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MJATHE MEDICAL JOURNAL OF AUSTRALIA

N U M B E R 1 1 • 6 J U N E 2 0 1 1

CareersC1

Editor: Sophie McNamara • [email protected] • (02) 9562 6666

continued on page C3

In this issueC1 Careers in genetic pathology

C5 Dr Melody Caramins: Genetic pathologist

C7 Money and Practice: Keeping it in the family

C2 & C8 LocumsC10 - C13 Remote HealthC13 - C15 Specialist AppointmentsC17 - C19 Overseas AppointmentsC21 CME, Real Estate, Services

Careers in genetic pathologyGENETIC pathology is a new and growing

discipline which involves diagnosing genetic

diseases, primarily by overseeing the testing

of patient samples for mutations in DNA or

RNA.

“These can be germline mutations

involved in single-gene disorders, or somatic

mutations involved in cancer”, says Dr

James Harraway, a Brisbane-based genetic

pathologist.

It’s a fi eld that’s on the cutting edge of

medicine as scientists continue to identify

genetic mutations that underlie disease

processes.

“As our understanding of the genetic

basis of cancer and polygenic disorders such

as diabetes and heart disease increases, there

will be a growing role for genetic testing”,

says Dr Harraway.

The fi eld is changing quickly as new

technologies mean that large amounts of

genetic information are available at a lower

cost.

Dr Graeme Suthers, a genetic pathologist

and spokesman for the Royal College of

Pathologists of Australasia (RCPA), says the

key attribute needed by potential genetic

pathologists is the ability to adapt to this fast

pace of change.

“Our capacity for DNA sequencing is

doubling every 6 months while the cost

per gene is falling rapidly, and there’s no

suggestion that the rate of progress will

slow”, he says.

“The ideal person needs a good

understanding of medicine and a willingness

to be learning and learning and learning.

You forever feel that you’re in kindergarten

with this game because it is changing so

rapidly”, he says.

Dr Suthers says the profession also

needs doctors who can advocate for the role

of genetic pathology in Australia’s health

care system, to create new jobs for genetic

pathologists.

“We need people who are, dare I say it,

good at the politics. Like every country in

the world, we’re struggling to control the

costs of health care. The genetic revolution

is here and it has the potential to make

health care better, and cheaper.”

Genetic pathology is currently a very

small specialty, with only about 17 genetic

pathologists working in Australia, according

to the RCPA.

However, all new graduates are thought

to have secured employment, mainly in the

public sector in metropolitan regions.

Dr Harraway says he was attracted to the

profession because he enjoyed laboratory

work, but wanted to do something with

a direct impact on patients rather than

working solely in a research capacity.

Although the role is laboratory based, it

involves close collaboration with clinicians

to ensure that patients obtain maximum

benefi t from genetic tests.

“As genetic tests can be quite complex,

a lot of my day involves discussions with

clinicians about tests. We discuss things

such as how the test can help with the

clinical question, the pros and cons of the

test, the most appropriate test to perform,

and interpreting test results”, says Dr

Harraway.

Genetic pathologists also liaise regularly

with medical laboratory scientists and

other pathologists. As such, genetic

pathologists need good teamwork and

communication skills, including strong

writing ability to assist with reporting test

MJA Careers 6 June.indd 1 26/05/2011 9:58:03 AM

www.mjacareers.com.au • Number 11 • 6 June 2011MJA Careers

C2

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results. “Reports need to be clear and

easily understandable while containing

technical details, which can be quite

challenging”, says Dr Harraway.

He says although the pace

of technological change can be

challenging, it is rewarding when it

means better outcomes for patients.

“One thing that I personally get a

lot of satisfaction from is introducing

a new test into clinical practice, and

seeing it become part of standard

patient care”.

The use of targeted therapies are

also an area of satisfaction for

Dr Harraway.

“Targeted therapies are being

developed for a variety of cancers and there

is often a need for genetic tests to determine

whether those therapies will be helpful. I fi nd

it rewarding to be able to help ensure the most

effective treatment for patients.”

There are also substantial opportunities

for research work within genetic pathology,

with registrars encouraged to undertake some

research while training. Research could focus

on topics such as the mutations that underlie

cancer, the causes of single-gene disorders,

gene therapy or the basis of “complex”

polygenic disorders.

“As genetics is often on the cutting

edge of technology, there is a big potential

role for translational research, bringing

new innovations, such as next generation

sequencing, into clinical practice”, says

Dr Harraway.

Genetic pathologists are often able to

achieve a successful work–life balance.

There is no on-call work,

and there is often scope for

part-time work, depending on

the laboratory. The profession

is also fairly evenly split

between male and female

pathologists.

Training The Royal College of

Pathologists of Australasia

runs a 5-year training

program in genetic pathology.

