Careers A In this section C1 GUT INSTINCTS
MJ Why specialise in Careers gastroenterology? Experts give their Career Overview views. C2 REGISTRAR Q+A Australia (GESA), says this diversity Dr Payal Saxena, is one of the main reasons he would fi nal year trainee in recommend the specialty to junior gastroenterology doctors. C5 MEDICAL MENTOR “Clinically it’s fascinating because of Professor its breadth, whether it’s liver disease, Graeme Young peptic ulcers, swallowing disorders or on his career as a gut diseases. It’s very broad.” gastroenterologist The specialty allows doctors to sub- C8 ROAD LESS specialise in areas such as hepatology, TRAVELLED infl ammatory bowel disease or From refugee mum to endoscopy”. But, on the other hand, medical student if you’re interested in a wide range C9 of eclectic stuff, you can retain those MONEY AND PRACTICE generalist interests”, says Professor Making your Medicare Grimm. claims compliant Professor Macrae says that Dr Payal Saxena Gut instincts and colleagues. gastroenterology also offers an appealing mix of “intellectual physician skills and technical skills”. A career as a gastroenterologist off ers a blend of The role of endoscopy in managing procedural and physician skills. gastrointestinal diseases continues to increase, with new interventions and astroenterologist Professor Gastroenterology registrar Dr Payal technologies under development. Finlay Macrae says the location Saxena says there is also considerable Gof the digestive system in the teamwork between gastroenterologists. body was a key reason for his decision to She says she has particularly enjoyed her ‘‘ specialise in gastroenterology when he training because her colleagues have all Clinically it’s fascinating because of its breadth, was a junior doctor in the 1970s. been fun and sociable. “We have a lot of whether it’s liver disease, peptic ulcers, “One part of the attraction was the meetings but it’s never taxing because central location of the organ in the body everyone’s so pleasant”, she says. (For swallowing disorders or gut diseases. and the professional relationships with more of Dr Saxena’s story, see page C2.) ” a number of other disciplines which that The variety of gastroenterology is Gastroenterology trainees are allowed”, says Professor Macrae, who is commonly cited as a key attraction encouraged to undertake a supervised head of colorectal medicine and genetics of the specialty. Gastroenterologists research project, and a signifi cant at The Royal Melbourne Hospital. manage disorders affecting all the number of gastroenterologists combine Gastroenterologists work with a range organs of the alimentary canal, as well clinical and research careers. of medical and other health workers as the liver, pancreas and gallbladder. The majority of gastroenterologists including cardiologists, respiratory Gastroenterology also includes a variety work in full-time clinical practice, mainly physicians, neurologists, gynaecologists, of pathology, ranging from genetic in metropolitan areas, although there is dietitians, psychologists and surgeons. disorders to malignancies to auto- a need for more gastroenterologists in “They all have interactions with what immune diseases. rural and regional areas. we do, which adds to the interest of the Professor Michael Grimm, president Securing a position in a public specialty”, he says. of the Gastroenterological Society of hospital can be challenging; continued on page C2
Editor: Sophie McNamara • [email protected] • (02) 9562 6666 MJA 195 (5) · 5 September 2011 C1 Careers
Career Overview
Registrar Q+A ‘‘ Dr Payal Saxena, fi nal The role of endoscopy in managing year advanced trainee in gastrointestinal diseases gastroenterology, based at continues to increase Bankstown Hospital, Sydney. ” Why gastroenterology? During basic physician training I ended up with heaps of gastro terms. I hadn’t asked for any, it just happened. During a gastro term in Wagga, some friends suggested I see what scopes were all about. And I initially thought “no way, gross”, but when I continued from page C1 saw it in theatre I got really interested. You’ve got however, there is substantial scope Professor Macrae suggests that a camera, pictures on the big screen and you don’t for gastroenterologists to work in gastroenterology trainees look beyond have to scrub up. I really enjoyed it. I did more gastro community-based private practices. the core components of the advanced terms, and it just got more and more interesting. Gastroenterologists can also make an training curriculum to areas of increasing impact on population health or policy, importance in the specialty, such as Have you enjoyed the advanced training? through organisations such as GESA, capsule endoscopies and genetics. I’ve loved it, I love my job. Gastroenterology has a involvement in government advisory “We have a revolution in genetics great deal of variety. There’s never a boring day. committees or through the impact of which will rival the industrial revolution As you progress through your training there are so many things that you can learn about in great detail. their research, says Professor Macrae. in terms of its impact on society, but we There’s general outpatient gastroenterology, there’s The specialty remains male have little interest from trainees because a lot of acute inpatient medicine, hepatology and, dominated; however, there are a number it is not something they have to tick off with the procedural side of things, there’s general of prominent female gastroenterologists, to complete their training. My advice is endoscopy as well as advanced procedures. including a past president of GESA, to keep your eyes open and look where Professor Barbara Leggett, from Royal medicine is going.” Are you planning any overseas work? Sophie McNamara Brisbane Hospital. As well as endoscopy and gastroenterology, I’m Training also very interested in innovation and design of endoscopic technology and equipment. Next year Junior doctors considering a career and hepatology, in some cases as I’m off to Johns Hopkins University in Baltimore, US, as a gastroenterologist fi rst need to a prelude to commencing a higher to work with some of the gastroenterologists who complete basic physician training research degree. have pioneered some newer endoscopic techniques. through the Royal Australasian Professor Michael Grimm, I’ll be doing a 2-year fellowship that will involve College of Physicians (RACP). president of the Gastroenterological both research and training, some of it in procedures This is a 36-month (or full-time Society of Australia (GESA), says that are not yet well established in practice. I’ll be equivalent) program that includes that it can be competitive to secure a looking at new equipment and technologies that will terms in various physician specialties, position in gastroenterology training. improve our job and the care we can provide to our followed by a rigorous clinical and “Generally people who get into their patients. written exam. fi rst year of training have not just Registrars can then commence done well enough in the physician Do you plan to subspecialise? their advanced training in gastro- exams but also have another string I’m planning to subspecialise in advanced enterology. The 24-month core to their bow that sets them apart”, interventional endoscopic procedures. This year curriculum provides registrars with he says. I’m doing the interventional endoscopy job at broad experience in managing a wide Part-time training has historically Bankstown, which I’m really enjoying. We do variety of gastrointestinal disorders, been diffi cult, but Professor Grimm some procedures that aren’t provided everywhere as well as in using endoscopic says GESA recognises the increasing else, such as radiofrequency ablation, which is a procedures and gastrointestinal demand for this fl exibility and relatively new procedure, for Barrett’s oesophagus. and hepatic imaging. Registrars is considering ways of accom- We also do a lot of diagnostic and therapeutic are also required to complete modating it. endoscopic ultrasound and stenting. Some of these another 12 months to fi nalise their More information is available interventional procedures would have traditionally specialist training. During this period on the RACP website (http://www. been done under radiology guidance or by surgeons. they are encouraged to pursue a racp.edu.au/page/specialty/ But now patients don’t have to have an operation, specialised area of gastroenterology gastroenterology). and it opens up a new side to our job.
