Top End Health Service specialities and rotations

Emergency medicine positions in TEHS


The Emergency Department at the RDPH sees about 70,000 patients a year of which about 25% are children. The case mix is unlike other tertiary EDs in that the patients are younger and the levels of trauma and severe sepsis are amongst the highest in Australia. Indigenous Australians account for 30% of attendance and 50% of admissions. The emergency department staff are supported by a psychiatry team, social worker, physiotherapist, occupational therapist, pharmacist, indigenous liaison officer, security staff and hospital police constable.

RMOs, interns and medical students are supervised by registrars and consultants. Staffing of the department consists of consultants, registrars, residents, interns and medical students.

The roster is 40 hours per week in 10 hour shifts so there is plenty of time to visit the sights in and around Darwin on your three days off per week. When in the ED there is a 24 hour registrar presence. Consultant staff aim to provide a supportive, enthusiastic, educational and safe working environment. They are available 24 hours a day with extensive "on the floor" presence.

For general information about positions contact:

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Education

Formal teaching opportunities include:

  • Weekly RDPH Hospital Grand Rounds
  • Weekly RDPH ED Resident teaching (Rostered)
  • Exam focused training program
  • Wellness program
  • Weekly simulation training

Careers

Emergency Medicine Certificate positions

  • RMO
  • Registrar

Emergency Medicine Diploma and Advanced Diploma positions

  • Registrar

Prevocational Doctor placements

  • Intern – 7 positions (avg 10 week rotations)
  • RMO – 17 positions (avg 13 week rotations)

Entry Requirements

College

Australasian College for Emergency Medicine (ACEM) College website

Entry requirements

  • the successful completion of an AMC recognised   medical degree General medical   registration with AHPRA
  • the successful completion of 24 months   pre-vocational training
  • current general registration as a medical   practitioner in Australia or New Zealand
  • completion of at least one term ED as a PGY2+,   in the last two years and,
  • at least two terms in non ED disciplines.

Duration

Provisional Training (12 months total)

  • six months training in a single approved ED within the first 12 months
  • six months other approved training

Advanced Training (48 months total)

  • six months minimum in major ED
  • six months minimum in urban   referral/rural/regional ED
  • early phase – 12 months in accredited ED
  • late phase – 18 months in accredited ED
  • six months critical care - ICU +/-   Anaesthetics
  • six months accredited non-ED time.

Exams/Assessments

Primary Exam

  • Anatomy, pathology, physiology and   pharmacology
  • Written MCQ exam + oral viva exam.

Fellowship Exam

  • Written and clinical exam

Candidates are only allowed 3 attempts at each part of the exam (written and clinical).

Other Assessments

  • Paediatric Log Book (need to see 400 children)
  • Research Requirement
  • In-Training Assessments
  • Work Based Assessments

TEHS Accredited Training

You can complete your entire specialist training in emergency medicine in Darwin although we recommend you train in multiple sites.

  • RDPH Emergency & Trauma Centre – 24 months accreditation as a tertiary ED including paediatric logbook (this is the maximum accreditation for an ED)
  • PRH ED – six months as a linked site
  • Multiple accredited rotations in RDPH

Other courses of study available

Emergency Medicine Certificate (EMC) PGY2+

  • six months competency-based training program
  • Workplace based assessments
  • Procedural checklist
  • Online learning modules.

Emergency Medicine Diploma (pre req -  EMC or equivalent)

  • 12 months
  • Workplace based assessments + Procedural checklist
  • Online learning modules
  • Audit requirements

Emergency Medicine Advanced Diploma (pre req -  EMD or equivalent)

  • 18 months (12 months in ED, six months in Critical Care)
  • Workplace based assessments + Procedural checklist
  • Online learning modules
  • Audit requirements

RDPH ED is maximally ACEM accredited for specialist training as a Major Referral Hospital (24 months adult emergency medicine training and the paediatric log book). There are well established rotations to intensive care, anaesthetics, medicine and retrieval. Other rotations (e.g. paediatrics, Obstetrics and Gynaecology, surgery, psychiatry, orthopaedics) can be arranged on an individual basis.

Registrars are rostered four hours of protected teaching time each week. There are separate teaching programs focusing on primary and fellowship exam preparation. Weekly simulation training is incorporated into the teaching program. The program is supported by three Co-Directors Emergency Medicine Trainees, a wellness program, a mentoring program and a gender equal consultant workforce.

National Critical Care and Trauma Response Centre (NCCTRC) is located in Darwin. The NCCTRC conducts the following courses:

  • Early Management of Severe Trauma (EMST),
  • Advanced Life Support (ALS),
  • Advanced Paediatric Life Support (APLS),
  • Australian Trauma Team Training (ATTT) and
  • Major Incident Medical Management Support (MIMMS).

Hospital resident rotations through the ED are for three to six months at a time and can be arranged through hospitaldoctors.THS@nt.gov.au

For RMOs who want more emergency medicine experience (6 to 12 months) or want to enrol in the Australasian College of Emergency Medicine (ACEM) Certificate (six to nine months) or Diploma (six to 18 months) applications can be made through TEHSEMDocJobs.DoH@nt.gov.au

Residents in Emergency Medicine rotate through our majors, resuscitation, fast track, paediatric and extended emergency care areas.

RMOs will also rotate through the Palmerston ED which opened in August 2018. RMOs are rostered three hours of protected teaching time each week incorporating practical workshops, invited speakers and high fidelity simulation training.

There is additional training for ACEM Certificate and Diploma candidates.

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Last updated: 23 December 2020

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