee Presentations: Assessment, staging and post op surveillance Treatment options for Advanced Rectal Carcinoma Case Presentations: Colorectal Cancer How I do it: Anterior Resection
21 Jul
PENETRATING THORACIC TRAUMA Chairman: Simon Knight Panel: G Fell, S Barnett, J Chuen Operative Surgery Quiz Medical Updates: Current understanding of post operative fluid management Trainee Presentations: Managing Stab Injury to the Neck & Chest Approach to Thoracic Gunshot Wounds Case Presentations: Thoracic Trauma How I do it: Thoracotomy for Trauma Panel David Story
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TOPIC
PANCREATIC NEUROENDOCRINE TUMOURS Chairman: C Christophi Panel: M Nikfarjam, T Sweeney Operative Surgery Quiz Medical Updates: Recent advances in antibiotics therapy and diagnostic techniques for the surgical patient Trainee Presentations: Pancreatic neuro Endocrine Tumour - Staging Treatment of Metastastic NETs Case Presentations: Pancreatic Tumours How I do it: Distal Pancreatectomy
SPEAKERS
15 Sep
MORBID OBESITY Chairman: Ahmad Aly Panel: K Bhatia, I Michell, H K Lim Operative Surgery Quiz Medical Updates: Mx of Myocardial events and Antiplatelets drugs in peri-operative patients Trainee Presentations: Assessment and treatment option for obesity Advances in surgery for morbid obesity Case Presentations: Post operative management How I do it: Sleeve Gastrectomy Panel Omar Farouk
13 Oct
ABDOMINAL WALL HERNIA Chairman: M Nikfarjam Panel: S W Loh, P Smart, J Tan Operative Surgery Quiz Medical Updates: Advances in Nuclear Medicine for Abdominal Malignancies Trainee Presentations: Management of asymptomatic incidental groin hernia Component separation for complex ventral hernia Case Presentations: Complex Herniae How I do it: Laparoscopic Ventral Hernia Repair Panel Sze Ting Lee
10 Nov
BREAST CANCER Chairman: Caroline Baker Panel: A Hyett, E Bevington, S Jassel Operative Surgery Quiz Medical Updates: Understanding and interpreting Liver MRI Trainee Presentations: Update on surgical techniques for breast cancer Management of metastatic breast cancer Case Presentations: Breast Cancer How I do it: Hook wire localization & Biopsy Panel Mark Goodwin
SATURDAY
29
TIME
08:00-08:45 08:45-09:30 09:30-10:15 10:15-10:45 10:45-11:30 11:30-12:15 12:15-13:00 13:00-13:45 13:45-14:30 14:30-15:15 15:15- 15:45 15:45-16:30 16:30-17:15 17:15-18:00 Pathology Haematology
TOPIC
Anatomy - CNS (brain and spinal cord) Anatomy Head and neck Morning Tea Anatomy Thorax Anatomy Abdomen Pathology Haemostasis, haemorrhage, & thrombosis Lunch Pathology Infections and antibiotics Pathology Genetics and molecular biol. Afternoon Tea Pathology Neoplasia Pathology Tissue injury Pathology Immunology
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TIME
08:00-08:45 08:45-09:30 09:30-10:15 10:15-10:45 10:45-11:30 11:30-12:15 12:15-13:00 13:00-13:45 13:45-14:30 14:30-15:15 15:15- 15:45 15:45-16:30 16:30-17:15 17:15-18:00 18:00 - 20:00 Anatomy Pelvis Anatomy Upper limb Anatomy Lower limb Morning Tea
TOPIC
Physiology Cardiovascular Physiology Respiratory Physiology Fluid, electrolytes, homeostasis and acid base balance Lunch Physiology Liver and portal system Physiology Gastrointestinal Afternoon Tea Physiology Neurophysiology Physiology Endocrine Physiology Renal Clinical Examination Revision 31
SATURDAY
Surgical Workshops
AUSTIN SURGERY SKILLS WORKSHOPS & PRACTICE SESSIONS: Venue: RACS, Spring Street, Melbourne. (Except Ophthalmology workshop which will be held at the Repatriation Hospital Outpatients Clinic) Facilitator: Michael Fink Registration: Ms Pauline Dib (Medical Education Unit, Education Precinct, Level 4, Austin Tower, Email: pauline.dib@austin.org.au, Phone: 9496 4407, Fax: 9496 5523) The surgical skills workshops are run for the Austin/Northern interns, HMOs and registrars. The number of participants is restricted due to the limited number of stations at the venue. Participants are accepted into the workshops on a first come, first served basis. A participation certificate will be provided to participants at the end of each workshop. In order to practice skills learned in the Surgical Skills Workshops, a supervised practice session is undertaken two to three weeks after each workshop.