C2 MJA 195 (5) · 5 September 2011 Careers
Medical recruitment is our specialty
As part of the HCA group of companies, LML (Last Minute Locums) Medical Recruitment and On Call Locums help doctors and nurses of all grades and specialties find locum and permanent jobs throughout Australia and New Zealand. Below are just some of the fantastic jobs we currently have on offer:
Locum Consultant Positions Locum GP Positions
Anaesthetist 16-18 September $2000 pd NSW GP 5 October ongoing $neg TAS Anaesthetist 28 Oct to 7 Nov $2000 pd TAS GP 13-20 September $neg TAS Emergency Physician 30 Sept to 4 Oct $250 ph NSW GP/Physician Immediate $140 ph WA Orthopaedic Surgeon 3-7 October $2000 pd NSW GP Immediate $160 PH NT General Surgeon 1-25 October $2000 pd NSW GP 26-30 September $120 ph Sydney NSW General Surgeon 9-20 September $2000 pd NSW Permanent Doctor Positions Physician Oct-Nov $2000 pd NSW
General Practitioner Immediate $neg Far NQ Locum Junior Positions General Practice Immediate $neg SA ED Registrar 30 Sept to 4 Oct $145 ph NSW Med Registrar Immediate $neg VIC ED Registrar 10-16 October $165 ph NSW Emergency Director October $neg VIC Med Registrar 12 Sept to 3 Oct $100 ph VIC Med Registrar September $neg NSW O&G Registrar December $150 ph ACT O&G Reg September $neg NSW Psych Registrar Immediate to Oct $130 ph VIC GP After Hours Immediate $neg QLD Permanent Nurse Positions LML News
Midwives Immediate $neg Canberra As part of your membership with LML Medical Recruitment, you will have the opportunity to participate Theatre Scrub / Scout Immediate $neg Melbourne in fully subsidised ALS courses as well as the chance to Anaesthetics/Recovery Immediate $neg Canberra win an annual subscription to MJA. Contact us today to ICU / ICU Post Grad Immediate $neg Melbourne become a member of LML Medical Recruitment. Midwives Immediate $neg Melbourne Anaesthetics/Recovery Immediate $neg Melbourne We’re working for you. Mental Health Immediate $neg Melbourne For further details on these positions and other opportunities available to you please call us: 1300 889 133 Or visit our website: www.lml.com.au Address: PO Box 3097 Willoughby North NSW 2068 Email: [email protected] Fax: 1300 360 133
MJA 195 (5) · 5 September 2011 C3 Careers
Director of Robotic Surgery – Epworth HealthCare
• Significant leadership opportunity The successful applicant will need strong leadership • Part-time or sessional appointment skills and an ability to facilitate collaboration between • Opportunity to promote excellence in and within specialty groups. clinical performance A clear vision of the future of robotic surgery is a • Scope to develop innovative clinical prerequisite, along with practical plans to promote educational opportunities teaching, audit, research and best-practice credentialing of robotic surgery. With over 1200 beds and more than 4000 staff, Epworth HealthCare is Victoria’s largest not-for-profit private hospital group. Enquiries Epworth HealthCare has been a long-term leader in For a copy of the position description and application establishing robotic surgery in Australia, and continually process please contact: seeks to set the benchmark in this area. Kay Foley Medical Services, Epworth HealthCare Expressions of Interest are sought from suitably qualified Phone 03 9426 8806 surgeons and gynaecologists, registered with the Medical Board of Australia, who have an interest in the development For further enquiries about the role please contact: of robotic surgery at Epworth HealthCare. Dr Peter Dohrmann, Relevant experience and credentials in robotic surgery Executive Medical Director, Epworth HealthCare are essential. Email [email protected]
Epworth HealthCare and Cleveland Clinic Fellowships 2012-2014
Epworth HealthCare, in conjunction with the Victor Smorgon Successful applicants are likely to be at or near the end of Epworth Education & Research Foundation, invites Australasian specialist training programs, though applications applications from outstanding candidates to be considered from less experienced applicants may also be considered. for postgraduate specialist fellowships in: Epworth HealthCare and Cleveland Clinic Fellowship • Cardiology • Endocrine Surgery applicants will be evaluated on the basis of their academic • Cardiothoracic Surgery • Orthopaedic Surgery credentials, professional experience, clinical ability, • Colorectal Surgery • Urological Surgery communication skills and personal qualities such as professionalism, motivation and integrity. These prestigious Fellowships are provided in a partnership between Epworth HealthCare and the internationally Candidates must be registered or registrable as a medical renowned Cleveland Clinic in the USA. practitioner in Australia. Epworth also seeks Expressions of Interest from suitable This appointment will be for a period of two years. Please applicants for potential Epworth Cleveland Fellowship note that Epworth HealthCare and the Cleveland Clinic opportunities in: reserve the right to make no appointment or to appoint by invitation at any stage. • Diagnostic Imaging • Rehabilitation Medicine • Medical Oncology • Sleep Medicine The successful candidate will receive a competitive • Neurosurgery • Surgical Outcomes remuneration package. Relocation, travel and other • Perioperative Medicine • Vascular Surgery assistance will be considered with individual appointees. The current round of fellowships will commence in mid-2012. Applications should include a current CV, The Fellowships will consist of one year based at Epworth contact details of three referees and a brief letter HealthCare and one year at the Cleveland Clinic. outlining your career intentions. As part of the fellowship program, successful candidates will Enquiries undertake a Masters degree by research at either Monash Dr Peter Dohrmann, University or the University of Melbourne. The research degree Executive Medical Director, Epworth HealthCare must commence in the first year of the fellowship. Email [email protected]
Epworth HealthCare Excellence. Everywhere. Everyday.
