number 10 • 16 may 2011 mjacareers · agencies such as the state-based rural health workforce...

16
MJA THE MEDICAL JOURNAL OF AUSTRALIA NUMBER 10 • 16 MAY 2011 Careers C1 Editor: Sophie McNamara [email protected] (02) 9562 6666 continued on page C3 In this issue C1 Careers in Indigenous health C4 Dr Kali Hayward: Indigenous GP C5 Welcoming Indigenous patients to your practice C2, C7 - C8 Locums C9 Hospital Appointments C12 Executive Appointments C13 - C14 Medical Equipment C15 Real Estate Careers in Indigenous health WORKING with Aboriginal and Torres Strait Islander peoples gives doctors the opportunity to help improve one of Australia’s most pressing public health concerns: “closing the gap” between the health outcomes of Indigenous Australians and other Australians. “It’s an area of medicine where you can make a big difference because, sadly, health outcomes in Aboriginal communities are still much poorer than in other communities”, says Dr Jenny Reath, deputy chair of the Aboriginal and Torres Strait Islander Health faculty of the Royal Australian College of General Practitioners (RACGP) and chair of general practice at the University of Western Sydney. “You’ll see an Aboriginal patient at the age of 30, presenting with the disease pattern that you’d see in a non-Aboriginal person at the age of 50”, she says. Dr Reath, who has worked as a GP in Aboriginal community-controlled health services (ACCHSs) for more than 30 years, says that choosing to focus a medical career on Aboriginal health can be incredibly satisfying. “Would I advise a junior doctor to consider working in Aboriginal health? Wholeheartedly. I’ve had an enormously interesting, varied and rewarding career”, she says. And unlike some other specialties where the job market is tight, career prospects are plentiful for doctors with an interest in Aboriginal health. Job opportunities are advertised through agencies such as the state-based rural health workforce agencies (see www.rhwa.org.au for a list of agencies). The Remote Area Health Corps (RAHC) also has a Northern Territory job list (see www.rahc.com.au). There are several ways that doctors can choose to work specifically with Aboriginal people, including locum work, fly-in/ fly-out placements, living in a community, working in an urban ACCHS, or conducting public health research. Dr Reath says that regardless of the model used, the key to being effective is establishing a trusting relationship with patients. “You can work in a community, but if you haven’t got that trusting relationship you won’t be effective.” The importance of developing trust means that doctors need to be good listeners who take a non-judgemental approach to their patients. Other key attributes include having good interpersonal skills and being flexible. Because doctors in an ACCHS are actually employed by the community, they need to be comfortable working in a team and making collaborative health decisions. “The profession suits someone with an interest in learning about different ways of working. You need to have respect for the people you’re working with”, says Dr Reath. Working in an ACCHS gives doctors an insight into the challenges — and resilience — of Aboriginal communities. “You attend funerals, but you also attend birthday celebrations and weddings. You’re accepted

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Page 1: NUMBER 10 • 16 MAY 2011 MJACareers · agencies such as the state-based rural health workforce agencies (see for a list of agencies). The Remote Area Health Corps (RAHC) also has

MJATHE MEDICAL JOURNAL OF AUSTRALIA

N U M B E R 1 0 • 1 6 M A Y 2 0 1 1

CareersC1

Editor: Sophie McNamara • [email protected] • (02) 9562 6666

continued on page C3

In this issueC1 Careers in Indigenous health

C4 Dr Kali Hayward: Indigenous GP

C5 Welcoming Indigenous patients to your practice

C2, C7 - C8 LocumsC9 Hospital AppointmentsC12 Executive AppointmentsC13 - C14 Medical EquipmentC15 Real Estate

Careers in Indigenous healthWORKING with Aboriginal and

Torres Strait Islander peoples gives

doctors the opportunity to help

improve one of Australia’s most

pressing public health concerns:

“closing the gap” between the health

outcomes of Indigenous Australians

and other Australians.

“It’s an area of medicine where you

can make a big difference because,

sadly, health outcomes in Aboriginal

communities are still much poorer

than in other communities”, says

Dr Jenny Reath, deputy chair of the

Aboriginal and Torres Strait Islander

Health faculty of the Royal Australian

College of General Practitioners

(RACGP) and chair of general

practice at the University of Western

Sydney.

“You’ll see an Aboriginal patient

at the age of 30, presenting with the

disease pattern that you’d see in a

non-Aboriginal person at the age of 50”,

she says.

Dr Reath, who has worked as a GP in

Aboriginal community-controlled health

services (ACCHSs) for more than 30 years,

says that choosing to focus a medical career

on Aboriginal health can be incredibly

satisfying.

“Would I advise a junior doctor to

consider working in Aboriginal health?

Wholeheartedly. I’ve had an enormously

interesting, varied and rewarding career”,

she says.

And unlike some other specialties where

the job market is tight, career prospects

are plentiful for doctors with an interest in

Aboriginal health.

Job opportunities are advertised through

agencies such as the state-based rural health

workforce agencies (see www.rhwa.org.au for

a list of agencies). The Remote Area Health

Corps (RAHC) also has a Northern Territory

job list (see www.rahc.com.au).

