Royal Prince Alfred Hospital
HPB and Transplant at RPAH:
Royal Prince Alfred Hospital is a Tertiary referral Hospital associated with the University of Sydney. Fellows predominantly work in the Department of Upper GIT surgery with five specialist surgeons. There is a predominantly HPB focus to the Department with four of five surgeons performing hepatic surgery, and all performing pancreatic and biliary surgery. There are operating lists running every weekday (9.5 sessions per week). The unit also partakes in the general surgery and trauma roster. Apart from the HPB Fellow, there is currently a SET trainee, a surgical senior resident and three interns covering the service. Two surgeons perform ERCP, making it one of the few centres able to provide ERCP training to surgeons. There is a large workload of advanced HPB surgery, utilising the more aggressive approaches to oncological clearance including; vascular reconstruction, portal vein embolisation, 2-stage hepatectomies and isolated hypothermic liver perfusion. Three out of 12 months are spent working as the transplant surgery fellow, with exposure to Liver and kidney transplantation and donor surgery. There are good opportunities for clinical research, and fellows can participate in the Master of Surgery offered through the University of Sydney. The fellow position at RPAH is ideally suited to a second year fellow, who is already proficient in routine resections and management of gallstone disease, so that they can fully benefit from exposure to advanced techniques.