In the fi rst 3 years of the

program, graduates learn

about the uses of genetic

testing in diagnosis and prognosis of various

diseases, the clinical background of those

diseases and how to run clinical laboratory

genetic tests. The next 2 years of advanced

training focuses more on management

issues such as regulation, quality control

and assurance, and communication skills.

Graduates of the program are awarded a

Fellowship of the RCPA. More information is

available at: www.rcpa.edu.au ■

continued from page C1

C3

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Help people, virtually anywhere.


“Th k thi i th t ith ll th


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Dr Melody Caramins is a genetic pathologist who is acting

director of genetic pathology for South East Sydney Area

Health, located at the Prince of Wales and Sydney Children’s

hospitals in Sydney. After completing her medical degree in

1992 at the University of Newcastle, she began working as

a surgical registrar before switching to genetic pathology

training through the Royal College of Pathologists of

Australasia. She recently completed a PhD on the genes

involved in baseline platelet count regulation.

Case Study: Genetic Pathologist

“I had quite a roundabout way of getting to genetic

pathology. After fi nishing my medical degree, I worked as a

clinician in various guises for 10 years. I was actually planning

to become a surgeon, and worked as a surgical registrar for

a few years before deciding it was not where my long-term

interests lay. It was a diffi cult decision to make and I took

some time out, working part time, while I

thought about what I was good at and what I

really wanted to do. Leaving surgery broke my

heart in some ways, because I really loved being

at the clinical interface and seeing patients.

Genetic pathology is a new fi eld, dynamic and changing.

Unlike other medical specialties that are very well established,

there are still a lot of unknowns. The specialty appealed

because I thought it presented an intellectual challenge,

and an opportunity for stimulation and learning, that could

potentially last an entire career.

When I was training, I felt quite isolated because it was

such a small specialty. I was the only trainee in the country

for a while, so that was challenging, as I’m a reasonably

sociable person. But you get used to it, and I became more

independent. By the end of my training there were other

trainees, and the fi eld has grown so it’s not as much of a

problem for trainees these days. It was also very rewarding

to actually witness the growth in interest in the fi eld, as

evidenced by the number of trainees, in such a short time.

There aren’t too many misconceptions about genetic

pathology, because a lot of people haven’t even heard of the

fi eld! But once I explain that I help diagnose genetic diseases

like cystic fi brosis and Down syndrome, or make molecular

diagnoses of leukaemia, most people know what I’m talking

about.

A typical day might involve consulting with clinical

colleagues, teaching and organising professional matters. I also

analyse data, ensure quality standards are met, and correlate

the results with clinical information to write up reports.

There’s a lot of teamwork involved, which is great. Often

clinicians will read about new gene mutations associated with

diseases and ask us to set up relevant tests. Part of our job is to

assess whether that’s possible, and clinically useful.

MJA Careers profi les interesting and important jobs and the people who do them

It’s like detective work when you’re looking for a mutation that

you think may be in a certain place. It’s the equivalent of trying

to fi nd a spelling mistake in an encyclopaedia. It requires some

ingenuity and awareness of the best testing methodology based on

the request, and transforming that into a report that’s useful for a

clinician.

Often, people want to know about genetic

predispositions, even if there’s no treatment

option. For instance, in children with

developmental delay, there’s often a lot of guilt

involved, with parents wondering whether

they did something wrong during the pregnancy. Sometimes they

discover that there’s a genetic reason for the delay which is not

their fault — then that is a big relief. Especially if it means that the

recurrence risk for the mutation in future children is low.

I fi nd the prenatal work particularly rewarding. It suits me

because it’s very high-pressure, with fast turnaround times, and

it has signifi cant implications. The specialty is also particularly

interesting when you get results that confl ict with the clinical

picture, or which provide unexpected information. That happens

not infrequently.

Do I miss patient contact? Yes and no. Now I feel that I have the

ability to help a lot more people than before. So while there are

parts of it that I miss, such as helping people face to face, I feel that

the rewards outweigh those aspects.

The rate of progress in genetic pathology is really exciting. It

really is discovering new things, all the time. Technology plays a

huge role, from projects such as sequencing the human genome

to the 1000 Genomes project. It comes back to that paradigm of

medicine that I was taught at university: that things are always

changing, that you will be constantly learning new things. Well,

nowhere is that more true than in this discipline. If you want to

work in an environment where your limits are very much known,

where there’s a lot of stability and routine, then this is not for you.

It’s tantalising that, in the future, much like we can easily order

a full blood count for a patient now, we may be able to create a full

genome sequence for a patient. But what we will do with that, or

whether we should be doing that, is being debated.”

As told to Sophie McNamara

It really is discovering new things, all the time

C5



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C7

MEDICAL practitioners should consider

their families when making fi nancial

decisions — but careful planning is

essential to ensure money and assets are

distributed fairly and within tax rules.

“While I wouldn’t go as far as inviting

Aunty Irene into my family super fund,

we encourage most clients to involve

immediate family (children and parents)

in fi nancial decision making”,

says Darren Jones, a Sydney-

based fi nancial planner and

member of the Financial Planning

Association.

