Royal Adelaide Hospital

Location: North Terrace, Adelaide, SA

The Royal Adelaide Hospital (RAH) is South Australia's largest accredited teaching hospital, providing the people of South Australia (and nearby states and territories) with outstanding medical care and rehabilitation.

Since it was founded in 1840, the RAH has built an international reputation as one of Australia's finest public teaching hospitals. The hospital offers basic training positions in internal medicine, surgery and general practice, as well as advanced training in a range of specialty areas. Our staff are also actively involved in cutting edge research, making the RAH a center for both medical and research excellence.

Supervisor:

Dr Christine Russell FRACS
E: christine.russell@sa.gov.au
T: 08 8222 4000

Transplant Post:

1 x Renal Post

Organ Details:

Renal transplants and islet transplants as part of a nationwide clinical trial.

Opportunities on the Unit:

This is a busy, well supervised unit with a good scope of surgery, including living donor and deceased donor renal transplantation, deceased and living donor procurement procedures and vascular and peritoneal access surgery. There is good access to patients undergoing assessment prior to listing for transplantation and in the early post-transplant period.

The unit is a state-wide renal transplant service operating predominantly out of the Royal Adelaide Hospital, with up to 3 paediatric transplants performed at the Women’s and Children’s Hospital annually. The unit has three surgeons, one of whom is currently being supervised with a view to obtaining the FRACS.

This is a busy unit which performed 89 renal transplants in 2015, including 16 living donor transplants. The unit also performs vascular and peritoneal access surgery and some general surgery for renal patients. There is an all-day list once a week for access work and living donor transplants. The Fellow also attends deceased donor procurement procedures, including multi-organ donors.

The Fellow attends a regular pretransplant assessment clinic and an early (up to 3 months) post-transplant clinic, with contact with the nephrologists and the opportunity to learn about immunosuppression. There are daily transplant meetings. There is a weekly vascular access clinic also. The post is well supervised. The Fellow has good access to cases. The junior staff comprise the Fellow and a SET 2 registrar.

Transplant and donor numbers per year:

Summary of General Surgery Trainee Logbooks 2012 - 2014:

 

Surgeon Mentor Scrubbed

Surgeon Mentor in Theatre

Surgeon Mentor Available

Assisting Surgeon Mentor

Assisting Senior Registrar

Total

Access Surgery for Haemo-Dialysis (excluding percutaneous access)

20

0

0

25

0

45

Access Surgery for Peritoneal Dialysis

9

0

1

5

6

21

Kidney Transplant

10

0

0

9

0

19

Laparoscopic Kidney Donation

0

0

0

2

0

2

Liver Transplant

0

0

0

0

0

0

Multi-organ Procurement from deceased donor

0

0

0

5

0

5

Open Donor Nephrectomy

0

0

0

0

0

0

Pancreas Transplant

0

0

0

0

0

0

Transplant nephrectomy

4

1

0

0

5

10

TOTAL

43

1

1

46

11

102

 
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