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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 July 2008)

TRAINING SITE NAME: Austin Health

Head of Unit: A/Prof Russell Buchanan

Contact Details:
Tel: 03 9496 2566
Fax: 03 9496 4012

Number of Training Positions: 1

Research Interests of Unit:
1. Rheumatoid arthritis: epidemiology, clinical trials of novel biologic therapies, serologic biomarkers, translational research
2. Ankylosing spondylitis: epidemiology, work disability, effect of TNF blockers, sleep disturbance, CAM use

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

Registrar 2008:
Dr Simon Lam

Resident Staff: 1

Facilities:
Office with registrar desktop computer
Library:online access to major rheumatology journals, UptoDate
Ambulatory Care Centre
Conference room

Patient Services per week:
Average Inpatients: 5-8
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 weekly including:
- Registrar presentation: monthly
- Radiology conference: monthly
- Journal club: monthly
- Consultant presentation: monthly
- Histopathology: quarterly
In-house rheumatology trainee tutorial program
Orthopedic trainee tutorial program

Additional Clinics Attended:
Autoimmune Clinic
Combined Orthopedic/Rheumatology Clinic
Austin Spondylitis Clinic

Previous registrars:
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 ankylosing spondylitis, rheumatoid arthritis, connective tissue diseases and regional musculoskeletal disorders. The Department is committed to provide ample teaching time and clinical exposure to foster the development of first-rate clinician rheumatologists. Each trainee is required to complete an independent research project where they will develop the research concept, design the study methodology and interpret their results under the direct 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 January 2008)

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: 1

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 Caroline Brand

Dr David Barraclough

Dr Helen Moran

Dr Peter Wong

Dr Sharon van Doornum

A/Prof. Geoff McColl

Dr Lynden Roberts

Dr Geoff Markov

Dr Rick Travers

Dr Alex Stockman

Dr Andrea Bendrups

Resident Staff: 1

Registrars 2008:
Dr Maree Micallef/Dr Gene-Siew Ngian

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 DOM (Prof John Hamilton)

Patient Services per week:
Average Inpatients: 5 + 5 in Rehab. Unit
Average Consultations: 10 (2 ward rounds/week)
Average Outpatients: 3 outpatient clinics (1 new and 7 review patients per clinic)

Types of Patients Seen (Approx. %):
Inflammatory/Connective Tissue Disease:50%
Degenerative/Soft Tissue, Osteoporosis: 50%

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: 2 per week
Histopathology Conference: quarterly
Journal Meeting: quarterly
Research Meeting: as required
Combined Conferences: Monthly meeting with orthopaedics and VicARA
Teaching: trainee contributes to undergraduate and postgraduate teaching.

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

Previous registrars:
Dr Maninder Mundae/Simon Chatfield (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 4 consultants (Wicks, Barraclough, McColl, Markov). Strong links with basic and clinical research, with epidemiologist attached to our Unit (Dr Richard Osborne). Strong links with other musculoskeletal departments at RMH, including orthopaedics and osteoporosis, with general medicine (through Drs Bendrups, Markov and Roberts) 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 July 2008)

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.

STAFF:
Consultants:
Dr Keith Lim
Dr Veronique Sayag-Boukris (Senior Clinical Fellow)

Junior Medical Staff:
Registrar
HMO
Eashwary Mageswaran (Clinical Fellow)

Registrar 2008:
Dr Shom Bhattacharjee

Facilities:

Excellent library with work space
Day Care Procedure Unit

Patient Services per week:

Average Inpatients: 2-4

Epidural injections average 1-2 per week
Average consultations: 5-8 (Rheumatology); 5-8 (Orthopaedic Medicine)

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 aspiration and injections
Epidural injections

Education Activities:
Weekly audit and case presentations at Dept. of Medicine
Weekly grand rounds including twice a year unit presentations
Weekly Professorial rounds
Meetings at RMH once a week

Additional Clinics Attended:
Outpatient clinic on Wednesdays at the RMH
Metabolic Bone Clinic (TBA)