Mr Jones, of Align Financial,

which works with medical

specialists, says there are several ways

that doctors can structure their fi nances

to include family, such as using family

trusts, estate planning with testamentary

trusts, tax-deductible superannuation

and employment opportunities.

Chris Waples, managing partner of

Bartons Financial Services in Adelaide,

says involving family in fi nancial

planning comes under the heading of

estate planning, “which is all about

ensuring the right people receive the

right amounts of money or assets”,

to optimise benefi ts and legitimately

minimise tax.

Melbourne-based solicitor and

fi nancial advisor Terry McMaster says

identifying ways that family members

— children, parents and others — can be

integrated into a doctor’s fi nancial plan

can create signifi cant long-term wealth

benefi ts.

Mr McMaster, of McMasters’

Accountants, Solicitors and Financial

Planning, which specialises in advising

doctors, says a useful strategy is to

distribute income and capital gains to

family members through discretionary

trusts, such as an investment trust, a

service trust or a practice trust. If family

members are on a lower marginal tax rate

than the doctor, the end result is less tax

overall.

A discretionary trust, also known as

a family trust, is created to distribute

income to nominated benefi ciaries,

usually family members. Funds can be

distributed by the trustee, usually the

doctor, at any time. Most people set up

discretionary trusts for asset protection

and estate planning, and to distribute

income.

However, in last month’s federal

Budget, the tax-free threshold

for children as benefi ciaries of a

discretionary trust was reduced from

$3333 to $416. This takes effect from

1 July this year.

Mr Waples says despite this ruling,

families with different marginal tax rates

can still benefi t from trusts to distribute

income in the most tax-effective way.

Superannuation as part of a trust is

also a good way to distribute income to

family members.

Mr Jones says that, depending on

the trust structure, it may be possible

to make superannuation contributions

above the minimum 9% on behalf of

family members employed in the trust.

“An example is where a spouse

performs admin duties for the trust and

receives a salary of $25 000. It may be

possible to pay [an additional] $25 000

into the spouse’s superannuation fund

to boost retirement savings and reduce

the trust’s taxable income”, he says.

Mr McMaster says employing parents

in the practice on an arms-length salary

— that is, at commercial pay rates — is

another strategy that allows a doctor to

distribute income to family.

However, superannuation payments

are not restricted to a market limit.

“The doctor, as employer, can pay

large, deductible superannuation

contributions for the parent–employee of

Keeping it in the familyMoney and Practice MJA Careers looks at issues that affect the bottom line

continued on page C9

Superannuation, as part of a trust, is also a good way to distribute

income to family members


C8



Chris Waples, managing partner of Bartons Financial Services, says the following case shows how estate planning can work:

Dr H, a 55-year-old surgeon, has two adult children from his fi rst marriage and a 5-year-old child from his second marriage. One of his adult children is married with children, and the other has a substance misuse problem.

Dr H has a home worth $2 million, debt of $1 million, a superannuation balance of $1 million and a life insurance policy of $2 million. A family trust owns investments of $500 000. His estate would be worth $4.5 million if he died now.


up to $50 000 a year”, Mr McMaster says.

If the parent is over 60 years of age,

the contributions can be invested tax-free

in the fund; and if the parent is over 65,

payments can be taken tax-free from the

fund without the parent having to stop

work.

Mr Jones advises that employment law

is complex and when employing family

members, everything should be done on

an arms-length basis.

Care should be taken not to pay an

excessive salary to family members, which

could come under scrutiny in an audit by

the Australian Taxation Offi ce.

Mr Waples also warned that the Tax

Offi ce has wide powers to disallow tax

deduction payments made to

family members that it considers

excessive.

He warned doctors to

keep proper records of the

hours, duties and justifi cation for the

remuneration, including superannuation.

Family members were also entitled to all

the normal employee rights.

Mr Jones warns that working with

family members can also impact on

existing relationships.

“Just last year, I worked with a

couple who thought they needed

to spend more time together,

so one partner agreed to

work for the other.

They soon realised

that what they

needed was more relationship time, not

just occupying the same airspace”, Mr

Jones says.

Central to the success of all these

strategies is the idea of trust. “Do not

implement these strategies if there is

no good faith; that is, if you have any

concerns that family members will

not respect the substance and spirit

of the arrangement as well as its strict

legal form”, Mr McMaster says. “It’s

important to make sure every

agreement and transaction is

carefully documented.”

Financial advice from

an independent fee-for-

service fi nancial planner is

recommended to develop

a strategy that suits the

doctor’s individual

circumstances. ■

continued from page C7

How does he structure his estate plan?

He nominates his second wife to receive his superannuation on his death. This will be tax free as she is a dependent.

He nominates his second wife and 5-year-old child as the benefi ciaries of his life insurance ($1.5 million and $500 000 each, respectively), again tax free.

