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Alfred Hospital (updated January 2008)

TRAINING SITE

NAME OF SITE: Alfred Hospital

Head of Unit:
Professor Flavia Cicuttini

Contact Details:

Phone: 03 9903 0555

Fax: 03 9903 0556

Number of Training Positions: 1

Research Interests of Unit:

There is ample opportunity for registrars to undertake a well defined project that will result in a peer-reviewed publication. The current major research focus is in the understanding of factors that effect joint cartilage in health and disease and role of new imaging modalities in rheumatology. Other areas include inflammatory/connective tissue diseases, medical synovectomy in haemophiliac arthropathy, heat-shock/proteins in rheumatoid arthritis, steroid use in osteopenia in inflammatory joint disease, epidemiology of rheumatic diseases, computerised rheumatology data bases.

STAFF:

Consultants: 6 sharing Ward Service; 7 Out Patient VMOs

Resident Staff: 1

Registrar 2008:

Facilities:

Office Space

Procedure Area

Library

Patient Services per week:

Average Inpatients: 2-4

Average Consultations: 6-8

Average Outpatients: 5

More than 3500 consultations per year. Inpatient beds at hospital are maintained on two campuses with 8 beds being located at the Caulfield General Medical Centre campus and one at the Alfred campus. It is expected that each trainee will also complete a well-supervised project that will be presented at a relevant meeting and result in a peer-reviewed publication.

Types of Patients Seen (Approx. %):

Inflammatory/Connective Tissue Disease:50%

Degenerative/Soft Tissue: 40%

Chronic Pain: 10%

Other: Transplantation related gout, Cystic Fibrosis arthropathy, Haemophiliac arthropathy and HIV related diseases are conditions particular to the Alfred.

Procedures performed in unit:

Joint Injection/Aspiration

Eipdural injections

Education Activities:

Clinical Conference: 1 per week

X-Ray Conference: 1 per month

Histopathology Conference: 1

Journal Meeting: weekly

Additional Clinics Attended:

Previous registrars:
Dr Michael Gingold (2007)
Dr Maninder Mundae (2006)
Dr Emma Guymer (2005)
Dr Anne Powell (2004)
Dr Rebecca Grainger (2003)

Comments:

We have two very busy outpatient clinics, more than 3,500 consultations per year. Inpatient beds at our Hospital are maintained on two campuses with eight beds being located at the Caulfield General Medical Centre campus and one at the Alfred campus. It is expected that each trainee will also complete a well-supervised project that will be presented at a relevant meeting and result in a peer-reviewed publication.

Austin Health (updated January 2010)

TRAINING SITE NAME: Austin Health

Head of Unit: A/Prof Russell Buchanan

Contact Details:
Tel: 03 9496 4013
Fax: 03 9496 4012

Number of Training Positions: 2

Research Interests of Unit:
1. Rheumatoid arthritis: epidemiology, clinical trials of novel biologic therapies, serologic biomarkers, translational research
2. Ankylosing spondylitis: epidemiology, work disability, sleep disturbance
3. Systemic lupus erythematosus: epidemiology, clinical trials, predictors of long term outcomes

STAFF:
Consultants:
A/Prof Russell Buchanan
Dr Kim Boyden
Dr Alberta Hoi
Dr Tony Kostos
Dr Simon Lam
Dr Lionel Schachna
Dr Esther Yenson-Chu
A/Prof Richard O'Brien

Registrars 2010:
Dr John Moi
Dr Kim Le Marshall
Dr Madeleine Healy (Fellow)

Resident Staff: 1

Facilities:
Office space with desktop computers
Online access to major rheumatology journals
UptoDate
Ambulatory Care Centre
Conference room

Patient Services per week:
Average Inpatients: 4-6
Average Consultations: 6-10
Average Outpatients: 4 outpatient clinics
(1 new and 6 reviews per Clinic)

Types of Patients Seen (Approx. %):
Inflammatory/Connective Tissue Disorders: 40%
Regional Musculoskeletal Disorders: 30%
Osteoarthritis and Crystal Arthropathy: 20%
Other: 10%

Procedures performed in unit:
Joint aspiration/injection: 5-10 per week
Epidural Injection: 1-2 per week

