Registrar - Unaccredited - Anaesthesia

A twelve-month position is available to prospective anaesthetic trainees seeking broad clinical experience within a specialist medical and surgical oncology centre. Over the course of the 12-months, successful candidates will spend approximately one-third of their time in the operating theatre, working under the supervision of consultant anaesthetists and fellows; one-third in perioperative/pain medicine; and one-third of their time in perioperative and resuscitation medicine. This position is based within the Department of Anaesthesia, Perioperative Medicine, and Pain Medicine at Australia’s premier oncology hospital. This position offers an excellent opportunity to establish and develop skills in anaesthesia, acute pain management, peri-operative medicine and resuscitation within a friendly, supportive, and research- focused department. This position is closely aligned and rostered with similar positions tailored towards an intensive care stream, providing a rich multidisciplinary learning environment and strong exposure to high-acuity perioperative care.

Essential Requirements

Evidence of the successful completion of essential courses will be requested after selection for interview.

• Medical registration with AHPRA
• At least postgraduate year (PGY) 4 at commencement of the role
• A minimum of 6 months of intensive care experience AND 3 months of emergency medicine experience.
• Current ALS2 qualification
• BASICS (Basic Assessment and Support in Intensive Care) certification or equivalence
• Excellent clinical judgement, communication skills and ability to work effectively within multidisciplinary teams

Desirable Requirements

• Previous experience in anaesthesia
• Experience at registrar level in an intensive care unit
• APLS (Advanced Paediatric Life Support) or PALS (Paediatric Advanced Life Support)
• EMST (Early Management of Severe Trauma) or ATLS (Advanced Trauma Life Support)
• Advanced Life Support 2 (ALS2) Instructor or Instructor Candidate
• Point-of-Care Ultrasound (POCUS) experience
• Previous Experience with Rapid Response Teams and Resuscitation
• Demonstrated interest in education and research
• Demonstrated interest in peri-operative medicine
• Demonstrated interest in caring for the oncology patient

1. Gain experience in the areas of Oncological Acute Medicine, Enhanced Care (EPOC), & Anaesthetics for the range of Oncology Surgery

Gain experience in providing the highest standard of patient focused, evidence-based care for patients undergoing medical or surgical treatment for the variety of cancers, under the supervision of Intensive Care Specialists, Specialist Anaesthetists and Acute Medical Physicians.

• Supervised provision of anaesthesia across a wide range of surgical specialities, including major head and neck, often involving complex airway management; major colorectal, upper gastrointestinal, hepatobiliary, and retroperitoneal sarcoma surgery; major reconstructive surgery; melanoma and skin cancer surgery with general plastics; robotic surgery including colorectal, urology, head and neck procedures; breast surgery with reconstruction; and brachytherapy.
• Supervised acute pain management & broader postoperative care.
• Supervised acute pain medicine ward rounds.
• Supervised medical support to our Post-Anaesthesia Care Unit (PACU)
• Supervised medical support to our Enhanced Care Unit (ECU)/Enhanced Postoperative Care Unit (EPOC)
• Data entry and clinical audit support for the ECU/EPOC
• Peri-operative medicine ward rounds, working alongside general medicince, anaesthesia, and critical care consultants.
• Post-Rapid Response Team review and follow-up rounding.
• Cardiac monitoring rounds, including reviews of patients requiring telemetry or enhanced cardiovascular surveillance.
• Anaesthetic assessment clinics & ward-based pre-operative assessments.
• Voluntary attendance at peri-operative medicine clinics, including Shared Decision Making (SDM) and cardio-pulmonary exercise testing (CPET) clinics.
• Supervised provision of procedural sedation procedures, both within and outside the operating theatre environment.
• Supervised intensive care support for a broad range of oncology patients, including surgical and medical patients awaiting transfer to The Royal Melbourne Hospital ICU or retrieval services.
• Participation in tracheostomy ward rounds.
• Attendance at Rapid Response calls, cardiac arrest and Code Grey calls, including support for paediatric resuscitation in collaboration with The Royal Children’s team overseeing radiotherapy at PMCC.
• Critical care transfer
• Liaison with all multidisciplinary professional groups to support the delivery of holistic, patient-centred care.
• Support and education of surgical and medical HMOs overnight
• Support Medical Student (MD2) Education

2. Broad Education Goals

• Preparation for first part exam in anaesthesia and or critical care
• Research methodology
• Medical and radiation oncology, cancer haematology
• Clinical communication
• Medical education through simulation

4. Adherence to hospital policies and procedures to ensure ethical care

To actively contribute to regular meetings and demonstrate a commitment to processes and policies ensuring ethical care. Completion of mandatory training and presentation of certification on request.

• Attend and contribute to regular departmental and audit meetings.
• Participate in and deliver on quality assurance requirements.
• Adhere to organisational policies and procedures ensuring ethical care.
• Provide cover for absences for anaesthetic colleagues taking annual /study or sick leave.
• Timely attendance at clinical sessions, & departmental meetings.
• Completion of patient records, critical incident forms, and quality assurance forms.
• Participation in the on-call roster, with responsibilities for the High Acuity Service, supported by the appropriate senior registrar, fellow, and consultant.
• Maintain high standards of professionalism and respect for patients and staff

5. Professional Development

Take part in all activities that contribute to ongoing professional and personal development.

• Attend approved training courses in preparation for the examinations of the relevant College, (e.g. ANZCA, CICM, ACEM)
• Attend the rostered RMH ICU educational meetings
• Attend weekly academic meetings run by the Department of Anaesthesia, Perioperative Medicine, and Pain Medicine
• Maintain satisfactory clinical & academic performance, reviewed every six months
• Engage in departmental research and data collection
• Present at the annual Division of Cancer Surgery, Anaesthesia, Perioperative Medicine, and Pain Medicine  Research Day