Westmead Hospital

Location: Cnr Hawkesbury Road and Darcy Road, WESTMEAD NSW 2145

General hospital overview

Network or Health Service: Western Sydney Local Health District
State/Region: NSW
Country: Australia

Supervisor

Associate Professor Jeremy Hsu
Trauma Service, Westmead Hospital
Hawkesbury Rd, Westmead NSW 2111
PH:  61 2 8890 7072
Fax: 61 2 8890 8321
Email: jeremy.hsu@sydney.edu.au

Trauma Post:

2 - Accredited Posts

Trauma Stream

General Surgery

Opportunities on the Unit:

Logbook for Trauma Fellows 2018 (primary operator):
Percutaneous tracheostomy: 3
PEG insertion: 5
Neck explorations: 12
Thoracotomy, ORIF ribs: 22
Subxiphoid window: 3
Sternotomy for cardiac injury: 4
Thoracotomy and lung repair/resection: 3
VATS (retained haemothorax/empyema): 7
Diagnostic laparoscopy: 15
Trauma laparotomy: 45
Relook laparotomy: 21
Small bowel repair/resection: 16
Colon/rectal injury repair/resection: 10
Splenectomy: 5
Major liver injury repair: 5
Pancreatic injury drain/repair/resection: 3
Extraperitoneal pelvic packing: 15

Clinical Duties:

Trauma:

The fellows will be responsible for overseeing the care of trauma patients admitted to the Trauma Service. There are approximately 1600 admissions/year to the Trauma Service. He/she will be expected to function at the level of a junior consultant. Clinical trauma nursing staff support includes a 3x Trauma CNCs as well as Trauma Research Nurses. The fellows alternate coverage for the Trauma Service on a weekly basis. During this week on service, the fellow will be expected to provide leadership for the service, including all Major Trauma calls. He/she is expected to supervise and teach the junior members of the Trauma Service. The fellow will be supervised by the Trauma Consultant of the week.

Elective Surgery:

There are opportunities to participate in elective general surgical procedures if so desired. A general surgical list and an HPB list are available for the fellow(s) to be involved with.

On-call Duties:

The fellows will alternate weekly calls as the primary senior on-call for trauma. After hours, the on-site registrars will contact the fellows for every major trauma, and attendance is expected for any “Code Crimson” and/or significant multi-trauma requiring senior decision making leadership.

The fellow will be expected to take primary senior call for acute surgery, when the trauma surgeons are on call. This equates to approximately 1 night per week and 1 weekend in 8. In-house call is not mandatory, but prompt attendance is expected.

Teaching and Administrative Duties:

The fellow will be expected to be involved with teaching of surgical trainees as well as medical students. Application for a clinical academic appointment with the University of Sydney will be supported. The fellow will be responsible for presenting the multi-disciplinary Trauma Audit as well as preparing the yearly death review.

Formal Research Component:

At least one presentation at a national/international scientific meeting.

At least one research publication in a peer reviewed journal.

The research component is supported by a longstanding trauma registry, data manager, and trauma research staff. There is close collaboration with the Westmead Hospital/University of Sydney Surgical Outcomes Research Centre.

 
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