Royal Prince Alfred Hospital Royal Prince Alfred Hospital
Anaesthetics Department

Training for SRMO's and RMO's

The department appoints 2 SRMOs each year. Each person spends 6 months in our department and 6 months in ICU (swapping with each other by terms).

RMOs (including both accredited and unaccredited trainees with other Colleges) also rotate to our department, a term at a time, mainly from Emergency Medicine, but also from the general RMO pool. These people do not participate in our after hours rosters, but rather continue in the rosters of their own department. The main objectives of this term are to provide specific experience with vascular access, airway management and other technical skills as well as general experience with anaesthesia (anaesthetic drugs, regional anaesthesia, ventilation etc). They therefore spend essentially all their term in theatres under qualified supervision. Half days spent with the Acute Pain Service or in the Pre-Anaesthetic Assessment Clinic may also be arranged on request and these also provide valuable experience.

Dr John Loadsman is the Supervisor of Resident Training for the Department of Anaesthetics. He is usually available to provide a brief orientation to the term and to answer other questions as required. In his absence, Sharon Trembath or one of our other Administrative Officers should be contacted in the Department (ext 58591, 58507, 58564) to arrange an alternative. Mid and end-of-term reports are also usually completed by John Loadsman when required.

All our trainees other than those on night duty work a 4-day week (10 hours each day, 0745 - 1815 with 30 minutes for lunch).

The SRMO provides a major portion of 2nd on-call cover for general emergency surgery on Saturdays (0800 - 0800), doing this approximately one weekend in two or three for most of the year. In addition to being on-call for theatres, this person is required to perform the acute pain round on Saturday. This is the only roster in which the unaccredited registrar participates. More senior trainees also participate in the 2nd on-call roster but only at a rate of about 1 Saturday per term each.

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 but these are taken on the "fifth" day of one week each month (ie there are no additional days off, the other four days reverting to 8 hours plus overtime). 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 where appropriate. RMOs rotating to/from other departments are only allowed a pro-rata amount of leave during their anaesthetic terms.

Registrars attending the ANZCA Part I long course (or equivalent courses within their own department or College) are allowed reasonable time off for these (Wednesday afternoons for the ANZCA course).

Attendance at departmental education sessions (weekly, in the mornings, additional to the trainees' meetings held each week) and at the monthly General Staff Meetings (which include morbidity/mortality reviews) is also expected of all trainees, apart from those on night duty.

More detailed information for RMOs allocated to terms in anaesthetics may be found on our intranet pages (only accessible within the hospital network).

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 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: