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Careers
C1MJA 196 (2) · 6 February 2012
Career overview
The human face is like no other
part of the anatomy. It presides
over some vital biological func-
tions like eating and breathing, but it is
also home to that other human essential
— the personality.
Changes to a person’s face can have
deep psychological ramifi cations, so
working in this area requires incredible
precision — and a very human touch,
says Dr Anthony Lynham, maxillofacial
surgeon at Royal Brisbane Hospital, and
lecturer in surgery at the University of
Queensland Medical School.
“It’s like a miniature version of
orthopaedic surgery. We use lots of
tiny incisions, we do lots of endoscopic
surgery and our plates and screws are
very, very small.
“But you can’t be just a technical
surgeon. You have to be very responsive
to patients’ needs, as the face is such an
important area. You have to be terribly
considerate and understanding. You
need the time to dedicate to patients”,
Dr Lynham says.
It’s no wonder, then, that you need
two degrees — medical and dental — to
CareersMJA
Editor: Sophie McNamara • [email protected] • (02) 9562 6666
continued on page C2
practice the specialty known as oral
and maxillofacial surgery, which drills
down on diseases, injuries, defects and
aesthetic aspects of the mouth, teeth,
jaws, face, head and neck.
The cases oral and maxillofacial
surgeons typically see include problem
wisdom teeth, misaligned jaws, tumours
and cysts as well as accident victims
suffering facial injuries. Patients with
abnormalities of the jaws or face and
those needing reconstructive surgery are
also part of the caseload.
“My week varies from seeing dentally
referred patients in my rooms, to
putting a face back together after a
motor accident, to repairing a congenital
The human faceof medicine
It takes precision and patience but oral and maxillofacial surgery can be extremely gratifying
In this section
C1THE HUMAN FACEOF MEDICINEAn overview of oral
and maxillofacial
surgery
C2REGISTRAR Q+ADr Ricky Kumar, oral
and maxillofacial
surgery trainee
C5MEDICAL MENTORDr Jocelyn Shand
refl ects on her
career in oral and
maxillofacial surgery
C6MONEY AND PRACTICEDeveloping a business
plan
C8ROAD LESS TRAVELLEDMedicine behind bars
‘‘It’s like a
miniature
version of
orthopaedic
surgery. We
use lots of
tiny incisions,
we do lots of
endoscopic
surgery and
our plates
and screws
are very, very
small
”
Dr Anthony Lynham harvesting a bone graft, which is used to rebuild the face.
Dr Anthony
Lynham
Careers 060212.indd 1 1/27/2012 12:05:14 PM
Careers
C2 MJA 196 (2) · 6 February 2012
Career overview
skeletal malformation of the face”,
says Gold Coast oral and maxillofacial
surgeon and lecturer at the Royal
Australasian College of Surgeons, Dr
John Cosson.
The span of the work provides
great variety — but also creates some
confusion about the specialty, even
among members of the medical
profession, he says.
Some of this confusion, Dr Cosson
says, lies in the fact that in the past you
could enter the specialty from either
dentistry or medicine. However, the
complexity of the cases in the specialty
today requires knowledge of both
disciplines.
“The face is not like other parts of the
body. If it doesn’t look the same after an
operation, the psychological implications
are huge. The patient really can’t return
to society so it’s important to reconstruct
the face as completely as possible.”
“It’s like doing a jigsaw puzzle. There
are lots of little bits of bone which need
to be re-bonded by titanium plates and
screws. It may also require taking bone
from a leg or hip to reconstruct a jaw
to which you may need to add teeth
implants. Then you reattach the skin
and muscle and everything goes back to
normal.”
Dr Cosson says one of his most
memorable cases involved a man whose
face was crushed when he was run over
by a truck. It took four major operations
to repair his facial skeleton and soft
tissue, but the patient ended up looking
the same as he did before the accident.
“The satisfaction comes when you get
a complex case and you are able return
the patient to the way they looked
originally.”
Amanda Bryan
continued from page C1
Training as an oral maxillofacial surgeon
Though it’s now considered a medical
specialty, to be eligible to train in oral and
maxillofacial surgery (OMS) you need to have
a medical degree and a dental degree — plus
full registration in both.
You also need to have completed an
intern year and a year of general surgical
training.
The 4-year OMS training program run
by the Royal Australasian College of Dental
Surgeons (RACDS) is accredited by both the
Australian Medical Council and the Australian
Dental Council. It involves advanced surgical
training in a major teaching hospital.
During the four years, trainees are
required to complete a series of clinical
training assessments, courses, a surgical
science and training examination and fi nal
examination.
After completing training, many of those
qualifi ed in OMS go on to specialise further
in areas like craniofacial or head and neck
surgery.
Applications for the training program for
2013 must be received by 18 May 2012.