Education Activities:
Clinical Conference program includes:
- Monthly registrar presentations
- Monthly radiology conference
- Rheumatology consultant presentations
- Quarterly histopathology meeting
- Journal club session
- Guest speaker program
Weekly professorial ward round
In-house rheumatology tutorial program
Orthopaedic trainee tutorial program

Additional Clinics Attended:
Lupus/Scleroderma Clinic
Austin Spondylitis Clinic
Biologics Clinic
Combined Orthopaedic/Rheum Clinic

Previous registrars:
Dr Jessica Luong (2009)
Dr Qiang Li (2009)
Dr Simon Lam (2008)
Dr Michele Seah (2007)
Dr Simon Chatfield (2006)
Dr Mark Reed (2005)
Dr Suba Nadesapillai (2004)

Comments:
The Department of Rheumatology at Austin Health provides outstanding learning opportunities across the depth and breadth of rheumatology with particular strength and research opportunities in rheumatoid arthritis, ankylosing spondylitis, connective tissue diseases and regional musculoskeletal disorders. For six months, trainees are responsible for inpatient care and ward consultations at the Austin Hospital and attend outpatient clinics at the Austin Hospital. The other six months, trainees manage ward consultations at the Northern Hospital and attend outpatient clinics at both the Northern and Austin Hospitals. Our consultants are committed to teaching and we provide ample clinical exposure to foster the development of first-rate clinician rheumatologists. Trainees are required to complete an independent research project where they develop the research concept, design the study methodology and interpret their results under the supervision of a mentoring consultant. Successfully completed, this should result in presentation at a national or international scientific meeting and submission for peer-reviewed publication.

Southern Health, Monash Medical Centre (updated January 2008)

TRAINING SITE NAME: Southern Health, Monash Medical Centre - Clayton Campus

Head of Unit: A/Prof. Geoff Littlejohn

Contact Details:
Phone: 03 9594 3575
Fax: 03 9594 6512

Number of Training Positions: 1

Research Interests of Unit:
Connective Tissue Disease, Inflammatory mechanisms (cytokines), Fibromyalgia, Spinal Pain Mechanisms. The unit is part of the Monash Centre for Inflammatory Diseases.

STAFF:
Consultants:
A/Prof Eric Morand
Dr Marian Miller
Dr Daniel Lewis
Dr Michelle Leech
Dr Myew-Ling Toh
Dr Alberta Hoi
Dr Kathryn Johns
Dr Joanne Sahhar

Registrar 2008:
Dr Michael Gingold

Facilities:
Equipment
Office Space
Secretarial Assistance
Procedure Area
Laboratory
Library

Patient Services per week:
Average Inpatients: 6-10
Average Consultations: 7-10
Average Outpatients: 100

Types of Patients Seen (Approx. %):
Inflammatory/Connective Tissue Disease:40%
Degenerative/Soft Tissue: 30%
Chronic Pain: 30%
Sports Injuries: <5%

Procedures performed in unit:
Joint Injection/Aspiration: several times per week/Yttrium injections

Education Activities:
Clinical Conference: weekly
X-Ray Conference: monthly formal, weekly informal
Histopathology Conference: 2 monthly
Journal Meeting: weekly
Research Meeting: weekly
Combined Conferences: monthly combined orthopaedic meeting

Additional Clinics Attended:
3 clinics per week
Regional Clinic: Traralgon - monthly

Previous registrars:
Drs Tina Racunica/Emma Guymer (2007)
Dr Sally Ayoub (2006)
Dr Anne Powell (2005)
Dr Anthony Boers (2004)
Dr Emma Guymer (2003)

Comments:
The Unit offers a wide experience of rheumatic disease, including paediatrics, in the setting of a large hospital, plus regional clinic and private practice experience.