WORKSHOP
Basic Surgical Skills: Knots; Suturing; Excision of lesions; Convenor: Michael Fink Bowel Anastomosis: End to end; End to side; Convenor: Michael Fink Basic Laparoscopy: Equipment; Port insertion; Dexterity; Convenor: Michael Fink Vascular Anastomosis: Arteriotomy & closure; Patch closure; Tube graft anastomosis; Convenor: Michael Fink Orthopaedic Workshop: Plaster application; C-spine management; Joint aspiration; Fracture reduction; Joint relocation Convenor: Andrew Hardidge Ophthalmology Workshop: The red eye; Irritable eye; Sudden blindness; Use of the slit lamp; Tonometry; Foreign bodies; Convenor: Deborah Colville ENT Workshop: Epistaxis; Quinsy; Otitis Externa; Basic ENT Procedures; Convenor: Matthew Campbell
SATURDAY
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Surgery and Scientific Research: Why do it? Research Opportunities & The Academic Research Program
Research activity has progressively increased in importance to the surgical trainee over the past years as emphasis has increased on a scientific approach to surgical problems. Increasing demands are made on trainees to conduct, present and publish on surgical research not only as a component of their accredited training but also to increase their career opportunities and successful applications for future fellowships. The Department of Surgery continues to strongly support research undertaken by trainees either as full time research higher degrees or on a smaller scale during their clinical tenure. Trainees at all levels from HMOs to advanced SET trainees are encouraged to seek opportunities early in the year to begin work on at least one research project. If you have a particular interest in a subspecialty, then feel free to approach members of that unit for a potential research project. If not, the Department of Surgery will be able to provide a number of options for small, relevant clinical studies based on our ongoing prospective data collection service. The aim would be to present the results at the Austin Research Prize presentation and subsequently to have it published in a relevant peer reviewed journal. Research for Surgical Trainees: Surgical trainees interested in an academic career will have strong backing from the department to enrol full time in one of the Research Higher Degrees. In addition we also support all surgical registrars, in both accredited and unaccredited positions, to undertake serious research concurrent with their clinical work. These are mostly small project based clinical studies involving data from our clinical databases, hospital medical records and where necessary, tissue from the Victorian Tissue Bank.
The Research Higher Degree program has granted me the opportunity to take a step back from the demanding cut and thrust life of a busy surgical registrar, and at the same time enabled me to further my career. The experience has taught me to think analytically and critically, and I have learnt valuable lessons in study designs, executions and result preparation for publication. No doubt the knowledge gained will aid me to be a better surgeon. Kevin Hung SET 5 Trainee / MS Student
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Research Higher Degree (RHD) Program: The Department of Surgery strongly encourages the undertaking of RHD by research (PhD, MD M Surg and MSc). The main focus of such research is related to hepatobiliary and pancreatic disorders, organ transplantation and regulatory peptides. Students from both the medical and biomedical fields are welcome. There is also strong international interest from regional centres in this program leading to international post doctoral students undertaking this course. Currently active research projects include the treatment of liver metastases by vascular disrupting agents, macromolecular drugs and hyperbaric oxygen, the role of liver regeneration in tumour growth, the role of microcirculatory disturbances and hyperbaric oxygen in severe acute pancreatitis, xenotransplantation and the role of regulatory peptides in the development of liver, colon, prostate and kidney tumours. In vivo and in vitro models for each of these projects are well established in the Department. Clinical material and tumour banks are extensively used. Details are available in our Pathways to Discovery booklet which can be obtained from the office or downloaded from our web site. Research for Clinicians: The philosophy in the Department of Surgery encourages scientific research at all levels in clinical, basic science and translational aspects. We also endeavour to establish strong links with other departments to develop collaborative research including the Peter McCallum Institute, and clinical departments such as Anaesthesia, Radiology, Oncology and Intensive Care. Detailed surgical databases have been developed for both general surgery and specialist HPB disorders. Data collected within these provide a solid base for developing short term clinical studies. All such projects will aim to have