In his will he provides for the married child to become appointor (controller) of the family trust. This avoids the need to sell the family trust’s assets. Dr H’s tax-paid benefi ciary account is also willed to that child, so the $500 000 is effectively transferred.

He creates a testamentary trust for his second adult child for $500 000, which stipulates that no more than $50 000 a year can be accessed until that child is 40.

He creates a second testamentary trust worth $500 000 for his youngest child, funded from part of the insurance policy, the capital of which can only be accessed when the child is 25.

His second wife is the benefi ciary of the balance of his estate (the home, etc).

What happens to the estate when Dr H dies?

Home of $2 million transferred to his second wife, with debt of $1 million cleared by part of the insurance proceeds.

Wife uses the balance of $500 000 from the life insurance to establish the second adult child’s testamentary trust (otherwise she would have to sell the house to pay this obligation of the estate).

Wife accesses the $1 million superannuation benefi t to live on.

The 5-year-old child’s testamentary trust is established, with a potential tax savings of $10 000 on the income earned by the trust until the child is 18.

Mr Waples says this example is not intended as advice but demonstrates the tax-effective use of insurance policies and superannuation to ensure estate objectives are achieved, with a minimum of asset sales and income tax payments.

CASE STUDY: ESTATE PLANNINGC9


MJA Careers

REMOTE HEALTH

Director of Clinical Services – GPAnyinginyi Health Aborigial Corporation (AHAC)

TENNANT CREEK, NORTHERN TERRITORY[20 hours per week]

AHAC has been providing primary health care services to Tennant Creek and the Barkly region since 1984. AHAC offers a holistic approach to the health and well being of its clients through its clinical, counselling, educational and fitness services.

AHAC is currently seeking a Director of Clinical Services.This is a new position reporting to the General Manager, attending Board meetings and a member of the management team.

This is an advisory and supportive role to support medical officers and other clinical staff in their roles and to provide advice to the Board and Executive Management team on strategic planning, implementation and evaluation of clinical health services.

While the position is 20 hours per week, flexible arrangements will be considered such as a full time appointment working 20 hours per week as a clinician or time on/time off type arrangements.

A generous remuneration package will be negotiated with the successful candidates including 6 weeks annual leave, sick leave, RDO’s, fringe benefits, salary sacrifice, and suitable housing.

If you would like further information and a position description, please contact Trevor Sanders or Tim Welch (08) 8962 2633 or email [email protected]

All applicants are required to be registered with AHPRA and must be willing to undergo a Police clearance.

PREVENTION IS THE SOLUTION

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Do you really want to make a difference in remote Aboriginal health?

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Nganampa Health Council is an Aboriginal community controlledhealth organisation situated on the Anangu Pitjantjatjara Yankunytjatjara (APY) Lands in the north-west of South Australia.Established in 1983, the Health Council has a national reputation forhigh quality primary health care and leading edge, collaborative actionresearch and program development.

We are seeking experienced Medical Officers to join our regionalclinical team comprising medical officers, registered nurses and Aboriginal Health Workers. You will be eligible for full registration inSouth Australia, possess excellent communication and team skills, andhave a commitment to improving health care and health outcomes in remote Aboriginal communities.

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Telephone enquiries to the Medical Director, Dr Paul Torzillo 02 9550 2626 or 0410 681 468

ndd 10 25/05/11 4:18 PM25/0/05/11 4:18 PM

MJA Careers

REMOTE HEALTHD E P A R T M E N T O F H E A L T H

NT1

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Health Careers & Opportunitiesin the Northern Territory

If you want your career to go places then join Department of Health in the Northern Territory. The challenges and opportunities in health and community care in the Territory are like no other in Australia, from remote Aboriginal health to tropical health and Australia’s National Critical Care and Trauma Response Centre. Continued investments in Aboriginal health, remote health, acute care, child protection and community services offer many opportunities for health professionals who want to be part of making a difference.

REMOTE HEALTHCOMMUNITY GENERAL PRACTITIONERSenior Rural Medical Practitioner (SRMP) RL4.1 – RL4.4 ($163,143 – $182,031) salary range(Employment package valued in the vicinity of $413,000) Level 4.1(Employment package valued in the vicinity of $439,000) Level 4.4This includes SRMP allowance, attraction allowance, retention allowance, professional development allowance, revenue activity incentive payment, salary sacrifi ce, superannuation, 6 weeks recreation leave and annual leave bonusOther remote locality provisions consist of Fares Out of Isolated Localities (FOIL), fully subsidised accommodation and relocation assistanceTop End Remote Health – Maningrida Health CentreTemporary contract for 2 years availableA vacancy is available based in Maningrida in the Top End of the Northern Territory (NT) for an experienced general practitioner with rural medical experience or qualifi cations, to live and work in the community as part of a multidisciplinary primary health care team.

