PRE SET SURGICAL TRAINING MANUAL 2021 - ST VINCENT'S HOSPITAL ...
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Pre SET Surgical Training Manual 2021
2 St Vincent’s Hospital Melbourne
Welcome to
St Vincent’s Hospital Melbourne
Pre SET Surgical Training Manual
2021
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7 Pre SET Surgical Training Manual 2021
Index
Welcome messages 10
Mr Michael Hii - Pre SET Supervisor......................................................................................................................... 10
Ms Nicole Winter - Deputy Pre SET supervisor.................................................................................................... 11
Mr Simon Banting - Head of Surgery......................................................................................................................... 12
Prof Peter Choong - Professor of Surgery............................................................................................................... 12
Dr Alison Browning - Chief Surgical Resident (2020)......................................................................................... 13
Dr Henry Badgery - Chief Surgical Resident (2021)........................................................................................... 14
St Vincent’s Pre SET Surgical Society Committee (2021)................................................................................. 15
St Vincent’s Surgical Academy 16
Surgical Units Key Staff Members 17
St Vincent’s Hospital Surgical Heads of Units........................................................................................................ 18
St Vincent’s Hospital Surgical Departments........................................................................................................... 18
Breast Surgery.................................................................................................................................................................... 18
Cardiothoracic Surgery................................................................................................................................................... 18
Colorectal Surgery............................................................................................................................................................ 18
Endocrine Surgery............................................................................................................................................................. 18
Hepatobiliary and UGI Surgery.................................................................................................................................... 18
Head and Neck/ ENT Surgery....................................................................................................................................... 19
Maxillofacial Surgery........................................................................................................................................................ 19
Neurosurgery...................................................................................................................................................................... 19
Orthopaedic Surgery........................................................................................................................................................ 19
Plastic Surgery.................................................................................................................................................................... 19
Urology.................................................................................................................................................................................. 20
Vascular Surgery................................................................................................................................................................ 20
Surgical Residents and Unaccredited Registrars 2021...................................................................................... 21
St Vincent’s Hospital Teaching Programs 2021 24
1. Pre-SET Wednesday Weekly Education Series................................................................................................. 25
2. Surgical Essentials for Residents Program......................................................................................................... 27
3. ‘Registrar Ready’ Program......................................................................................................................................... 28
4. General Surgical Sciences Exam Preparation Course.................................................................................... 28
5. Wet Skills Laboratory.................................................................................................................................................. 29
6. SET Semi-Structured Interview Practice............................................................................................................. 30
7. Surgical Olympics......................................................................................................................................................... 30
8. Surgical Panel................................................................................................................................................................. 30
St Vincent’s Hospital Clinical School Student Teaching Program 31
Student Teaching Coordinator..................................................................................................................................... 34
8 St Vincent’s Hospital Melbourne
PreSET Pathway 34
Research at St Vincent’s 35
Research Coordinator..................................................................................................................................................... 36
Research Opportunities.................................................................................................................................................. 36
Department of Hepatobiliary and Upper GI surgery.......................................................................................... 36
Department of Orthopaedics....................................................................................................................................... 37
Department of Plastic and Reconstructive Surgery............................................................................................ 38
Department of Ear, Nose and Throat Surgery....................................................................................................... 38
Department of Neurosurgery....................................................................................................................................... 38
Department of Urology................................................................................................................................................... 39
Department of Cardiothoracic Surgery.................................................................................................................... 39
St Vincent’s Academy of Surgeons 40
St Vincent’s Hospital Surgical Forum 40
SET Application at St Vincent’s 41
SET success at St Vincent’s Hospital.......................................................................................................................... 42
RACS Competencies........................................................................................................................................................ 43
RACS Domains.................................................................................................................................................................... 43
General Requirements for SET Application and Selection................................................................................ 43
General Timeline for SET Selection 2021 (for 2022 commencement)........................................................ 44
General Surgery ................................................................................................................................................................ 44
Neurosurgery...................................................................................................................................................................... 45
Orthopaedic Surgery ....................................................................................................................................................... 45
Otolaryngology, Head and Neck Surgery ................................................................................................................ 46
Paediatric Surgery............................................................................................................................................................. 46
Plastic and Reconstructive Surgery ........................................................................................................................... 47
Urology Surgery................................................................................................................................................................. 47
Vascular Surgery................................................................................................................................................................ 47
St Vincent’s Pre SET Society Social Calendar 48
Surgical Lunch 49
9 Pre SET Surgical Training Manual 2021 Wellbeing Night 49 Time Out Gala Ball 49 Other Units at St Vincent’s Hospital Melbourne 50 Perioperative Medicine Unit (PMU) Service........................................................................................................... 51 Department of Anaesthesia and Acute Pain Medicine....................................................................................... 52 Department of Medical Education.............................................................................................................................. 52 Rotation Logbooks 53 Orthopaedic Surgery 57 Previous Surgical Society Committees 58 St Vincent’s Pre SET Committee 2020..................................................................................................................... 59 St Vincent’s Pre SET Committee 2019..................................................................................................................... 60 St Vincent’s Pre SET Committee 2018..................................................................................................................... 61 St Vincent’s Pre SET Committee 2017..................................................................................................................... 62 Sponsorship 63
10 St Vincent’s Hospital Melbourne
Welcome messages
Mr Michael Hii
Pre SET Supervisor
2020 was tough... not in the least for surgical training.
Whilst it is highly likely we will all be involved in continuing
to manage the existing pandemic during 2021 we’ve also a
real need to continue to improve surgical training as we go
forward (perhaps more so).
This will be year 5 of our refreshed training program and I feel
we now have a solid foundation to build upon. Impressively,
despite what happened in 2020 the leadership group/ Pre
SET committee were able to make some key improvements
from 2019 and we want to go forward in this style again.