C4 MJA 195 (5) · 5 September 2011 Careers
Medical Mentor
Professor Graeme Young refl ects on his career in gastroenterology
Professor Graeme Young is professor of (glucose-6-phosphate dehydrogenase) to implement these preventive programs. gastroenterology and head of the Flinders defi ciency. He set me the challenge to It was 1985 when I started that work and University Centre for Cancer Prevention and devise a simple test for the defi ciency. in the years since, we have seen Australia Control. He is also director of development for the There was no laboratory equipment, but introduce a National Bowel Cancer Flinders Centre for Innovation in Cancer, which I was able to develop a simple test that Screening Program and our research has aims to integrate patient care with research and could be read by eye, and we found that helped guide how screening is done both education, and is due to open in early 2012. In 2007, a surprising proportion of soldiers had in Australia and overseas. this defi ciency. Professor Young was awarded the South Australian The key in one’s career is to be of the Year in Health for his research into screening The thrill of discovery appealed able recognise an opportunity tests and his role in establishing the National to me and my other experiences in when it arises and to grab hold of it. In Bowel Cancer Screening Program. PNG helped me realise that an awful the 1980s, I was involved in studying lot could be achieved in health care a resistant starch from maize that we There were two pivotal decisions by careful organisation of the delivery thought might help prevent colorectal in my early medical career — one process. That is why I am now involved cancer by raising intraluminal levels of was to specialise in gastroenterology, and in things that I believe, to a degree, can butyrate. While attending a conference the second was to pursue an academic change the health of people globally. in 1993 to present this research, I met path and be involved in research and two fellow academic gastroenterologists teaching as well as the clinical side of who were focused on acute diarrhoea things. ‘‘ Our research has helped guide how bowel in children and the inadequacies of oral rehydration solutions. They proposed My interest in gastroenterology cancer screening is done both in Australia and that butyrate generation would improve began in the early 1970s while I overseas the effectiveness of these solutions and was a registrar on a country rotation in ” I knew how we could generate high Victoria. I was working with a general levels of butyrate using resistant starch. physician who introduced me to While pursuing research, I We sat down and planned the research endoscopy. The technology was still in its maintained a clinical role. Up until right there and then. Three clinical trials early days and its capabilities appealed recently, about 20%−30% of my work later, we had shown that adding resistant to me. I also liked the diversity of has been clinical work and I have always starch substantially improves outcomes gastroenterology — it’s not a one-organ done my equal share of emergency calls. in acute diarrhoea including cholera, but specialty. Gastroenterology offered this Being in the military taught me that you the world wasn’t taking much notice. wonderful combination of the intellectual have to be at the coalface to understand side of medicine, the thrill of solving the what the problems are and I have carried In 2008, the Bill and Melinda mystery of a disease, but also the hands- that throughout my medical career. Gates Foundation noticed our on, practical side of endoscopy. trials and have since funded a $2 I also don’t allow myself to be million planning grant, which is nearing In 1971, after I had completed restricted by my own skill set. I completion. Now, we are poised to my internship, I was called up to was working on refi ning faecal occult exhaustively test resistant starch-based do National Service and was posted to blood testing with my mentor Professor oral rehydration solutions for their Papua New Guinea (PNG) to be the James St John, when we found that it capacity to improve outcomes in acute doctor in the Recruit Training Battalion didn’t matter how good the technology diarrhoea, which kills almost two million at Goldie River. With a little spare time was, we needed to understand people’s children worldwide each year. on my hands, I looked for a project. The behaviour. So we got a team of Achieving something big comes from director of the Red Cross Blood Bank had behavioural scientists working on the building teams that are able to put all the been seeing side effects to leprosy drugs, problem to help make testing easier. building blocks together in the right way. which they suspected was due to G6PD Next, we had to persuade governments Interview by Nicole Mackee
MJA 195 (5) · 5 September 2011 C5 Careers
C6 MJA 195 (5) · 5 September 2011 Careers
MJA 195 (5) · 5 September 2011 C7 Careers
Road less travelled Rwanda calling
This student’s path to medicine included studies in China, engineering work, raising a family and starting Christine and fellow medical students, some an NGO. of whom will travel to Rwanda in November.
After studying a matriculation course my original purpose.” Professionally, at TAFE, she completed a chemical she was still interested in health, and engineering degree at the University enjoyed assisting Rwandan people of Sydney and worked briefl y as an through her NGO. She realised she engineer for AGL. By this stage she had could combine these two interests by four daughters and took time out of the fi nally studying medicine. hen Christine workforce to raise them. Late last year she sat the GAMSAT Murorunkwere was a Unexpected circumstances in (Graduate Australian Medical School Wteenager growing up in Rwanda soon altered her life course Admission Test), and was accepted rural Rwanda, she dreamt of becoming again. “In 2003, something happened into medicine at the University of a doctor so she could improve the that really again changed how I was Notre Dame. She is now busy studying health of her community. Now, 25 looking at life.” Rwanda experienced medicine, raising her children (aged years later, her dream is fi nally closer an earthquake, which destroyed 8 to 16) and running her charity. “It’s to reality, as the 42-year-old is studying many houses in her village, Rugerero, incredibly hard. I think I’ll spend the fi rst year medicine at the University of including her family’s house and her ‘‘ rest of my life learning how to juggle my Notre Dame in Sydney. primary school. She visited Rwanda and Something time.” Once she completes her medical Christine’s path to medicine began was shocked by how much conditions happened degree she is planning to study general when she graduated at the top of her had worsened in her village. that really practice, and ultimately to practise in high school in Cyangugu, Rwanda. Back in Australia, she discussed what rural Australia, as well as providing “Rwanda used to have a system where she had seen with some other local again medical care in Rwanda through her the dux of each school sat a national mums. “They said ‘why don’t we do changed NGO. exam to gain scholarships for university. something? At least rebuild the school’.” how I was In the meantime, her charity I sat that exam, and got a scholarship to The mothers created a charity, Abana, looking at continues to grow. In addition to the study medicine in China”, she says. and began raising money for Rugerero. school, it now also supports a local For 18 months, she lived in China, “All this time, I had followed very life medical centre and a sewing skills studying Mandarin and foundation closely what was happening in Rwanda. ” program for teenage girls at risk of medical subjects such as anatomy I felt really angry and heartbroken, not exploitation. (More information is and physiology, all taught in the local only because of the loss in 1994, but available at http://www.abana.org.au.) language. “If I look back, it was diffi cult, because of the continuing suffering In November this year Christine but at that time I didn’t question it.” facing the Rwandan people. When my will lead three doctors and 16 medical Her medical studies were interrupted friends suggested this charity, I found a students from Notre Dame on a trip when war broke out in Rwanda in 1990. good way for me to do something that to Rwanda, to assist in creating a She decided to leave China. “My aim, is not associated with anger and hatred.” sustainable medical clinic in Rugerero. in my naivety, was to fi nd somewhere By 2007, Abana had raised The trip will be credited towards the I could study medicine and also afford about $160,000 and organised the students’ “social justice project”, as to travel home regularly. But it was not construction of a school in Rugerero. part of their medical degree. They that easy, as I found out.” She spent “So there you go, a school is born with will be involved in work such as 4 years in Asia trying to fi nd a place 16 classrooms, for over 2000 kids.” taking medical histories for 2000 of residency. Much of that time was With her daughters growing older, primary school students, providing spent in Thailand as a humanitarian Christine considered re-entering the medication to students suffering from refugee, while the situation in Rwanda workforce as an engineer, but her parasitic infections and establishing a deteriorated from civil war to genocide. heart wasn’t in it. “I thought, I could physiotherapy program for disabled She fi nally got the papers to come to have a good job, have a good life here, children. Australia, and moved to Sydney in 1995. but it didn’t feel like it was fulfi lling Sophie McNamara
C8 MJA 195 (5) · 5 September 2011 Careers
Money and Practice Making your Medicare claims compliant How to navigate Medicare compliance programs – and what to do if you are audited.
