These skills training posts are available for EV registrars.
ACRRM registrars should contact rural program staff to check eligibility.

Academic posts

Details of academic posts are available on the Academic Posts page.

Anaesthetics

EV currently has two accredited general practitioner (GP) anaesthetics (JCCA) training posts. The post is a year-long placement and the incumbent is funded by the Victorian Government as supernumerary. This means that the post is fundamentally a training experience. It provides the experience requirements and the training that enables the incumbent to sit the examination to become an accredited GP anaesthetist.

These posts are only available to rural pathway registrars.

Custodial Medicine

What work will the registrar be doing?

Registrars will be working at the medical facilities providing care within Victorian correctional institutions with their supervisors and other staff from various specialities in the medical unit. Registrars are also encouraged to develop a research project or audit question during the term. In addition they are expected to become accredited to prescribe s100 antiviral medications for Hepatitis C and opiate substitution therapy and to participate in a Hepatitis B course.

Skills to be gained within the post:

The prison environment and hence this post is unique and extremely challenging but there is a high level of support and supervision. Registrars in the post will acquire skills particular to this unique setting such as dealing with difficult patients, drug seeking behaviour and mental health problems, including adjustment disorders. They will also gain an increased awareness of professional boundaries and conduct. Because of the team work based nature of the care and the impact of decisions on others in the team and the overall system, their skills in working in teams and in communication will be enhanced.

Dermatology

What work will the registrar be doing?

The registrar will be trained in the use of dermoscopy and skin checks. They will be seeing patients with supervision will and learn skills in clinical procedures associated with the removal of skin lesions. Some posts provide an opportunity for “off site” work with outside agencies for mobile skin checks.

Skills to be gained within the post:

Skin checks including general medical history taking
Total body skin examinations and mapping
Diagnosis of various skin lesions
The use of dermoscopy
Interpretation of digital photography skin lesions
Various biopsy techniques
Basic excisional procedures and
Use of appropriate specialist referral
Non-surgical treatment of skin cancer

Drug and Alcohol medicine

What work will the registrar be doing?

Posts in drug and alcohol medicine provide addiction treatment services including opioid pharmacotherapy, alcohol treatment, drug withdrawal and hospital-based care. Registrars can work in residential detox services, with hospital inpatients suffering drug or alcohol withdrawal and with clients of the service for assessment and ongoing management. They work with a multidisciplinary psychosocial team including addiction medicine specialists and registrars from other training programs.

Skills to be gained within the post:

Substance use disorders are part of a general practice’s core business and registrars will learn skills in assessing, managing and prescribing for patients for detox and management of drug and alcohol addiction. They will also learn how to manage chronic pain and pain medication addiction.

Emergency Medicine

What work will the registrar be doing?

The registrar will be expected to work in various areas of the emergency department of the hospital.

Skills to be gained within the post:

There is the opportunity in these posts to develop skills in various areas of emergency medicine. Work in the fast track area will increase skills in management of acute injuries; the resuscitation area will develops skills in managing critical medical emergencies and the short stay unit the management of medical conditions that require overnight observation. Registrars can also work in the fracture clinic and gain experience and teaching in fracture management especially practising plastering techniques with the plaster technicians. Some of these posts would be suitable for rural skills training.

Family Planning

What work will the registrar be doing?

Registrars will be involved in clinic work providing sexual and reproductive health care to Victorians of all ages, genders, backgrounds and abilities. Each registrar will attend the theory component of our Doctors’ Certificate Course in Sexual and Reproductive Health in their first week and sit the examination.

Skills to be gained within the post:

The registrar will work at the clinic which will enable them to gain experience in sexual and reproductive health in a range of areas in a supported environment. IUD insertion training is an extra option which some registrars take up during their post. Each registrar will be given the opportunity to complete the clinical requirement to obtain their Certificate in Sexual and Reproductive Health.

Forensic medicine

What work will the registrar be doing?

These terms provide registrars a chance to undertake a term that offers an introduction into the field of Clinical Forensic Medicine, and provides in-depth training in medicolegal skills that are invaluable to any doctor. The core work encompasses a diverse range of important clinical and non-clinical principles in areas such as gynaecology, psychiatry, toxicology, traffic and custodial medicine, medicine and the law, and bioethics. Additional activities ensure exposure to the services that interface with clinical medicine such as forensic scientific services and the police and judicial systems. The work involves care, advice and documentation of injuries (physical and sexual assaults), obtaining information through interview and specimens for forensic examination, the certification of fitness for interview, generation of legal reports and understanding of and attendance at court. Finally, there is scope to pursue ongoing interests and research in all aspects of Forensic Medicine.