The formal education program will continue, centred on
weekly lectures, GSSE preparation and the registrar ready
course. I think the weekly sessions are slowly becoming part
of the ‘culture’ and attendance is really improving (and becoming an expectation). The online platforms worked
well in improving attendance and obviously capacity for those offsite or finishing late to also attend and so
we are really keen to continue a hybrid version of teaching to allow both onsite and offsite trainees maximum
exposure.
For 2021 we really want to broaden SET application practice as a key part of the curriculum. In the past we’ve
focused this on those trainees who were successful in obtaining an interview; but in order to increase these
numbers we need to expand this to earlier stage trainees. From 2021 we’ll look to have a more inclusive
application training program which attempts to develop trainees at earlier stages in their career.
There are a few other big steps forward as part of the plans for 2021. I’m super excited to announce that Ms.
Nicole Winter will be joining the team as the Deputy Pre SET supervisor and will help drive this. Nicole will
first of all be orchestrating a biannual interview process which will allow us to touch base with the PreSET
group individually and have a clearer idea of their individual goals; secondly she will directly supervise/ enact
implementation of the master roster giving it a more personal - relevant - clinician touch. Nicole will therefore
be instrumental in addressing two of the most often noted issues with the Pre SET positions, namely rostering
and communication / engagement.
Mr Lih Ming Wong, has also spearheaded the development of the St Vincent’s Surgical Academy which will also
commence in 2021. This will provide a parallel pathway for more direct senior clinician involvement in training,
education and mentorship and will work terrifically with the existing Pre SET curriculum. The initial focus will
be on the mentorship program.
Our key measures will continue to be education attendance, and increasing our numbers of successful SET
applicants in all streams.
Finally, I’d like to congratulate Henry Badgery on his appointment as Chief Surgical Resident and of course, also
thank Alison Browning and her Pre SET committee for the amazing work they did in one of the most difficult
training years in memory.11 Pre SET Surgical Training Manual 2021 Welcome to the St Vincent’s Hospital Melbourne Pre-SET Surgical Training Program. It is a privilege to commence as your Deputy Pre-SET Supervisor in 2021 and help mould the path for future surgeons. I recently returned to Melbourne and joined St Vincent’s Hospital Melbourne as a Consultant Upper GI Surgeon. For me, it was a bit of a homecoming – I started off as a medical student at the St Vincent’s Clinical School where Prof Beswick taught me a great deal and made me realise that I am a surgeon and not a physician. I spent my junior doctor years learning what medical school could never prepare you for, then somehow successfully commenced SET training– I did not receive a first-round offer. What we will continue to build in the Pre-SET space is what I would have liked as a St Vincent’s Pre-SET resident all those years ago. I would like to congratulate Mr Hii and the previous Pre-SET committees for establishing a fantastic foundations program and continuing the St Vincent’s culture of excellence in education. For 2021, we hope to Ms Nicole Winter further integrate these elements, connect with you and Deputy Pre SET supervisor individualise your training experience. For the first time in 2021 we are introducing a biannual interview process as part of your Pre-SET Pathway. A surgical junior doctor’s career path is rapidly changing and becoming more and more competitive and complex. We are here to individually connect with you, to understand your goals, direct you to the resources you need to reach these goals, and provide a bespoke framework where you can take control of these years and navigate through to a successful SET application. As tough as 2020 was, we must embrace the positives too. 2020 has enabled us to rapidly advance new platforms to connect, communicate and collaborate. 2021 will be the year we use this to reconnect with all our junior doctors - those onsite, on external rotations, rural rotations, relieving rotations, part-time training jobs, and the list goes on. 2021 is your year to take control of your training, engage with your colleagues, seek out your mentors and succeed.
12 St Vincent’s Hospital Melbourne
Mr Simon Banting
Head, Department of Surgery
Welcome to the surgical training program of 2021.
We continue to work on improving the success rates of SET
applications, with further advancement in research; interview
training and improved rostering to fulfil the RACS requirements.
Henry Badgery has been appointed as Chief Surgical Resident. Alison
and her team continue to advance the formalised teaching sessions.
Surgical training at St Vincent's Hospital Melbourne continues to go
from strength to strength, and we look forward to welcoming you to
be part of this program.
Prof Peter Choong
Professor of Surgery
Welcome to the Department of Surgery at St. Vincent’s Hospital. This is a major hub of the
University of Melbourne surgical network. Exciting opportunities exist here to pursue a
career in academic surgery, to do research, to learn how to teach or simply to push yourself to
discover more about surgery as a resident, registrar or fellow. All of this is aimed at making you a
better doctor and giving your patients better outcomes.
With a strong tradition of surgery dating back to the founding of the Royal Australasian College of Surgeons just a few
metres from the Hospital, St. Vincent’s is a key training hospital for all surgical specialities. The University of Melbourne
Department of Surgery through the St. Vincent’s Academy of Specialist Surgeons provides an extra layer of support for all
surgical aspirants and can help you build a strong career in surgery with advice, mentorship and supervision from world
class surgeons.
The Department of Surgery offers higher degree research opportunities for many specialty disciplines including Honours,
Masters and Doctorate level research. Discover where your passion lies by spending a few moments with senior surgeons
discussing course directions and opportunities. The Melbourne Medical School now offers guidance about the Academic
Clinician pathway and how this can be developed through your resident and registrar journey.
The University of Melbourne Department of Surgery is a broad network of surgical departments situated at 6 major sites
around Melbourne, namely St. Vincent’s Hospital, Royal Eye and Ear Hospital, Royal Melbourne Hospital, Western and
Sunshine Hospital, Austin and Repatriation Hospital, Northern Hospital. These departments drive research that covers
the majority of surgical specialties. Themes include but are not limited to bioengineering and medical devices, tissue
engineering, basic biology, cancer, outcomes and prognostic factors, epidemiology and hospital services research, surgical
technique and health economics. Research in the Department of Surgery emphasises a collaborative multidisciplinary
approach that combines quantitative and qualitative aspects. Collaborative cross campus research is encouraged and can
be utilised to meet SET training requirements.
