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Monash Medical Centre: Department of upper gi and hpb surgery

Monash Medical Centre

Overview:

Monash is a tertiary referral and university-affiliated teaching hospital with 640 beds located in Clayton, in South Eastern Melbourne. The unit consists of 3 streams- HPB service, OG service and Acute Surgical service. The unit per-forms a range of complex hepatobiliary, pancreatic and oesophago-gastric surgery for benign and malignant disease. Advanced laparoscopic surgery including hepatic, pancreatic, gastric and oesophageal resections, fundoplications, hernia repair and bariatric surgery are also performed.

Number of Fellows: 1/year. 12 month position.

Minimum requirements: FRACS or equivalent. Post accredited by ANZHPBA for post-fellowship training in HPB Surgery.

Team Structure: There are 12 supervising consultants.

  • HPB- Roger Berry, Kaye Bowers, Dan Croagh, Mark Cullinan, Dean Spilias
  • UGI- Paul Cashin, Arun Dhir, Zdenek Dubrava, Jane Ghadiri, John Gribben, Liang Low, Niyaz Nyqash

There is one registrar and 2 interns on each of the HPB and UGI streams and 3 registrars, 1 resident and 2 interns on the Acute Surgical service.

The unit is supported by a surgical liaison nurse, quality improvement and data manager and cancer care nurse.

Unit Activity: The unit is very busy providing both elective and acute surgical inpatient services plus outpatient services. There are 8-9 UGI/HPB theatre lists per week plus a dedicated afternoon ASU Operating Theatre 6 days a week. The fellow also regularly assists with HPB surgical procedures in the private sector.

On-call: The fellow participates in the consultant on call roster covering 1 weekday per week and 1:7 weekends.

Operative case-load: Over the 12 month attachment the expected caseload would be

  • Pancreatic resections- 30
  • Liver resections- 50
  • Complex biliary procedures- 20

Endoscopy: Training in endoscopy including ERCP and EUS is potentially available. The Fellow should be accred-ited in upper gastrointestinal endoscopy by the Conjoint Committee of the RACS and GESA prior to obtain-ing hands-on ERCP training. Approximate case-load per year performed by surgical endoscopists is

  • ERCP 150
  • EUS 250

Teaching: Key teaching activities include a weekly multidisciplinary cancer meeting, weekly clinical meeting, fort-nightly HPB radiology meeting, weekly gastroenterology meeting and monthly journal club.

Research: Extensive research opportunities exist in both clinical and basic sciences. There are also opportunities at the completion of the fellowship year for research leading to higher degrees for those with an interest.

Training not offered: No transplant experience.

Further information contact: Mr Roger Berry ph (03) 85730001 email roger.berry@surgicalconsulting.com.au

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