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

Comments:

This is a non-core job which is shared between Rheumatology and Medicine (Orthopaedic medicine). The rheumatology unit serves the large multicultural population of the Western suburbs. The outpatient clinic is 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 GP training sessions.
The trainee participates actively in the weekly clinical meetings of the Department of Medicine (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. It is expected that the trainee presents a paper from the project at a rheumatology meeting and submit for publication. The units have strong interests in osteoporosis and osteoarthritis. It is likely that from 2007, the trainee will attend the metabolic bone clinic under the auspices of Professor Peter Ebeling. In addition, the trainee attends the Wednesday meetings and outpatients at the Royal Melbourne Hospital.

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email: robynm@racp.edu.au

TRAINING SITE NAME: Austin Health
Head of Unit: A/Prof Russell Buchanan Contact Details: Tel: 03 9496 2566 Fax: 03 9496 4012	Number of Training Positions: 1 Research Interests of Unit: 1. Rheumatoid arthritis: epidemiology, clinical trials of novel biologic therapies, serologic biomarkers, translational research 2. Ankylosing spondylitis: epidemiology, work disability, effect of TNF blockers, sleep disturbance, CAM use
STAFF: Consultants: A/Prof Russell Buchanan Dr Lionel Schachna Dr Albera Hoi Dr Kim Boyden Dr Tony Kostos Dr Esther Yenson-Chu A/Prof Richard O'Brien Registrar 2008: Dr Simon Lam Resident Staff: 1	Facilities: Office with registrar desktop computer Library:online access to major rheumatology journals, UptoDate Ambulatory Care Centre Conference room
Patient Services per week: Average Inpatients: 5-8 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 weekly including: - Registrar presentation: monthly - Radiology conference: monthly - Journal club: monthly - Consultant presentation: monthly - Histopathology: quarterly In-house rheumatology trainee tutorial program Orthopedic trainee tutorial program
Additional Clinics Attended: Autoimmune Clinic Combined Orthopedic/Rheumatology Clinic Austin Spondylitis Clinic	Previous registrars: 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 ankylosing spondylitis, rheumatoid arthritis, connective tissue diseases and regional musculoskeletal disorders. The Department is committed to provide ample teaching time and clinical exposure to foster the development of first-rate clinician rheumatologists. Each trainee is required to complete an independent research project where they will develop the research concept, design the study methodology and interpret their results under the direct 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: 1 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 Caroline Brand Dr David Barraclough Dr Helen Moran Dr Peter Wong Dr Sharon van Doornum A/Prof. Geoff McColl Dr Lynden Roberts Dr Geoff Markov Dr Rick Travers Dr Alex Stockman Dr Andrea Bendrups Resident Staff: 1 Registrars 2008: Dr Maree Micallef/Dr Gene-Siew Ngian	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 DOM (Prof John Hamilton)
Patient Services per week: Average Inpatients: 5 + 5 in Rehab. Unit Average Consultations: 10 (2 ward rounds/week) Average Outpatients: 3 outpatient clinics (1 new and 7 review patients per clinic)	Types of Patients Seen (Approx. %): Inflammatory/Connective Tissue Disease:50% Degenerative/Soft Tissue, Osteoporosis: 50%
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: 2 per week Histopathology Conference: quarterly Journal Meeting: quarterly Research Meeting: as required Combined Conferences: Monthly meeting with orthopaedics and VicARA Teaching: trainee contributes to undergraduate and postgraduate teaching.
Additional Clinics Attended: Rehab team meetings for rheumatology patients at Melbourne Extended Care	Previous registrars: Dr Maninder Mundae/Simon Chatfield (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 4 consultants (Wicks, Barraclough, McColl, Markov). Strong links with basic and clinical research, with epidemiologist attached to our Unit (Dr Richard Osborne). Strong links with other musculoskeletal departments at RMH, including orthopaedics and osteoporosis, with general medicine (through Drs Bendrups, Markov and Roberts) 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.