The door is always open in the Department of Surgery at St. Vincent’s to discuss your future career in surgery whether it is
a small project, a higher degree, a career move or just simply to stay connected. Please don’t hesitate to contact me or stop
me in the corridor if you wish to open up a conversation of how the Department of Surgery can help you.
Prof. Peter Choong
Sir Hugh Devine Chair of Surgery
Head of The Department of Surgery @ St. Vincent’s Hospital
pchoong@unimelb.edu.au13 Pre SET Surgical Training Manual 2021
This year has been a challenging year across the world,
with significant changes to the way we all live and work
secondary to the COVID-19 pandemic. Despite this,
the St Vincent’s Melbourne Pre-SET Surgical Society
(SVM PSSS) has had a successful fourth year, with the
consolidation and introduction of a number of programs.
Education has become a strength of our organisation this
year. With the move to online platforms, weekly HMO
teaching, GSSE course and medical student teaching
have all had outstanding years, with excellent attendance
and programs. We have introduced an interview practice
program that has allowed our more senior pre-SET
doctors the ability to connect and practice with each
other. We were also able to adjust the Registrar Ready
program to the beginning of the year, allowing us to
provide this program at a time where it was of greatest
utility. All committee members and contributors to
education have generously offered their time to support
these initiatives, and I am greatly appreciative of their
Dr Alison Browning
Chief Surgical Resident (2020)
efforts.
The work of this committee would not be possible
without a committed team of junior doctors and
supervision from Mr Hii, our pre-SET supervisor. I would
like to acknowledge everyone’s efforts, resilience and
flexibility in this challenging year.
As my time at St Vincent’s comes to a close, I reflect on
the opportunities for leadership and career development
this hospital has afforded me. It has been a privilege
to take on the role of Chief Resident and to act as an
advocate for the pre-SET doctors, and I look forward
to seeing the progression of the pre-SET program into
the future. I wish you all the best in your coming careers,
whatever they may hold, and look forward to working
with you in the future.14 St Vincent’s Hospital Melbourne
Dr Henry Badgery
Chief Surgical Resident (2021)
As the incoming chief surgical resident, I would like to warmly
welcome all those coming to work with us at St Vincent’s
Hospital Melbourne in 2021, both new and returning. The St
Vincent’s Melbourne PreSET Surgical Society (SVM PSSS) is
an increasingly important part of the fabric of St Vincent’s and
is unique within Victoria. It is a great privilege to be leading
the committee in 2021.
The goals of the SVM PSSS are to support pre-vocational
doctors in being accepted onto their desired surgical training
program, to nurture the culture and camaraderie among St
Vincent’s doctors and to provide support, education, training
and professional guidance. Acceptance onto a surgical training
program is an increasingly competitive process and surgical
residents will commonly spend many years as Pre-SET doctors.
It is vital that these years are as rich and productive as possible. The SVM PSSS has been proactive in establishing
programs to aid professional development of our pre-vocational surgical doctors through education, research.
In 2021, we will be introducing the pre-SET pathway, where all junior surgical staff will be provided with one-on-
one consultation with senior surgical staff to ensure they are on track with their SET applications plus providing
an opportunity to discuss ways in which their application can be improved.
The SVM PSSS is always looking for ways to improve the experience and opportunities provided to our junior
doctors. We always welcome feedback and fresh ideas to improve our programs. Furthermore, I encourage you to
get in touch with myself or anyone on the committee should you wish to raise any issues or concerns.
I look forward to working with you all in 2021 and hope that it is a productive and fulfilling year. Welcome to St
Vincent’s.15 Pre SET Surgical Training Manual 2021
St Vincent’s Pre SET Surgical Society Committee (2021)
Supervisor of Pre SET Education Officer:
Training GSSE Education
Mr Michael Hii Jo-Lynn Tan
michael.hii@svha.org.au jo-lynn.tan@svha.org.au
Deputy Supervisor of
Pre SET Training Education Officer:
Ms Nicole Winter GSSE Education
nicole.winter@svha.org.au Roz Quincy O’Neill
rosalind.oneill@svha.org.au
Chief Surgical Resident Research Officer
Henry Badgery Justin Galvin
henry.badgery@svha.org.au justin.galvin@svha.org.au
Treasurer Education Officer:
Mahima Tellambura Student Teaching
mahima.tellambura@svha.org.au Stacey Telianidis
stacey.telianidis@svha.org.au
Secretary Social Officer
Manasa Saripalli Nadishi Athulathmudali
manasa.saripalli@svha.org.au nadishi.athulathmudali2@svha. Education Officer:
IT/Promotions Officer org.au Weekly Lecture Series
Trived Soni Adrienne Lui
adrienne.lui2@svha.org.au
trived.soni@svha.org.au16 St Vincent’s Hospital Melbourne
St Vincent’s
Surgical
Academy
T he St Vincent's Academy of Surgeons
commences in 2021. Developed by
Mr Lih Ming Wong, it brings together a
group of like minded surgeons across
multiple specialities, interested in
teaching, research and mentorship.
The academy aims to assist with coordination of surgical education across the
campus, with particular focus on junior surgical staff, interns and medical students.
This will involve sub-specialty tutorials organised through the Pre-SET society.
There will also be an emphasis on surgical career guidance and development of appropriate mentoring groups,
across the spectrum from student to surgeon. This will commence with a careers night, tentatively planned for Feb
25th, 2021.
For anyone interested in any form of surgical research, the academy will have surgeons who can guide and encourage
your endeavours.
Our website and contact details are still to be developed but these will be disseminated through the Pre-SET surgical
society soon.
