Trainee Positions At Waikato

Waikato
Private Bag 3200
Hamilton
NZ, 3240
New Zealand

Contact Details

Dr Christopher Lynch
christopher.lynch@waikatodhb.health.nz
Phone : (+64) 21549778
www :

Positions

Training Positions : 2
Elective Training Positions :
Fellowships :

Core Position Descriptions
The Neurology Advanced Training position is one of two clinical neurology registrar positions in the department. The two registrars alternate through 13-week attachments to either the Neurology In-patient Service or the Clinic & Out-patient Service. The "In-Patient" registrar works under the supervision of the "In-Patient Service" Consultant and attends to day-to-day management of neurology in-patients and in-patient consults, with the assistance of the house surgeon. The "Out-Patient/ Clinic" registrar is directly supervised by the other clinic consultants and carries out approximately 6 outpatient clinics per week. They also take GP calls and support the house surgeon in the lumbar puncture clinic.
The acute stroke thrombolysis service is also run by the neurology inpatient team during normal work hours and after hours by the on call neurologist assisted by the on call medical registrar.
The registrar will participate with the consultants in a roster of regular educational programme commitments, including a weekly journal club, and weekly neurology/neurosurgery clinical presentation meeting & tutorial. Other regular educational meetings include a weekly neuroradiology review meeting, weekly patient management review meeting.
The advanced trainee registrar will be freed from routine clinical duties to attend a weekly neurophysiology clinic and will have the opportunity to perform NCS/EMG and report EEG under appropriate supervision.

Subspecialty clinics that are available for the trainee to attend include: TIA/cerebrovascular, Botox, Parkinsons, Motor Neurone disease and MS.

Elective Position Descriptions

Hospital Information

Waikato is a 600 bed regional tertiary hospital. It offers a comprehgensive range of medical and surgical specialties, including Neurosurgery. Neurology and Neurosurgery share office and outpatient facilities, which results in excellent synergy. Waikato Hospital is affiliated with Aucklnd medical school and the neurology service is involved in teaching 4th & 5th year medical students and Trainee Interns.
Waikato Hospital has a dedicated Stroke Unit with all stroke patients initially housed in the acute stroke unit. Neurology runs the acute stroke thrombolysis service and other stroke patients are usually admitted under general medicine.
The neurology department has video-EEG and EMG/NCS equipment and technical staff. The hospital has an on-site 2x3T MRI and 2x64-slice CT with capabilities including CTA, CT perfusion and 3-plane volumetric CT reconstructions. Timely Carotid Duplex ultrasound is available for both in and out patients. There are 2 interventional neuroradiologists and 3 clinical neuroradiologists. There is a close relationship with the vascular surgery service who provide a Carotid Endarterectomy service. The cardiology department provides a transcatheter PFO closure service for appropriate patients.

Department Beds :
Use depends on need

Department Clinics
Outpatient clinics form a significant part of our work and at any given time up to 6 clinics are running

Department Specialty Clinics
Botox, Parkinsons, MS, Stroke, EEG, EMG

Department Meetings
Neuroradiology review - weekly
Journal club - weekly
Neurology/neurosurgery clinical meeting - weekly
Case management review - weekly

Department Staff
5 Consultants: Drs Asztely, Lynch, Schepel, Phillips & Wright.
2.5 Registrars
1 House officer
2 Nurse Specialists
1 Nurse
1 Research Nurse
2 Neurophysiology technicians

Junior Staff Positions In Neurology
2 Neurology advanced trainees 0.5 Rotating registrar 1 Neurology House-officer

Trainee Responsibilities
GP calls, ED referrals, Ward consults, Ward patient management, Supervision of house surgeon, Consultant ward rounds, General and subspecialty clinics.

Active participation in departmental educational activities.
Clinical teaching sessions for medical students.
Release arranged for Regular neurophysiology clinics.

Selection Criteria
Trainees will be expected to have passed the FRACP written and clinical examinations.

We are looking for energetic trainees who have a dilligent approach to patient care and enthusiasm for learning.
Excellent communication, interpersonal skills and integrity are also essential.

Philosophy Of Training
Our trainees are highly valued, and we aim to support them in this part of the journey to becoming excellent consultant neurologists and colleagues. Case based learning and experiential learning are key components of the training we provide. Traineess are expected to take an active part in clinical case presentations and literature review sessions. Trainees are encouraged to formulate their own provisional diagnosis, investigation and management plans for presentation to their consultant and to follow-up on learning needs identified by these interactions. The advanced training supervisor will assist the trainee to maximise their clinical experience during their appointment, including assistance with the design of rotations through subspecialty clinics. Participation in the monthly ANZAN brain school programme is expected and will add structure to the training. The trainee will be expected to sit the American Academy of Neurology Residency In Training Examination (RITE) to provide themselves with an objective academic appraisal of progress against international standards.

Neurology Training In State
The trainee will be expected to present at the Neurological Association of NZ annual scientific meeting. They will be encouraged to attend the ANZAN annual scientific meeting, the ANZAN EEG course and the Julius Brendel Trust annual Neurology meeting (held in Auckland).

Other Information
Hamilton not only offers the trainee an excellent clinical and academic experience but also an enviable lifestyle. The 'small city' size and central geography offers a relaxed family-friendly living environment with affordable housing and easy transportation. The city is within easy driving distance of ski fields, water sports, hiking and a multitude of other recreational activites.