Local Area Network 2 The Faculty of Clinical Blacktown Mt Druitt | Concord | Orange Base | Royal Prince Alfred | Westmead

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2020 Trainee Orientation Manual

ORIENTATION GUIDE FOR RADIOLOGY TRAINEES

Dec 2019 Welcome to Radiology Local Area Network 2

Local Area Network 2 is a collaboration of five teaching facilities spanning and rural NSW, and in the future will include further rural NSW sites. LAN2 strives to set high standards in registrar education and training with a commitment to providing a high quality teaching and learning environment by cross- facility networking. Learning is facilitated by both didactic and interactive tutorials provided by recognised experts in the respective fields.

There are currently 5 centres within LAN2 accredited for training in radiology:

1. Concord Repatriation General (linked with Canterbury Hospital)

2. Royal Prince Alfred Hospital

3. (linked with Auburn Hospital)

4. Blacktown Mt Druitt

5. Orange Base Hospital (linked with Westmead Hospital)

Contact Details Training Network Director, Local Area Network 2:

A/Prof Lourens Bester

Phone: 0438 237 837

Network Education Support Officer, Local Area Network 2:

Mrs Kim Watson

[email protected]

Phone: 8890 6661 / 0428 875 259

Clinical Directors of Radiology:

Concord Hospital

Dr David Rowe

Royal Prince Alfred Hospital

Dr Richard Waugh

ORIENTATION GUIDE FOR RADIOLOGY TRAINEES

Dec 2019 Westmead Hospital

Dr George McIvor

Blacktown Mt Druitt Hospitals

Dr Andrew-Owen Jones

Orange Base Hospital

Mr Daniel Ryan – Head of Department

The mission of The Royal Australian and New Zealand College of Radiologists is to drive the appropriate, proper and safe use of radiological and radiation oncological medical services for optimum health outcomes by leading, training and sustaining our professionals.

The current Radiology Training Program, is a five-year program conducted in two major phases:

 Phase 1 consists of 3 years of general radiology training;  Phase 2 extends over a 2 year period following Phase 1, based on systems- focussed (as distinguished from subspecialty) rotations for advanced radiology training.

For trainees in the current Radiology training programme, requirements are:

 Part 1 examination – comprising of 4 papers delivered in an electronic format over 2 days.  Progression through the program occurs by the achievement of regular satisfactory assessments made or signed off by Clinical Supervisors & Directors of Training via the Trainee Information Management System (TIMS) on the RANZCR website. All trainees will be issued with a User Guide and log in details to access TIMS, on commencement into the training program.  Part 2 examination consists of examinations in Radiology (eMCQs and e-Film Reading), (eMCQs) and Vivas.

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 In order to be eligible to sit for the Part 2 FRANZCR examination, a candidate must have passed the Part 1 FRANZCR examination and have satisfied the accredited training requirements in , New Zealand or Singapore.

For trainees joining the programme, a completed application form including all required supporting documents is to be sent by the applicant to the Royal Australia New Zealand College of Radiologists (RANZCR) within two (2) weeks of commencement of training date. Late submission may result in unaccredited training time.

Applications can be found on the third link on this page of the document.

Contact information

Faculty of Radiology Level 9 51 Druitt Street SYDNEY NSW 2000 AUSTRALIA Ph: +61 (02) 9268 9777 – General Enquiries

Training –Radiology Phone: +61 (02) 9268 9707 or 9718 Email [email protected]

Useful Information

http://www.ranzcr.edu.au/ http://www.ranzcr.edu.au/training/radiology http://www.ranzcr.edu.au/resources/professional-documents/policies

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Part 1 Examination

It is highly desirable and advantageous to yourself, that you attempt the Part 1 examination during the first sitting of 2020. Exams are held in March & September each year. RANZCR policy states that you are allowed 4 attempts to pass the exam in your first 2 years of training. If you are unsuccessful after this time, unfortunately you will be removed from the training program.

I have attached a link below to the College website for specified dates of exam application submissions and exam dates: https://www.ranzcr.com/trainees/clinical-radiology/exams

To assist in your preparation for these exams, I have attached a link to the College website where past exam papers are located for your practice: https://www.ranzcr.com/trainees/clinical-radiology/exams/past-papers/

Concord Repatriation General Hospital

Concord Repatriation General Hospital (CRGH) is a major hospital in Sydney and is a teaching hospital of the at the . The NSW Statewide Severe Burn Injury Service and the Bernie Banton Centre, an asbestos diseases research institute are located at CRGH.

As a 750 - bed teaching hospital of the University of Sydney, Concord offers a comprehensive range of specialty and sub-specialty services, many of which are recognised nationally and internationally as centres of excellence. Some of these include: burns, colorectal surgery, laparoscopic surgery, molecular biology and genetic laboratory, aged and extended care, gastroenterology and palliative care.