Mr Lih Ming Wong17 Pre SET Surgical Training Manual 2021
Surgical Units Key Staff Members
St Vincent’s Hospital Surgical Heads of Units
Unit Name Contact
Breast Surgery Ms Caroline Baker 9417 4666
Cardiothoracic Mr Andrew Newcomb 9231 2151
Colorectal Surgery Mr Jamie Keck (Acting) 9419 3377
Endocrine Surgery Mr Stephen Farrell 9231 3976
Hepatobiliary and Upper Mr Simon Banting 9416 2246
Gastrointestinal Surgery
Head and Neck / Ears, Mr Ben Dixon (Acting) 9421 1000
Nose and Throat Surgery
Neurosurgery Mr Peter McNeill 9231 3650
Orthopaedic Surgery Mr James Stoney 9231 3980
Plastic Surgery Mr Damien Grinsell 9412 8850
Urology Mr Jeremy Goad 9419 471518 St Vincent’s Hospital Melbourne
St Vincent’s Hospital Surgical Departments
Breast Surgery Endocrine Surgery
HOU Ms Caroline Baker HOU Mr Steven Farrell
First Name Last Name First Name Last Name
Caroline Baker Christina Foley*
Christina Foley* Jane Harding
Jocelyn Lippey Stephen Farrell
Jason Tan
Tracey Lam
Cardiothoracic Surgery
HOU Mr Andrew Newcomb
First Name Last Name
Hepatobiliary and UGI Surgery
Shoane Ip HOU Mr Simon Banting
Andrew Newcomb First Name Last Name
Gavin Wright Adrian Fox
Jay Bhaskar Brett Knowles
Maryann Johnson
Jim Dimitriou*
Matthew Read
Krishna Bhagwat
Tracey Lam
Alexander Rosalion
Michael Hii
Michael Yii
Salena Ward*
Nick Roubos
Simon Banting
Naveed Alam Nicole Winter
Colorectal Surgery
HOU Mr Jamie Keck (Acting)
First Name Last Name
Basil D'Souza
Eugene Ong*
James Keck
Michael Johnston
Richard Brouwer
Rodney Woods
* term supervisors19 Pre SET Surgical Training Manual 2021
St Vincent’s Hospital Surgical Departments
Head and Neck/ ENT Surgery Orthopaedic Surgery
HOU Ben Dixon (Acting) HOU Mr James Stoney
First Name Last Name First Name Last Name
Ben Cook Altay Altuntas
Benjamin Dixon Sina Babazadeh
Bernard Lyons Anita Boecksteiner
Ian Hewson (Dentist) Anthony Bonomo
Tim Baker Audi Widjaja
Lisa Pui Sze Wun Claudia Di Bella
Eric Levi Dirk Van Bavel
Mark Guirguis Elango Selvarajah
Michael Borschmann Francis Ma
Richard Kennedy* Gerard Powell
Samuel Flatman Grant Pang
Yi Chen Zhao Gerard Powell
Daniel MacCormack Jarrad Stevens*
Lachlan Batty
Michael Dooley
Maxillofacial Surgery Prof Peter Choong
HOU Mr Joseph Gunn
Osama Elsewaisy
First Name Last Name
Roger Bingham
Stephen Austin
Jim Dimitroulis
Plastic Surgery
HOU Mr Damien Grinsell
Neurosurgery First Name Last Name
HOU Mr Peter McNeill Anthony Berger
First Name Last Name Anthony Penington
Chris Thien Eldon Mah
Andrew Gogos James Burt
Chung Carlos James Thomas
Kristia Bulluss Michael Lo*
Rana Dhillon* Ramin Shayan
Smith Paul Sophie Ricketts
Tiew Han Stephen Tham
Bryden Dawes Satomi Koide
James Finkemeyer
Will Alexander
Vachara Niumsawatt
Wayne Morrison20 St Vincent’s Hospital Melbourne
St Vincent’s Hospital Surgical Departments
Urology Vascular Surgery
HOU Mr Jeremy Goad HOU Mr Mark Westcott
First Name Last Name First Name Last Name
Adee-Jonathan Davidson Domenic Robinson*
Anita Clarke Mark Lovelock
Catherine Temelcos* Mark Westcott
Daniel Lenaghan Celina Kaiser
Janelle Brennan Sara Qi
Kapil Sethi Raoul Mayer
Lih-Ming Wong* Yahya Lahham
Owen Niall Leonard Shan
* term supervisors21 Pre SET Surgical Training Manual 2021
Surgical Residents and Unaccredited Registrars
2021
(*Roster correct as of January 2021)
Surgical + General HMO2
Haidar AL SAFFAR Jean GADOR WHYTE Laurence KWOK
Chris BARTER Justin GALVIN Joyce LEE
Jonathan BEBBINGTON Song GAO Jane LEE
Patrick BROWN James GRAY Adeline LO
Yanfei CAI Iman HAMEED Adrienne LUI
Li (William) CHEN Mia HARRISON Yasmin MANAHAN
Kimberley CHOW Joshua HOEY Thomas MASTERS
Andrew CLARKE Roseanna HUNTER Indiana MATTI
Olivia CUMMINGS Mo Ses JIN Jill MCCANN
Marc DUSENGIMANA Lily KANG Jemima MCKENZIE
Shane ELWOOD Peter KATSAS Georgina MEEHAN
Umar FAROOQ Jayden KELLY Tammie MONEY
Morgan FLITCROFT Joseph KELLY Eric MORAN
Mark FOGARTY Georgia KORONEOS Janice NATHALIE
Jacqueline Kim NGUYEN Stephanie SHEEHAN Rene WANG
Sowon PARK Daniel SHELL Sophie WANN
Rosalind QUINCEY O'NEILL Holly SIZER Lu WENG
Frances RICKARD Sujan SURENDRAN Mengjiazhi (Jorge)
YANG
Georgia ROBERTS Patrick TIMMS
Carlo RUSSO Laura TOSCANO22 St Vincent’s Hospital Melbourne
Surgical Residents and Unaccredited Registrars
2021
(*Roster correct as of January 2021)
Surgical HMO3+
Jasmine ARK Ahmed KHALAF Christopher SHAFIK
Nadishi ATHULATHMUDALI Melody KOO Harsh SINGH
Laura BENNETT Mark LAIDLAW Adam STRUK
Yuwei CHEN Jamil MANJI Emma Tan
Nishant CHINTAPALLI David MESKELL Hao-Hsuan TSAI
Amanda CHONG-HALLIDAY Taha MOLLAH Padma VENKATAGIRI
Vincent CHOW Michelle NG Max WHITCHURCH
Ben CONDON Hanh Thao NGUYEN Timothy WRIGHT
Alfredo DE FARIA FREITAS Carl OOI David WYNNE
Jonathan EVANS Samantha PHILLIPS Alexander YIP
Campbell FISHER Mitchell PRYCE