he 2011–12 Medicare However, Medicare detects relatively Compliance Program will have few health professionals who are doing T a new look when it is released the wrong thing. In the past fi nancial later this month, but its audit and year, 1101 health professionals were investigation work to detect doctors found to be claiming incorrectly. doing the wrong thing will continue Of these, only 56 were referred to unabated. Professional Services Review (PSR) for The aim of the program is to “ensure peer review, and only one was referred the right person receives the right for criminal prosecution. payment at the right time”, says Hank Australian Medical Association Jongen, the general manager of the president Dr Steve Hambleton says that Department of Human Services. the AMA acknowledges the need for A new compliance program is the monitoring program and the fact released each fi nancial year, describing that, like all professions, medicine has how compliance will be managed and its bad eggs. “The AMA recognises that the main issues to be addressed during any government program where a lot the following 12 months. of money is spent has the right to audit In 2011–12, the program will those payments”, he says. continue initiatives started in But accepting that monitoring is 2010-11, including education about necessary doesn’t mean the AMA is the program; improving relationships always happy with the way the program and communication with health is managed. professionals; and risk detection Dr Hambleton says a proposal to and analysis (see box, C10). use non-medical Medicare clerks to Mr Jongen says Medicare uses inspect patient records in the surgery sophisticated data analysis to identify was a step too far. The AMA insists that claiming and prescribing anomalies. only medical practitioners employed by “Medicare also receives tip-offs from Medicare, who are bound by the same health professionals and members of rules of confi dentiality as other doctors, insisted clinical information should only the public and acts on every report it should be looking at patient records. be viewed by a medical practitioner. receives”, he says. The AMA state that when the audit The relevant Act says that if a document Medicare uses a carrot and stick provisions were being reviewed, they ‘‘ contains clinical details relating to approach to compliance, with a Medicare an individual, “the person to whom combination of education and the notice is given is not required to support activities, as well as audits also receives produce the document, extract or copy and enforcement to ensure health tip-off s to a person other than a departmental professionals correctly use the from health employee … who is a medical Medicare Benefi ts Schedule (MBS) and professionals practitioner”. Pharmaceutical Benefi ts Scheme (PBS). Medical indemnity insurers advise Doctors who make unsubstantiated and members doctors to contact them if they are or inappropriate claims face heavy of the public subject to investigations involving administrative penalties. and acts on Medicare and PSR committees. Dr Sara Bird, manager of medicolegal every report it If Medicare suspects fraud or criminal and advisory services with MDA behaviour, the responsible person is National, says doctors should also be receives referred directly to the Commonwealth aware that Medicare has increased its ” Director of Public Prosecutions and can audits to include 4% of practitioners Hank Jongen, general manager, Department of face criminal prosecution. who use the MBS and PBS. Human Services see boxes on page C10 Kath Ryan
MJA 195 (5) · 5 September 2011 C9 Careers
Money and Practice continued from page C9
Supporting practitioner compliance
THE 2011–12 Medicare Compliance those of their peers. are provided that are not considered Program will build on proven initiatives Issues which lead to a health professional reasonably necessary for the medical to support and encourage voluntary being identifi ed for audit include: treatment compliance, says Hank Jongen, the general ‘‘ • A high level of claims for items that have a • Fraud and criminal behaviour, where a manager of the Department of Human People are medium to high risk for non-compliance benefi t is claimed using intentionally false Services. facts and documents. • Irregular claims based on the practitioner’s A range of online resources are available given the “When claims are made incorrectly, past claims to assist health professionals understand opportunity people are given the opportunity to explain their obligations. Details are available at • A claiming profi le that diff ers from peers or fi x their claiming”, Mr Jongen says. www.medicareaustralia.gov.au, by clicking to explain • Practitioners identifi ed through tip-off s. “However, they may still be required to on ‘For health professionals’, then ‘Online repay any money that has been claimed or fi x their The three areas of non-compliance are: education services’. incorrectly.” As well, “provider percentile charts” claiming • Incorrect claiming, where through error, “It is the responsibility of all health that refl ect claiming trends are updated misunderstanding or carelessness, the claim professionals who bill or claim benefi ts each quarter. Mr Jongen says these help does not match the requirements for the under Medicare and other health practitioners self-monitor by seeing how ” benefi t to be paid programs to acquaint themselves with the their claiming patterns compare with • Inappropriate practice, where services requirements”, he says.
Reducing extra penalties Avoiding compliance ANY delay in dealing with Medicare The penalties aim to encourage voluntary problems complaints can be costly. compliance. If a doctor discovers an incorrect Dr Sara Bird, manager of medicolegal claim, penalties can be avoided by contacting DR Sara Bird of MDA National off ers and advisory services with MDA National, Medicare before it contacts the doctor. the following tips: says legislative amendments to the Health The penalty can be reduced by 50% if • Ensure you are aware of the MBS item Insurance Act earlier this year introduced the doctor advises Medicare of the incorrect descriptors that you regularly use and important changes to the way Medicare claim before a notice to produce documents any associated MBS explanatory notes conducts audits. is issued. The penalty is cut by 25% if a notice Dr Bird says that where Medicare to produce documents has been issued but an • Ensure all services and investigations suspects incorrect claiming it can audit is not completed. are consistent with appropriate clinical issue a notice demanding documents practice to substantiate claims and impose a • Ensure your medical records fully 20% administrative penalty for any refl ect the services provided unsubstantiated amounts of more than ‘‘ $2500. This means that if a doctor had If a doctor discovers an • Be aware of the areas of interest incorrect claims amounting to $3000 they and priority in each annual Medicare face an added cost of $600. incorrect claim, penalties can Compliance Program be avoided by contacting • Seek advice from your medical insurer Medicare before it contacts or other professional adviser as soon as you are contacted by Medicare. the doctor ” The reverse applies if the doctor is tardy in responding to Medicare demands. Doctors who don’t respond to a notice face a 25% increase in their penalty. For doctors who have been found non-compliant in the previous 2 years with total non-compliant claims amounting to more than $30 000, the penalty for the current non-compliance is increased by 30%. “After being informed by Medicare of the outcome of an audit, a doctor has 28 days in which to seek an internal review of the decision before a debt notice is issued”, Dr Bird Dr Sara Bird says. This allows time for doctors to provide additional information to substantiate a claim.
