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RDH maternal and child health
Maternal and paediatrics at Royal Darwin Hospital covers the following positions.
Obstetrics and Gynaecology
The Department of Obstetrics and Gynaecology is a busy clinical unit at Royal Darwin Hospital. There are currently specialists working both full time and part time.
The multicultural nature of Australia and specifically Darwin is also represented in the staffing of the unit at all levels. The proximity of Darwin to Asia and the tropical lifestyle it boasts, in addition to the experience gained in the work environment does make it an exciting and fulfilling place to work.
The birth rate at Royal Darwin Hospital is approximately 1600 deliveries per annum. The delivery rates do not truly reflect the clinical workload. The case mix is varied and includes a high preterm delivery rate (15%) and serious maternal morbidity with diabetes mellitus, renal disease and rheumatic heart disease. Doctors in training gain valuable clinical exposure to indigenous health issues and high risk medical obstetrics, as well as a first hand experience of varied and specific challenges faced in providing health care to a population as diverse as that found in the Northern Territory
The Department Of Obstetrics and Gynaecology is a teaching unit for medical students from the Northern Territory Clinical School, (affiliated with Flinders University of South Australia and James Cook University, Queensland) as well as for Trainees within the RANZCOG training program as detailed below. Formal teaching programs include:
- A half day session per week comprising review of a CTG of the week, Case presentation and discussion of management issues including review of guidelines, and critical appraisal of literature relevant to the topic in discussion.,
- Weekly tutorials relevant to the DRANZCOG examination
- Friday 4-5pm registrar teaching videoconference links with the Women and Children's Hospital, Adelaide
- Monthly Perinatal Mortality Audits, and risk Management sessions.
Other specific learning opportunities are provided by:
- A dedicated Early Pregnancy Clinic- runs on a daily half day session, and provides an opportunity for performing hands on supervised ultrasound examination in the first trimester, as well as gaining confidence in the counselling and management of complications in the first trimester. Trainee registrars rate this clinic highly in achieving its teaching goals.
- A supervised ultrasound training session- half day session per week- provides an opportunity to master biometry, assessment of fetal well being, placental site locations etc.
- Colposcopy sessions- available on three half day sessions per week
- Outreach visits to indigenous community clinics and district hospitals- compliments the experience of understanding the challenges of health care faced by health care providers in the NT.
- Elective Gynaecology theatre session attendance- provides an opportunity to both perform and assist in routine gynaecological surgery as well as in subspecialty areas such as Urogynaecology and Minimally Invasive Surgery.
- Weekly Urogynaeclogy clinics- providing experience in the evaluation and management of women within this specialised area.
- Weekly videoconference links with WCH Adelaide- addressing the counselling,.diagnosis and management of antenatally diagnosed fetal anomalies.
There are registrar positions, one of which is a rotation within the South Australian RANZCOG program and one position a rotation within the training program of the Royal Prince Alfred Hospital, Sydney.
Fellow in Indigenous Women's Health: This 12 month registrar position, based at Royal Darwin Hospital is attached to the Specialist Obstetrics & Gynaecology Outreach Program of the Top End of the Northern Territory. The position provides clinical service to rural and remote indigenous communities and has a dedicated research component. Priority is awarded to senior RANZCOG trainees or post Fellowship candidates. For further information email hospitaldoctors.THS@nt.gov.au.
Resident medical officer posts of 3, 6 and 12 months are available for general experience in obstetrics and gynaecology and to pursue the diploma in obstetrics and gynaecology (DRANZCOG). There is also one position accredited for the advanced DRANZCOG (12 months). Trainee doctors are provided opportunities to perform audits and encouraged to participate in ongoing research activities of the unit.
The Department of Paediatrics is responsible for three wards: a 23-bed general paediatric ward, an 18-bed isolation ward, and an 18-cot Special Care Nursery plus NICU with 5 ventilated cots, and a neonatal retrieval service. It is a friendly, busy department, staffed with both full-time and part-timePaediatricians, Community Paediatrician, local Visiting Specialists, Visiting Interstate Sub-Specialists, Registrars and Residents.
The department has hospital positions accredited for rural training and core training in General Paediatrics and positions accredited for developmental/community training by the SAC for General Paediatrics. All registrars applying for a hospital position must have completed a minimum of 6 months of neonatal training in a tertiary referral centre, and should ideally be an advanced trainee.
Clinical paediatric practice in Darwin is significantly different from other teaching hospitals in Australia, and the majority of our work is with indigenous children and their families. The spectrum of disease includes: severe gastroenteritis and other infectious diseases, chronic respiratory and middle ear diseases, malnutrition, very low birth weight infants, post-streptococcal glomerulonephritis and acute rheumatic fever.
In addition to acute and ambulatory medical services, the department provides outreach paediatric services to over 40 remote Aboriginal communities in the Top End, and registrars are rostered to accompany consultants on these visits. We have an active teaching program for residents and registrars, including weekly Journal Club, Grand Rounds, Radiology meeting, Infectious Diseases meeting as well as the opportunity to attend the lecture series at the Menzies School of Health Research (MSHR), which is on site. We enjoy a close relationship with MSHR and there are numerous research opportunities in Indigenous Child Health, as well as increasing potential to become involved in International Child Health.
We are part of the Northern Territory Clinical School which provides teaching for medical students from Flinders University and James Cook University.
You can contact the Director of Paediatric Training by call +61 8 8922 8373 or email hospitaldoctors.THS@nt.gov.au.