The Departments of Royal North Shore and North Shore Private Hospitals:

 

The Royal North Shore Hospital is a tertiary referral centre for the management of primary, revision and complex vascular problems. Both departments provide surgical and endovascular interventions for arterial, venous and renovascular diseases including:

 

-Atherosclerotic peripheral arterial (supra and infra-inguinal, femoral and crural)

-Peripheral arterial aneurysms

-Thoracic, abdominal and thoracoabdominal aortic aneurysms (degenerative, infective, dissection, traumatic)

-Extracranial carotid artery disease 

-Thoracic outlet obstruction

-Renal transplantation

-AV access and fistuloplasties

-Diabetic foot disease

-Acute and chronic deep venous thrombosis / insufficiency

-Varicose veins treatment and ovarian vein embolisation

 

Co-jointly these departments provide the largest and most progressive endovascular services in Sydney with over 1000 endovascular procedures performed every year. Both departments are supported by strong vascular ultrasound services, a dedicated state of the art hybrid theatre in each hospital and access to the most advanced endovascular therapies currently available. The departments work collaboratively across clinical areas to provide retroperitoneal access for spinal surgery and vascular cover for various oncological & cardiothoracic interventions.

 

Consultant Surgeons

 

Dr Vikram Puttaswamy, Consultant Vascular and Endovascular Surgeon (Head, Royal North Shore Hospital)

Dr Michael Neale, Consultant Vascular and Endovascular Surgeon (Head, North Shore Private Hospital)

 

Dr Charles Fisher, Consultant Vascular Surgeon

Dr Walid Mohabbat, Consultant Vascular and Endovascular Surgeon

Dr Cathy Too, Consultant Vascular and Endovascular Surgeon

Dr Shen Wang, Consultant Vascular and Endovascular Surgeon

 

Junior Medical Staff

 

-Royal Australian College of Surgeons Vascular Fellow/Registrar

-International Vascular Fellow (New)

-Hospital appointed Vascular Registrar

-Royal Australian College of Surgeons General Surgery Registrar

-Surgical Resident

-Interns

 

International Fellowship in Endovascular and Vascular Surgery:

 

  1. I.                    Aim

 

The primary goal of the vascular surgery training program is to prepare the Fellows to function as specialists in vascular disease management, including prevention, diagnosis and treatment, with a range of medical, endovascular and open interventions. To this end, the fellowship experience is designed to promote technical and conceptual understanding of algorithms of vascular therapies and encourage professional growth towards independent practice.

 

The objectives of this fellowship are fostered in an environment of progressively graded experience and responsibility. Within the limits of variability found in a clinical practice, an equivalent experience will be afforded each Fellow under the guidance and supervision of qualified vascular surgeons. The Fellow will exercise increasingly mature surgical judgment as well as operative skills in endovascular and open procedures.

 

  1. II.                  Candidate

 

A suitable candidate for this program would be in their final years of training or an early career consultant wishing to further develop their endovascular and vascular surgical skills.

 

  1. III.                Duration

 

12 months

 

  1. IV.                Teaching and Learning (i.e. Training) Resources

 

Training across both departments is provided by all surgical consultants. This includes, but not limited to:

 

  1. Supervised full day theatre sessions (5 weekly) at both RNS and NSP hospitals.

 

  1. Participating in the vascular surgery on call roster (shared with RACS fellow and hospital appointed vascular registrar). Whilst on call, the Fellow is supported by the on call vascular consultant, with the level of supervision depending on the experience of the Fellow. However, as the responsibility of care remains with the consultant, there is an expectation that the Fellow will discuss all patients admitted, or to be reviewed at the request of another Department within the hospital, with the on call consultant.

 

  1. Weekly outpatient clinic.

 

  1. Regular consultant-led ward rounds.

 

  1. Weekly departmental meeting for case discussion, introduction of new technologies, critical appraisal of literature (i.e. journal club), review of current practices & aspirations, etc.

 

  1. Quarterly mortality and morbidity meetings.

 

  1. Vascular ultrasound lab: the Fellow is encouraged to spend time with highly experienced, teaching- oriented and friendly vascular technologists.

 

Other Opportunities:

 

-Support exists for the Fellow to attend national vascular conferences such as the Australian and New Zealand Society of Vascular Surgeons Annual Meeting.

 

-The Fellow is expected to attend a radiation safety course and obtain a radiation user licence (e.g. IA22).

 

-The departments are at the forefront of innovations in endovascular surgery and have, therefore, developed strong links with industry through which the Fellow will have the opportunity to receive hands on access to simulators, aortic planning sessions, etc.

 

  1. V.                  Research

 

It is a requirement of the programme that the Fellow should actively participate in the development of the departments’ research portfolio. There are currently several ongoing projects on the use of atherectomy devices, new aortic endografts and thrombolysis. In addition, the unit collaborates closely with other departments such as Cardiovascular Sciences.

 

  1. Monitoring / Evaluation of Progression

 

-Regular assessment based on direct observation of skills, informal case / concepts discussion during ward rounds & theatre sessions and presentations at departmental meetings.

 

-3 monthly reviews will provide opportunity for feedback (bi-directional).

 

  1. VII.              Application Process

 

-The position will soon be advertised through the Royal North Shore Hospital (main employer).

 

-Remuneration will be based on the fellow’s experience in line with current rules for remuneration of medical trainees in New South Wales and local policies at RNS Hospital.

 

-For further information and informal discussion interested applicants can contact:

Dr Vikram Puttaswamy, Consultant Vascular and Endovascular Surgeon and Department Head, Royal North Shore Hospital (Tel: +61 419803369, +61 294398715 & email:  info@sydneyvascularsurgery.com.au

 

 

Timetable:

 

 

Monday

Tuesday

Wednesday

Thursday

Friday

AM

Theatre RNS

Theatre NSP

Theatre NSP

Weekly Meeting, Clinic or Theatre at NSP

Theatre RNS

PM

Theatre RNS

 

On call

Theatre NSP

Theatre NSP

Theatre NSP

Theatre RNS

 

On call every third weekend