Mathew HINKSMAN Amy RICHARDSON
Shubhum JOSHI Alvin SHAE
Unaccredited Registrars - General Surgery
Henry BADGERY Jade EL-MOHAMED Mahima TELLAMBURA
Shaneel BAPPAYYA Teagan FINK Alice THOMSON
Daniel CALANDRO Adele LEE Vy TRAN
Raphael Park CHAE Yew Loong LOO Trived SONI
Wern Roong CHAI Sanjana SHARMA Louis SISK
Ming Xia CHIA Jo-Lynn TAN Yu Feng NIE
Audrey CHOY Stacey TELIANIDIS Shehzaad Peerbux23 Pre SET Surgical Training Manual 2021
Surgical Residents and Unaccredited Registrars
2021
(*Roster correct as of January 2021)
Unaccredited Registrars - Cardiothoracics
Francis CHEUNG Xin Tao Ye Alireza KASHANI
Nikhil CHANDRA Trevor Tnay Alvin SHAE
Unaccredited Registrars - Neurosurgery
Kim BOAZ Yoni GOLDENBERG
Madeleine BUCK Lana NGUYEN
Unaccredited Registrars - Orthopaedics
Genevieve DARCY Sam FRANCIS Angela YAO
Unaccredited Registrars - Plastic Surgery
Nicole GARCIA Brett SACKS
Unaccredited Registrars -ENT
Olivia NICHOLSON Domagoj VODANOVICH
Unaccredited Registrars -Urology24 St Vincent’s Hospital Melbourne St Vincent’s Hospital Teaching Programs 2021
25 Pre SET Surgical Training Manual 2021
1 Pre-SET Wednesday Weekly Education Series
The weekly HMO teaching sessions aim to educate pre-SET trainees across various surgical specialities,
anaesthetics and perioperative medicine to foster well rounded, knowledgeable pre-SET trainees. Topics
will cover the investigation and management of common, as well as rare but serious surgical conditions not
to be missed.
The sessions are run by St Vincent’s consultants and fellows in a combination of didactic and interactive
case-based discussion format.
The 2021 teaching sessions will be held in-person where appropriate as well as through Zoom, an online
platform to ensure those off-site are able to attend.
The weekly HMO teaching sessions aim to prepare residents to become competent registrars and it is an
expectation that our pre-SET surgical HMOs attend as many sessions as able.
Frequency Weekly from March to November
Location Level 2 of DOC building and via Zoom
Catering A number of the in-person sessions will be sponsored with catering
Time Wednesday 17:45 – 18:45
Coordinators Dr Adrienne Lui and Justin Galvin
As always, pre-SET welcomes our residents’ input in education topics via email at adrienne.lui2@svha.org.au.
Adrienne Lui
Education Officer - HMO Teaching26 St Vincent’s Hospital Melbourne
2021 weekly HMO teaching will cover topics from three broad series: Surgical,
Curriculum Perioperative and Radiology. Topics covered are as follows:
• Management of the deteriorating surgical patient
• UGI Emergencies
• Colorectal Emergencies
• ENT Emergencies
SURGICAL
• Neurosurgical Emergencies
• Vascular Emergencies
• Cardiothoracics Emergencies
• Fracture management 101
• Orthopaedic Emergencies
• Plastics Emergencies
• Paediatric Surgery: trauma and burns management
• Breast and Endocrine Surgery
• Urological essentials
• Periop Cardiac Assessment and Optimisation
PERIOPERATIVE
• Periop Respiratory Assessment and Optimisation
• Periop Renal
• Periop Endocrinology
• Periop Haematology
• Periop Gastroenterology
• Periop Geriatrics
• Periop Pain
• ERAS
• CT Scans: Interpretation of the Abdomen and Pelvis
RADIOLOGY
Part 1: GIT
Part 2: Liver and Biliary Tree
Part 3: Adrenals, Pancreas & Spleen
Part 4: Kidneys and Urinary Bladder
• CT Scans: Interpretation of the Chest (Parts 1 and 2)
• CT Scans: interpretation of the Head and Neck
Timetable is subject to the availability of our presenters. Please see the updated timetable throughout the
year.27 Pre SET Surgical Training Manual 2021
2 Surgical Essentials for Residents Program
The Surgical Essentials for Residents (SERP) Program is a series of interactive practical workshops focusing
on fundamental surgical skills across a variety of surgical specialties. Topics include laparoscopy and chest
tube insertion. Those who attend a minimum of 4 x 1.5 hour sessions will be provided a formal certificate
of completion. Due to limited space in labs and the need to provide practical resources, registration and
commitment to this program is required and there exists a waiting list for each session. If due to unforeseen
circumstances you are unable to attend after registering for the program please contact Belinda Healy as
early as possible.
Sessions this year will include:
• Peripheral line insertion under ultrasound
• Bedside ultrasound workshop: eFast scanning and volume assessment
• Emergency Orthopaedics
• Laparoscopy training
• IDC Troubleshooting
• Chest tube insertion
• Suturing and knot tying
• Deteriorating patient simulation
Frequency: Monthly from March to November
Location: Clinical education and simulation laboratory Please note: Laboratory Sessions limited to 20
places – Registration Essential.
