Royal Prince Alfred Hospital Royal Prince Alfred Hospital
Anaesthetics Department

Registrar Training

RPAH Department of Anaesthetics currently appoints thirteen accredited registrars each year. There are also 2 SRMOs and more info for these people may be found in the RMOs page (see also below). We have a separate page dealing with Year 5 registrars and Provisional Fellows. Most of the accredited registrars are people already employed by the department but several new positions become available each year as more senior people move on. Registrars are required to be registered with the Australian and New Zealand College of Anaesthetists.

All our trainees other than those on night duty work a 4-day week (10 hours each day, 0730 - 1800 with 30 minutes for lunch). The year is divided into 4 terms of three months. At any given time registrars are doing general, cardiothoracic, neuro, obstetrics/gynaecology, ent/head&neck, or acute/chronic pain terms, or rotated to Intensive Care or other hospitals (Campbelltown, Port Macquarie, Orange, Concord and the New Childrens' Hospital, the latter two being swaps with other registrars).

Registrars doing specialty terms (cardiac, neuro and O&G) usually spend all four days in anaesthesia for that specialty. Morning acute pain rounds are shared.The chronic pain registrar spends 2 half days in the chronic pain clinic and a half day in the pain intervention theatre session. The O&G registrar, as well as spending time in O&G theatres, helps to cover the labour ward for epidurals etc during weekdays.

Registrars on general terms spend one day a week covering the emergency theatre (with the immediate supervision of a provisional fellow or consultant).  This may include anaesthesia for acute and sub-acute surgery as well as arrest and trauma calls.  Transportation of critically ill patients for radiology/procedures elsewhere in the hospital is generally performed by Fellows.   Anaesthesia for cardioversions is generally done by the cardiac Registrar.

Almost all types of surgery are performed at RPAH but we do not have heart or lung transplantation and there is very little in the way of pediatrics.

Registrars are also required to participate in several after hours rosters (with appropriate qualified supervision) according to the term allocations. Registrars rotated to other hospitals and to Intensive Care are also not involved in our rosters.

Suitably experience Registrars share an evening general emergency and O&G shift from 1800 to 2100 on a rotating basis with the Fellows.

Two registrars provide after-hours general "emergency" and O&G night duty cover on a rotating basis, working 5 nights followed by three days off.  These shifts are 2100 - 0800 on weekdays and 2000 - 0800 on weekends.

General emergency and O&G cover on weekends is from 0730 - 2000 on Saturday and Sunday and is shared on approximately a 1/7 basis, except perhaps in the early parts of the year when 1st year trainees are not adequately experienced and the roster might be slightly more frequent.

Junior accredited trainees and the SRMO take part in the weekend rosters.  On Saturdays the hours are from 0800-1800, comprising the pain round in the morning and work in theatres afterwards.  On Sundays the pain round is done between 0800 and 1200.  

NSW award conditions apply with respect to leave and salary. There are four weeks annual leave and 1 week study leave allowed during the year. In addition, all trainees are allowed 12 "allocated days off" a year and must be used as one of the three rostered days off after nights. All leave is taken by arrangement with the department co-ordinator and the accrual of leave from one year to the next (apart from study leave) is generally not allowed. Study leave may be accrued for one year only and this is useful for attendance at 2-week ANZCA exam short courses. Registrars rotating to other hospitals must take the appropriate amount of leave/ADOs at that hospital. Leave is generally not allowed during ICU terms.

Registrars attending ANZCA Part I and II long courses are allowed time off for these (Wednesday or Thursday afternoons respectively).

Attendance at weekly 7am departmental education sessions and 7am teaching sessions for Registrars and Fellows, and at the monthly General Staff Meetings (which include morbidity/mortality reviews) is expected of all trainees, apart from those on night duty.

Important note:

Enquiries about vocational positions only for Australian residents (ie registrar positions leading to ANZCA fellowship and provisional fellowships) in our department should go to Dr Michael Paleologos.

Enquiries about intern or RMO terms in the department should go in the first instance to the RPAH the Clinical Training Unit.

All enquiries about training positions for overseas visitors should be made to Dr Michael Paleologos.

Medical students wishing to organise an option or elective term in our department should contact Duriye Varol at the University of Sydney.

For further information the following people should be contacted: