Training
Training SitesNZ - Auckland City Hospital
Notes
Largest hospital in the Southern Hemisphere. Opened October 2003. Serving
central Auckland isthmus, catchment about 400,000. Central Auckland population
has significant percentages of people of Maori, Pacific, and Asian descent.
Hospital provides all major services including critical care, primary angioplasty,
stroke unit, transplant, neurosurgery.
Training Positions
| Number of Training Positions: |
up to 12 |
| Duration of Accredited Advanced Training: |
In NZ no more than 24 months of advanced training
in one centre. Most have a mix of general medicine and subspecialty
medicine rotations. Regs in Ak have 6 month attachments over
a range of hospitals coordinated by the Northern Clinical Training
Network |
| Date of Most Recent Survey: |
March 2004 |
| Date of Next Survey: |
- |
Description of Service
Organisation
| Staff: |
8 FTE gen med consultants, 12 general
medical registrars, 12 house officers plus relief and night cover |
| Units: |
- |
IM Demographics
| IM Beds: |
90 plus about 30 in Admission and Planning
Unit |
| IM Inpatient Activity: |
12 general medical teams in 4 (23 bed) medical
wards and most of the 45 bed admission and planning unit (not all gen
med) |
| IM Outpatient Clinics: |
approx 10 per week |
| IM Specialty Interests / Special Units: |
Gen med consultants have a range of subspecialty
interests -diabetes, endo, gastro, infectious diseases, stroke, geriatrics,
respiratory, clinical pharmacology, pre-operative assessment, fetomaternal
medicine, admission and planning unit.
3 teams (1/4) are led by university-employed consultants |
Formal Training
| Lectures: |
Weekly 45 minutes (Medical Science
Lecture), plus one afternoon of registrar teaching weekly for those
doing the Part 1. Organised short cases for Part 1 exam preparation.
ECG teaching weekly, teaching at morning handover meeting. Weekly X-ray
meeting. |
| Journal Club: |
Weekly, for 1 hour. 2 presentations |
| Grand Rounds: |
Weekly 45 minutes |
| Consult Rounds: |
Twice per week plus post acute. |
| Specialty Rotations: |
Not within 6 month gen med rotation except if on
relieving when may cover subspecialties. Registrars may have 2 months
in 6 month run as reliever. General medical trainees do have reasonable
access to specialty rotations. Allocations are made centrally for the
greater Auckland area by a training committee. |
| Research: |
Opportunities but not mandated. Most gen med registrars
are peri-part 1 so focused on the examination. |
| Quality Improvement: |
No formal meetings but handover meeting under the
aegis of the Clinical Director Gen Medicine and head of APU addresses
systemic issues. Audits encouraged |
Trainee Responsibilities in IM
| Coverage Roster: |
12 teams and 12 week roster.1 week
of nights in 12 weeks. Roster has two teams on for the whole day; further
two teams on for a brief period of time on weekdays; part of one W/E
in three. |
| Workload in Medicine Units: |
Patient load varies from 5-20 averaging about 12-15 |
| Teaching Responsibilities |
Not formalized but expectation to teach and supervise
more junior staff, students, overseas-trained doctors |
| Research/presentations: |
Presentations-at least one in 6 months (either
grand round or journal club) |
Infrastructure
| Library: |
Yes ( Uni of Auckland Med Library access) |
| Personal email: |
Yes |
| Facilities: |
lounge, RMO support unit, |
| Information Technology: |
Yes- Concerto, CRIS, Agfa web 1000 |
| Director Physician Training: |
Andrew Woodhouse |
Contact
Head of Unit
Dr David Spriggs
Phone: +64 9 3074949
Email: DSpriggs@adhb.govt.nzDSpriggs@adhb.govt.nz
Hospital / Health Service Website
www.adhb.govt.nz/ACH/ach.htm
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Awards & Scholarhips
There are currently four IMSANZ awards/scholarships open to Advanced
Trainees. See Resources > Awards & Scholarships.
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