There are several ways that doctors

can choose to work specifi cally with

Aboriginal people, including locum

work, fl y-in/ fl y-out placements,

living in a community, working in an

urban ACCHS, or conducting public

health research.

Dr Reath says that regardless of

the model used, the key to being

effective is establishing a trusting

relationship with patients.

“You can work in a community,

but if you haven’t got that trusting

relationship you won’t be effective.”

The importance of developing

trust means that doctors need

to be good listeners who take a

non-judgemental approach to their

patients. Other key attributes include

having good interpersonal skills and

being fl exible. Because doctors in

an ACCHS are actually employed

by the community, they need to be

comfortable working in a team and making

collaborative health decisions.

“The profession suits someone with an

interest in learning about different ways of

working. You need to have respect for the

people you’re working with”, says Dr Reath.

Working in an ACCHS gives doctors an

insight into the challenges — and resilience

— of Aboriginal communities. “You attend

funerals, but you also attend birthday

celebrations and weddings. You’re accepted

Page 2: NUMBER 10 • 16 MAY 2011 MJACareers · agencies such as the state-based rural health workforce agencies (see for a list of agencies). The Remote Area Health Corps (RAHC) also has

www.mjacareers.com.au • Number 10 • 16 May 2011MJA Careers

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www.mjacareers.com.au • Number 10 • 16 May 2011MJA Careers

as someone whose role is really valued in that

community and I think it’s a real honour to be

in that position.”

Working in Aboriginal communities,

particularly in rural and remote areas, allows

doctors to use their procedural and emergency

skills. Top-notch clinical skills are also needed,

particularly relating to infectious diseases

and chronic diseases such as cardiovascular,

endocrine and renal disease.

“It’s very much a third-world health picture.

You see the infections in children and the chronic

diseases as they get older. Sadly, the clinical

experience that I get working one day a week at

the ACCHS is probably far greater than I would

get in any other general practice situation.”

In addition to clinical work, doctors who

specialise in Aboriginal health are well placed

to pursue research and policy interests.

Dr Reath says the work often makes clinicians

“acutely aware” of the impact that system

failures have on health outcomes, and the

improvements needed, such as training of

health practitioners. Recognition of these

shortcomings often provides motivation and

ideas for further research and education,

she says.

Finally, Dr Reath emphasises that Indigenous

health is relevant for all doctors, not just those

working in an ACCHS. “There are Aboriginal

people attending almost any doctor, almost

anywhere in Australia, so it’s a matter of

identifying those people and working with

them to improve their health”, she says. See

page C5 for information on making your

practice accessible for Indigenous Australians.

TrainingThe RACGP Fellowship program includes a

compulsory curriculum in Aboriginal health.

Dr Reath says the college has a long-term goal

to develop further training for doctors who

want to work in Aboriginal health.

General practice registrars with an interest

in Indigenous health can undertake an

Indigenous health training post, usually in an

ACCHS (see the General Practice Education

and Training website, www.gpet.com.au).

Several other specialist colleges, including the

Royal Australian and New Zealand College of

Obstetricians and Gynaecologists and the Royal

Australasian College of Physicians, offer training

opportunities in Aboriginal medical services.

For doctors and other health workers,

various regional training organisations offer

education and training in Aboriginal and

Torres Strait Islander health. The National

Aboriginal Community Controlled Health

Organisation website (www.naccho.org.

au) provides a list of training organisations

under its “activities” section. State-based

rural workforce agencies also offer several

continuing professional development courses

including cultural awareness training. A list of

state agencies is available on the Rural Health

Workforce Agency website (www.rhwa.org.au).

The RAHC offers online training modules

for doctors interested in remote and

Indigenous health (see www.rahc.com.au).

The RACGP has also recently launched an

online cultural awareness training program,

available at www.gplearning.com.au. Further

resources are available at www.racgp.org.

au/aboriginalhealth.

Individual ACCHSs also sometimes provide

cultural safety training programs, which

have the advantage of being relevant to the

specifi c community. If you are preparing for a

placement in an ACCHS, ask the health service

for details of any local cultural safety programs

or cultural mentors.

Sophie McNamara

continued from page C1

C3

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www.mjacareers.com.au • Number 10 • 16 May 2011MJA Careers

Dr Kali Hayward is an Indigenous Australian from the Warnman

Clan of Western Australia and a mother of four children.

She completed general practice training in 2010, and is

now working at Nunkuwarrin Yunti, the biggest community-

controlled health organisation (CCHO) in Adelaide, as well as

part-time at a private general practice. She is a board member

of the Australian Indigenous Doctors’ Association (AIDA) and

also provides cultural awareness training to GP registrars

through the Adelaide to Outback GP Training Program.

Case Study

“My history is a bit different to most medical students. I left

school when I was 16, because I was pregnant. I got married at 17,

and went back and did my Victorian Certifi cate of Education when

my son was three. I knew I wanted to further my education and

initially I thought of doing health science. I knew that I wanted to

work in health, without actually voicing

that I wanted to be a doctor.

Growing up, I had never been seen by an Aboriginal doctor so studying

medicine wasn’t part of my thinking.

