Pharmacy Internships 2021 The Royal Grattan Street Parkville VIC 3052 Hospital Information

Website: https://www.thermh.org.au/about

Melbourne Health is an award winning health care service and is Victoria’s second largest public health service. This means you will gain experience in a vastly diverse hospital, which will help develop you into a confident and capable pharmacist.

Melbourne Health comprises of multiple sites including: • The Royal Melbourne Hospital (RMH) – City Campus • The Royal Melbourne Hospital – Royal Park Campus • North-Western Mental Health • RMH Kidney Care Service • Victorian Infectious Diseases Reference Laboratory

Areas which you will have exposure to include: Trauma (we are one of two of the state’s major trauma centres), Infectious Diseases (we house the Victorian Infectious Diseases Service), cardiac services, , and renal transplant. There are countless other general medicine, surgical and specialist areas you will also have the opportunity to work in. We are also located in the heart of Melbourne’s research and biomedical area, the Parkville precinct and work closely with them to arrange exchanges and combined experiences.

Melbourne Health is a values based organisation. A career with us is a rewarding experience, offering great prospects for career diversity and professional advancement.

Staff benefits include: • Salary Packaging • Reward & Recognition Programs • Health & Wellbeing Programs; staff health service, peer support program • Discounted Staff Parking • On site staff gymnasium • Social Committee • Staff sporting groups • Walter and Eliza Hall Institute (WEHI) Early Learning Centre

Pharmacy Internships 2021 The Royal Melbourne Hospital Grattan Street Parkville VIC 3052 Pharmacy Department

Department Head Paul Toner, Director of Pharmacy

Department Information

The Royal Melbourne Hospital Campuses: City (Grattan St) Campus & Royal Park Campus

The pharmacy department provides services to all areas of the hospital requiring medicines or involved in medication management. Pharmacists work across a variety of teams to provide invaluable service to their respective areas.

Our Pharmacy Teams We operate five clinical teams, each led by Team Leaders who are specialist pharmacists in their field. The teams are: • Intensive Care, Emergency Services, Haematology & Medical Oncology Team • Medicine & Team • Surgical, Trauma, Perioperative, Surgical Oncology and Team • Cardiovascular, Renal, and Neurosciences ( and Neurosurgical) Team • Aged Care, Rehabilitation and Mental Health Team

Clinical pharmacists rotate between each team at time intervals determined by their experience, although permanent roles also exist within the team. Our clinical service operates as a unit-based service, where each pharmacist is aligned with one or more specialty units and they are responsible for all their patients in the hospital. This is a rewarding model for our staff, which promotes continuity of care and ultimately results in better patient outcomes.

Manufacturing and Sterile Room Team Our manufacturing and sterile room team is responsible for preparing and compounding a large number of rare specialised products. These products can include parenteral nutrition, complex IV mixtures and certain hazardous medicines. This service is continuously growing as we are being exposed to more and more innovative therapies.

Dispensary Team The dispensary team provides vital support to our services through dispensing of inpatient orders, discharge prescriptions and outpatient prescriptions. Our outpatients service often processes highly specialised drugs, such as immunosuppressants, cytotoxic and antiretrovirals, which require careful assessment, review and detailed education.

Pharmacy Internships 2021 The Royal Melbourne Hospital Grattan Street Parkville VIC 3052

Quality Use of Medicines (QUM), Guideline & Research Team Members of the Quality Team improve the safety and quality of medication use at Melbourne Health by focusing on systems to reduce the occurrence of medication incidents. Medication safety improvement initiatives, medication management procedure/guideline review, education of multidisciplinary staff and auditing activities are undertaken by the team as to ensure that NSQHS Medication Safety Standard requirements are met. Our Research Pharmacist overseas the research portfolio including the various student, intern and resident projects.

Medicines Information Our Medicines information pharmacists undertake a variety of roles to facilitate evidence based best practices. They respond to individual queries, support development of guidelines, assist with sourcing medicines and provide literature searches for research questions. They are also responsible for the ongoing maintenance on the drug library for our intravenous “smart pumps”, which contribute to patient safety on the wards.

Antimicrobial Stewardship The Antimicrobial Stewardship Team (AST) oversees the use of antimicrobials at RMH and provides timely prescribing advice. With the increasing prevalence of antimicrobial resistance worldwide, it is important to ensure appropriate choice and duration of these agents. Clinical pharmacists aid in part of this process by flagging patients on restricted antimicrobials, who are them reviewed by the AST on the wards.

Clinical Trials Our Clinical Trials Pharmacy division is responsible for the administration and dispensing of investigational drugs across Melbourne Health. They are a busy team, running in excess of three hundred clinical trials annually.