Royal Melbourne Hospital (updated March 2009)

TRAINING SITE NAME: Royal Melbourne Hospital

Head of Unit: Professor Ian Wicks

Contact Details:
Phone: 03 9342 7634
Fax: 03 9342 7632

Number of Training Positions: 2

Research Interests of Unit:
Pathogenesis of rheumatoid arthritis
Cardiovascular disease in rheumatoid arthritis
Assessment of quality of life in rheumatic diseases
Patient education strategies
Epidemiology and public health of rheumatic diseases, especially osteoarthritis

STAFF:
Consultants:

Prof. Ian Wicks

Dr Sharon van Doornum

Prof. Geoff McColl

Dr Geoff Markov

Dr Suba Nadesapillai
Dr Sabina Ciciriello
Dr Simon Chatfield

Honorary
Dr Rick Travers
Dr Alex Stockman
A/Prof. Caroline Brand
Dr David Barraclough
Dr Andrea Bendrups

Resident Staff: 1

Registrars 2009:
Dr Gemma Strickland/Dr Tim Bennett

Facilities:
Office Space and Secretarial Assistance
Laboratory: Access to Dept. of Medicine and WEHI
Library: RMH and departmental
Other: strong links with WEHI (Prof. I Wicks) and UOM DOM (Prof. John Hamilton)

Patient Services per week:
Average Inpatients: 4-6
Average Consultations: 10 (2 ward rounds/week)
Average Outpatients: 3.5 public outpatient clinics (1 new and 7 review patients per clinic); 2 Private Practice Outpatient Sessions each registrar

Types of Patients Seen (Approx. %):
Inflammatory/Connective Tissue Disease:40%
Degenerative/Soft Tissue, Osteoporosis: 60%

Procedures performed in unit:
Joint Injection/Aspiration: 5-10 times per week
Infliximab infusions 1-2 per week
Epidural injections 1-2 per week

Education Activities:
Clinical Conference: 1 per week
X-Ray Conference: 1 per week
Histopathology Conference: quarterly
Journal Meeting: quarterly
Research Meeting: as required
Combined Conferences: Monthly meeting with orthopaedics and Victorian ARA
Teaching: trainee contributes to undergraduate and postgraduate teaching.

Additional Clinics Attended:
Rehab team meetings for rheumatology patients at Melbourne Extended Care

Previous registrars:
Dr Gene-Siew Ngian/Dr Maree Micallef (2008)
Dr Maninder Mundae (2007)
Dr Mark Reed (2006)
Dr Simon Chatfield (2005)
Dr Sabina Ciciriello (2004)
Dr Suba Nadesapillai (2003)
Dr Lynden Roberts (2002)
Dr Mandy Nikpour (2001)
Dr Andrew Ostor (2000)

Comments:
Responsibility for supervision of inpatient work rotated between 6 consultants (Prof. Wicks, Prof. McColl, Dr Markov - 3 months each; Dr Nadesapillai, Dr Ciciriello and Dr Chatfield - 1 month). Strong links with basic and clinical research (Dr Van Doornum - Department of Medicine, Prof Ian Wicks - WEHI). Strong links with other musculoskeletal departments at RMH, including orthopaedics, physiotherapy and osteoporosis, with general medicine (through Dr Bendrups) and with clinical epidemiology (through Dr Caroline Brand).

St Vincent's Hospital (updated November 2008)

TRAINING SITE NAME: St Vincent's Hospital

Head of Unit: Dr Laurence Clemens

Contact Details:
Tel: 03 9417 7522
Fax: 03 9417 0922

Number of Training Positions: 1

Research Interests of Unit:
1. Scleroderma. Database of Limited and Diffuse disease patients. Intervention studies in patients with pulmonary disease
2. Effect of Inflammatory disease on bone biology (collaborative with Dept of Medicine).
3. New therapies for Inflammatory Joint disease and Osteoarthritis.
4. Cardiovascular disease in SLE and Rheumatoid Arthritis

STAFF:
Consultants:
Dr L Clemens
Dr E Romas
Dr W Stevens
Dr T Godfrey
Dr M Nickpour
Dr K Lim
Dr M Wong
Dr F Laska
Dr Veronique Sayag-Boukris

Resident Staff:
2nd Year RMO
Rheumatology Advanced Trainee
Clinical Trials Co ordinator
One full time ,one part time
B Med Science Student
Secretary (Shared with Orthopaedics)

Registrar 2008:

Facilities:
Office Space: Director, Deputy Director and Clinical Trials Co ordinator have individual offices.
Trainee has own workstation with computer and phone in the Dept. Workroom; a large room with individual workstations for the clinical research groups.
Secretarial Assistance: Available for letters/abstracts, etc.
Laboratory: Shared with Dept. of Orthopaedics
Library: Main medical library receives major rheumatology journals
Other: Conference room with projector, video, etc.