When I was 24, I enrolled in a science foundation course at

Adelaide University through their Indigenous unit, Wilto Yerlo. I

met some Aboriginal medical students and we got talking. It was

then that I said, ‘I want to do this too!’ Before that I’d never had

the opportunity to tell anyone that I wanted to become a doctor.

I thought no one would take me seriously. But after meeting the

students I fi nally plucked up the courage to voice what I wanted to

do. It’s really a testament to how well role modelling works.

Medical school was a struggle at times. When I started, there

were fi ve Aboriginal medical students at Adelaide University — the

biggest number they’d ever had at one time. Of the fi ve of us, I was

the only one who graduated. Quite early on, one person told us that

we should leave our culture at the door. We thought, ‘Well how can

we do that? That’s who we are, we can’t separate that.’ Because there

were fi ve of us we had a big enough voice to make some changes.

We looked at the curriculum, and we were sick of hearing the cases

where you’ve got an Aboriginal alcoholic male patient. Aboriginal

people are varied and face a lot of different health conditions. We

thought about how the cases used in teaching could be reworded

and changed so that medical students could learn appropriately.

My advice to younger doctors would be to make sure you have

strong support around you, because it can be tough, particularly

during that fi rst year of medicine. I’m lucky enough to have an

incredibly supportive husband, and I also received a scholarship

from the South Australian Government’s Aboriginal Health

Division and one from Rotary. If people want to support Aboriginal

health one of the best things they can do is support scholarships

for Aboriginal medical students. AIDA is also a great support

— particularly the symposiums every year which are fantastic to

rejuvenate the spirit.

MJA Careers profi les interesting and important jobs and the people who do them

C4

Working as a doctor for members of my community

was always my goal. I fi nd that doing two days at

Nunkuwarrin Yunti and two days in a private practice

makes me a better doctor for my community, because

there are certain things I see in private practice that I

don’t tend to see in the CCHO.

Being Aboriginal makes a huge difference in my interactions with Aboriginal patients. Building that rapport

and trust with the community is so important, and I

think if you’re Aboriginal yourself then, really, you’re

halfway there. It’s interesting with Aboriginal patients, the

fi rst contact is often partly about sussing out the doctor,

to see if you’re trustworthy and interested and open. Then

they’ll go to the community and report back — word of

mouth is really important.

At Nunkuwarrin Yunti, I typically spend 30 to 60 minutes with each patient, which is very different from

the private practice where I’ll spend about 10 minutes.

The patients at Nunkuwarrin Yunti are really challenging

and usually have very complicated issues, but when you

get those wins, it’s a great feeling. However, my medical

training didn’t necessarily teach me how to be a social

worker, or a detective, and that’s a lot of what my role is.

We do things like sourcing housing or referring patients

to social workers or psychologists.

One particularly rewarding moment I’ve had as a GP

was with an Aboriginal elder in our community. She said,

‘I’ve never been treated by an Aboriginal doctor before,

and you make me feel really proud to be Aboriginal.’

That was really an Aha! moment, when I realised it was

all worth it. It’s about breaking down those barriers, it’s

making our people know that it’s not just the bad news

that you see on TV every night. There are good things

happening in our community that weren’t happening 40

years ago.”

As told to Sophie McNamara

I wanted to work in health, without actually voicing that I wanted to be a doctor

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C5

TREATING Aboriginal and Torres Strait

Islander patients in private practice can

be rewarding both professionally and

fi nancially — but it does require fi rm

commitment.

The fi rst step towards ensuring your

practice is accessible for Indigenous

patients is to make them feel comfortable

when they walk through the door. That

doesn’t mean making big changes to

facilities and resources — but it can mean

a change of attitude, according to two

general practitioners who have ensured

their practices are welcoming to Indigenous

patients.

The next step is to become familiar with

Indigenous-specifi c services and payments

through the Medicare Benefi ts Schedule

(MBS), Pharmaceutical Benefi ts Scheme

(PBS), and state and local government

programs.

Dr Brad Murphy, a GP in Eidsvold, a

small town more than 5 hours’ drive north

west of Brisbane, Queensland, says even

something as simple as putting up posters

directly relevant to Indigenous patients can

make a difference.

Dr Murphy, chair of the Royal Australian

College of General Practitioners’ (RACGP)

National Faculty of Aboriginal and Torres

Strait Islander Health and an Aboriginal

man from the Kamilaroi people of north-

west New South Wales, says it is also

important to have a transparent protocol in

place so patients can identify themselves as

Aboriginal and/or Torres Strait Islander.

He advises medical practices not to try to

reinvent the wheel to make their practice

more accessible,

but to use existing

expertise and

resources through

organisations such

as the RACGP

(www.racgp.org.

au/aboriginalhealth)

and the National

Aboriginal

Welcoming Indigenous patients to your private practice

Money and Practice MJA Careers looks at issues that affect the bottom line

continued on page C6

Dr Brad Murphy

THE PERSONAL REWARDSIt was an unexpected but welcome approach from local Indigenous Elders about two years ago that led Queensland general practitioner Dr Paul Johanson to make Indigenous health a major part of his practice.

He had completed a graduate diploma in rural general practice (now a fellowship in advanced rural general practice — www.racgp.org.au/fargp) with an advanced rural skills placement in Aboriginal health at a National Aboriginal Community Controlled Health Organisation health service before moving to his current practice in Brisbane’s northern suburbs — an eight-GP practice, including six part-timers, with four nurses and eight clerical staff.

