North Shore Hospital (NZ)
Unit Timetable: Two full day operating lists per week (Monday and Tuesday); one Multidisciplinary clinic (Wednesday); one full day for research available (Thursday); 2 MDMs per week (Wednesday and Friday mornings (7.30-8.30am), journal club, audit and teaching (Friday morning).
On-call: Fellows particulate in general surgical on call roster at a consultant level with other 3 fellows 1:4 Fridays. Patients admitted under fellow, full access to dedicated acute theatre provided as well as registrar and house surgeon support. Fellow has back up of consultant on weekend call. Fellow sees all in hospital upper GI and HPB consults.
Team structure: One fellow, two registrars – 1 Senior (SET 5) and one junior (SET 1). 2 house surgeons, 1 clinical nurse specialist, 1 research nurse.
Operative case-load in 12 months:
- 250 major cases (80% as primary operator or supervisor)
- Liver resections: 50
- Pancreatic operations: 40
- Pancreaticoduodenectomy: 15
- Distal pancreatectomy: 10
- Complex biliary cases: 15
- Oesopahagectomy: 10
- Gastrectomy: 20
- Cholecystectomy: 70-100
The unit has an increasing focus on laparoscopic and minimally invasive resections for conditions of the liver, pancreas and upper gastrointestinal tract.
Endoscopy: Potential for training in advanced upper GI endoscopy including EUS, EMR and ERCP.
Research: The unit is actively engaged in clinical research including outcome research, biobanking and clinical trials. All fellows are encouraged to complete at least one research project during the attachment.
Employment arrangement: Employed by Waitemata District Health Board as 1 year full-time employee including paid recreational and professional development leave.
Auckland: Auckland is a city of 1.5 million people and North Shore Hospital is located in the northern part of the city. The hospital has 650 in-patient beds, 14 operating theatres, an emergency department, a 50 bed Assesment and Diagnostic Uniit, Intensive Care and High Dependency Units, an Elective Surgery Centre, Coronary care, maternity and special care baby unit as well as full endoscopy and radiology (both diagnostic and interventional) services. The hospital catchment is currently 597,500 making it the largest single catchment in New Zealand.
The north shore of Auckland is a safe, family friendly place to live with sophisticated urban areas, beautiful beaches and pleasant rural get-aways close by.
The aim of the Upper Gastrointestinal Unit is to provide excellent training in a great environment for first year fellows to help make the transition from fellow to surgical consultant.
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