Stock Control Team The Stock control team is responsible for coordinating the ordering and distribution of medicines and associated consumables. They are key in ensuring medicines are available in a timely manner and navigate across warehouses, manufacturers, Special Access Scheme and Compassionate Use programs.

Drug and Therapeutics Committee The Drug and Therapeutics Committee is organised by the Pharmacy Department. Their role is to promote the quality use of medicines throughout Melbourne Health by maintaining the Medication Formulary, considering Individual Patient Usage (IPU) requests and reviewing medication usage patterns and medication expenditure.

Pharmacy Internships 2021 The Royal Melbourne Hospital Grattan Street Parkville VIC 3052 Pharmacy Intern Training Program

As an intern, you will work alongside our pharmacy teams to develop your knowledge and skill to shape your career as a pharmacist. In 2020, The Royal Melbourne Hospital will employ eight interns, all of which are funded by the Victorian state government.

The Royal Melbourne Hospital offers the Intern Foundation Program in affiliation with Monash University, to recognise workplace learning.

Orientation Every intern undergoes one week of orientation and introduction to the overall department. An orientation checklist is incorporated into your first clinical rotation to ensure development of essential skills in basic clinical pharmacy processes, as well as becoming familiar with the workplace environment.

Rotations Intern rotations will be primarily based at the RMH, City Campus. Rotations vary in length depending on the area.

Core Clinical Rotations include: , General Medicine, Surgery, Aged Care/Rehabilitation and Neurology.

Other core rotations include Dispensary, Manufacturing and Aseptics, Medicines Information and Quality Use of Medicines/Project.

Exposure and elective opportunities of shorter durations may include: Mental Health, Renal, ICU, Anaesthetics, Gastroenterology, Infectious Diseases or an “exchange placement” with an intern from Peter MacCallum Cancer Centre.

Progress on intern rotations is guided by regular and ongoing feedback, using the clinical competency checklists to ensure interns are progressing and on-track to becoming fully qualified pharmacists. The checklists also provide information regarding intern expectations and level of increasing responsibility throughout the year.

Mentors Each intern is allocated their own individual mentor; a pharmacist who has completed their intern year within the last three years. Mentors provide invaluable support and insight throughout the year, drawing on their knowledge and own recent experiences. They help you find your way around the hospital, provide one-on-one guidance and help you develop and test your knowledge and skills. Mentors also spend countless hours organising practice exams with each intern in the lead up to the Pharmacy Board Oral exam.

Pharmacy Internships 2021 The Royal Melbourne Hospital Grattan Street Parkville VIC 3052

Education program Our tailored Education program consists of two parts: clinical sessions and primary healthcare tutorials. Clinical sessions run at least once a week and are presented by clinical pharmacists in the hospital, of whom many are specialists in their field. The timetable is coordinated around the intern training programs to ensure you have adequate knowledge to comfortably meet all the requirements. Primary healthcare sessions are run by interns once a week with each intern presenting on two to three topics throughout the year. Additionally, interns also present their own clinical case study at the end of the year. There are six select topics which we combine with other interns in the Parkville Precinct, to tap into experts in their field (cancer treatments and women’s health).

Supervised hours & weekend work Interns commence their hours in the first half of January. The regular weekday hours are 8:30 am – 5:15 pm Monday to Friday. You might be rostered to our extended hours service occasionally which operate in certain rotations. Additionally, we run a limited clinical service on the weekend, which interns work on a rotating roster. During the weekend shifts, you will spend all of your time counselling patients on their discharge medication, which provides invaluable practice and preparation for your examinations. Whilst the weekend hours are in addition to your normal working week, these hours contribute to your total number of supervised hours needed. In order to sit the exams and ultimately qualify, you need to reach the minimum (1824 hours) requirement by the end of your year.

Rostered Day Off & Annual Leave You are entitled to a Rostered Day Off (RDO) approximately one day in every 4 weeks. You will also be rostered one week of annual leave after your written exams to ensure some rest and relaxation, with the remaining leave accrued as per the award.

Preceptor ward visits The Education Pharmacists will conduct regular ward visits to provide interns with dedicated education time during clinical rotations. This ensures that you receive specific feedback and are progressing as anticipated throughout the year, in addition to the usual supports from your regular supervisor. More time is arranged for interns on an individual basis as needed or desired.

Exam preparation Our interns participate in a traditional “Law Weekend” getaway which entails of a program run by the Education Pharmacists and the dedicated mentors. This makes what is usually a rather dry topic into something much more enjoyable as we incorporate a social element into the study of revision of materials for the Australian Pharmacy Council Written Examination (APCAT).