Patient Services per week:
Average Inpatients: 5
Average Consultations: 4
Average Outpatients: Rheumatology Clinic: 10-12 new, 70 old (2 clinics)

Types of Patients Seen (Approx. %):
Inflammatory/Connective Tissue Disease:60%
Degenerative/Soft Tissue: 30%
Chronic Pain: 5%
Sports Injuries: 5%

Procedures performed in unit:
Joint Injection/Aspiration: 5-10 per week
Epidural Injections: 10-20 per year
Muscle Biopsy: Referred to Neurosurgery
Nerve Conduction Studies: Performed by Neurology
EMG's: Performed by Neurology

Education Activities:
Clinical Conference: Monthly Presentation
X-Ray Conference: Monthly
Histopathology Conference: Quarterly
Journal Meeting: Monthly
Research Meeting: Combined with Audit two-monthly
Combined Conferences: Registrar attends weekly orthopaedic surgery conference
Other: Rheumatology and orthopaedic clinics co-located. Plastic Surgeon attends Rheumatology clinic two-monthly. Unit meeting with P/T, O/T, Nursing staff weekly.
Medical Grandround Meetings
Presentation at Dept of Medicine Clinical Meetings

Additional Clinics Attended:
Paediatric Rheumatology (Royal Children's fortnightly) Neuro-Immunology/Uveitis Clinic (Royal Vic. Eye & Ear Hospital)
Combined Renal/SLE clinic

Previous registrars:
Dr Simon Lam (2007)
Dr Maxine Szramka (2006)
Dr Sabina Cicirello (2005)
Dr Rebecca Grainger (2004)
Dr Linden Roberts (2003)
Dr Mandy Nickpour (2002)
Dr Melinda Wong (2001)
Dr Ling Toh (2000)

Comments:
The present position offers broad exposure to all aspects of adult rheumatology and experience in immunosuppressive treatment for inflammatory diseases of eye, kidney and nervous system.

Western Hospital (updated 25 January 2010)

TRAINING SITE

NAME OF SITE: Western Hospital

Head of Unit:
Dr Keith Lim

Contact Details:

Phone: 03 9318 1722

Fax: 03 9318 3701

Number of Training Positions: 1

Research Interests of Unit:
Osteoarthritis: mechanisms of pain and clinical outcomes, drug interventions, orthopaedic surgery and outcomes.

Osteoporosis: clinical practice and outcomes, intervention in secondary fracture prevention. Biological agents in inflammatory disease.

STAFF:
Consultants:
Dr Keith Lim
Dr Richard Travers (Honorary Senior Consultant)
Dr Ramesh Arora
Dr Maninder Mundae
Dr Simon Lam
Clinical Fellows:
Dr Veronique Sayag-Boukris (Senior Clinical Fellow)
Dr Talib Tahir

Rheumatology Research Coordinator: Janis Lim

Junior Medical Staff:

Registrar 2009 Dr Madeleine Healy
Registrar 2010 Dr Albert Leung
HMO

Facilities:

Excellent library with work space
Day Care Procedure Unit

Patient Services per week:

Average Inpatients: 5-8

Epidural injections average 2 per week
Average consultations: 5-10

Types of Patients Seen (Approx. %):

Inflammatory Arthritis: 30%
Soft Tissue rheumatism including Back pain & Osteoporosis: 30%
Osteoarthritis & Crystal Arthropathy: 20%
Connective Tissue Disease & others: 20%

Procedures performed in unit:
Joint & Soft tissue injections
Sacral Epidural injections

Education Activities:
Weekly Unit meetings Monday (12:30-1:30pm) including monthly X-Ray meeting, Journal club, case presentations, research discussion and quest speakers
Weekly grand rounds including twice a year unit presentations
Weekly Professorial rounds

Additional Clinics Attended:
Outpatient clinic St Vincent's Hospital, once a week.