The hospital has received consecutive years of accreditation from the Australian Council on Health Care Standards, and consecutive Accreditation Awards from the Postgraduate Medical Council of NSW for the exemplary training of postgraduate doctors.

The Medical Imaging Department is located in the multi building of the hospital offering radiology services that include CT – 64 slice and 128 slice machines, 3T MRI, ultrasound for diagnostic and interventional purposes, CR mammography, orthopantomogram (OPG), screening procedures – one machine with DSA function and 3 mobile fluoroscopy units, 7 general radiography units of which 4 of those mobile

ORIENTATION GUIDE FOR RADIOLOGY TRAINEES

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units and 2 angiography units with one hybrid unit located in the department and the other in operating theatre.

Concord Medical Imaging department are RANZCR (Royal Australia New Zealand College of Radiologists) accredited with 12 radiology training positions.

Enquiries concerning training can be addressed to Shehani Samarasinghe who is the assistant to the Directors of Training: Phone: (02) 9767 6495

Dr Yang-Yi Ong – [email protected]

Dr Nicole Santangelo – [email protected]

Concord Hospital Contact Information

Street Address Hospital Road, Concord NSW 2139

Telephone (02) 9767 5000

Radiology

Street Address Level 1 South, Multi Building (Building 3)

Telephone (02) 9767 6492

Email [email protected]

Medical Allocations and Development Unit –

Phone: (02) 9767 7097

Jean Mah-Collins - [email protected]

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Royal Prince Alfred Hospital

Royal Prince Alfred Hospital is one of Australia's premier tertiary referral hospitals and is recognised as a worldwide leader in healthcare excellence and innovation. RPA is part of a network of hospitals within the Sydney Local Health District. It is the principal teaching hospital of the University of Sydney.

RPA provides an extensive range of diagnostic and treatment services to more people in NSW than any other public hospital. More than 1000 patients are treated at RPA every day. The Radiology Department at Royal Prince Alfred Hospital and Lifehouse provides equitable diagnostic, interventional and consultative services to medical practitioners and patients through the application of medical imaging technology.

The philosophy of the Department is to maintain a high standard of practice, achieved by coordinated, robust training of a multidisciplinary team. We work within a quality framework focusing on continuous evaluation of services, striving for excellence. The Department provides timely and accessible diagnostic information. Therapeutic treatments utilize the most appropriate imaging modality available, ensuring efficiency and cost effectiveness of practice.

Medical Imaging Department boasts 4 CT scanners – 16, 64 & 128 slice and a 16 slice dedicated interventional machine, breast imaging in the Lifehouse, including interventional procedures, general radiography units including digital OPG and 3 mobile units, 2 angiography suites with a dedicated interventional CT scanner and several standalone ultrasound units used for a variety of interventional procedures, along with 2 MRI machines - 1.5 tesla GE system and 3 tesla Siemens Syngo. There is a 1.5T MRI Avanto system in theatre currently leased by the Neurosurgery Department.

RPA Medical Imaging department are RANZCR (Royal Australia New Zealand College of Radiologists) accredited with 18 radiology training positions.

Enquiries concerning training can be addressed with Karen Delangre who is the assistant to the Directors of Training:

Ph: (02) 9515 7363

Dr Simon Lai – [email protected]

Dr Christine Chan – [email protected]

Dr Violette Goodman – [email protected]

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Further information can be obtained on RPAH website http://www.sswahs.nsw.gov.au/rpa/

Royal Prince Alfred Hospital Contact Information

Street Address Missenden Road, Camperdown NSW 2050

Telephone (02) 9515 6111

Postal Address PO Box M30, Missenden Road NSW 2050

Radiology

Street Address Main Entrance to Hospital, Missenden Road, Main X-Ray Level 5

Lifehouse X-Ray, Cnr Salisbury & Missenden Roads, Lower Ground Level

Breast Imaging, Cnr Salisbury & Missenden Roads, Lifehouse Level 2,

Telephone (02) 9515 7445

Transport Guide: http://www.slhd.nsw.gov.au/pdfs/TAG/TAG-RPA.jpg

Resident Support Unit

Office Location: Medical Training & Administration Unit Level 4 Building 63, Missenden Rd Camperdown

Telephone: 9515 8047

Resident Support Unit Contact –

Lisa Birse - Manager MTA Unit [email protected]

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Westmead Hospital Westmead Hospital is a key facility of one of Australia’s largest major health and medical research precincts and is the principal referral hospital for Western Sydney Local Health District providing district level health services to , Holroyd and The Hills Shire LGAs including tertiary and quaternary services to greater western Sydney, greater metropolitan Sydney, rural NSW and other states. Westmead Hospital provides approximately 638 acute overnight, 30 day only and 52 subacute beds. The Westmead Health Precinct currently under development is envisaged to be the biggest hospital building project undertaken in Western Sydney and will transform the iconic but ageing Westmead Hospital into an innovative, contemporary and integrated centre that will continue to deliver high quality healthcare and expand the education, health and research capability of the area.

