Neurology Registrar

Name of Unit: Neurology
Contact: Ms Janelle Kneeshaw, PA to Professor Stephen Davis Ph 03 9342 8448       

Positions

Training Positions : Four
Elective Training Positions : Variable - please contact unit directly
Fellowships : variable - please contact unit directly

Core Position Descriptions

The Royal Melbourne Hospital is part of the state-wide neurology training program. Trainees who have been selected onto the program apply to work at Royal Melbourne Hospital through the Australian and New Zealand Association of Neurologists (ANZAN) Match – details available through http://www.anzan.org.au/neurologytraining/recruitmentoftrainees.asp.

In 2012, RMH has 4 accredited advanced training posts in neurology. There are 4 three month rotations, comprising: general ward registrar, stroke registrar, epilepsy/MS and referrals. During each rotation, there will be protected time to attend subspecialty clinics, a general outpatient clinic, and neurophysiology. There are dedicated weekly EEG reporting sessions. Trainees play an integral role in the daily management of inpatients, but there is also a strong commitment to education. There is a 1 in 4 after-hours on-call system (although a basic physician trainee is rostered in the hospital until 8pm 4 days per week).

In 2013, RMH has been selected by ANZAN to host a senior British advanced trainee in neurology (as part of a UK- and Australia –wide exchange program), so there will be 3 advanced trainee positions available to applicants through the ANZAN Match

Elective Position Descriptions

We are able to offer elective/fellowship training in: 
- stroke (S Davis)
- MS/neuroimmunology (T Kilpatrick / H Butzkeuven)
- epilepsy (T O'Brien)
- neurophysiology (T Day/L Kiers)
- neuro-ophthalmology (O White)
- movement disorders (A Evans)

These posts are often undertaken in the third training year (as non-core training) then move into a fellowship post FRACP. Often this culminates in a PhD. Interested candidates should make contact directly with the relevant head, as detailed above.

Neurology Department Information

The Department has a strong emphasis on general neurology with particular strengths in stroke, multiple sclerosis, epilepsy and clinical neurophysiology. There is a Stroke Care Unit, a Comprehensive Epilepsy Program, a Multiple Sclerosis Clinical Research Unit and a Department of Clinical Neurophysiology. Other subspecialty interests include movement disorders, neuro-ophthalmology, Neuro vestibular disorders, neurogenetic and behavioural neurology. There are 14 neurologists appointed at the RMH and currently 7 clinical research fellows. There are close links with the University of Melbourne, the Walter and Eliza Hall Institute and the Florey Institute. There is a major emphasis on research and postgraduate education. Two members of the Department currently hold NHMRC research grants.

There are close links with Neurosurgery and the two departments share a state of the art clinical neuroscience facility, including a high dependency unit, a stroke care unit, an ambulatory care unit and an epilepsy monitoring unit. There are 2 core trainee positions as well as rotating junior medical staff, including 2 SHMO's, 1 JHMO's and 2 stroke Interns. There is a major interest in Brain Imaging, 2 MRI scanners and an active interventional neuroradiology program.

A year at RMH provides great exposure to common and unusual neurological conditions. The unit is busy, but stimulating, with a strong commitment to registrar training. There are opportunities to develop a research interest, although this is not essential. Potential applicants are strongly encouraged to visit the unit (please contact Ms Janelle Kneeshaw, PA to Professor Davis, (03) 9342 8448.

Department Beds :
Twenty-one beds including a twelve bed Stroke Care Unit and a four bed video-telemetry unit; Neuroscience Ambulatory Care Unit; High Dependency Unit shared with Neurosurgery

Department Clinics:
General Neurology Clinics; Epilepsy Management Clinic; First Seizure Clinic; EEG reporting session; Stroke Follow Up Clinic; Neuro-Ophthalmology Clinic; Movement Disorders Clinic; Neuromuscular Clinic; Multiple Sclerosis Clinic

Department Specialty Clinics:
Stroke Care Unit; Comprehensive Epilepsy Unit; Clinical Multiple Sclerosis Research Unit; Clinical Neurophysiology

Department Meetings:
Neurology/Neurosurgery Joint Clinical Meeting
Neuroradiology weekly meeting
Neuroscience seminar / Neuropathology (alternate weeks)
Neurology Clinical Grand Rounds
Neurology Audit and Quality Assurance Meeting
Stroke Radiology, clinical rounds and research meeting
Epilepsy Review meeting
Neuro-Ophthalmology (monthly)
Formal neurophysiology training for advanced trainees
Weekly teaching program for trainees and various subspecialty meetings.

Educational Opportunities

Advanced trainees in neurology are supported to attend the monthly Australia and New Zealand-wide Brain School web-cast presentations (3 hours per month on a Wednesday afternoon). There is a lecture series for Victorian trainees for 2 hours on a Thursday morning, which the trainees attend. Additional educational sessions include the Monday neuroscience seminar (2 per month), neuropathology sessions (1 per month), weekly grand round at which 2 trainees present a case and literature review, and the monthly neuro-ophthalmology meeting. Attendance at the ANZAN Annual Scientific Meeting in May is compulsory, and trainees are encouraged to attend a second sub-specialty scientific meeting where possible

Department Staff

  • Professor S Davis, Director of Neurology / Head of Stroke Care Unit
  • A/Professor P Hand, Deputy Director of Neurology and Co-Head Stroke Care Unit
  • Professor T Kilpatrick, Head of Multiple Sclerosis Program
  • Professor T O'Brien, Head Comprehensive Epilepsy Program
  • A/Prof L Kiers, Head of Clinical Neurophysiology
  • A/Prof Tim Day, Clinical Neurophysiology
  • A/Professor John King, Chairman of Royal Melbourne Hospital Neuroscience Foundation / Multiple Sclerosis and Neuro-ophthalmology interests
  • A/Professor H Butzkueven, Coordinator of Undergraduate Education / Multiple Sclerosis interest
  • Dr R Hjorth, Movement disorders interest
  • A/Professor Owen White, Neuro-ophthalmology and Neuro vestibular interests
  • Dr Andrew Evans, Movement Disorders interest
  • A/Professor Bernard Yan, Stroke and Neurointervention interest
  • Dr Raju Yerra, Epilepsy interest
  • Dr Meng Tan, Epilepsy
  • Dr Bruce Campbell, Stroke Interest
  • Dr Hans Tu, Stroke Interest
  • Dr Anneke Van Der Walt, MS interest
  • Dr Mark Marriott, MS interest
  • Dr Chris French, Epilepsy interest
  • Professor Patrick Kwan, Epilepsy interest

Junior Staff Positions In Neurology

  • Advanced Trainees in Neurology x 3 Basic Physician Trainees x 1 JHMO x 1 Intern x 2

Selection Criteria

As per the ANZAN selection process.

Application Details

2013 Neurology Registrar positions will be recruited via the RACP/ANZAN (Australian and New Zealand Association of Neurologists) national match system. Potential applicants should familiarise themselves with the ANZAN website.

In addition it is highly recommended that potential applicants organise a meeting with Prof Davis and A/Prof Hand, which can be arranged through Janelle Kneeshaw.

Philosophy Of Training

The aim of the Neurology teaching program is to arm trainees with the required skills for the recognition, investigation, diagnosis and treatment of common and / or important neurological disorders.

Working Hours

The Advanced trainee works approximately 46 hours per week, with the potential to take an afternoon off where possible. At present the after hours on-call workload is 1 night per week, 1 weekend in 4. In 2012, with an increase to 4 ATs and the involvement of Cabrini, the oncall load has reduced to 1 in 5.


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