Previous registrars:
Dr Shom Bhattacharjee (2008)
Dr Maree Micallef (2007)
Dr Simon Lam (2006)
Dr Maninder Mundae (2005)

Comments: (for 2010)

This is a core job for rheumatology advanced training in Victoria. It is ideal for a candidate seeking a broad exposure in rheumatic conditions. The rheumatology unit serves the large multicultural population of the Western suburbs. The outpatient clinics are extremely busy and provides an excellent base for learning and teaching. We see the full spectrum of rheumatic diseases and conditions. As one of the Melbourne University teaching hospitals, student and post-graduate teaching is expected. The library facilities are excellent. There are ample opportunities to discuss and present XRays, clinical cases and investigative results with the consultant rheumatologists, radiologists and other specialists in a friendly atmosphere. There are ample opportunities to participate in Fellowship and GP training sessions.

The unit meeting is held on Friday. The trainee is in charge of running this. In addition participation in the other activities of the hospital is encouraged (Hospital grand rounds, Professorial grand rounds and audit sessions held weekly). There will be two grand round presentations per year, one clinical, one research/audit based. Trainees are encouraged to undertake a project in the area of their choice after discussing with their supervisors. It is expected that the trainee presents a paper from the project at a rheumatology meeting and submit for publication. Thus far, registrars have been encouraged to present their findings abroad fro exposure. In the past three years we have managed to secure paper presentations at overseas meetings. The units have strong interests in osteoarthritis and there is an established program. In addition, the trainee attends clinics at the St Vincent's Hospital rotating between musculoskeletal/OA clinic (Melinda Wong) and the connective tissue diseases clinic (Wendy Stevens).

Page Updated 13 January 2010

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TRAINING SITE NAME: Austin Health
Head of Unit: A/Prof Russell Buchanan Contact Details: Tel: 03 9496 4013 Fax: 03 9496 4012	Number of Training Positions: 2 Research Interests of Unit: 1. Rheumatoid arthritis: epidemiology, clinical trials of novel biologic therapies, serologic biomarkers, translational research 2. Ankylosing spondylitis: epidemiology, work disability, sleep disturbance 3. Systemic lupus erythematosus: epidemiology, clinical trials, predictors of long term outcomes
STAFF: Consultants: A/Prof Russell Buchanan Dr Kim Boyden Dr Alberta Hoi Dr Tony Kostos Dr Simon Lam Dr Lionel Schachna Dr Esther Yenson-Chu A/Prof Richard O'Brien Registrars 2010: Dr John Moi Dr Kim Le Marshall Dr Madeleine Healy (Fellow) Resident Staff: 1	Facilities: Office space with desktop computers Online access to major rheumatology journals UptoDate Ambulatory Care Centre Conference room
Patient Services per week: Average Inpatients: 4-6 Average Consultations: 6-10 Average Outpatients: 4 outpatient clinics (1 new and 6 reviews per Clinic)	Types of Patients Seen (Approx. %): Inflammatory/Connective Tissue Disorders: 40% Regional Musculoskeletal Disorders: 30% Osteoarthritis and Crystal Arthropathy: 20% Other: 10%
Procedures performed in unit: Joint aspiration/injection: 5-10 per week Epidural Injection: 1-2 per week	Education Activities: Clinical Conference program includes: - Monthly registrar presentations - Monthly radiology conference - Rheumatology consultant presentations - Quarterly histopathology meeting - Journal club session - Guest speaker program Weekly professorial ward round In-house rheumatology tutorial program Orthopaedic trainee tutorial program
Additional Clinics Attended: Lupus/Scleroderma Clinic Austin Spondylitis Clinic Biologics Clinic Combined Orthopaedic/Rheum Clinic	Previous registrars: Dr Jessica Luong (2009) Dr Qiang Li (2009) Dr Simon Lam (2008) Dr Michele Seah (2007) Dr Simon Chatfield (2006) Dr Mark Reed (2005) Dr Suba Nadesapillai (2004)
Comments: The Department of Rheumatology at Austin Health provides outstanding learning opportunities across the depth and breadth of rheumatology with particular strength and research opportunities in rheumatoid arthritis, ankylosing spondylitis, connective tissue diseases and regional musculoskeletal disorders. For six months, trainees are responsible for inpatient care and ward consultations at the Austin Hospital and attend outpatient clinics at the Austin Hospital. The other six months, trainees manage ward consultations at the Northern Hospital and attend outpatient clinics at both the Northern and Austin Hospitals. Our consultants are committed to teaching and we provide ample clinical exposure to foster the development of first-rate clinician rheumatologists. Trainees are required to complete an independent research project where they develop the research concept, design the study methodology and interpret their results under the supervision of a mentoring consultant. Successfully completed, this should result in presentation at a national or international scientific meeting and submission for peer-reviewed publication.

