Public General Rheumatology Clinics at Concord Hospital

Dr Barry Kane Tuesday Morning

Dr Ana Ananda Monday afternoon

Dr Bain Shenstone Wednesday afternoon

Associate Professor Les Barnsley Friday Morning

All appointments are to be made via 97676611

Referral to be faxed to 9765 75421

Email enquiries to [email protected]

Information for registrar training

Staffing

There are 4 part time rheumatologist providing in patient and out patient care in the department. Associate Professor Les Barnsley, Dr Bain Shenstone, Dr Ana Ananda and Dr Barry Kane. The Registrar has access to a Sports medicine clinic conducted by Clinical Associate Professor Siri Kannangara, and an image intensifier procedural session by A/Professor Les Barnsley.

Each consultant does two ward rounds a week, with one being a combined teaching and peer review round. Trainee office is collocated with consultant offices and an "open door" policy is encouraged. All trainee clinics are directly supervised by at least one consultant and all patients are discussed with the consultant or reviewed by the consultant. All referrals and consults in the hospital are reviewed by the trainee, and then form the basis of a case based discussions with one or more of the consultants. There is always a consultant rheumatologist available on site during office hours and there is a rheumatology consultant on call 24 hours a day 7 days a week. There are periods of the week with no clinics and adequate junior staff cover to enable project work, presentation preparation, teaching research and self directed reading.

The Advanced trainee is supported by a BPT and resident shared with Immunology.

Facilities

The trainee shares an office with the BPT and immunology trainee. There is adequate desk space, computer access with internet, secure storage for personal belongings, X-ray viewing boxes, journal and file storage and telephone. In addition, there is a tutorial room with projector and PC that can be configured as study area.

Clinical Exposure

The clinics and in-patient load a broad range of rheumatic conditions including inflammatory arthritis, regional musculoskeletal pain and soft tissue pain, connective tissue disease and vasculitis, bone disease, inflammatory muscle disorders, osteoarthritis and non-specific presentations for diagnostic assessment. Joint injections are frequently performed on in patients and out patients. Each of the four consultant clinics involves around 20 patients per clinic. Typical in patient loads are 5-10 patients and there are approximately 5 new referred consults per week. Rheumatology patients are preferentially placed in a ward adjacent to the departmental offices and outpatient area.

Meetings and Teaching

There is a weekly journal club and weekly Radiology/Rheumatology meeting . The Thursday morning ward round concentrates on bedside teaching. The AT is involved with BPT lectures and teaching, JMO teaching and student teaching.

Research

All consultants have a background in research and contribute actively to academic writing . Registrar projects are actively supported by one or more of the consultants. The department is in the process of developing and active research program and patient database.