The approach from the local Elders came via Queensland Health. Dr Johanson has since developed a close relationship with the Elders, which has helped to increase the number of Indigenous patients on the practice books from just 16 in 2008 to 212 at the end of March this year, with about 60% seeing Dr Johanson. Three other GPs in the practice also routinely see Indigenous patients.

Since that initial approach from the Elders, Dr Johanson now feels confi dent with Indigenous patients and is working with the Elders to develop a course to encourage more local GPs to become Indigenous friendly.

“Well meaning programs will not succeed without Indigenous community ownership

of both planning and implementation,” he says. “This requires a large shift for GPs to become responsive to consumer needs. It also requires patience with the process and keeping focused on the overall aim of improving Indigenous health.”

As with any patient group, there are pros and cons to treating Indigenous patients.

For Dr Johanson, the pros are the personal and professional rewards of providing primary care to a section of society with poor access and poor health outcomes, and seeing changes and improvements in people’s health. It also means meeting “wonderful and interesting people” and working as a team within the practice and with partner organisations for a shared purpose.

The cons include a reduced income — initially down to 76% of normal session income plus the unpaid time involved in community consultation. He is still assessing whether the new Medicare Benefi ts Schedule Practice Incentives Program Indigenous Incentive payments are making a difference to income.

Follow-up can also be a challenge with Indigenous patients, but he is developing ways to better manage this concern.

However, Dr Johanson is quick to point out that the “cons are offset by the pros”.

An article on Dr Johanson’s experience of providing better access to Indigenous patients appeared earlier this year in the Australian Family Physician (www.racgp.org.au/afp/201101/201101johanson.pdf).

Dr Paul Johanson and practice manager Marie Coleman have implemented a practice model that ensures the Majellan Medical Centre in the Brisbane suburb of Scarborough is Indigenous friendly.

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C6

www.mjacareers.com.au • Number 10 • 16 May 2011MJA Careers

Community Controlled Health

Organisation (www.naccho.org.au).

Dr Paul Johanson, a GP in the Brisbane

suburb of Scarborough, recommends

making a connection with the Indigenous

people in the local community. He is

in monthly contact with Elders in his

area, with support from Queensland

Health (www.health.qld.gov.au/health_

professionals/indigenous). He also

emphasises the importance of cultural

awareness training for doctors and their

staff.

Dr Johanson says he believes few doctors

actively encourage Indigenous patients

due to myths about Indigenous health,

including that it is only a problem for

remote communities.

“The majority of Aboriginal and Torres

Strait Islander Australians live in cities or

major regional centres,” he says. This means

it is likely most GPs are in areas with an

under-serviced Indigenous population.

Dr Murphy agrees that if GPs in

particular made their practices more

Indigenous friendly, it would make health

services available to Indigenous people in a

sustainable way.

“And for the fi rst time in the history

of health funding, there are now real

incentives for sustainable improvements

in health care outcomes”, Dr Murphy says,

referring to additional funding including

items added to the MBS for Indigenous

health such as health checks, allied health

referrals and audiology access.

But to attract Indigenous patients,

practices must be prepared to bulk bill.

Both Dr Murphy and Dr Johanson say bulk-

billing is essential, particularly in specialist

practices. Dr Johanson refers almost all

his Indigenous patients to public hospital

services as no specialists in his area bulk

bill.

The lack of access to specialists is an

important issue in Indigenous health and

Dr Murphy wants specialist colleges to

do more to highlight the benefi ts of being

involved in caring for Aboriginal and Torres

Strait Islander patients.

“A lot of the outreach clinic work

is currently done by older and greatly

experienced practitioners nearing the end

of their careers, and we need to encourage

more younger doctors to get involved.”

Dr Murphy urges GPs to negotiate with

specialists in their area to be available to

Indigenous patients by bulk-billing, and

to make their practice more Indigenous

friendly.

“This is a challenge when these services

are already oversubscribed and specialists

are working long hours as it is, and often

working between the public and private

clinics.”

Although both GPs admit that treating

Indigenous patients has unique challenges,

they agree that through cultural training,

knowledge of the MBS and PBS, and a mix

and match of available services, private

practices can be made more Indigenous

friendly.

The bonus for doctors is the personal

and professional satisfaction of making a

contribution towards closing the gap on

Indigenous health disadvantage.

“The Indigenous health gap is a product

of our society, which has otherwise

produced one of the healthiest nations

in the world. As primary care providers

we are responsible for working with the

Indigenous community to reduce this gap,”

Dr Johanson says.

Kath Ryan

continued from page C5

USING MEDICAREWith additional funding to treat Indigenous patients, comes the need to make sure Medicare services are billed appropriately, the Royal Australian College of General Practitioners’ (RACGP’s) Dr Brad Murphy says.

“No one teaches us the business of Medicare,” he says, which is why he is keen to develop postgraduate qualifi cations for Indigenous health that include details on making it sustainable in private practice.