Maningrida is located on the mouth of the Liverpool River on the north coast of Arnhem Land and is one of the largest remote Aboriginal communities in the NT. The population of around 3,000 comprises town residents and traditionally based outstations, of which there are more than 30. Maningrida is about 500kms east of Darwin, and is serviced by twice daily air fl ights. A spectacular drive through Kakadu National Park and into the Arnhem Land escarpment is possible during the dry season (April to October).

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You will join a large multidisciplinary team delivering clinical and public health services to the community and outstations. Clinical support will be provided by a combination of other local General Practitioner’s, Darwin based District Medical Offi cers, including telephone consultations and medical retrievals via CareFlight. Royal Darwin Hospital is the back-up for tertiary care, whilst a range of specialists visit the community regularly. Your professional and management support base will be in Darwin, which you will visit regularly.

Successful applicant will have a medical degree eligible for national registration, a current driver’s licence and experience or interest in Aboriginal health. International medical graduates must meet the qualifi cations and experience criteria specifi ed by the Australian Health Practitioner Regulation Agency. Those seeking vocational training with either Royal Australian College of General Practitioners or Australian College of Rural and Remote Medicine are advised that this location has been eligible for support from the Remote Vocation Training Scheme.

Quote Vacancy Number: 30345

For more information please contact Dr Leonie Katekar on (08) 8985 8143 or email [email protected] or Christine Seth on (08) 8985 8132 or email [email protected]

Closing date: 17 June 2011

APPLICATION INFORMATIONApplicants should address the selection criteria and provide a current CV and contact details for 2 referees (preferably an email address). A full job description can be obtained by visiting www.nt.gov.au/jobs Further information about these positions can be obtained by FREECALL 1300 659 247 or email [email protected]

Information on the Territory and its great lifestyle is available at www.theterritory.com.au

Note: The preferred or recommended applicant will be required to hold a current Working with Children Clearance notice / Ochre Card (application forms available from SAFE NT @ www.workingwithchildren.nt.gov.au) and undergo a criminal history check. A criminal history will not exclude an applicant from this position unless it is a relevant criminal history.

Department of Health is a Smoke Free Workplace

nt.gov.au/health

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REMOTE HEALTHD E P A R T M E N T O F H E A L T H

NT1

0875

Health Careers & Opportunitiesin the Northern Territory

If you want your career to go places then join Department of Health in the Northern Territory. The challenges and opportunities in health and community care in the Territory are like no other in Australia, from remote Aboriginal health to tropical health and Australia’s National Critical Care and Trauma Response Centre. Continued investments in Aboriginal health, remote health, acute care, child protection and community services offer many opportunities for health professionals who want to be part of making a difference.

REMOTE HEALTHCOMMUNITY GENERAL PRACTITIONERSenior Rural Medical Practitioner (SRMP) RL4.1 – RL4.4 ($163,143 – $182,031) salary range(Employment package valued in the vicinity of $413,000) Level 4.1(Employment package valued in the vicinity of $439,000) Level 4.4This includes SRMP allowance, attraction allowance, retention allowance, professional development allowance, revenue activity incentive payment, salary sacrifi ce, superannuation, 6 weeks recreation leave and annual leave bonusOther remote locality provisions consist of Fares Out of Isolated Localities (FOIL), fully subsidised accommodation and relocation assistanceTop End Remote Health – Wadeye, Milingimbi or Gapuwiyak Health CentresThree temporary contracts for 2 – 5 years availableVacancies are available in the Top End of the Northern Territory for experienced General Practitioners (GPs) with rural medical experience or qualifi cations, to live and work in remote communities as part of a multidisciplinary primary health care team.

You will be responsible for clinical and public health services to remote Aboriginal communities and their outstations. You will work in a team with resident Aboriginal Health Workers (AHWs) and Remote Area Nurses (RANs), and in the larger communities, other resident GPs. Support is provided by visiting GP and specialist medical services, as well as a range of allied health. Telephone consultations are available to both the GP and the rest of the primary health care team and ensure that the workload for solo GPs is sustainable. Emergency medical retrievals are available 24 hours a day, seven days a week. Depending on location, Katherine or Gove Hospitals provide secondary care and Royal Darwin Hospital is the destination for tertiary care. Your professional and management support base will be in Darwin, which you will visit regularly.

Positions available for experienced GPs with a team of AHWs and RANs;Based in Wadeye – servicing 3 health centres (Wadeye, Palumpa and Daly River) with a population of around 3,000.Based in Milingimbi – servicing a population of around 920 including several outstations.Based in Gapuwiyak – servicing a population of around 1200 including several outstations.

Successful applicants will have a medical degree eligible for national registration, a current driver’s licence and experience or interest in Aboriginal health. International medical graduates must meet the qualifi cations and experience criteria specifi ed by the Australian Health Practitioner Regulation Agency. Those seeking vocational training with either RACGP or ACRRM are advised that posts in these locations have been eligible for support from the Remote Vocational Training Scheme.

