(Advanced Training in Cardiology)
Name of Unit: Cardiology
Contact: A/Prof Leeanne Grigg Ph +61 3 9342 7589
Position Title: Cardiology Registrar (Advanced Training in Cardiology) - accredited core training program
Rotation: 12 months
Supervisor: A/Prof Leeanne Grigg, Director of Cardiology & A/Prof James Wong
The Cardiology Department at The Royal Melbourne Hospital includes the Coronary Care and Step Down Ward, Cardiology Ward, Cardiology Day Ward, two Cardiology Catheter Laboratories, and the non-invasive diagnostic services.
The Cardiology Unit has a strong interventional program including 7 day per week, 24 hours per day access for direct PCIs, a transcutaneous aortic valve replacement program and a structural intervention program (particularly for adult congenital cardiac interventions). The Department has a large electrophysiology and arrhythmia service headed by Prof Jonathan Kalman with a world wide reputation in research, training and clinical results. The Department is also unique in its large adult congenital cardiac service (run in conjunction with the Royal Children’s Hospital) and the Cardiac Genetics Service (run in conjunction with the Genetics Unit). Subspecialty training Fellow positions are also available in Interventional Cardiology, Echocardiography, Electrophysiology and Adult Congenital Cardiology.
Position Description of Cardiology Registrar:
There are 4 current Advanced Cardiology Registrars. The jobs are performed on a rotation basis. They are:
- the Coronary Care/ED/Cardiac Surgery Registrar
- the Ward/Referral Registrar
- the Catheter Laboratory Registrar and
- the Echo/Arrhythmia (EPS) Registrar.
- Supervision of Cardiology HMOs including daily ward round.
- Participation in Cardiology Outpatient Clinics, including Cardiac Clinic, Cardiomyopathy Clinic, Adult Cardiac Congenital Clinic, Coronary Follow-up, Pacemaker and Cardiac Genetics Clinics.
- Participation in Consultant Rounds in the Coronary Care Unit and Cardiology Ward.
- Responsibility for assessment of patients in Emergency Department with cardiac problems after referral from ED including morning rounds in ED on a regular (on rotation) basis.
- Organisation of Monday and Thursday Cardiology Audit meetings.
- Organisation and performance of urgent procedures (under supervision) including temporary pacing/pericardial taps.
- Regular attendance at twice weekly Cardiology Audit meetings, weekly echocardiography meetings, weekly cardiology lecture meetings, journal club meetings, Nuclear Cardiology and EP meetings, fortnightly combined Cardiology/Cardiac Surgery meetings and three monthly Cardiac Congenital meetings.
- Assisting and training in cardiac catheter laboratory procedures (under direct supervision) including coronary angiography, coronary and structural heart interventions, permanent pacemaker implantations, implantable defibrillator implantations, electrophysiological and radiofrequency ablation studies.
- Assessment of patients before and following procedures.
- Supervision of computer entry for cardiac catheter laboratory audits (including complications).
- Organisation (with Cardiology Liaison Nurse and Cardiology Bookings Clerk) of urgent ward/other hospital referrals for catheter laboratory procedures.
- Assessments of all ward referrals and discussion with appropriate Cardiology Consultant.
- Training in Transthoracic, transoesophageal and stress echocardiography.
- Organisation (with Cardiology Echo Secretary) of all urgent transoesophageal echoes and prioritisation of inpatient echoes.
- Training in cardiac MRI, Cardiac CT and Nuclear Cardiology including weekly tutorials.
- Participate in after hours on call roster, including STEMI PCI patients.
- Participate in regular presentations at Cardiology meetings and involvement and organisation of Cardiology audits.
- Participation (with leadership role) in cardiac arrests.
- Participation and training and assisting in non-invasive diagnostic Cardiology including stress tests, nuclear cardiology, pacemaker and defibrillator testing, ambulatory monitoring and electrocardiograms.
- Communicating regularly with Director of Cardiology/Consultant Cardiologists/Cardiology NUMs, Cardiology HMOs, cardiac technologists and secretarial staff.
- Participate in teaching of medical students (attached to the Cardiology Unit), Cardiology HMOs, and Cardiology Nursing staff.
- Participation in ward rounds in cardiac surgical unit and involvement (with supervision by Consultant Cardiologist) in management of post-surgical arrhythmias.
Selection Criteria (essential):
Successful completion of part 1 of the FRACP.
The RMH participates in the State wide selection of Advanced Trainees in Cardiology through the Royal Australian College of Physicians.
- Previous research experience; or
- participation in hospital projects or change processes; or
- leadership role at HMO level; or
- involvement in teaching and education at HMO level (above standard).
Salary and Conditions:
- According to the Doctor's in Training Enterprise Agreement.
Teaching opportunities/Education sessions:
- Twice weekly Cardiology Audit meetings
- Weekly Echocardiography meeting
- Weekly Electrophysiology meeting
- Weekly Nuclear Medicine, CT and MRI meeting
- Weekly ECG tutorials
- Weekly Cardiology Lecture
- Fortnightly journal club
- Fortnightly Cardiac Surgery meetings and
- Three monthly Adult Congenital Cardiac meetings.
- The Unit has a strong academic base with research interests in arrhythmias, interventional and congenital cardiac areas. There are currently 7 fellows undertaking PhDs in the Department.
Doctor On-call patterns:
- Coronary Follow up
- Adult Congenital
- Cardiac Genetics
Number of Doctors and Consultants in unit:
- 22 consultants
- 12 Fellows
- 4 Advanced Trainees
- 8 HMOs (including 2 BPTs)