3rd Floor Building C (Healy Wing) For more information please contact
Time: Wednesdays 17:45 - 19:00 belinda.healy@svha.org.au
Coordinators: Belinda Healy28 St Vincent’s Hospital Melbourne
3 ‘Registrar Ready’ Program
Following the success of the 2020 program, Registrar Ready Day 2021 will continue
to run as a single all day event on Saturday, February 6th. The purpose of this program
is to offer new registrars and residents that may be stepping up into more senior roles
the opportunity to practise key clinical skills and upskill in non-technical domains. All
sessions are taught by senior SET registrars, fellows, and/or consultants. The program
for 2021 is as follows:
• How to Manage a Team
• Suturing
• Surgical Dressings
• Surgical Draping
• Perioperative Management of the Surgical Patient
• Informed Consent
• Keeping your head above water
Frequency: Once yearly
Location: St Vincent’s Clinical School, 23 Regent Street, Fitzroy
Time: 08:30-17:30
4 General Surgical Sciences Exam Preparation Course
The Generic Surgical Sciences Exam (GSSE) is a prerequisite exam for all applications to SET training. Its primary
components consist of foundational knowledge in anatomy, physiology and pathology. With few courses
available to guide study, pre-SET doctors have historically found the physiology and pathology components of
the exam most challenging to prepare for.
The St Vincent’s Pre-SET Surgical Society has designed a two-day intensive education program targeted at
preparing candidates for these most difficult components of the exam. Lectures are focused on high-yield
exam topics, and taught by experienced lecturers who are familiar with the GSSE exam structure and style of
questions. Over the years of running this course, we have refined our course material and design, as well as
attracted participants from all around Australia. In recognition of its value, our course is now in its early stages
of attaining Royal Australasian College of Surgeons accreditation.
2020 has been the 6th consecutive year running this course at St Vincent’s Hospital. This year, with the unique
challenges presented by the Covid-19 pandemic, we have had to think outside the box and find new and
innovative ways to continue to deliver high-yield exam material in an interactive and engaging way. This has
led to the successful online delivery of the course in 2020 enabling pre-SET doctors from interstate as well as
overseas to attend. In 2021, we will continue to deliver both face-to-face and online attendance options.
This course is aimed at pre-SET doctors sitting the upcoming GSSE. However, given the importance of these
foundational topics in all specialty examinations, we strongly encourage medical students, interns, and residents
pursuing critical care and medical specialties to also attend.
We hope that those attending this course will gain useful information that ensures they are successful in
passing the GSSE.
Jo-Lynn Tan and Roz O’Neill
Education Officers - GSSE29 Pre SET Surgical Training Manual 2021
5 Wet Skills Laboratory
Over the last 4 years, surgical trainees at St Vincent’s Hospital have been invited to
participate in live-animal, advanced laparoscopic workshops. These skills labs have been
run at the University of Melbourne. A select group of 6 trainees participate in this small
group, intensive workshop in laparoscopic surgery. The program will run twice in 2021
with workshops tentatively planned for 27th March and 31st July.
In an era of increasingly complex surgery, the workshop has provided trainees a vital
opportunity to learn and practice advanced laparoscopic skills prior to putting them
into practice in the real world. Despite advances in technology, laparoscopic training
simulators, even high-cost “virtual-reality” trainers, do not sufficiently simulate operating
on real tissues. This year we have run four workshops, and this has given our trainees
the unprecedented opportunity to acquire advanced laparoscopic skills whilst operating
on real, living tissue in a porcine model. They have had the opportunity to practice their
laparoscopic skills including dissection, suturing and stapling, and perform operations
such as laparoscopic cholecystectomy, small bowel resection and anterior resection.
Mr Eugene Ong
Colorectal Surgeon On each course, 2 trainees have been allocated per station, and each station has had a
proctor. This has meant our trainees have an intensive workshop and have been able to
accomplish and learn more than on other comparable courses. In addition to acquiring
technical skills, thanks to our industry partners, the trainees have been exposed to the
latest surgical devices, including advanced electrosurgical and stapling devices. The
industry representatives have also attended these labs to educate the trainees in the
theory and practical usage of these devices.
The workshops have been extremely well received by the participants and will continue
to be a highlight in the surgical training St Vincent’s Hospital. The workshops have been
generously sponsored by Medtronic/Covidien, and would not be possible if it were not
for their ongoing support and enthusiasm for surgical training.30 St Vincent’s Hospital Melbourne
6 SET Semi-Structured Interview Practice
The St Vincent’s Pre-SET society provides semi-structured SET interview practice for applicants
Interested trainees who are intending to apply for SET in 2021 will have the opportunity to register to be part
of this program. Fortnightly interview questions and practise partnerships will be e-mailed to participants,
to aid with regular practise and rotational experience and exposure to different craft groups and skill sets.
Formal interview practice evenings will also be held, closer to the interview dates. We will ask surgeons
from St Vincent’s Hospital to participate. The aim will be to practice an interview in a semi-authentic
environment, ideally with consultants who are not familiar to the trainee. We also encourage surgical
residents to participate in these practice evenings to provide feedback and to help familiarise themselves
with the interview process. We will continue to develop a question bank prior to this to maximise the
accuracy of the simulation.
Further details will be provided closer to the date.
7 Surgical Olympics
2021 will mark the inaugural Surgical Olympics at St Vincent’s Hospital Melbourne. Inspired by programs
such as the Gold Scalpel, the Surgical Olympics will be an opportunity for pre-SET trainees to demonstrate
the practical skills that they have acquired and compete with each other for a prize. This event will take
place in December. Further information will be provided in due course.