Quote Vacancy Number: 27828

Please specify the Health Centre location in which you are applying, in your application.

For more information please contact Dr Leonie Katekar on (08) 8985 8143 or email [email protected] or Christine Seth on (08) 8985 8132 or email [email protected]

Closing date: 17 June 2011

APPLICATION INFORMATIONApplicants should address the selection criteria and provide a current CV and contact details for 2 referees (preferably an email address). A full job description can be obtained by visiting www.nt.gov.au/jobs Further information about these positions can be obtained by FREECALL 1300 659 247 or email [email protected]

Information on the Territory and its great lifestyle is available at www.theterritory.com.au

Note: The preferred or recommended applicant will be required to hold a current Working with Children Clearance notice / Ochre Card (application forms available from SAFE NT @ www.workingwithchildren.nt.gov.au) and undergo a criminal history check. A criminal history will not exclude an applicant from this position unless it is a relevant criminal history.

Department of Health is a Smoke Free Workplace

nt.gov.au/health


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REMOTE HEALTH

Australian GovernmentDepartment of Sustainability, Environment,

Water, Population and CommunitiesAustralian Antarctic Division

To find out how you can work in one of the world’s most pristine environments, contact Dr Jeff Ayton, Chief Medical Officer 03 6232 3300 or email [email protected]

Doctors > Remote Medicine >Antarctica

jobs.antarctica.gov.au

Sale, Gippsland, Victoria

General Physician with subspecialty interest in Gastroenterology

Background information is available on www.cghs.com.au. Please see our full-text advertisement on www.mycareer.com.au then contactLes McBride in the first instance at:

Email: [email protected] Tel: 03 9486 0500 Fax: 03 9486 0200

Mail: Suite 4, Level 4, 372 Albert Street, East Melbourne, Vic 3002

L402

38

Health Recruitment

ubbsppeeeccialty interest inigghth to pr attteee prprp acaca tice and erpececialist PPPhhyh sisicianses,, ouountains,, , snow and beaches

om.auuu. PPPllease seeeee our full-tetetextxtx advertiseme

Mail: Suite 4, L

SPECIALIST APPOINTMENTS


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A well established and technologically advanced private cardiology clinic situated in the Newcastle area, just 1.5 hours from Sydney, requires a full or part time locum. This clinic is supported by both a comprehensive non-invasive and an invasive laboratory, as well as on-site hospital and coronary care.

The position involves consultations with or without an invasive component. FRACP essential.

Commencement date and remuneration negotiable. Accommodation provided in the short term.

For more information please contact:Dr Geoffrey Oldfield on (02) 4902 5125or email CV to [email protected]

CARDIOLOGISTLocum with or without a view

Email: [email protected] Tel: 03 9486 0500 Fax: 03 9486 0200

Mail: Suite 4, Level 4, 372 Albert Street, East Melbourne, Vic 3002

L403

16

Health Recruitment

Wonthaggi Hospital, Bass Coast Regional Health, Wonthaggi, Victoria

General Surgeon

Please see our full-text advertisements on www.mycareer.com.au and www.seek.com.au. Information about Bass Coast Regional Health and the area may be found at www.bcrh.com.au. Applications and requests for additional information should be sent in the first instance to Les McBride at:

Pathologist - Wagga Wagga NSW

Due to our ongoing volume growth in the district, Douglass Hanly Moir Pathology located at Calvary Healthcare Riverina, has a vacancy for a full time or part time general or histopathologist to complement our existing general pathologist. An interest in attending FNAs, performing bone marrows, attending various clinical review meetings and contributing to medical student teaching would enhance an applicant’s position.Douglass Hanly Moir Pathology is part of the Sonic Healthcare group, the premier private pathology company in Australia. The Riverina practice is a busy general pathology service. The range of work includes a large proportion of referrals from general practitioners as well as a significant component of specialist and hospital based referrals including general surgery, urology, dermatology, endoscopy and gynaecology. The laboratory is well staffed with an experienced, professional and happy team of scientists and support staff.An excellent remuneration package, including generous annual and conference leave entitlements, is available to the successful applicant. Strong professional backup is readily available for consultation on difficult cases within the wider Sonic Healthcare group and an extensive array of ancillary testing on histopathology cases is available.Wagga Wagga is a thriving regional city within a 1 hour flight or 4.5 hour drive to Sydney or Melbourne and an easy 2.5 hour drive to Canberra. For more information on Calvary Healthcare Riverina and the Wagga Wagga area, please visit: www.youtube.com/user/calvarywagga for the video on Medical Specialist Recruitment or visit www.evocities.com.au.Our current local pathologist is a long-term resident of the district and is an active part of a co-operative and supportive local professional network. Development and commitment to high quality practice is actively encouraged at a local level and by Sonic Healthcare in general. This vacancy creates a great opportunity to have a fulfilling career with a high quality pathology practice, while enjoying an enviable regional lifestyle.For further information email the Human Resources Department [email protected] quoting reference (R041)Applicants must have the appropriate working rights to work in AustraliaDouglass Hanly Moir Pathology is an equal opportunity employer


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Locum or Relocate... the choice is yours

WEST WYALONG NEEDS YOU!