C10 MJA 195 (5) · 5 September 2011 Careers
Locums
MJA 195 (5) · 5 September 2011 C11 Careers
Locums Western Australia A booming State with an exciting future AMA (WA) is the premier organisation representing the medical profession and is a leader in medical recruitment services. We currently have contract and permanent positions available throughout Perth and Western Australia.
RECRUIT To work with AMA Recruit contact us on: Telephone (08) 9273 3033 Fax (08) 9273 3034 Email [email protected] AMA Recruit, 14 Stirling Hwy, Nedlands WA 6009 www.amawa.com.au
C12 MJA 195 (5) · 5 September 2011 Careers
Locums
MJA 195 (5) · 5 September 2011 C13 Careers
GP Opportunities GP Opportunity
would like to formally invite an experienced General Practitioner to join their team. Nestled amongst the rolling hills of South Gippsland, the practice has plenty of room for a new member within our 8 room purpose built building. The Korumburra Medical Centre is well supported with office staff, full time nurses and pathology on site. The centre is well equipped to support your needs, allowing you to practice in comfort. Korumburra has a modern hospital with visiting specialists and allied health services to assist with treating the growing population. With easy freeway access, Korumburra is situated 1.5 hours from Melbourne and 20 mins to the beach. The area boasts many wineries, sporting clubs, beaches and is within 1 hour of snow. South Gippsland is a stunning area of Victoria that is safe and great for raising children.
Inquiries please contact our Practice Manager, Nadine Smith on 03 56551355 or email [email protected].
GENERAL PRACTITIONER POSITIONS GP WANTED IVANHOE VIC AVAILABLE IN RURAL VICTORIA – NORTH EAST VICTORIA REGION We are not a large impersonal practice but a thriving friendly, medium-sized clinic (4 Doctors) who would love The Division includes all towns along the Hume freeway north of a 5th person to join us. Excellent support with full time Seymour and south of Wodonga. It stretches as far as nurses, on site radiology/ pathology and allied health. Yarrawonga in the west, to Corryong to the east. Choose your own hours (PT/FT). No AH. Generous The area includes many tourist destinations such as the remuneration. Victorian Alps and snowfields, Lake Eildon, Lake Mulwala, the Murray River and the Hume Weir. Please call John or Ken 03 94971188 A variety of positions available-almost all areas fall or email: [email protected] in a District of Workforce Shortage. IMG Program available for those IMGs seeking to gain fellowship. t Very competitive remuneration t VR’d preferred but not essential GP Opportunities For more details please contact: Peter Wyman Looking for a Vocationally Registered GP? Workforce Officer GVGPs & NEVic Divisions of General Practice Advertise your employment opportunities within the MJA! IMG (International Medical Graduate) Project Officer - The MJA publishes Australia’s highest circulating classified
Bogong Regional Training Network 02 - section for Specialists and GPs, circulating to 27,000 doctors 11 C/- Goulburn Valley Division of General Practice 5 and healthcare professionals nationally. 226 Wyndham St Shepparton Vic 3632 I P.O. Box 1074 100 Monday to Friday : (03) 5831 5399; : (03) 5831 5398 To enquire about advertising email [email protected] Mobile: 0437 197 133 Web: http://www.nevicdgp.org.au/ or call (02) 9562 6666.
C14 MJA 195 (5) · 5 September 2011
Careers
Overseas Appointments
St. John of God Hospital, Stillorgan, Co. Dublin, Ireland Saint John of God Hospital is an independent 183 bed acute psychiatric teaching hospital and is one of the leading European providers of mental healthcare treatment services. The Hospital currently provides generic and specialist in-patient services for adults with psychotic disorders, eating disorders, addictions, psychiatry of later life, specialist adolescent in-patient assessment and treatment. The Hospital holds a certificate of registration with the Mental Health Commission as an Approved Centre in compliance with the Mental Health Act 2001. Saint John of God Hospital is affiliated with University College Dublin for undergraduate and postgraduate education. In addition, the Postgraduate Medical Training scheme in Psychiatry is fully accredited by the College of Psychiatry of Ireland. St. John of God Hospital is an affiliate teaching hospital of the UCD School of Medicine. Applications are now sought for the post of Clinical Director
Qualifications: TARGETING a) The possession by the Clinical Director of the M.R.C.P.I. in Psychiatry and/or membership of the Royal College of AUSTRALIAN Psychiatrists b) At least seven years satisfactory experience (after becoming entitled to full registration) in the practice of the medical HEALTH CARE profession, including not less than five years satisfactory experience in psychiatry. PROFESSIONALS? c) Registration with the Medical Council of Ireland, Specialist Register in psychiatry and enrolled with the College of ADVERTISE YOUR Psychiatry in Ireland for on-going professional competence. INTERNATIONAL Reporting to the Chief Executive, the Clinical Director will be responsible for leadership of a multi-disciplinary team of OPPORTUNITIES IN THE MJA clinicians ensuring mental health care at the highest standard. The Clinical Director will be responsible for the formulation and implementation of clinical policies and the organisation, management and development of clinical services. The Clinical Contact our Sales team Director will also be involved in the development of St John of God Hospital as a leading academic centre. at MJA Marketplace The successful candidate will be an experienced senior psychiatrist with a proven track record of developing and managing clinical Ph: 02 9562 6666 services. She/he will likely have an established academic record and E: advertising @mja.com.au be eligible for an Adjunct Academic appointment to UCD (at a rank consistent with their academic profile). The post is full time with a term of seven years commencing in early 2012. For the duration of the appointment as Clinical Director, he/she must not hold, without prior permission of the Chief Executive, any other contractual appointment, academic or clinical, with the exception of those specified in the teaching section of the job specification. Please write in strictest confidence enclosing a Curriculum Vitae and stating how you meet the above requirements to Mr. John Pepper, Director of Human Resources, Provincial Administration, Stillorgan, Co. Dublin or email: [email protected] Closing Date: 30th September 2011 COMMENCE YOUR We are an equal opportunities employer. SEARCH AT THE MJA