More information is available on the RACDS
website www.racds.org
What’s in a name?
Oral and maxillofacial surgery is distinct from dental surgery or
oral surgery:
Oral and maxillofacial surgeonsThese doctors are surgical specialists who focus on the mouth,
teeth, jaws, face, head and neck.
Dental surgeonsAnother name for a dental practitioner.
Oral surgeonsDental specialists who have generally completed 2 years’ extra
training in a dental hospital. However, currently there are no
training programs for oral surgery in Australia.
OrthodontistsSpecialist dentists who perform braces treatment.
Registrar Q+A
Dr Ricky Kumar is a fi nal year oral and maxillofacial surgery trainee based at Royal Adelaide Hospital, South Australia
Why did you decide to train in this specialty?
When I initially studied medicine I was planning to specialise in surgery but I discovered that I particularly liked working on the head and neck, and cranial and facial area, and maxillofacial surgery off ered me a unique opportunity to work in just that region. I also liked the fact that the work is not monotonous — it ranges from minor oral surgery to quite extensive maxillofacial procedures.
What do you like most about your training so far?
This specialty off ers a unique opportunity to train and work across two diff erent disciplines: medicine and dentistry. The training has been well structured and the consultant-led teaching approach in theatre was excellent. The training is also consistent between New Zealand and Australia, which has allowed me to travel between the two countries during my training.
What do you dislike or fi nd challenging?
As part of the training I had to complete a second professional degree. In my case, my second degree was in dentistry and while I was studying I was not getting paid, so fi nancially it was a big struggle compared to other surgical specialties. While completing the three extra unpaid years at university, I worked as a locum doctor.
What’s next?
I plan to move to Melbourne to do a fellowship year at the Royal Melbourne Hospital and Royal Children’s Hospital, subspecialising in my area of interest, orthognathic (jaw) surgery. Then, after 15 years of training, I hope to get my fi rst real job as an oral and maxillofacial surgeon.
Dr John Cosson
‘‘ The satisfaction
comes when you get
a complex case and
you are able return
the patient to the
way they looked
originally
”
Careers 060212.indd 2 1/27/2012 12:07:08 PM
Careers
C3MJA 196 (2) · 6 February 2012
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Careers 060212.indd 3 1/27/2012 12:07:08 PM
Careers
C4 MJA 196 (2) · 6 February 2012
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Careers 060212.indd 4 1/27/2012 12:07:09 PM
Careers
C5MJA 196 (2) · 6 February 2012
Medical mentor
Dr Jocelyn Shand
refl ects on her career in oral and maxillofacial surgery
“The fi rst step on the road to this
medical specialty for me was a dental
degree in New Zealand. At the end of
my training, I was a resident at Dunedin
Hospital for 2 years and realised I enjoyed
the medical and surgical aspects of patient
care, and began exploring the option of
training in oral and maxillofacial surgery. I
spent 2 years in Cambridge, UK, as a senior
house offi cer before entering the Victorian
training program to complete a medical
degree, followed by 4 years of advanced
training in oral and maxillofacial surgery
(OMS). Research is a mandatory training
requirement and I undertook a masters
degree at the University of Melbourne.
I enjoy the challenge and variety
in oral and maxillofacial surgery.
Treatment involving the facial and jaw
region is functionally important and highly
visual. Our specialty can make signifi cant
facial changes, to provide dramatic and
sometimes life-changing improvements. We
also have something unique in medicine; an
understanding of the worlds of medicine,
surgery and dentistry.
Another factor that drew me
to this specialty was the scope for
subspecialisation. There are options to
concentrate on specifi c areas such as head
and neck oncology, facial trauma and
reconstruction. I chose to subspecialise
in paediatric maxillofacial surgery.
I undertook training fellowships in
Oklahoma and Pittsburgh in the US, where
I gained experience in cleft and paediatric
maxillofacial surgery and trauma.
For me, the most satisfying surgery
is managing neonatal and infant patients
who have upper airway obstruction due to
the small size of their jaws (micrognathia)
and are nasopharyngeal-tube dependent.
The jaw is lengthened incrementally
using mandibular distraction to carry the
tongue base forward, which relieves airway
obstruction. Feeding also improves and
neuropsychological development in these
infants is optimised as a result. This is one
of the most rewarding aspects of my work.
We undertake this work in collaboration
with neonatologists and other specialists
and it’s gratifying to be part of such a team.
I enjoy managing patients with cleft
lip and palate disorders. They require
surgery in stages and the cleft team looks
after these patients from childhood into
their adolescent years and beyond and,
hence, we get to know them over the long
term. I have had the opportunity to conduct
research in this area through the Royal
Children’s Hospital with the assistance of
the Melbourne Research Unit for Facial
Disorders, University of Melbourne.