8 Surgical Panel
The annual Surgical Panel is an information evening held each year with invited speakers from all levels of
surgical training including Unaccredited Registrars, SET trainees, Fellows and Consultants. The aim of this
session is to discuss what a career in Surgery looks like at each level, some of the benefits and challenges
throughout a surgical career and highlight key components of the SET application process. The night
ends with an informal question and answer session. Medical students, interns and Pre-SET trainees are
encouraged to attend this valuable session.
Details of the surgical panel will be provided in due course. Please look out for more information closer to
the date in your emails and our website and social media pages.31 Pre SET Surgical Training Manual 2021 St Vincent’s Hospital Clinical School Student Teaching Program
32 St Vincent’s Hospital Melbourne
T he Doctor of Medicine course at St Vincent’s Clinical
School, The University of Melbourne is a 4-year
graduate program. Students are placed in the hospital
setting full-time for the last three years of the course with
a one-day placement in year 1. The Clinical School utilizes
various teaching platforms and we encourage teaching from
consultants to registrar/residents. It remains the premier
teaching hospital at the Melbourne Medical School, The
University of Melbourne.
There will be opportunities in 2021 for a select number of
HMO surgical residents/registrars to further their skills as
tutors and teachers. The Clinical School has an active surgical
student’s society and through the student leadership group,
Mr Naveed Alam (surgical mentor) and Mr Michael Hii –
pre-SET supervisor they run annually an innovative surgical
education program which sits along with the core teaching
programs. The formation of the resident’s society along with
the appointment of the chief surgical resident has allowed for
strong links between the student’s and resident’s society. The
program in 2019 was well received by the medical students
with the support of the Student Teaching Coordinator on the
resident’s committee.
Resident and registrars will assist in teaching in the following
• surgical lab sessions and simulation programs – resident and registrar led
• seminar program – registrar involvement with core presentations overseen by consultant content experts
• program support – skills training support as required from the surgical students' society
In addition to below, a buddy mentor system will be rolled out to support senior students with an interest in
surgery.
Teaching would be envisaged to occur from February to October each year. The program is a program initiated
by A/Prof Justin Tse (Clinical Dean) and Dr Michael Hii (pre-SET supervisor).
For further information on the Clinical School and MD course please go to these website links
http://mdhs-study.unimelb.edu.au/degrees/doctor-of-medicine/overview
A/Prof Justin Tse | Director of Medical Student Education
St Vincent's Clinical School, Department of Medical Education, Melbourne Medical School33 Pre SET Surgical Training Manual 2021
Student Teaching
Coordinator
The Pre-SET Surgical Society has provided a
supplementary teaching program to Melbourne
University Medical Students at St Vincent’s
Hospital since 2018. We work closely with the
St Vincent’s Clinical School and the St Vincent’s The teaching program faced great challenges in
Clinical School Surgical Student Society. We 2020. In the early months of the year, we were
also support the Melbourne Medical School able to hold our usual practical sessions however
Conference with practical workshops. as the year progressed with the rise of COVID-19,
we were not able to continue. The program
adapted by holding tutorial-like sessions, Q and
Teaching is a pivotal part of being a doctor; the A sessions and ‘clerk the registrar’ sessions via
word 'doctor' comes from the latin 'docere' - an online platform, mimicking the impromptu
to teach. This program has received positive teaching experience students receive while on
feedback from St Vincent's Clinical School ward placements. These sessions were very well
students and is an excellent opportunity for Pre- attended. Word travelled quickly and we soon
SET doctors to participate in the tradition of had attendance form other clinical schools and,
medical education. The program is evolving and during larger sessions, other universities.
has received positive feedback from students
as an excellent opportunity for them to receive
extra surgical teaching and mentorship while Applications for Pre-SET trainees to be a teacher
developing relationships with their future in the Student Teaching Program will open in early
colleagues. 2021 with the selection being based on prior
experience, enthusiasm and surgical speciality
interest. Teaching takes place weekly on Tuesday
For pre-SET doctors, teaching medical students evenings. In addition to regular tutors for the
provides many benefits. Teaching medical course of the year, we also encourage one-off
students is a wonderful way of making a meaningful involvement, in particular for specialty specific
contribution to the St Vincent's education sessions. We look forward to resuming the
environment, develop important mentoring and program in 2021 with practical sessions where
teaching skills, consolidate their own knowledge appropriate plus online content where required.
and to support applications for surgical training
programs (in particular general surgery). The
teaching program includes lectures, tutorials and Dr Stacey Telianidis
practical workshops such as suturing, knot tying, Medical Student Teaching Officer
wound management, history and examination
skills and plaster cast application.34 St Vincent’s Hospital Melbourne PreSET Pathway In 2021, we have introduced a compulsory biannual interview program as checkpoints in your pathway. This begins with Pre-SET Entry Interview for all HMO 3 surgical residents and all unaccredited general surgery registrars. This will be an opportunity for you to tell us a bit about yourself, where you are along your path to SET applications, any issues or concerns you would like assistance with, and any suggestions for the year and going forward. In preparation for this interview, an online form is required before your session. The aim of this program is to ensure all St Vincent’s pre-SET doctors have a clear plan in preparation for SET applications in meeting prerequisites, identifying and contacting referees, improving CVs and preparing for interviews. A mid-year Pre-SET Redirect Interview will be offered to all trainees and conducted by request from you. A junior doctor’s career path is becoming more complex and competitive. This is the time to reevaluate your progress, identify evolving issues or concerns, and any changes in your goals. Your career and your pathway will evolve and change. Toss out the notion of rigid long term plans and learn to take control of your training space, cultivate your skills of self evaluation and maintain motivation. More information can be found at: http://www.svhmpresetpathway.com Password: presetreconnect Ms Nicole Winter Deputy Pre-SET Supervisor
35 Pre SET Surgical Training Manual 2021 Research at St Vincent’s
36 St Vincent’s Hospital Melbourne
Research has always been at the forefront of improving patient outcomes, yet it can be
daunting to think about venturing down this path. When and where should you begin,
Research how much time and effort can you spare, will your work become published? What
begins to sound like an insurmountable task should rather be an exciting journey. As
Coordinator the Pre-SET Committee Research Officer my role for you is two-fold:
1) I act as a point of call to help answer general queries and direct you towards the
appropriate contacts to get involved in research
2) I act as an advocate for surgical research and facilitate events and opportunities
throughout the year.