New private GP clinic recently opened

Mixed billing 60/40 or $150ph

Monday to Friday, hours are negotiable

No on-call or Saturday clinics

Locum and permanent available


AMPCAMPC 25/05/11 4:19 PM25/0/05/11 4:19 PM

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GP OPPORTUNITIES

Macedon Ranges Primary Care Clinic General Practitioner Part Time (Flexible Hours)

An exciting opportunity exists for an enthusiastic and dedicated General Practitioner to join the Macedon Ranges Primary CareClinic, located in Kyneton. We are committed to the continuing development of the medical profession and provide a supportive learning environment for a rotational intern and medical students.

Advantages we offer are:

Location: Conveniently located in the Macedon Ranges Shire approximately 50 minutes from Melbourne, Bendigo and Ballarat, offering a great balance between rural and metropolitan lifestyles. There is a wide selection of educational and recreational facilities within the Shire. Practice Mix: The Clinic provides a range of general practice, primary health and social support referral services to the growing community of the Macedon Ranges. The clinic services a diverse clinical mix of young families, the elderly, mental health and the disabled.

Flexibility: Part time flexible hours to suit work/family life balance. For further detail, please see the position description at www.kynetonhealth.org.au or contact Dr Tim Stobie, Director of Medical Services; [email protected] or (03) 5421 2840. Applications close on Friday 1st July, 2011

Procedural GP with Obstetric and/or anaesthetic experience

is required for a busy Rural Practice in Rural NSW in a community thatvalues your expertise.

We offer very flexible work practices and business arrangements with excellent remuneration. Our practice is fully computerised with practice nurse support, and is fully accredited.

We are an Associate Group Practice with 4 permanent doctors andthree GP Registrars. VMO roster first on call 1 in 12, obstetric roster 1 in 5, and practice call 1 in 7. We have a 52 bed hospital with surgical and anaesthetic backup.

Contact: Dr Maxine Percival – 02 6752 2644 or email enquiry to [email protected]

Part-time Doctor required for Student Health ServicesIn Melbourne’s south eastern suburbs

2 morning sessions per week (Monday & Wednesday)Please apply to Practice Principle: [email protected]

Or Fax: (03) 98855293

General Practitioner (GP) / Medical DoctorPerth Based

( )( )

(Ref :MEDGP 0587)

Medical CentreGreat location, 15 minutes North of Perth CBD, Western Australia

EMA Group is currently seeking General Practitioners / Medical Doctors for private medical centre in the Northern suburb of Perth, close to the CBD.

The practice offerBulk BillingSupportive and friendly environmentHas excellent support staff and new facilitiesThe terms and remuneration are open to negotiation and are more than generous.Our Client is looking for Doctors to ideally fulfill full-time capacity, but sectional or locum blocks are available to fulfill your role as a GPat the practice, to provide quality high care, primary health services to individuals.You will be provided with your own fully equipped consulting room with all the necessary support staff.

Required QualificationsYou must hold a current full registration as a doctor in AustraliaExperienced in General PracticeExperience in remote tropical environments desirable but notessentialStrong team focus

If you consider this opportunity worth pursuing and would like to explore the option of changing your current location of work anddiscuss our available General Practice (GP) positions, please apply inthe strictest of confidence to David Rosenheim on +61 8 94405199 oremail for further information in the strictest confidence.

APPLY OR ENQUIRE TODAYOR CONTACT US FOR MORE INFORMATION.

EMA GroupTelephone : (08) 9440 5199

Fax : (08) 9440 5155Mobile : 0424 933 177

Email : [email protected]

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OVERSEAS APPOINTMENTS

Family Doctor Wanted in MacauSouthside Medical Centre, located in the commercial heart of Macau, is a purpose built state-of-art polyclinic with its own imaging centre (MRI/CT) and a dedicated laboratory. We are now seeking a family doctor to complement our establishment of GP and specialists. Remuneration package is negotiable. Chinese speaker will be desirable, but not essential.

For further enquiry, please contact Dr Jonathan Kwan, Medical Director, on [email protected] , or +853 6295 9993.