the results published in a peer reviewed clinical journal within a year of completion. Research for Junior Hospital Doctors: Recognizing the need for small project based clinical studies for junior hospital medical officers (Interns, HMO 2 and 3) we offer a range of clinical and mixed projects. These are available to anyone interested in developing a future career in surgery. They are structured to be completed within an year to enable a full time junior doctor to complete without enrolling for a formal research degree. Expectations and Outcomes of Research: The departmental philosophy supports the timely completion of all research undertaken by providing the necessary facilities, mentorship, technical expertise and funding support. In general everyone who undertakes research activities in the department will be expected to present their results at local, national or international meetings and be strongly encouraged to publish in peer reviewed journals. All full time research students are expected to present at the annual Austin Medical Research Week while clinical research undertaken by surgical trainees and junior hospital doctors will be encouraged to be presented at the annual Austin Surgery Research prize. 35
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Eligibility Criteria: Trainees belonging to a training scheme within the Division of Surgery in ALL surgical specialties ( all SET and Non-SET registrars, Surgical HMOs (PGY2 & 3) as well as Advanced Trainees in Anaesthesia, Radiology, Emergency, Intensive Care & Pathology at Austin Health are invited to submit abstracts relating to original scientific research. Exclusion Criteria: Previous winners of the Austin Surgery Research Prize and interns. Presentation Format: Oral presentation judged by a panel of adjudicators. Presentation Timings: Each candidate will be allocated a maximum of 15 minutes for their presentation. Candidates should aim to limit their talk to eight minutes after which there will be seven minutes of question time. A warning bell will be rung at eight and fourteen minutes in to their presentation and a final bell at fifteen minutes to mark the end. Submission of abstracts: Submission will be through an interactive PDF document which will be made available in October 2012 by email and on the departmental web site. Research prize Time Line: Circulation of Submission PDF: Closing date for submissions: Austin Research Prize Presentation
Monday 22 October 2012 1700hrs Monday 12 November 2012 1700hrs, Tuesday 27 November 2012
Prizes: The trainee with the best presentation as judged by the adjudicators will be awarded a gold medallion with ribbon by the Johnson & Johnson representative at the end of the proceedings. Subsequently they will have to be returned so that they may be mounted on a special frame as shown along with an inscription. The winners name will also be added to the Honour Board in the department of surgery. All presenters will be awarded certificates of attendance.
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Entry Requirements & Applications All applications for entry will be assessed by the Selection Committee who will evaluate the applicants ability to successfully pursue the program. The following criteria specify entry requirements: 1. A Bachelor of Medicine/Bachelor of Surgery or equivalent qualification plus, 2. At least two years of relevant clinical work experience. It is important that students have an appreciation of clinical practice before they commence studies for this course. 3. Meet the English language requirements of the University of Melbourne. International Medical Graduates must also meet the English language standards required by the Medical Board of Australia (an IELTS score of 7.0 in each of the four components - listening, reading, writing and speaking). The Selection Committee may conduct interviews and tests and may call for referee reports or employer references to assist in the selection process. Information on how to apply can be found at www.mccp.unimelb.edu.au/surgical-ed
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This is an event hosted by the Austin surgical trainees in appreciation of the education and training given them by the surgeons at the Austin Hospital. The initial event was held in 2006 and after a hiatus of two years recommenced in 2009. The Austin Trainees conducted a very successful dinner event on Friday the 3rd of December 2010 which for the first time included surgeons from many of the attached training hubs. Changes for the 2011 event included the timing to be on a Saturday night which resulted on more than 70 attendees including invited surgeons and trainees from regional and interstate centres. The event provides an informal setting for trainees and surgeons to meet. In particular trainees were able to meet in person some of their consultants for the following year. This event has progressively expanded both in scope and quality and will be a perpetual event in the future.