C16 MJA 195 (5) · 5 September 2011 Careers
Hospital Appointments
Government of Western Australia Department of Health North Metropolitan Area Health Services Research Fellow Hepatology Position No: 006413 Award and Salary: HSU $57,652 p.a. Work Type: Fixed Term, Full Time Location: Nedlands Position Profifi le: We are currently seeking a Research Fellow Hepatology for a Fixed Term Full Time one year position with a possibility of extension. The Hepatology Fellow is attached to the Liver Transplant Unit in the Department of Gastroenterology/Hepatology and is directly answerable to the Hepatologists in the Department. The Fellow will participate in the clinical research in Hepatology along with general day to day management of patients in the hepatology unit. This includes inpatient and outpatient consultation and review, overseeing assessment of potential liver transplant patients and coordinator of multidisciplinary care. The applicant will have the option to enrol in a Masters of Clinical Research via the University of Western Australia. For Further Job Related Information: We encourage you to contact Leon Adams on 08 9346 1746 or email [email protected] Closing Date: Monday, 19 September 2011 at 4:00pm
adcorp F62422A
Specialist Appointments SPECIALIST OBSTETRICIAN/GYNAECOLOGIST
With a population of 33,380, Warrnambool is a popular seaside resort The successful applicant will be part of a team of specialist and is located 264 kilometres southwest of Melbourne. The city Obstetrician/Gynaecologists in providing services to South West boasts excellent sporting, education, social and cultural facilities. Healthcare and the region. There are also two Accredited Registrar posts and a Diploma/Advanced Diploma post. South West Healthcare, Warrnambool Hospital Campus, has recently completed a major capital development which has A primary medical degree fully registrable with AHPRA, the increased its bed capacity from 155 to 178. South West Healthcare qualification of FRANZCOG or equivalent and appropriate treats in excess of 15,000 inpatients and 24,000 emergency experience are essential. department patients per annum. It has a 10 bed Critical Care Unit. South West Healthcare provides a wide range of inpatient An appointment to the local private Hospital would also be and community based services and is the major referral centre for available to a suitable applicant. South West Healthcare hosts a South West Victoria. rural clinical school of the Deakin University Medical School. The successful applicant will be encouraged to have a formal There were 594 deliveries at the Warrnambool Hospital campus appointment with the Deakin University Medical School. during 2010-2011, with anticipated growth in future years. There are five elective public gynaecology lists per week. New digital Enquiries regarding this appointment may be directed to Dr laparoscopic equipment provides an opportunity for advanced Peter O’Brien (Director of Medical Services) on (03) 5563 1605 laparoscopic work to be undertaken by a suitably trained or [email protected], Dr Christopher Beaton (Director of applicant. There is full specialist Paediatrician cover and a Obstetrics) on (03) 55631666 or admin@greenwellspecialistclinic. urogynaecology support service is available. com.au, or Dr Liz Uren (Specialist Obstetrician/Gynaecologist) on (03) 556316666 or [email protected]. Applications are invited from suitably qualified Obstetricians/ Gynaecologists for this specialist position at South West Written applications stating full personal particulars, Healthcare. A salaried position with rights of private practice can qualifications and experience; together with the names of be offered or alternatively a VMO appointment may be preferred three (3) referees; should be lodged with the Human Resources by the applicant. Department and either forwarded to the address below or via email to [email protected]
WARRNAMBOOL CAMPUS RYOT STREET WARRNAMBOOL 3280 www.southwesthealthcare.com.au
MJA 195 (5) · 5 September 2011 C17 Careers
Hospital Appointments
Government of Western Australia Department of Health North Metropolitan Area Health Services Senior Registrar – General Colorectal Position No: 004621 Salary: AMA Level 12-13 $127,769 - $134, 156 p.a. Fixed Term, Full Time Location: Nedlands Position Profi le: The General Surgery Department at Sir Charles Gairdner Hospital invites applications for a 1 year Fellowship position in Colorectal Surgery. The Senior Registrar in Colorectal Surgery is attached to the Colorectal Surgical Service (General Surgical Unit II) and is directly answerable to the two Specialist Colorectal Surgeons. The Senior Registrar will: tTVQFSWJTFUIFHFOFSBMEBZUPEBZPSHBOJTBUJPOPGUIF6OJU JODMVEJOHUIFCPPLJOHPGUIFBUSFDBTFBOEPVUQBUJFOUDPOTVMUBUJPOs tTVQFSWJTFBOEXPSLXJUI4VSHJDBM5SBJOFFTBUUBDIFEUPUIF6OJU tTVQFSWJTFBOEXPSLXJUIUIF*OUFSOBUUBDIFEUPUIF6OJU tQBSUJDJQBUFBTSPTUFSFEJO(FOFSBM4VSHJDBMFNFSHFODZDBMMJODMVEJOHOJHIUEVUZ tBUUFOEFMFDUJWFPQFSBUJOHTFTTJPOTBOEUIFXFFLMZ0VUQBUJFOU$MJOJD tVOEFSUBLFPQFSBUJPOTBUPUIFSUJNFTBTSFRVJSFE Conditions of employment are in accordance with the Western Australian Government Metropolitan Health Service / AMA Medical Practitioners Industrial Agreement XIJDIJODMVEFTQSPWJTJPOGPSSFNVOFSBUJPOQBDLBHJOH For Further Job Related Information: We encourage you to contact Rupert Hodder on 08 9346 3333. Closing Date: Monday, 19 September 2011 at 4.00pm
adcorp F62179A
Specialist Appointments GP - Obstetrician
Hamilton, Western Victoria. The successful person would work as a general practitioner with 16 other GPs at the Hamilton Medical Group and practice obstetrics for the Western District Health Services at Hamilton Hospital. The obstetrics work would be supervised by a fulltime consultant obstetrician, with good backup from the two other GP Obstetricians. To view full advertisements, and to obtain a position description please visit our web-site www.wdhs.net Applications, together with Resume should be emailed to [email protected] Salary and conditions are in accordance with the relevant awards. A satisfactory police check is required
C18 MJA 195 (5) · 5 September 2011 Careers
Specialist Appointments
Forensic Medical Officer Neonatal Paediatricians The Clinical Forensic Medicine Unit of NSW Police Force