The RACGP’s National Faculty of Aboriginal and Torres Strait Islander Health is developing the postgraduate course that will give general practitioners seeing Indigenous patients confi dence that they are billing Medicare appropriately, while working towards the better health outcomes desired by all.

“Nobody wants to be ripping off Medicare. We need to claim correctly and feel safe that the information provided is right,” Dr Murphy says.

Even Medicare has challenges in interpreting aspects of the new item numbers relating to Indigenous health. Dr Murphy says if a doctor were to ring Medicare three times with the same query, he or she was likely to receive three different responses, making this an additional barrier for private general practices.

Another important issue to be

included in the course is correctly identifying Indigenous patients when making Medicare claims.

“Someone needs to write the model, ticked off by Medicare, so practices can maximise opportunities for better outcomes for Indigenous patients, without compromising the practice’s bottom line. Otherwise it becomes a disincentive and a further barrier to providing better health outcomes,” Dr Murphy says.

One of the major additions to the Medicare Benefi ts Schedule was the Practice Incentive Program’s Indigenous Health Incentive, introduced last year. It aims to support general practices and Indigenous health services to provide better health care as a key part of the Australian Government’s Closing the Gap strategy to reduce Indigenous disadvantage. The guidelines are available under the “For health professionals” tab on the Medicare Australia website (www.medicareaustralia.gov.au).

Queensland GP Dr Paul Johanson also advises doctors to become familiar with additional Pharmaceutical Benefi ts Scheme (PBS) items, including the Closing the Gap — PBS Co-payment Measure (www.medicareaustralia.gov.au/provider/pbs/pharmacists/closing-the-gap.jsp), to help Indigenous patients properly access health services.

As primary care providers we

are responsible for working with the Indigenous community to

reduce this gapDr Paul Johanson

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C7

MJA Careers

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MJA Careers

C8

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MJA Careers

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Intensive Care Unit, Mackay Base Hospital,Mackay Health Service District.Remuneration value up to $419 788 p.a., comprising salary between$141 819 - $179 807 p.a., employer contribution to superannuation(up to 12.75%), annual leave loading (17.5%), private use of fully maintained vehicle, communications package, professional development allowance, professional development leave 3.6 weeks p.a., professional indemnity cover, locality allowance, clinical manager’s allowance, private practice arrangements plus employer provided accommodation, overtime and on-call allowances and an additional relocation expense reimbursement up to $10,000 - conditions apply. (L18-L27) (Applications remain current and will be considered for up to 12 months.) JAR: H11MK0476.

Duties/Abilities: Provide high quality clinical services as part of the Intensive Care Unit. Impart education relating to Intensive Care medicine to medical staff and students, allied health professionals, interested community groups and nursing staff. Actively participate in patient safety, audit, research and service planning activities.

Intensive Care Unit, Mackay Base Hospital,Mackay Health Service District.Remuneration value up to $395 098 p.a., comprising salary between$169 593 - $179 807 p.a. (L25-L27) or Remuneration value up to$364 846 p.a., comprising salary between $141 819 - $164 728 p.a. (L18-L24), employer contribution to superannuation (up to 12.75%), annual leave loading (17.5%), private use of fully maintained vehicle, communications package, professional development allowance, professional development leave 3.6 weeks p.a., professional indemnity cover, locality allowance, private practice arrangements plus employer provided accommodation, overtime and on-call allowances. (Applications remain current and will be considered for up to 12 months.) JAR: H11MK03580.

Duties/Abilities: Provide expert clinical services for the Intensive Care Unit within the Clinical Services Capability Framework for the facility, and within the Clinical Privileges formally granted to the Staff Specialist. Foster the promotion of standards of excellence in the provision of clinical and public health services. Provide expert consultancy/advisory services as required to both internal and external agencies that are relevant to the health industry. Provide support for parenteral nutrition, medical emergency, retrieval and central venous access services.

Enquiries: Dr Todd Fraser (07) 4885 6688.

Application Kit: (07) 4965 9468 or www.health.qld.gov.au/workforus

Closing Date: Monday, 6 June 2011.

A Criminal History Check may be conducted on the recommended person for the job.

SPECIALIST APPOINTMENTS

A well established and technologically advanced private cardiology clinic situated in the Newcastle area, just 1.5 hours from Sydney, requires a full or part time locum. This clinic is supported by both a comprehensive non-invasive and an invasive laboratory, as well as on-site hospital and coronary care.

The position involves consultations with or without an invasive component. FRACP essential.

Commencement date and remuneration negotiable. Accommodation provided in the short term.

For more information please contact:Dr Geoffrey Oldfield on (02) 4902 5125or email CV to [email protected]

CARDIOLOGISTLocum with or without a view

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UNIVERSITY APPOINTMENTS

Chair In Cardiology (REF: 3503)

ROYAL PERTH HOSPITAL

SCHOOL OF MEDICINE AND PHARMACOLOGY

Applications are invited for appointment to the position of Chair in Cardiology at the School of Medicine and Pharmacology at The University of

Western Australia, and the Department of Cardiology at Royal Perth Hospital. The position provides a challenging opportunity for a suitably qualified

person who has a record in leadership in an area of clinical cardiology and research.