The Westmead Medical Imaging service provides a high end high quality cost effective diagnostic and therapeutic service in all areas appropriate for a major teaching hospital with an exceptional level of teaching and research capability.

The Radiology Department provides diagnostic and therapeutic services across general radiology, computed tomography scanning (CT), magnetic resonance imaging (MRI), fluoroscopy, interventional radiology / angiography, dental radiography and diagnostic mammography.

Westmead Medical Imaging department are RANZCR (Royal Australia New Zealand College of Radiologists) accredited with 15 radiology training positions.

Enquiries concerning training should be addressed to the Directors of Training:

Ph: (02) 8890 6522

Dr Jane Li - [email protected]

Dr Mohamed Nasreddine – [email protected]

Further information can be obtained on: http://wslhdintranet.wsahs.nsw.gov.au

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Westmead Hospital Contacts

Street Address Cnr Hawkesbury Road and Darcy Road, Westmead NSW 2145

Telephone (02) 8890 5555

Postal Address PO Box 533, Wentworthville NSW 2145

Medical Imaging

Street Address Level 2, Diagnostic Building, Hawkesbury Road, Westmead NSW 2145

Telephone (02) 8890 6522

Resident Support Unit Contact

Located Ground Floor, Level 1 AB Block Westmead Hospital

Telephone: 8890 5363

Manager, Resident Support Unit

Katherine Hill [email protected] Phone (02) 8890 7013 or ext 57013

JMO Manager

Chandrika Param Phone: 8890 6282 or ext 56282

Rostering & Payroll Officer

Jalal Ahmad [email protected] Phone: 8890 5980 or ext 55980

Blacktown Mt Druitt Hospitals

Blacktown and (BMDH) is a single hospital operating across two campuses – one at Blacktown and one at Mount Druitt.

Blacktown Hospital provides a 24-hour emergency service, intensive and high dependency care, sub-specialty acute medical and surgical care, obstetrics and newborn care and sub-acute rehabilitation. Inpatient acute mental health and community mental health services are delivered from Bungarribee House.

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Mount Druitt Hospital offers 24-hour emergency care, and a district-wide role in the provision of planned surgery, with a high proportion of general, orthopaedic and breast surgery.

They service residents in the Blacktown, Mt Druitt, Riverstone Local Government Areas and Parramatta, Holroyd, Hawkesbury, Penrith and Fairfield in the surrounds.

Blacktown Mt Druitt Hospital Imaging Department is an integral part of the multi- disciplinary team who cares for patients attending medical imaging investigations and minimally invasive procedures which is central to a modern health care setting. The department uses state of the art equipment in a wide range of modalities including Ultrasound, X-Ray, Magnetic Resonance Imaging (MRI), Computed Tomography (CT), cardiac CT and catheterisation, dental cone beam CT and OPG.

Currently there are two 3T MRI's, one already doing over 10,000 cases per year, the other a new unit commencing new services, with full case-mix including , MSK, General Body, Prostate and Paediatric. Staff are actively involved in MRI research.

They boast the largest ultrasound service within public hospitals in NSW. Currently 9 rooms increasing to 12 in 2019. A unique arrangement with ED in having an US room located within ED itself, that provides services 7 days a week and runs extended hours. In addition to a wide range of outpatient paediatric MRI and US cases there is a well- established paediatric unit at Mt Druitt Hospital (12 ward beds, 5 ED paediatric beds with 12000 presentations per year) including the ED service, routine hours at Mt Druitt Hospital.

There is also a new service starting at Blacktown with ED feeding into a new paediatric ward. The impending Stage 2 expansion completion will result in a Blacktown ED paediatric section with 12 beds for clinical acute and fast track, 1 resuscitation bed and 2 in the short-stay area. Estimated 15000 presentations per year. The new Blacktown paediatric ward will have 18 beds.

BMDH Medical Imaging department are RANZCR (Royal Australia New Zealand College of Radiologists) accredited with 3 radiology training positions.