is looking for experienced medical practitioners to assist 5 299 with the provision of a 24-hour forensic medical service in F/T, Temp (12 months & 6 months) 7 the Sydney Metropolitan area including (but not necessarily Monash Medical Centre Clayton, Melbourne limited to) the: a. Examination of victims and suspects of physical Applications are invited for full time Locum Consultant Neonatal Paediatricians at Monash Newborn, Monash Medical Centre, Melbourne. assault b. Assessment of police detainees for fitness to be Monash Medical Centre has over 700 beds and provides a comprehensive range of tertiary services to the South and East of metropolitan Melbourne detained and interviewed and country Victoria. The neonatal nursery has 50 beds of which up c. Collection of forensic specimens to 22 provide ventilator intensive care. Supported by a broad range d. Preparation of medico-legal reports and attendance of paediatric sub-specialists, the nursery provides care for a diverse at court where required mix of medical and surgical problems in the newborn. e. Provision of advice to police and others regarding Located close to Monash University, Monash Medical Centre is the University’s major teaching hospital and has the Monash Institute of clinical forensic medical matters Medical Research and the Monash Institute of Health Services Research Doctors, preferably with a postgraduate qualification in a on-site. Monash Newborn has a close association with the Ritchie related specialty or field, should have excellent clinical and Centre, which has an international reputation for research relevant communication skills with unconditional Australian medical to the physiology and health of the foetus and newborn. registration, a current drivers licence and independent You will hold an appropriate specialist qualification (FRACP or equivalent) means of transport. and show a commitment to continuing education, quality assurance, Training will be provided. teaching and research. ENQUIRIES/APPLICATIONS (Ref No 110368): Dr Elizabeth Carse, Acting Information Package contact: Department Head on (03) 9594 5191. For more information & to apply Veronika Dechnik, Executive Officer, please visit the ‘Careers’ link on our website www.southernhealth.org.au T:(02)9688 9335 M: 0417 971 885, Applications close: 19 September 2011. E: [email protected] Enquiries: Dr Margaret Stark, Director, CFMU, T: 02 9265 4401 E: [email protected]
s 0ERMANENT AND TEMPORARY LOCUMS EMPLOYMENT FOR DOCTORS LOOKING FOR s (OSPITAL AND HEALTHCARE 5NIVERSITY !PPOINTMENTS PROFESSIONALS? s 3PECIALIST AND /VERSEAS !PPOINTMENTS
4O ADVERTISE HERE PLEASE CONTACT THE ADVERTISING TEAM
COMMENCE YOUR Ph: SEARCH AT THE MJA E: ADVERTISING MJACOMAU
MJA 195 (5) · 5 September 2011 C19 Careers
General Recruitment
Go the distance reap the rewards Come and practise medicine in rural Western Australia and you will get: the satisfaction of providing health and medical services to rural communities professional support through training, medical indemnity “Professional fulfilment is and other incentives clearly only one aspect of generous remuneration packages and attractive conditions. country life. I enjoy living in York which has a strong Visit www.health.wa.gov.au/doctors4ruralWA for more details emphasis on community spirit.” of the incentive packages that are available. Then email Dr Matt Archer [email protected] or phone 08 9223 8589. JUL’11 JOURNAL DOH12078 MEDICAL
C20 MJA 195 (5) · 5 September 2011 Careers
Practice For Sale Real Estate For Sale Long Established Family Practice Coastal Resort Town Accredited A.G.P.A.L. to 2013 Mid North Coast N.S.W. Gross fees in excess of $500,000 Mixed Billings; Private/Bulk Bill as Two Thirds/One Third Leasehold Premises Stand alone Clinic building Quality Equipment Level Phone 041 341 9787 After 5.00 p.m. or Before 8.00 a.m. Please forlease Consulting Rooms: Suites and Sessions Level 1 Aspley Village Q
Consulting Rooms: Geelong, Victoria ø SUITES RANGE FROM 100 SQM TO 500 SQM 1 Block, Barwon Health Ground floor, on site parking. ø TURN KEY MEDICAL CENTRE TENANCY, SPECIALIST CENTRE AND CONFIGURED PATHOLOGY ROOMS Email: [email protected] Phone: 03 5221 8870 ø STUNNING OPPORTUNITY FOR DENTIST, ORTHODONTIST, RADIOLOGY, PATHOLOGY, MEDICAL CENTRE, SPECIALTISTS, Advertise your property HOSPITALS AND GOVERNMENT AGENCIES ø Surrounded by a sea of residential and located close to Prince within the new MJA! Charles Hospital ø Mini majors Pattons Fresh, Healthworks, 2 x Child Care, Malouf The MJA publishes Australia’s highest circulating classified Pharmacy, Hydrotherapy and Medical precinct section for Specialists and GPs, reaching 27,000 doctors ø Underpinned by a full line Coles that had 38% growth last year. and healthcare professionals nationally.
Contact Mike on [email protected]. Johnny Papas Elliot McCarthy [email protected] [email protected] 0416 084 095 0439 719 254 HOLIDAY LETTING
Looking for a tenant for your vacant holiday house? having a daily affair with Advertise your property within the new MJA! COPYRIGHT © EVA ECONOMIC VALUE ADD PTY LTD ACN 114 734 084 The MJA publishes Australia’s highest circulating classified section, reaching 27,000 doctors and healthcare professionals nationally. LEASE - MEDICAL ROOMS – To enquire about advertising email [email protected] or call (02) 9562 6666. UMINA NSW Excellent location with high exposure & easy access. 130m2 Holiday Letting approx with 3 consult rooms, reception / waiting & amenities. $25,800 P/A net HOLIDAY LETTING HOLIDAY LETTING Call 02 4322 5566 Smiths Lake, NSW Reply [email protected] Luxury, deep-water with Spectacular lake and ocean jetty, 3-4 br home at views from this newly built Oakdale Mooloolaba, few minutes’ house. Close to the pristine ocean beaches in the Pacific (20 k west of Camden, NSW) walk from surf and Palms area, easy walk to esplanade, for holiday Smiths Brand new shop for lease letting. Lake. 3½ hours from Sydney. Sleeps 6-8. 200 sq.m. Ideal for Medical Centre etc. Visit (Area of need) No medical practitioners in village. www.culbaramooloolaba.com Visit Great Opportunity Alpha & Omega Real Estate www.aquariusholidays.com for further information. for further information. Phone: (02)4657 2166
MJA 195 (5) · 5 September 2011 C21 Careers
MJA Online Bookshop
AVAILABLE NOW FROM THE MJA BOOKSHOP Orthopedic Physical Assessment 5th Edition Newly updated, this full-colour resource offers a systematic approach to erforming a neuromusculoskeletal assessment, with rationales for various order today for spects of the assessment. This comprehensive text covers every joint of the ody, head and face, gait, posture, emergency care, principles of assessment, $140.00 nd pre-participation evaluation. The reliability and validity of tests and techniques INC. GST + P&H re included throughout the text. The new full-colour design clearly demonstrates ssessment methods, a variety of tests, and causes of pathology.