In preparation for the Pharmacy Board Oral Examination, we provide practice exams in the second half of the year to help you become familiar with the structure of the exams and the questions you

Pharmacy Internships 2021 The Royal Melbourne Hospital Grattan Street Parkville VIC 3052 can expect. Further to practice exams organised with your mentor, the department runs two practice Pharmacy Board Exams under strict exam conditions, to simulate the real environment. These formal exams help prepare you to deal with the stress of the real exam!

EMR RMH is implementing Electronic Medical Record (EMR) in 2020. EPIC, our EMR program, is rolling out precinct wide on 8th of August. This is a great opportunity for future interns to upskill their ability to use EMR which is the future of hospital management.

Contact us

Please direct any general enquiries about the pharmacy intern training program to:

Education Pharmacists Elira Menxhiqi Viki Lui [email protected] [email protected]

Deputy Director of Pharmacy - Clinical Alex Edwards [email protected]

Pharmacy Internships 2021 The Royal Melbourne Hospital Grattan Street Parkville VIC 3052 Intern Tutorials – Primary Healthcare Topics (Sample Schedule)

Day Presenter Topic Wednesday, 23 January 2019 Intern Cold, flu, cough, sore throat Wednesday, 30 January 2019 Intern Rhinitis, allergies & hayfever Wednesday, 6 February 2019 Intern Ocular conditions (red eye, eyelid disorders, dry eye, contact lenses) Wednesday, 13 February 2019 Intern Otic conditions (ear wax, otitis externa) Wednesday, 20 February 2019 Intern Aches & pains: Headache, toothache, period pain, neck pain, low back pain Wednesday, 27 February 2019 Preceptor Revision OTC Wednesday, 6 March 2019 Intern Skin: Acne (include mx of retinoid AEs) & cold sores Wednesday, 13 March 2019 Intern Skin: Alopecia, fungal skin conditions, shingles Wednesday, 20 March 2019 Intern Skin: Dermatitis (eczema, allergic, seborrhoeic, dandruff) Wednesday, 27 March 2019 Intern Skin: Foot Care: Fungal nail, warts, corns & calluses Wednesday, 3 April 2019 Intern Skin: Infestations: Headlice, Scabies & worms Wednesday, 10 April 2019 Preceptor Revision OTC Wednesday, 17 April 2019 Intern GI: Mouth ulcers,oral thrush, gingivitis, angular chelitis, oral hygiene Wednesday, 24 April 2019 Intern GI: Dyspepsia, abdo pain, vomiting Wednesday, 1 May 2019 Intern GI: Diarrhoea, constipation, IBS, haemorrhoids Wednesday, 8 May 2019 Intern Paeds: Fever, cough & cold Wednesday, 15 May 2019 Intern Paeds: GOR, colic, feeding/formulae, diarrhoea Wednesday, 22 May 2019 Intern Paeds: Skin conditions (dermatitis, nappy rash, infectious conditions) Wednesday, 29 May 2019 Preceptor Revision OTC Wednesday, 5 June 2019 Preceptor Revision OTC Wednesday, 12 June 2019 Mentor APCAT Revision - Calculations Wednesday, 19 June 2019 Mentor APCAT Revision - Law

Wednesday, 26 June 2019 CANCEL - Leave Wednesday, 3 July 2019 CANCEL - Leave Wednesday, 10 July 2019 CANCEL - Leave Wednesday, 17 July 2019 CANCEL - Leave Date TBC Preceptor The oral exam - what to expect/demo Wednesday, 24 July 2019 Intern Women’s health: Period pain, PMS, Emergency contraceptive Wednesday, 31 July 2019 Intern Women’s health: Cystitis, Vaginal discharge (incl. thrush, vaginitis) Wednesday, 7 August 2019 Intern Women's health: Fertility, pregnancy tests, pregnancy care Wednesday, 14 August 2019 Intern Product requests: Weight loss, motion sickness, travel health Wednesday, 21 August 2019 Intern First aid: Sports related tissue injuries, crutches, burns Wednesday, 28 August 2019 Intern First aid: Wound management (cuts, grazes, bites, sunburn & dressings) Wednesday, 4 September 2019 Preceptor Product requests: NRT & S3 Naloxone Wednesday, 11 September 2019 Preceptor/Intern Exam (OTC or Law) Revision Wednesday, 18 September 2019 Preceptor/Intern Exam (OTC or Law) Revision Wednesday, 25 September 2019 Preceptor/Intern Exam (OTC or Law) Revision Wednesday, 2 October 2019 Preceptor/Intern Exam (OTC or Law) Revision Wednesday, 9 October 2019 Preceptor/Intern Exam (OTC or Law) Revision Wednesday, 16 October 2019 Preceptor/Intern Exam (OTC or Law) Revision Wednesday, 23 October 2019 Preceptor/Intern Exam (OTC or Law) Revision