Enquiries concerning training should be addressed to the Director of Training:

Ph: (02) 9881 8229

Dr Jeffrey Plew - [email protected]

ORIENTATION GUIDE FOR RADIOLOGY TRAINEES

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Blacktown Mt Druitt Hospitals Contacts

Street Address Blacktown Road, Blacktown NSW 2148 75 Railway Street, Mt Druitt NSW 2770 Telephone (02) 9881 8000 Blacktown

(02) 9881 1555 Mt Druitt

Postal Address PO Box 792, Seven Hills NSW 1730

Medical Imaging at

Street Address Level 3 Main Building Blacktown Hospital

Telephone (02) 9881 8229

Medical Imaging at Mt Druitt Hospital

Street Address Ground Level Main Building Mt Druitt Hospital

Telephone (02) 9881 1696

Medical Workforce Unit Blacktown Mt Druitt Hospitals

Located Level 3 Blacktown Hospital

Telephone (02) 9881 8616

Facsimile (02) 9881 7490

Email [email protected]

Manager, Medical Workforce Unit –

Danielle Morris [email protected] Phone (02) 9881 7141

JMO Co-ordinator

Margaret James [email protected] Phone (02) 9881 8616

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Orange Base Hospital

Orange is a large regional hospital in central western NSW with 190 beds and 26,000 ED presentations in 2015/16, the largest of the three major referral centres in the region. The greater region has a patient population of 50,000 expected to grow 14% in the next 25 years.

The department is able to provide trainees with exposure to a wider range of pathology than that of a metropolitan hospital, high quality paediatric teaching, the opportunity to report a wide variety and high number of plain films, and exposure to a wide variety of MRI’s, including extensive emergency utilisation.

Orange Hospital also has access to an on-site BreastScreen NSW site which will expose trainees to mammograms and assessment clinics on a regular basis.

There is access to weekly district wide MDTs for a variety of clinical streams. The hospital is accredited for training across a range of specialties and is linked with the Sydney University School of Rural Health through the local campus.

Offsite accommodation for trainees is provided by the hospital; video/teleconferencing equipment is available in the department to connect with teaching and meetings in metropolitan hospitals.

This site is RANZCR accredited for one 2nd-5th year trainee for up to a 1 year rotation with no on call requirement.

Alfred Imaging provide onsite radiology services at a variety of Western NSW Local Health District site under contractual arrangements, Orange being one of those sites. At the WNSWLHD Medical Imaging Departments AI radiologists perform clinical services including trainee teaching, assessment and supervision, and all other aspects of the functioning of the Medical Imaging Department and trainee employment will be provided by WNSWLHD under NSW Ministry of Health.

It should be noted that AI provide the majority of onsite clinical supervision at WNSWLHD sites, but staff specialists and WNSWLHD employed VMOs will also provide supervision and training at Orange Base Hospital. The AI Director of Training remains responsible for all radiology trainee supervision and training regardless of the supervising radiologist’s employing or contracting entity.

Enquiries concerning training should be directed to:

Dr Sam McCormack – AI (Regional) Group Director of Training [email protected] Mobile: 0407 132 922

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Dr Ilias Drivas – Site Director of Training (DoT) [email protected] Mobile: 0402 911 764

JMO Unit

Sarah Sharpe – JMO Manager [email protected] Ph: 6369 3536

Employee Assistance Programs (EAP)

Western Sydney Local Health District:

AccessEAP’s mission is to make a difference by empowering individuals and supporting organisations through innovation to enhance workplace well-being.

They are available to provide assistance with work/life balance, stress, anxiety, depression, parenting, relationships, alcohol, gambling and workplace issues.

They can be contacted 24 hours, 7 days a week for urgent matters and are available on:

Ph: 1800 818 728

(02) 8247 9191

Email: [email protected]

Website: www.accesseap.com.au

Sydney Local Health District:

EAP Staff Counselling Services at Concord Hospital Campus is available for all staff and their immediate families.

Free, Professional & Confidential.

Assistance for traumatic incidents in the workplace, contact the “EAP Counsellor On- Call” 24/7 via CRGH switch on 9767 5000.

EAP counsellors based at Concord:

Chris Patchett : 9767 9726 (Monday & Friday)

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Barry Dunn: 9767 5437 (Tuesday & Thursday)

Georgie Ashton: 9767 7053 (Thursday & Friday)

RPA Team: 9515 9688

Network Local Governance Committee Meetings.

These meetings are held on four occasions annually as required by RANZCR. The Heads of Department, Directors of Training from each site, Training Network Director and Network Education Support Officer are invited to attend, along with the nominated trainee representatives. Relevant network issues in regard to trainee progression, recruitment, rotations and other general business is discussed.

Please contact your local trainee representative (usually the senior registrar), if there are any matters you feel should be brought to the networks attention for future meetings.

ORIENTATION GUIDE FOR RADIOLOGY TRAINEES

Dec 2019