TRAINING SITE NAME: Southern Health, Monash Medical Centre - Clayton Campus
Head of Unit: A/Prof. Geoff Littlejohn Contact Details: Phone: 03 9594 3575 Fax: 03 9594 6512	Number of Training Positions: 1 Research Interests of Unit: Connective Tissue Disease, Inflammatory mechanisms (cytokines), Fibromyalgia, Spinal Pain Mechanisms. The unit is part of the Monash Centre for Inflammatory Diseases.
STAFF: Consultants: A/Prof Eric Morand Dr Marian Miller Dr Daniel Lewis Dr Michelle Leech Dr Myew-Ling Toh Dr Alberta Hoi Dr Kathryn Johns Dr Joanne Sahhar Registrar 2008: Dr Michael Gingold	Facilities: Equipment Office Space Secretarial Assistance Procedure Area Laboratory Library
Patient Services per week: Average Inpatients: 6-10 Average Consultations: 7-10 Average Outpatients: 100	Types of Patients Seen (Approx. %): Inflammatory/Connective Tissue Disease:40% Degenerative/Soft Tissue: 30% Chronic Pain: 30% Sports Injuries: <5%
Procedures performed in unit: Joint Injection/Aspiration: several times per week/Yttrium injections	Education Activities: Clinical Conference: weekly X-Ray Conference: monthly formal, weekly informal Histopathology Conference: 2 monthly Journal Meeting: weekly Research Meeting: weekly Combined Conferences: monthly combined orthopaedic meeting
Additional Clinics Attended: 3 clinics per week Regional Clinic: Traralgon - monthly	Previous registrars: Drs Tina Racunica/Emma Guymer (2007) Dr Sally Ayoub (2006) Dr Anne Powell (2005) Dr Anthony Boers (2004) Dr Emma Guymer (2003)
Comments: The Unit offers a wide experience of rheumatic disease, including paediatrics, in the setting of a large hospital, plus regional clinic and private practice experience.

TRAINING SITE NAME: Royal Melbourne Hospital
Head of Unit: Professor Ian Wicks Contact Details: Phone: 03 9342 7634 Fax: 03 9342 7632	Number of Training Positions: 2 Research Interests of Unit: Pathogenesis of rheumatoid arthritis Cardiovascular disease in rheumatoid arthritis Assessment of quality of life in rheumatic diseases Patient education strategies Epidemiology and public health of rheumatic diseases, especially osteoarthritis
STAFF: Consultants: Prof. Ian Wicks Dr Sharon van Doornum Prof. Geoff McColl Dr Geoff Markov Dr Suba Nadesapillai Dr Sabina Ciciriello Dr Simon Chatfield Honorary Dr Rick Travers Dr Alex Stockman A/Prof. Caroline Brand Dr David Barraclough Dr Andrea Bendrups Resident Staff: 1 Registrars 2009: Dr Gemma Strickland/Dr Tim Bennett	Facilities: Office Space and Secretarial Assistance Laboratory: Access to Dept. of Medicine and WEHI Library: RMH and departmental Other: strong links with WEHI (Prof. I Wicks) and UOM DOM (Prof. John Hamilton)
Patient Services per week: Average Inpatients: 4-6 Average Consultations: 10 (2 ward rounds/week) Average Outpatients: 3.5 public outpatient clinics (1 new and 7 review patients per clinic); 2 Private Practice Outpatient Sessions each registrar	Types of Patients Seen (Approx. %): Inflammatory/Connective Tissue Disease:40% Degenerative/Soft Tissue, Osteoporosis: 60%
Procedures performed in unit: Joint Injection/Aspiration: 5-10 times per week Infliximab infusions 1-2 per week Epidural injections 1-2 per week	Education Activities: Clinical Conference: 1 per week X-Ray Conference: 1 per week Histopathology Conference: quarterly Journal Meeting: quarterly Research Meeting: as required Combined Conferences: Monthly meeting with orthopaedics and Victorian ARA Teaching: trainee contributes to undergraduate and postgraduate teaching.
Additional Clinics Attended: Rehab team meetings for rheumatology patients at Melbourne Extended Care	Previous registrars: Dr Gene-Siew Ngian/Dr Maree Micallef (2008) Dr Maninder Mundae (2007) Dr Mark Reed (2006) Dr Simon Chatfield (2005) Dr Sabina Ciciriello (2004) Dr Suba Nadesapillai (2003) Dr Lynden Roberts (2002) Dr Mandy Nikpour (2001) Dr Andrew Ostor (2000)
Comments: Responsibility for supervision of inpatient work rotated between 6 consultants (Prof. Wicks, Prof. McColl, Dr Markov - 3 months each; Dr Nadesapillai, Dr Ciciriello and Dr Chatfield - 1 month). Strong links with basic and clinical research (Dr Van Doornum - Department of Medicine, Prof Ian Wicks - WEHI). Strong links with other musculoskeletal departments at RMH, including orthopaedics, physiotherapy and osteoporosis, with general medicine (through Dr Bendrups) and with clinical epidemiology (through Dr Caroline Brand).