Applicants must hold appropriate higher qualifications and be registered or eligible for registration in Western Australia. The appointee will take a

full range of academic responsibilities for undergraduate and postgraduate teaching, supervision, research and clinical responsibilities in an area of

cardiovascular medicine.

The appointment will be fixed-term for five years in the first instance with the possibility for further periods and includes limited rights of private

practice or election to a private practice allowance. The appointee will be offered an attractive remuneration package that includes professorial and

hospital salaries and a clinical loading. Benefits will also include eligibility for sabbatical leave and generous leave provisions, superannuation and

relocation assistance (if applicable) for the appointee and dependants.

For information regarding the position contact Professor Grant Waterer, Head of Royal Perth Hospital Unit, School of Medicine and Pharmacology,

on (08) 9224 0245 or email [email protected]. Alternatively contact Dr James Rankin, Head, Department of Cardiology, Royal Perth Hospital

on (08) 9224 2067 or email [email protected].

Closing date: Friday, 1 July 2011

The Information for Candidates brochure contains details to

lodge your application may be found via a link at http://jobs.uwa.edu.au/

or at https://www.his.admin.uwa.edu.au/Advertising/3503CandidateInformation.pdf

or by contacting Ms Jane Downie, Human Resources, email [email protected]

WH

00626

Committed to recruiting, developing and retaining the highest quality staff jobs.uwa.edu.au

Join a leading Australian university achieving international excellence

Page 11: NUMBER 10 • 16 MAY 2011 MJACareers · agencies such as the state-based rural health workforce agencies (see for a list of agencies). The Remote Area Health Corps (RAHC) also has

www.mjacareers.com.au • Number 10 • 16 May 2011MJA Careers

MEDICAL OFFICER 4 (MO4)(Non-ongoing Position)

! ! !! ! ! !!! N ! ! ! ! !!!! ! ! !! ! !! ! ! ! ! !!! o             

             ng              -                  s s        nn     tion(in        s         o    ing in  i   o  o    ti      n      in g on-       n   i s       n   nt  on        ifi    tions)

These salary rates are likely to change from 1 July 2011 depending on the outcome of the Enterprise Agreement negotiations.

Applications are invited for the non-ongoing position of Medical Offi cer 4 at the Australian Embassy in East Timor, Dili. This

position will be offered for an initial period of 18 months with a possible extension for a further 18 months, to a maximum

of three years. The successful applicant will provide primary medical care and treatment for the staff and families of the

Australian Embassy and other patients who have access to the clinic. You will advise the Ambassador and, if required, the

Principal Medical Offi cer in Canberra on all health matters.

The successful applicant will be offered a comprehensive overseas service package including accommodation and utilities,

removal expenses, education and reunion provisions for dependents, medical cover while overseas, overseas allowance,

hardship allowance, mid-term leave fare and at least four weeks annual leave plus additional hardship leave. The department

supports Continuing Medical Education (CME), including paid leave and fi nancial support for CME activities.

Certifi ed copies of tertiary qualifi cations and other appropriate documentation must be presented on request.

This process may also be used for a possible future vacancy in Port Moresby as Medical Offi cer 4.

    osing    t   o         i   tions is                    on t   t     fi       Dr Mathew Klein Ph 02 6261 3317

 o            n   No  Ref. 485

        tio n     it   i       t    t  t      nt are available at:             t g o         o s       i   tions     st    s     itt   on in     t              t g o         o s

Should you have any diffi culties lodging your application, please contact Candle ICT on 02-6260 7533.

One APS Career ... Thousands of Opportunities

        i   nts     st         st     i n  i ti   ns to        ig i        o   ng  g      nt          o    nt   i t          is       n   nt on   n        o     g  in ing        i  s       it           n       oss o    s        it           n    t   n  ti      i         to t     in  ti on o         o    nt  

FURTHER INFORMATIONIS AVAILABLE ATWWW.DFAT.GOV.AU/JOBS

AG44461

OVERSEAS APPOINTMENTS

NEW ZEALAND MEDICAL PLACEMENTS RMOs, Consultants and GPs Auckland Medical Bureau

nationwide

Contact Fran or Alison: PH (0064) 9 377 5903 FAX (0064) 9 377 5902Email: [email protected] www.doctorjobs.co.nz

Auckland is a big city with big opportunities for doctors like you. If you’re a 2nd, 3rd or 4th year HO looking to gain exceptional experience or if you are a Registrar on a dedicated vocational pathway, take a look at what Auckland has to offer you – as a professional, and as a person.Applying: For 2011/12 positions you will need to complete the online application via www.aucklanddoctors.co.nzTo assess whether you are eligible to work and gain NZ Medical Council Registration within New Zealand please visit www.immigration.govt.nz and www.mcnz.org.nz

Looking for a big opportunity in a big city, with a big emphasis on lifestyle?Junior House Offi cers and Registrars

Visit www.aucklanddoctors.co.nz for more info.

C11

Page 12: NUMBER 10 • 16 MAY 2011 MJACareers · agencies such as the state-based rural health workforce agencies (see for a list of agencies). The Remote Area Health Corps (RAHC) also has

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Sir Richard Stawell Memorial PrizeInquiries:Ms Jane StephensCEO AMA Victoria Ltd

telephone: (03) 9280 8736

email:[email protected]

The Medical Society of Victoria Inc. as trustee of the Sir Richard Stawell Memorial Fund, is pleased to announce arrangements for the award of the Sir Richard Stawell Memorial Prize.