Pharmacy Internships 2021 The Royal Melbourne Hospital Grattan Street Parkville VIC 3052 Intern Tutorials – Clinical Topics (Sample Schedule) Day Chair Presenter Topic Thursday, 10 January 2019 Intern Pharmacist Acute Coronary Syndrome & MI Wednesday, 16 January 2019 PMCC Pharmacist Pain and Analgesics (Combined Intern Tutorial with Peter Mac/RWH interns) Thursday, 24 January 2019 Intern Pharmacist Heart Failure Thursday, 31 January 2019 Intern Pharmacist Anticoagulation

Wednesday, 7 February 2019 Intern Pharmacist Cardiothoracics procedures & arrhythmias Thursday, 14 February 2019 Intern Pharmacist Lab Data 1 (Renal Function, electrolyte disturbances) Thursday, 21 February 2019 Intern Pharmacist Lab Data 2 (LFTs & FBE) Thursday, 28 February 2019 Intern Pharmacist Bugs & Drugs 1 Thursday, 7 March 2019 Intern Pharmacist Bugs & Drugs 2 Thursday, 14 March 2019 Intern Pharmacist Stroke Thursday, 21 March 2019 Intern Pharmacist Epilepsy Thursday, 28 March 2019 Intern Pharmacist Parkinson’s Disease Thursday, 4 April 2019 Intern Pharmacist HARP service & case studies Thursday, 11 April 2019 Intern Pharmacist Geriatric Considerations Thursday, 18 April 2019 Intern Pharmacist Paediatric Considerations Thursday, 2 May 2019 RWH Pharmacist Medicines in Pregnancy & Breastfeeding (Combined tutorial RWH/PMCC interns) Thursday, 9 May 2019 Intern Pharmacist Osteoporosis Thursday, 16 May 2019 Intern Pharmacist Urogenital Conditions (BPH, incontinence, retention) Thursday, 23 May 2019 Intern Pharmacist Diabetes Thursday, 31 May 2019 Intern Pharmacist Thyroid dysfunction, interpreting TFTs Thursday, 6 June 2019 Intern Pharmacist Psychotropics: Antipsychotics & clozapine Thursday, 13 June 2019 Intern Pharmacist Psychotropics: Antidepressants & BPAD Thursday, 13 June 2019 RWH Pharmacist HRT/oral contraceptives (Combined tutorial RWH/PMCC interns) Thursday, 20 June 2019 Intern Pharmacist Dementia Thursday, 25 July 2019 Intern Pharmacist Anaphylaxis & allergy (including DRESS, SJS) Thursday, 1 August 2019 Intern Pharmacist Respiratory conditions & devices Thursday, 8 August 2019 Intern Pharmacist Arthritis: Gout, Rheumatoid Arthritis, Osteoarthritis Thursday, 15 August 2019 Intern Pharmacist Drugs in Renal Transplant Thursday, 22 August 2019 Intern Pharmacist PK and drug dosing in Renal Failure (PMCC/RWH interns to attend shared tute) Thursday, 29 August 2019 Intern Pharmacist CKD-MBD & Anaemia in CKD (PMCC/RWH interns to attend shared tute) Thursday, 5 September 2019 Intern Pharmacist HIV (VIDS clinic Lates) Thursday, 12 September 2019 Intern Pharmacist Antifungals Thursday, 19 September 2019 Intern Pharmacist Principles of chemotherapy (incl. oral & targeted Rx’s)(Combined PMCC/RWH) Thursday, 26 September 2019 Intern Pharmacist Drugs of dependence and opioid substitution programs Thursday, 24 October 2019 Intern Pharmacist Anaesthetics & Volatiles Thursday, 31 October 2019 Intern Pharmacist Liver Disorders, medication considerations & Hep C treatment Thursday, 7 November 2019 Intern Pharmacist Inflammatory Bowel Disease Thursday, 14 November 2019 Intern Pharmacist Stoma & TPN Thursday, 21 November 2019 Intern Pharmacist Palliative Care Considerations Thursday, 28 November 2019 Intern Pharmacist Drug Interaction Module Thursday, 5 December 2019 Intern Pharmacist Falls prevention

Pharmacy Internships 2021 The Royal Melbourne Hospital Grattan Street Parkville VIC 3052