TRAINING SITE NAME: St Vincent's Hospital
Head of Unit: Dr Laurence Clemens Contact Details: Tel: 03 9417 7522 Fax: 03 9417 0922	Number of Training Positions: 1 Research Interests of Unit: 1. Scleroderma. Database of Limited and Diffuse disease patients. Intervention studies in patients with pulmonary disease 2. Effect of Inflammatory disease on bone biology (collaborative with Dept of Medicine). 3. New therapies for Inflammatory Joint disease and Osteoarthritis. 4. Cardiovascular disease in SLE and Rheumatoid Arthritis
STAFF: Consultants: Dr L Clemens Dr E Romas Dr W Stevens Dr T Godfrey Dr M Nickpour Dr K Lim Dr M Wong Dr F Laska Dr Veronique Sayag-Boukris Resident Staff: 2nd Year RMO Rheumatology Advanced Trainee Clinical Trials Co ordinator One full time ,one part time B Med Science Student Secretary (Shared with Orthopaedics) Registrar 2008:	Facilities: Office Space: Director, Deputy Director and Clinical Trials Co ordinator have individual offices. Trainee has own workstation with computer and phone in the Dept. Workroom; a large room with individual workstations for the clinical research groups. Secretarial Assistance: Available for letters/abstracts, etc. Laboratory: Shared with Dept. of Orthopaedics Library: Main medical library receives major rheumatology journals Other: Conference room with projector, video, etc.
Patient Services per week: Average Inpatients: 5 Average Consultations: 4 Average Outpatients: Rheumatology Clinic: 10-12 new, 70 old (2 clinics)	Types of Patients Seen (Approx. %): Inflammatory/Connective Tissue Disease:60% Degenerative/Soft Tissue: 30% Chronic Pain: 5% Sports Injuries: 5%
Procedures performed in unit: Joint Injection/Aspiration: 5-10 per week Epidural Injections: 10-20 per year Muscle Biopsy: Referred to Neurosurgery Nerve Conduction Studies: Performed by Neurology EMG's: Performed by Neurology	Education Activities: Clinical Conference: Monthly Presentation X-Ray Conference: Monthly Histopathology Conference: Quarterly Journal Meeting: Monthly Research Meeting: Combined with Audit two-monthly Combined Conferences: Registrar attends weekly orthopaedic surgery conference Other: Rheumatology and orthopaedic clinics co-located. Plastic Surgeon attends Rheumatology clinic two-monthly. Unit meeting with P/T, O/T, Nursing staff weekly. Medical Grandround Meetings Presentation at Dept of Medicine Clinical Meetings
Additional Clinics Attended: Paediatric Rheumatology (Royal Children's fortnightly) Neuro-Immunology/Uveitis Clinic (Royal Vic. Eye & Ear Hospital) Combined Renal/SLE clinic	Previous registrars: Dr Simon Lam (2007) Dr Maxine Szramka (2006) Dr Sabina Cicirello (2005) Dr Rebecca Grainger (2004) Dr Linden Roberts (2003) Dr Mandy Nickpour (2002) Dr Melinda Wong (2001) Dr Ling Toh (2000)
Comments: The present position offers broad exposure to all aspects of adult rheumatology and experience in immunosuppressive treatment for inflammatory diseases of eye, kidney and nervous system.