Many of you reading this may choose a more solo attack to get involved in research,
and so with the wise words of my predecessor, the best place to start is by emailing
consultants in your desired surgical field and speaking to registrars on your surgical
rotations.
For further help or assistance regarding research opportunities in your field, please
feel free to contact me at justin.galvin@svha.org.au
Justin Galvin
Research Officer
The Upper GI and Hepatobiliary Unit have numerous opportunities for junior medical
staff to participate in clinical research.
Research The unit runs an extensive prospective database which currently contains short,
medium and long-term information for over one thousand patients. There are numerous
Opportunities possibilities within this for rapid turnover projects or more extensive articles. Alongside
this, there are numerous prospective trials currently running including randomised
controlled trials which are open for collaboration from the junior medical staff.
The Upper GI and HPB unit employ a full-time research coordinator to assist in
running projects, ethics applications, data collection, other logistics and writing. There
will be at least fortnightly research meetings held Monday at 12:30pm. This meeting
DEPARTMENT OF
HEPATOBILIARY AND is chaired by Mr Michael Hii and attended by most of the consulting surgeons, as well
UPPER GI SURGERY as our full-time research assistant, Lynn Chong, one Masters Student and 3 MDRP
students from the University of Melbourne.
The research group welcomes and encourages contributions from junior medical staff
and offers a wide range of projects, ranging from case reports all the way through
to randomised trials. For junior medical staff looking to complete higher degrees,
appropriate supervision can be arranged (along with part-time work) for those
interested in foregut research. For more information on what research opportunities
are available, contact Mr Michael Hii on Michael.hii@svha.org.au or Lynn Chong on
lynn.chong@svha.org.au.37 Pre SET Surgical Training Manual 2021
Department of Orthopaedics
The Department of Orthopaedics is the oldest dedicated orthopaedic department in Australia and is an
academic division of the University of Melbourne Department of Surgery. It has a strong tradition in academic
and professional leadership with 3 of its previous heads of department having higher degrees (Tom King MD,
Harry Crock MD, Peter Choong MD), 4 surgeons being National Director of Orthopaedic Training (Brendan
Dooley, Jonathan Rush, Kevin King, Peter Choong) and 7 previous members of staff being President of the
Australian Orthopaedic Association (Tom King, Kevin King, Brendan Dooley, Jonathan Rush, John Batten,
John Owen, Peter Choong). The current Chair of the AOA Research Committee and Co-Chair of the Scientific
Advisory Committee of the Victorian Orthopaedic Trust is Professor Peter Choong.
The Department of Orthopaedics pursues research that is drawn together by the Advanced Limb Reconstruction
Programme. This includes clinical and hard science (basic and engineering) research.
The clinical research themes are divided into (i) Orthopaedic Oncology which leverages a bone and soft tissue
database to investigate the behaviour and outcomes of a wide variety of tumours as well as the outcomes after
modern multidisciplinary treatment; (ii) Arthritis Surgery research which leverages a unique high fidelity joint
replacement registry to explore the drivers of patient-related outcomes, health economics of joint replacement
surgery and the effectiveness and efficiency of clinical and institutional processes related to joint replacement
surgery.
The basic science and engineering science themes are divided into (i) Tissue engineering of cartilage and skeletal
muscle to investigate novel ways to treat osteochondral and neuromuscular injuries using smart materials, stem
cells and 3D bioprinting (ii) Advanced fabrication of implants using latest technologies in 3D manufacturing in
collaboration with the School of Aerospace and Advanced Manufacturing Engineering RMIT, (iii) Development
of Limb Robotics in conjunction with the Melbourne School of Engineering which is focused on developing
space-age neuroprostheses, (iv) Development of smart devices for hand delivery of bio-scaffolds and cells at
the time of surgery in conjunction with the Intelligent Polymer Research Institute, University of Wollongong,
(v) Development of new methods for rapid expansion of cell cultures using nanotechnology in conjunction with
Swinburne University of Technology, (vi) Development of Bone Substitutes for reconstructing skeletal defects
in conjunction with the Queensland University of Technology, (vii) Development of robotic-assisted surgery in
orthopaedics and orthopaedic oncology in collaboration with the Stryker Corporation.
The Orthopaedic Laboratories on 3rd Floor Healey Wing is the focus for the basic research themes. The
newly inaugurated Advanced Biofabrication Facility on the 1st Floor, Department of Surgery, Clinical Sciences
Building unites the stakeholders of the Advanced Limb Reconstruction Programme via platforms of technology
that include bioreactors, molecular biology, stem cell biology, advanced bioprinting.
The NHMRC Centre for Research Excellence into Joint Replacement Surgery is situated on the 2nd Floor,
Department of Surgery, Clinical Sciences Building and brings together researchers in the field of arthritis
surgery research.
There are ample opportunities for undergraduate students (Biomedicine, Science), postgraduate students
(Doctor of Medicine), residents, registrars and surgeons to participate in vibrant and highly successful research
under the supervision and mentorship of driven and professional researchers. There are a wide variety of
topics in the themes described above for dedicated research.
Please contact the following if you are interested in undertaking research through the Department of
Orthopaedics
Prof Peter Choong pchoong@unimelb.edu.au
http://findanexpert.unimelb.edu.au/display/person2266
A/Prof Claudia Di Bella claudia.dibella@unimelb.edu.au
http://findanexpert.unimelb.edu.au/display/person169374
Dr Michelle Dowsey mmdowsey@unimelb.edu.au
http://findanexpert.unimelb.edu.au/display/person343538You can also read