I believe that quality training is
the key to the development of any
specialty and my involvement in training
makes up a large and fulfi lling part of
my work. Currently, I am the director of
training for our specialty in Victoria and
Tasmania and deputy chair of the Board
of Studies in our College. Our training
pathway has been accredited by both the
Australian Medical Council and Australian
Dental Council, and OMS is now
recognised as one of the primary surgical
specialties. The training requirements
of OMS make for a long road through
medicine, dentistry, basic surgical training
and advanced surgical training. Mentoring
is thus a very important component to
keep aspiring trainees on track, particularly
while undergraduates are completing
the second degree. Although the career
path is demanding, it is well worth it for a
satisfying career.
There are fi nancial and personal
implications in undertaking a long
training pathway, and our trainees have to
maintain their determination and focus to
study, work part-time and manage their
family commitments.
I also had the privilege of being
president of the Australian and
New Zealand Association of Oral and
Maxillofacial Surgeons. I became vice-
president in 2007 and served as president
between 2009 and 2011. This involvement
in some of the political aspects of the
specialty allowed me to gain exposure
to different aspects of health care, such
as liaising with Medicare, government
associations and the registering boards.
I’ve channelled a lot of my energy
recently into the issue of registration of
overseas-trained specialists in our fi eld
and have advocated for the importance of
ensuring that their training is equivalent to
that of locally trained practitioners.
One of the problems we face as
one of the smaller surgical specialties,
from a numbers standpoint, is that many
people do not realise the scope and extent
of our training. I would like to see our
specialty gain wider exposure to give the
public and other medical professionals a
better understanding of our expertise and
credentials.”
Interview by Amanda Bryan
‘‘Our specialty
can make
signifi cant
facial changes,
to provide
dramatic and
sometimes
life-changing
improvements
”
Dr Jocelyn Shand is a consultant oral and maxillofacial surgeon at the Royal Children’s Hospital, Melbourne, and in private practice at Melbourne Oral and Facial Surgery. She subspecialises in paediatric maxillofacial surgery and has dedicated much of her time to education in the specialty. She is deputy chair of the Board of Studies for oral and maxillofacial surgery and, as the immediate past president of the Australian and New Zealand Association of Oral and Maxillofacial Surgeons, continues to work at an executive level.
Careers 060212.indd 5 1/27/2012 12:07:10 PM
Careers
C6 MJA 196 (2) · 6 February 2012
Where do you want your
personal and professional
life to be in 2 years? Or in
5 years? And how are you going to get
there?
Many doctors aspire to a bigger and
better practice, fi nancial security and more
time for themselves. Yet, they don’t have a
business plan to help them achieve those
goals.
Business experts, practice managers,
accountants and fi nancial advisers say that
without a plan, practices face potentially
disastrous business and fi nancial
consequences.
Dr Neville Steer says without a business
plan doctors may spend most of their
time “fi ghting fi res”, such as staff issues,
unexpected expenses and changes in
government health policy. Implementing
proactive systems through a business plan
can prevent fi res in the fi rst place.
Dr Steer, a GP in Victoria and member
of the Royal Australian College of General
Practitioners’ national standing committee
on GP advocacy and support, says the
day-to-day nature of medical practice can
distract from long-term goals.
“As doctors are often the owners of the
business, they need to take time out to
consider their business plan away from
the clinical issues. When looking at the
strategy direction [of your practice] you
need to be able to focus on your long-
term goals.”
Financial planner Mr James Gerrard
agrees. “Medical practitioners are time
poor and need to step back to take a look
at the business from a top view down”,
says Mr Gerrard, an adviser with PSK
Financial Services, Sydney, who specialises
in helping health professionals with
business and fi nancial planning.
Doctors wouldn’t set off for an
unknown destination without planning
the route, says Mr Brett McPherson,
national president of the Australian
Association of Practice Managers. “The
same principle should apply to your
practice and its business plan.”
Mr McPherson describes a business
plan as a practice GPS — greater
profi tability strategy.
What is a business plan?
Ms Sue Prestney, the small business
spokesperson for the Institute of Chartered
Accountants in Australia, says people are
often daunted by the idea of a business
plan, thinking it should be a 50-page
document, when in fact it should be short,
starting with a one-page summary of
where the doctor is now, where they want
to be in a set time frame, the strategies to
get there and the actions to implement
those strategies. (See box page C7.)
The benefi ts of a business plan can
include making it easier to get fi nance
from banks and investors, and providing
an effective communication tool to the
practice owners, investors and staff to
ensure everyone is heading in the same
direction, Dr Steer says.
It can also help to deal with change,
such as a doctor leaving the practice,
or the practice increasing in size and
incorporating other health providers. “In
a practice undergoing change there are
strong reasons to have a document on
the changes and how to implement and
resource them”, Dr Steer says.