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Departmental Publications
The Department of Surgery publishes a number of regular annual publications relating to surgical education, research and training. These are aimed at providing all relevant information to trainees and surgeons alike and encourage participation in the educational and training activities. They may be readily downloaded from the departmental web site or may be requested as hard copies from the departmental office. Pathways to Discovery: This is the flagship publication for the research arm of the department. Printed as an 88 page A4 full colour booklet it contains details of all undergraduate and post graduate research degrees offered by the department along with information on research groups and research projects available to science students and surgical trainees to undertake. Although a large number of research projects are described in the book that is only the tip of the iceberg when it comes to research opportunities.
Austin Research Prize Book: This booklet is the official publication for the Annual Austin Research Prize in Surgery & Anaesthesia. It is published with all the abstracts being submitted in that year along with the abstracts of the winners from previous years. Printed as an A4 full colour booklet, it is made available on the day of the Austin Research Prize Presentation.
Austin Surgery Education Program: This is printed as an A5 sized 44 page full colour booklet for ease of storage. It contains all relevant details about the surgical education program, surgical rosters and details of departmental activities.
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SET 1 Dates 07 DEC 11 15 - 16 FEB 12 17 FEB 12 18 FEB 12 11 APR 12 06 07 JUN 12 08 JUN 12 16 JUN 12 SET 2-5 Dates 31 JAN 12 17 APR 12 18 - 20 MAY 12 25 - 28 MAY 12 07 JUN 12 14 AUG 12 14-17 SEP 12 Exam Courses 16 - 20 APR 12 12 - 23 MAR 12 30 APR - 01 JUN Conferences 7 - 10 MAY 12 21-22 JUL 12 21 - 23 SEP 12 TBA 12
Closing Date for May 2012 Fellowship Examination Fellowship Examination written paper (Multiple centres) Fellowship Examination Clinical & Vivas (Auckland) Fellowship Examination Clinical & Vivas (Brisbane) Closing Date for September 2012 Fellowship Examination Fellowship Examination written paper (Multiple centres) Fellowship Examination Clinical & Vivas (Sydney)
Surgical Science Examination Generic Course (RACS, Melbourne) Fellowship Part II Examination Preparation Course (Melbourne) Dunedin Basic Medical Sciences Course
RACS Annual Scientific Congress, Kuala Lampur. Malaysia GSA Trainees Weekend, Daylesford, VIC. GSA Annual Scientific Meeting, Hobart, TAS Victorian Annual General, Scientific & Fellowship Meeting, VIC
Austin Hospital Events 14 APR 12 Skills Workshop: Basic Surgical Skills 19 MAY 12 Skills Workshop: Bowel Anastomosis 01 SEP 12 Skills Workshop: Laparoscopic Skills 15 SEP 12 Skills Workshop: Vascular Anastomosis 06 OCT 12 Skills Workshop: Orthopedics TBA 12 Skills Workshop: Ophthalmology 20 OCT 12 Skills Workshop: ENT TBA 12 SET Mock Interviews 06 OCT 12 SET1 EXAM Revision Course: Session 1 27 OCT 12 SET1 EXAM Revision Course: Session 2 12 NOV 12 Closing date for submissions for Austin Surgery Research Prize 27 NOV 12 Austin Surgery Research Prize Day 15 OCT 12 Austin Surgery Trainees Dinner, Grand Hyatt, Melbourne
* All dates are subject to alterations by the parent organization
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CONTACT INFORMATION The University of Melbourne, Department of Surgery, Austin Health, Studley Rd., Heidelberg, Vic 3084. T: F: E: W: +61 3 9496 3670 +61 3 9458 1650 surgery-armc@unimelb.edu.au www.austinsurgery@unimelb.edu.au
Departmental Enquiries Kim McAughtry T: F: E: +61 3 9496 5468 +61 3 9458 1650 kimem@unimelb.edu.au