This prize, which commemorates Sir Richard Rawdon Stawell (1864-1935), graduate of the University of Melbourne, eminent physician and educator, will be awarded for an article published in the Medical Journal

of Australia in 2011, which is on a medical subject of clinical significance. The amount of the prize will be $2,000.

The prize will be announced at the first meeting in 2012 of the State Council of the Medical

Society of Victoria Inc (also the Council of AMA Victoria Ltd), and the prize winner will be asked to address the Council at the Special Council Meeting of the Society, to be held in May.

The winner of the prize for 2010 is:

Kathryn L Hackman Claudia GagnonRoisin K Briscoe Simon LamMahesan Anpalahan Peter R Ebeling

Efficacy and safety of oral continuous low-dose versus short-term high-dose vitamin D: a prospective randomised trial conducted in a clinical setting. Medical Journal of Australia, 2010; 192 (12): 686-689.

Highly commended is:

Alexander B Willson David Mountain

Joanne M Jeffers Cheryl G Blanton

Brendan M McQuillan Joseph Hung

Michael H Muhlmann Michael C Nguyen

Door-to-balloon times are reduced in ST-elevation myocardial infarction by emergency physician activation of the cardiac catheterisation laboratory and immediate patient transfer.Medical Journal of Australia, 2010; 193 (4): 207-212.

ANNOUNCEMENTS

EXECUTIVE APPOINTMENTS

Worldwide reachHuman touch

MEDICAL DIRECTORRemote Assistance and Air Ambulance – Australasia

The Medical Director Remote Assistance and Air Ambulance (MDRAAA) Australasia will be responsible for and provide clear collaborative leadership in the delivery of a professional and effective platform for remote medical assistance and aero medical transport services for clients of International SOS.

This includes but is not limited to a number of diverse elements:tform for alternate International SOS alarm

Directors to operations coordinators.

Bla

ze14

6995

Page 13: NUMBER 10 • 16 MAY 2011 MJACareers · agencies such as the state-based rural health workforce agencies (see for a list of agencies). The Remote Area Health Corps (RAHC) also has

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RESEARCH, GRANTS & FUNDING

Part-time Doctor required for Student Health ServicesIn Melbourne’s south eastern suburbs

2 morning sessions per week (Monday & Wednesday)Please apply to Practice Principle: [email protected]

Or Fax: (03) 98855293

General Practitioner (GP) / Medical DoctorPerth Based

( )( )

(Ref :MEDGP 0587)

Medical CentreGreat location, 15 minutes North of Perth CBD, Western Australia

EMA Group is currently seeking General Practitioners / Medical Doctors for private medical centre in the Northern suburb of Perth,close to the CBD.

The practice offerBulk BillingSupportive and friendly environmentHas excellent support staff and new facilitiesThe terms and remuneration are open to negotiation and are morethan generous.Our Client is looking for Doctors to ideally fulfill full-time capacity,but sectional or locum blocks are available to fulfill your role as a GP at the practice, to provide quality high care, primary health servicesto individuals. You will be provided with your own fully equipped consulting roomwith all the necessary support staff.

Required QualificationsYou must hold a current full registration as a doctor in AustraliaExperienced in General Practice Experience in remote tropical environments desirable but not essentialStrong team focus

If you consider this opportunity worth pursuing and would like toexplore the option of changing your current location of work and discuss our available General Practice (GP) positions, please apply in the strictest of confidence to David Rosenheim on +61 8 94405199 or email for further information in the strictest confidence.

APPLY OR ENQUIRE TODAYOR CONTACT US FOR MORE INFORMATION.

EMA GroupTelephone : (08) 9440 5199

Fax : (08) 9440 5155Mobile : 0424 933 177

Email : [email protected]

GP OPPORTUNITIES

RESEARCH GRANTS AVAILABLE

INVESTIGATING

MENTAL HEALTH OF YOUNG AUSTRALIANS

Australian Rotary Health invites applications from individuals or research teams in clinical or public health fields for grants

in support of research projects.

Closing date is Friday 12th August 2011

This offer is the only funding available for Mental Health research grantsfor 2012. The traditional research project grants, PhD Scholarships and

Post-Doctoral Fellowships are not available this year.Applications are sought from all States and Territories of Australia.

Guidelines and applications are available from Australian Rotary Health or can be downloaded from our website

www.australianrotaryhealth.org.au

Contact Kelly Anne Martinez at Australian Rotary Healthfor more details on 02 8837 1900

MEDICAL EQUIPMENT

gpkitthe essential

all-in-oneemergency kit

for medicalpractitioners

®

Visit gpkit.com.au or call 02 8911 4818 for more information

Page 14: NUMBER 10 • 16 MAY 2011 MJACareers · agencies such as the state-based rural health workforce agencies (see for a list of agencies). The Remote Area Health Corps (RAHC) also has

MJA Marketplace

MEDICAL EQUIPMENT

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Our CT200C USB Based ECG UnitWith Interpretation, Plain A4 paper pront or report exporting to your Patient Management system.