Skills to be gained within the post:

The skills that are gained in this rotation are applicable to general practice including the ability to examine and document accurately and produce good legal reports. In addition, there is the development of awareness and ability to be aware of the issues in dealing with patients that have been involved in assault. Lastly, there is the ability to be able to give evidence in court competently.

Medical Education

What work will the registrar be doing?

The registrar will be involved in developing and delivering educational programs and resources for registrars, supervisors and program staff. They will participate in curriculum planning, implementation, evaluation and review and accreditation processes. They will assist with enquires from registrars about the program, their learning needs and other issues. There is the opportunity to be involved in Training Advisor Meetings (TAMs) and other teaching activities such as the delivery of workshops and hospital information sessions regarding the training program.

Skills to be gained within the post:

Registrars will develop basic competencies required for the educational and administrative responsibilities of the role of medical educator. They will be able to teach, manage and coordinate activities effectively and facilitate registrar learning, make use of on-line learning tools and information management systems and undertake evaluation of activities and programs to promote quality improvement.

Mental Health

What work will the registrar be doing?

Registrars working in mental health posts will work as part of a primary mental health team managing and assessing patients with mental health conditions. They will also be able to participate in programs for the monitoring of physical risk factors (such as cardiovascular) and other health issues (non mental health) in patients managed within the clinic and attend clinical review meetings in a multidisciplinary setting

Skills to be gained within the post:

These posts are beneficial in a number of ways. They help to improve skills in mental health assessment and management in an outpatient setting as well as helping to develop better skills in the integration between mental health issues and other medical issues. Exposure to hospital cases can help to improve skills in the management of more difficult psychiatric patients including those with psychosis. Lastly, by being involved with and therefore become more familiar with the services associated with mental health care in the community, they will develop better knowledge about how to access these.

Obstetrics

What work will the registrar be doing?

One of the most enjoyable aspects of general practice is continuity of care, as exemplified by the description of general practice as “cradle to the grave” medicine. The provision of maternity care is an excellent example of this. It is rewarding to be involved with a woman prior to, during and after her pregnancy. Being there at the birth is a very special privilege. As well as being enjoyable, there is also a real need for general practitioners (GPs) to be involved in maternity care, especially in rural areas where specialist obstetricians are not always readily accessible.

For this reason, as part of their general practice training with EV registrars are encouraged to develop their obstetric skills. The qualifications available for maternity care include the Diploma and Advanced Diploma from the Royal Australian College of Obstetricians and Gynaecologists (DRANZCOG/DRANZCOG Adv). To obtain the Diploma, a registrar must undertake a hospital-based obstetric term and pass a written and clinical examination. A registrar must complete a six month term to acquire DRANZCOG, while a 12 month term is required to obtain a DRANZCOG Advanced Diploma. The 12 month DRANZCOG Advanced Diploma includes training to perform caesarean sections, whereas this training is not included in the DRANZCOG.

Skills to be gained within the post:

EV has developed a comprehensive training program for registrars who wish to pursue their interests in maternity care. Once a registrar has completed their hospital training they can undertake community-based obstetric training while also completing their routine general practice terms. During the Community Obstetric Composite Posts, registrars will undertake additional skills training in areas such as ultrasound and obstetric emergencies. They will also attend conferences and receive support from experienced GP obstetricians and consultants.

The purpose of the Community Obstetric Composite Posts is to assist the registrar in the transition from hospital-based registrar to independent, competent and confident GP obstetrician.

Obstetric training can contribute towards the awarding of the Fellowship in Advanced Rural General Practice (FARGP) or Fellowship of the Australian College of Rural and Remote Medicine (FACRRM).

These posts can be developed anywhere in Gippsland where there is a general practice with GP obstetricians providing maternity services in a local hospital.

Paediatrics

What work will the registrar be doing?

The post in Paediatrics provides an opportunity to work in a variety of different areas within a health service including inpatient wards, outpatient clinics and emergency departments and includes ward duty and attendance at deliveries as well as providing consultation and assistance to both the Emergency Department and post-natal wards.

Skills to be gained within the post:

The post would suit a registrar interested in gaining extra skills in paediatrics. It does not replace the paediatric component of training that is required before commencing in general practice. While ward rounds and outpatient clinics are opportunities for informal teaching, there is also dedicated teaching time and an educational program in a variety of formats such as didactic teaching, case review and journal club. As well, there are courses in paediatric and neonatal advanced life support, visiting specialist presentations, morbidity/mortality audits, perinatal review meetings and paediatric study days which registrars can attend.

Palliative Care

What work will the registrar be doing?