WorcestershireAcute Hospitals NHS Trust

www.worcsacute.nhs.uk

OPPORTUNITIES FOR DOCTORS TO WORK IN WORCESTERSHIRE ACUTE HOSPITALS – CENTRAL ENGLANDAre you interested in coming to work in England? We have the following fi xed-term and permanent opportunities in Emergency Medicine:

CLINICAL FELLOWSFull time, £29,705 - £39,300 per annum, dependant upon experience, plus rota banding supplementFixed-term placements for 12 months to 24 monthsRef: 365-CWM004We have opportunities for short-term placements if you want to gain experience in British Emergency Medical Practice. These posts are ideally suited to those wishing to work as International Medical Graduates (IMG) under the Medical Training Initiative (MTI) scheme.The MTI scheme enables suitably qualifi ed overseas postgraduate medical specialists to undertake a fi xed period of training (a maximum of 24 months) within the NHS, before returning back to their own healthcare systems. You must have at least 1 year’s full-time or equivalent postgraduate medical training and experience of emergency medical practice for at least 6 months.

SPECIALTY DOCTORPermanent Posts£36,807 - £68,638 per annum for 10 Programmed Activities, dependent upon experienceRef: 365-CWM003We have a number of permanent posts available, interested candidates must have completed at least 4 years full time or equivalent postgraduate training, at least 2 of which will be in emergency medicine.Appointment to the Specialty Doctor posts for IMGs would be subject to obtaining a Certifi cate of Sponsorship (CoS), issued by the UK Border Agency.These are full time posts, at Worcester contracted for 10 Programmed Activities plus 1 Additional Programmed Activity per week and at Redditch contracted for 10 Programmed Activities plus 2 Additional Programmed Activities per week. All are inclusive of 1 Supporting Professional Activity to be worked fl exibly, for duties such as teaching and audit.Middle Grade Doctors work a 40 hour week and both Emergency Departments in Worcester and Redditch currently operate a 1:9 full shift middle grade rota providing 24/7 cover, supported by 9 Consultants across the sites.The Emergency Departments see around 110,000 cases per year between them and see a variety of emergency cases.We can offer:

The opportunity and encouragement to develop your career including postgraduate examsA paid secondment for no more than 3 months in another specialty allowing successful candidates to gain any necessary competencies to progress further in their chosen career.

of appointment.On-site accommodation is available at both of our hospitals. Single study bedrooms are rented on an ‘all inclusive’ basis. Utilities, council tax, room servicing and parking are all included.

INTERESTED?

For further information, please contact Mr CJL Hetherington, Clinical Director and Consultant in Emergency Medicine on +44 (0)1527 507995 or Dr James France, Consultant in Emergency Medicine on +44 (0)1905 763333 ext 39512.

To apply online please visit www.jobs.nhs.uk quoting the relevant reference number.

Closing date: 26 June 2011.The NHS aims to employ a workforce which refl ects the diversity of the local community.

Working with NHS Professionals


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Candidates are encouraged to apply if they have:A postgraduate qualification in Public Health or related field, and min10 years experience in a senior Public Health post involving HealthServices Management

Experience in motivating/leading a team

Experience of evidence based decision making/strategic planning/needs based skills transfer

Current registration with GMC or eligibility for same

Enquiries:Miss Jean Caldwell, at [email protected] Pack: download from www.nico.org.uk/recruitmentClosing Date: 15th July 2011

Want to work on St HelenaIsland as the next...

Full-time 2 year position

The St Helena Government is looking for aSenior Medical Officer to join and lead the medicalteam on the Island of St Helena from January 2012.


Sir Richard Stawell Memorial PrizeInquiries:Ms Jane StephensCEO AMA Victoria Ltd

telephone: (03) 9280 8736

email:[email protected]

The Medical Society of Victoria Inc. as trustee of the Sir Richard Stawell Memorial Fund, is pleased to announce arrangements for the award of the Sir Richard Stawell Memorial Prize.

This prize, which commemorates Sir Richard Rawdon Stawell (1864-1935), graduate of the University of Melbourne, eminent physician and educator, will be awarded for an article published in the Medical Journal

of Australia in 2011, which is on a medical subject of clinical significance. The amount of the prize will be $2,000.

The prize will be announced at the first meeting in 2012 of the State Council of the Medical

Society of Victoria Inc (also the Council of AMA Victoria Ltd), and the prize winner will be asked to address the Council at the Special Council Meeting of the Society, to be held in May.

The winner of the prize for 2010 is:

Kathryn L Hackman Claudia GagnonRoisin K Briscoe Simon LamMahesan Anpalahan Peter R Ebeling

Efficacy and safety of oral continuous low-dose versus short-term high-dose vitamin D: a prospective randomised trial conducted in a clinical setting. Medical Journal of Australia, 2010; 192 (12): 686-689.

Highly commended is:

Alexander B Willson David Mountain

Joanne M Jeffers Cheryl G Blanton

Brendan M McQuillan Joseph Hung

Michael H Muhlmann Michael C Nguyen

Door-to-balloon times are reduced in ST-elevation myocardial infarction by emergency physician activation of the cardiac catheterisation laboratory and immediate patient transfer.Medical Journal of Australia, 2010; 193 (4): 207-212.

ANNOUNCEMENTS

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Register now at www.medicinetoday.com.au for full, free access until 31 August 2011.

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