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stated otherwise.Only $9.90 delivery fee across Australia.

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REAL ESTATE

HOLIDAYS / LIFESTYLE

HOLIDAY LETTINGLuxury, deep-water with jetty,

3-4 br home at Mooloolaba, fewminutes’ walk from surf and esplanade, for holiday letting.

Visit www.culbaramooloolaba.com for further information.

Shop 14, 90 Surf Pde, Broadbeach. Qld 4218www.conduitagencies.com

conduit agencies

Ross Lukin 0419 555 [email protected]

782m2 + 82m2 Beachfront PenthouseIRREPLACEABLE

Present Your Offer Today

MUST BE SEEN!

THE ELYSEE Penthouse - Don't miss your opportunity to secure this rare commodity - lifestyle, space, privacy, comfort.

5 Bedrooms 4 Bathrooms 4 Lockup Car SpacesResidential Only BuildingNorthern AspectPrivate 18m roof top lap pool2nd Kitchen/ Bar withexpansive beach viewsLock up Garage plus storageSmart WiringLow Body Corp - $165pw (approx)

FOR SALE – HOUSE/CLINIC AT ROUSE HILL, NSW!!!

On offer is a lovely two storey four bedroom home with councilapproval for a surgery to be operated from the property. The home features four large bedrooms, main with ensuite and walk in robe,formal lounge and dining, family room, large kitchen with gas appliances. The Clinic has two separate rooms both with ducted air conditioning and floating timber floor boards all with council approval. The current owner is running a Reflexology and Remedial Massage Clinic with over 1,100 clients. To view photos online please visit: www.realestate.com.au ID NO. 107353359.

Contact Fayez Tadros on 0412 470 000 or 02 9629 2333for an inspection today!

SERVICES

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MJABookClub

May MJA BookClub: SurgeryPurchase any of our Surgery titles during May and you will receive a FREE ENTRY into our draw to win a

copy of either Atlas of Minimally Invasive Surgery OR Surgical Pitfalls: Prevention and Management

http://shop.mja.com.au

To ORDER, or for further information, contact Julie Chappell at the MJA BookClub: MJA BookClub ABN 20 000 005 854 Locked Bag 3030, Strawberry Hills NSW 2012

Please send ........ copy(ies) of @ $236.50*

and ........ copy(ies) of @ $270.00*

and ........ copy(ies) of @ $74.00*

and ........ copy(ies) of @ $124.00*

and ........ copy(ies) of @ $158.60*

and ........ copy(ies) of @ $284.00*

*Prices include GST. *Prices subject to change without notice. *E&OE. Offer available only while stocks last. *Plus Postage and Handling, $7.65 Australia (Overseas $9.95) for the first item and $3.50 for each additional item.

2nd Ed

This book offers clear and well presented guidance on basic surgical skills, with ample line drawings and tables providing essential visual assistance. An ideal text for those new to basic surgery or any practitioner wishing to clarify correct techniques and which materials and tools are appropriate for each surgical situation.

This text will help you put the latest medical and cosmetic surgical procedures to work in your practice. Taking a surgeon’s-eye view, it discusses and illustrates new procedures such as botulinum toxin treatments and tumescent facelifts so you can provide effective, cutting-edge care.

Procedures,Completely updated, and now in full colour, this practical reference is a comprehensive guide to the anaesthetic and perioperative management of patients during all procedures performed by general and subspecialist surgeons. Each procedure is explained from both the surgeon’s and the anaesthesiologist’s perspective.

To: Dr/Mr/Ms: .............................................................................................................................................................................

Address: ....................................................................................................................................................................................

......................................................................................................................................................Postcode: ...........................

Ph: (Bus) .................................................................................... Fax: ......................................................................................

Email: ................................................................. .............................. .......................................................................................Please charge my Credit Card: MasterCard Diners Amex Visa AMA Member/Student

Account No: .................................................................................................................... .........................................................

Expiry Date: .........../.......... Name: ................................................................................. .......................................................

Signature: ....................................................................................................................... .........................................................

MJA BookClub BOOK OF THE MONTH

This is the essential textbook for those seeking to understand the structure and function of the musculoskeletal system, its diseases and its response to trauma. A thoroughly modern textbook of orthopaedic surgery, bringing complementary expertise while retaining the book’s characteristic philosophy and approach. The work is divided into three sections: General Orthopaedics, Regional Orthopaedics and Fractures and Joint Injuries.

This text provides a solid grounding in basic science, anatomy, and operative techniques so critical to the education and success of any surgeon. Offering the most modern and complete approach to surgery and written by the world’s foremost academics and practitioners, this is a necessary resource for surgical education and a cornerstone of any clinical practice.

2nd Rev EdThis text discusses common problems encountered in the clinical practice of surgery and how to solve them. The approach of the text is to encourage diagnostic economy, by developing skills in pattern recognition, and an appreciation of the natural history and prognosis of individual problems and their causative diseases.

Purchase any book featured on this page or from our full list of surgery titles featured on the MJA BookShop site (http://shop.mja.com.au) and you automatically enter our free draw to win a copy of either Atlas of

(RRP $332.00)or

(RRP $205.00).

Specialprices for May only!