The registrar will be part of a multidisciplinary team providing care to patients in the hospital and/or community and will be supervised by a palliative medicine physician. During the term the registrar is involved in regular ward rounds, medical admissions team meetings and family meetings. They also provide support to the community team as needed and are able to attend community visits. This care will include respite care, symptom control and restorative care.

Skills to be gained within the post:

There are numerous learning opportunities in the term including dealing with family and carers of palliative care patients and dealing with allied health professionals involved in their care through family and multidisciplinary team meetings. The registrar is directly involved with the treatment of the patient and will therefore learn to deal with palliative care patients including the management of common symptoms and pain management. Apart from the opportunity to broaden general clinical skills registrars are able to gain skills in respire and terminal care and especially to develop their communication skills. Many of these positions provide clinical experience that can contribute to the attainment of a Diploma of Palliative Care.

Procedural Paediatrics

What work will the registrar be doing?

The procedural paediatrics posts available through EV have been structured to enable GP registrars to gain the skills to achieve competence and confidence in the rural context of general practice paediatrics, where specialist paediatric services are not immediately available.

GP registrars are well supervised in rural procedural paediatrics under the auspices of well-established busy rural paediatric practices. The GP registrar is provided with clinical experience in the management of paediatric and adolescent patients both in the hospital and in the ambulatory setting.

Posts also provide exposure to community, developmental and behavioural paediatrics. There is exposure to issues surrounding child protection as well as operative, assisting in general paediatric surgery. The position includes assisting in paediatric anaesthetics and airway management during operating theatre lists. During the placement, the registrar will complete the Advanced Paediatric Life Support (APLS) three-day training program. Also during the placement the candidate will complete the Diploma of Child Health offered externally through the Sydney Children’s Hospital Westmead, under the supervision of the paediatricians.

Skills to be gained within the post:

The position through West Gippsland Paediatric Group provides extensive experience in general paediatric medicine, adolescent medicine and neonatology. There is significant exposure to acute paediatric presentations. The GP trainee is directly involved with admission and discharges to the paediatric ward and to the special care nursery, and is involved in acute paediatric care through the emergency department at West Gippsland Healthcare Group.

Sexual Health and HIV medicine

What work will the registrar be doing?

The registrar will be working in a clinic with the supervision of sexual health physicians and trainees. Duties performed by the registrar will include the screening, testing, counselling, information, referral, health education and clinical management of STIs including HIV/AIDS and hepatitis C. In some clinics, there is the opportunity to visit outreach services while for those interested in research, there is the opportunity to access stored data in the service.

Skills to be gained within the post:

Registrars in this post will gain skills in sexual health and the management of patients with sexual health conditions including HIV in terms of both the illness and general health care in the community. In some posts, they can also do an HIV prescribers course and combined with the clinical work can become accredited prescribers.

Skin Cancer

What work will the registrar be doing?

GPs are at the coal-face of detecting and diagnosing skin cancers. Two out of three patients will have a skin cancer by the age of 70. With dermoscopy training, GPs should be able to diagnose and treat most skin cancer cases.

Skills to be gained within the post:

Successful applicants will gain a range of skills and have the opportunity to undertake accredited courses during their training.

Small Town Rural Practice

What work will the registrar be doing?

EV offers a number of posts for training in small town rural medicine. These posts can be undertaken to fulfil the training requirements for the Rural Australian College of General Practitioners (RACGP) Fellowship of Advanced Rural General Practice. Small town rural practice offers the experience of rural medicine. Small town practice requires that the doctor lives in the community where the practice is located.

Skills to be gained within the post:

The practitioner is required to occupy a role in the community that goes well beyond the consulting room. This brings with it unique opportunities and challenges. Small town practice also requires a set of clinical skills beyond those required in larger centres, as referral services are more limited. Small town rural practice is an environment that provides integration between vocation and lifestyle.

Any Gippsland accredited practice in a small rural town with a population, including a catchment area less than 5,000 people. Towns with a population catchment less than 5,000 in the Gippsland area are available as small town Advanced Rural Skills Posts (ARSPs).

Sports Medicine

What work will the registrar be doing?

The registrar will be working in a sports medicine clinic seeing patients with sports related injuries while also being able to spend time with the other staff in the clinic such as allied health staff and specialist orthopaedic physicians and in theatre assisting operations. There is the opportunity to work with outside sports teams in some posts. Working with patients with acute injuries will provide the option to follow patients through from injury to operation if required and rehabilitation. In some clinics there are associated general practice services or pain management clinics.

Skills to be gained within the post:

The position would suit a registrar interested in increasing their knowledge and skills in sports and musculoskeletal medicine. They would increase their skills in the examination and management of joint problems especially knees, shoulders, ankles, backs and hips as well as the management of common sports condition while working in a multidisciplinary sports medicine clinic.