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C22 MJA 195 (5) · 5 September 2011 Careers
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7E HAVE OPPORTUNITIES FOR BROADLY EXPERIENCED DOCTORS TO JOIN OUR GROWING SERVICE IN 7ESTERN !USTRALIA 4HE WORK IS VARIED AND EXCITING AND OFFERS THE OPPORTUNITY TO WORK WITH A TEAM OF OTHER DOCTORS AND ALLIED STAFF SERVICING A LARGE AREA OF 7ESTERN !USTRALIA 'MZJOH%PDUPST 3FUSJFWBM3FHJTUSBST )F YOU ARE A CAREER DOCTOR OR PROCEDURAL '0 WITH ACUTE CARE 4HERE ARE THREE ACCREDITED POSITIONS FOR RETRIEVAL REGISTRARS AT OUR EXPERIENCE THERE ARE OPPORTUNITIES FOR YOU TO WORK AT OUR RURAL *ANDAKOT 0ERTH BASE 4HEY AN OPPORTUNITY TO EXPERIENCE ROTARY BASES AS TRADITIONAL ČYING DOCTORS AND üXED WING WORK TRIAGE ACUTE CARE CASES ACROSS A RANGE OF 7E PROVIDE A RANGE OF CLINICAL SERVICES INCLUDING CLINICAL DISCIPLINES AND EXPERIENCE THE LOGISTIC CHALLENGES OF o 4ELEMEDICINE RETRIEVING PATIENTS ACROSS ONE THIRD OF THE CONTINENT 3IX AND TWELVE o &LYING MEDICAL CLINICS MONTH TERMS ARE AVAILABLE FROM MID o )N PATIENT CARE o !EROMEDICAL RETRIEVAL 3FUSJFWBM%PDUPST 4HE WORK IS VARIED AND INTERESTING PROVIDES AN OPPORTUNITY TO )F YOU ARE A CAREER DOCTOR WITH ACUTE CARE EXPERIENCE WE ALSO CAN WORK IN THE !USTRALIAN /UTBACK WITH A TEAM OF SUPPORTIVE STAFF ALSO OFFER FULL TIME APPOINTMENTS AT OUR RURAL BASES OR IN 0ERTH AND MIX EMERGENCY MEDICINE WITH RURAL GENERAL PRACTICE PRIMARILY IN MEDICAL RETRIEVAL (13FHJTUSBS .FFLBUIBSSB 4UBŢ4QFDJBMJTUT ! NEW POSITION HAS ALSO BEEN CREATED FOR A '0 2EGISTRAR AT OUR -EEKATHARRA "ASE WHERE A WIDE RANGE OF CHALLENGING CLINICAL WORK )F YOU ARE A SPECIALIST IN A CRITICAL CARE DISCIPLINE SUCH AS EMERGENCY IS ACCOMPANIED BY MENTORING BY EXPERIENCED RURAL 2&$3 DOCTORS MEDICINE OR ANAESTHESIA WE ALSO OFFER FULL TIME AND PART TIME !PPLICANTS WILL BE INVOLVED IN OPPORTUNITIES TO WORK IN OUR DYNAMIC 3TATEWIDE RETRIEVAL SYSTEM o 4ELEMEDICINE 9OU WILL PARTICIPATE IN TURBO PROP LONG RANGE JET OR ROTARY WING o 2OUTINE RURAL GENERAL PRACTICE RETRIEVALS FROM LOCATIONS ACROSS THE ENTIRE 3TATE AND OVERSEAS o )NDIGENOUS HEALTH 9OU WILL ALSO ASSIST IN OUR 3TATEWIDE #LINICAL #OORDINATION #ENTRE o #HRONIC DISEASE MANAGEMENT HANDLING EMERGENCY CALLS PRIORITISING TASKS AND PROVIDING CLINICAL o )N PATIENT HOSPITAL CARE o -ANAGEMENT OF EMERGENCIES ADVICE AS WELL AS ASSISTING WITH ONGOING TRAINING OF REGISTRARS AND OTHER CLINICAL STAFF 7HILST A TRAINING POSITION COMPETENCY IN THE MANAGEMENT OF ACUTE CARE PRESENTATIONS TOGETHER WITH CURRENT !,3 CERTIüCATION 0ERMANENT PART TIME APPOINTMENTS ARE AVAILABLE AFTER AN INITIAL IS NECESSARY PERIOD OF FULL TIME EXPERIENCE
2%15)2%-%.43 &YQSFTTJPOTPGJOUFSFTUDBOCFTFOUUP !PPLICANTS MUST BE REGISTRABLE IN !USTRALIA WITH SIGNIüCANT POSTGRADUATE NFEJDBM!SGETXBDPNBVPSDPOUBDU EXPERIENCE 4HE IDEAL APPLICANT FOR A &LYING $OCTOR POSITION WILL HAVE A MINIMUM OF SIX MONTHS POSTGRADUATE EXPERIENCE IN ANAESTHETICS OBSTETRICS 5IF%JSFDUPSPG.FEJDBM4FSWJDFT AND PAEDIATRICS COUPLED WITH EXPERIENCE IN EMERGENCY MEDICINE AND 3'%48FTUFSO0QFSBUJPOT EXPERIENCE IN GENERAL PRACTICE 2EGISTRARS AND STAFF SPECIALISTS WILL ALSO HAVE &BHMF%SJWF+BOEBLPU"JSQPSU8" BROAD CLINICAL EXPERIENCE 5FMFQIPOF 4%2-3 !.$ #/.$)4)/.3 %MPLOYMENT CONTRACTS ARE NORMALLY FOR A MINIMUM OF TWO YEARS BUT SHORTER PERIODS APPLY TO 2EGISTRAR POSITIONS ! FORMAL ORIENTATION PROGRAM IS PROVIDED PLUS OPPORTUNITIES TO COMPLETE %-34 !0,3 AND OTHER COURSES 7E OFFER EXCELLENT REMUNERATION PACKAGES WITH ALLOWANCES AND SALARY PACKAGING ! MOBILE PHONE AND LAPTOP ARE ALSO PROVIDED $OCTORS WORKING IN THE BOOMING RURAL AREAS OF THE 3TATE ALSO RECEIVE HOUSING A MOTOR VEHICLE RELOCATION AND TRAVEL EXPENSES !LL MEDICAL STAFF ARE INDEMNIüED AND RECEIVE ANNUAL LEAVE OF SEVEN OR EIGHT WEEKS PER YEAR TWO WEEKS STUDY LEAVE AND ADDITIONAL PROCEDURAL SKILLS LEAVE
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