“And keep an eye on government policy
and direction, as changes may require a
major review of a business plan. Changes
in technology may also mean a review is
needed”, he says.
Clinical governance should also be
covered in a business plan, as it requires
systems to improve the quality and safety
of health care.
Ms Prestney says medical practices also
need to consider issues such as managing
medicolegal risks, infection control and
clinical research that impacts on practice.
As medical practices often involve
shared ownership by several doctors, Mr
Gerrard says clear rules and guidelines are
essential to avoid disputes in unforeseen
circumstances. “This includes how to deal
with the death of a partner or if a partner
‘‘The problem
for doctors is
that they learn
the profession
but not how to
run a business
” Dr Neville Steer
Money and practice
A worthwhile planBusiness plans help practices focus on their long-term goals
Careers 060212.indd 6 1/27/2012 12:07:10 PM
Careers
C7MJA 196 (2) · 6 February 2012
A business plan template
THE AUSTRALIAN GOVERNMENT,
through its business website
http://www.business.gov.au/
Pages/default.aspx, provides
information on how to expand
a business, including a template
for business and marketing plans
with links to various resources
Australia-wide. Although generic
and aimed at all business models,
it does off er a good starting point
for practices that have never had a
business plan.
It says a business plan should
include the following sections:
• Business summary:
A one-page overview written
after the business plan is
fi nalised.
• About the business: Includes
details such as structure,
registrations, location and
premises, staff and products/
services.
• About the market: This
outlines a marketing analysis
of the type of business, its
customers [patients] and its
competitors.
It also covers key marketing
targets and strategies for
delivering on these targets.
• About the future: This section
covers plans for the future and
can include a vision statement,
business goals and
key business milestones.
• About fi nances: The fi nancial
plan includes how to fi nance
the business, and costing and
fi nancial projections.
they may not all be involved in regular
reviews, which ideally should be done
quarterly.
Both Mr Gerrard and Ms Prestney
strongly advise getting outside help,
particularly from fi nancial experts, when
developing or reviewing a plan.
“Outsourcing responsibilities by
bringing in a circle of trusted advisers
such as business coaches, lawyers,
accountants and fi nancial advisers is
a key to creating a business plan that
will take a medical practice from just
being profi table to the next level where
expansion occurs and working hours [for
the doctor] can be reduced”, Mr Gerrard
says.
“Spending money to create a business
plan that deals with a wide range of future
scenarios will minimise the chance of
costly and extensive legal challenges down
the track.”
Ms Prestney estimates that developing
a new plan with an experienced advisor,
including fi nancial budgets and forecasts,
would cost at least $3000, although this
would vary depending on the complexity
of the practice and the plan.
Take a SWOT
Considering the strengths, weaknesses,
wishes to leave, or how to admit a new
[partner]”, he says.
However Ms Prestney says specifi c
partnership and shareholder agreements
are usually separate from business plans.
“These are legally binding agreements
between the owners of the business and
govern how the owners deal with each
other, including what is expected from
each of them, what their roles are, how
their remuneration is determined, how
decisions are made”, Ms Prestney says.
These agreements also include buy/
sell arrangements, and how the value
of the business will be determined for
this purpose. The agreements cover how
new partners are admitted, including
valuation principles and payment terms.
However, Ms Prestney says a business
plan still needs to consider changes in
the ownership of the business.
Another issue unique to medical
practice is the mix of bulk-billing and
private billing. Practices need to assess
the mix of billing in regular reviews of
income and expenditure.
Other issues that business plans might
address include arrangements with public
and private hospitals and other health
care providers, as well as with Medicare
Australia and private health funds.
Who should be involved?
As well as practice owners, key staff
should be involved in developing a
business plan.
Dr Steer says the owners, investors in
the practice, practice manager and key
staff (eg, senior receptionist or practice
nurse) should be involved in developing
and implementing a plan. However,
opportunities and threats (SWOT) of a
medical practice is a worthwhile exercise.
Ms Prestney says there are weaknesses
in every business. In medical practice
they can include seeing lots of patients
but not increasing profi t, dealing with
lots of complaints about waiting times,
or dealing with a receptionist who is
cranky and rude to patients.
She says there are also external
issues and services “that need a SWOT”,
particularly threats to the practice such
as the government changing regulations.
A SWOT analysis can help develop
systems to deal with these threats.
Strengths, which can include having
a gifted practice manager or a popular
doctor in the practice, can turn into threats
if these people decide to leave. “Work out
how to make that person stay with the
practice”, she says.
A SWOT can also identify problems
such as lack of suffi cient staff to cover
absences and determine strategies to deal
with this, such as making arrangements
with a fi rm that provides temporary staff.
Mr McPherson says a SWOT is only
one part of the process of developing a
business plan. The whole process should
include a defi nition of the business,
establishing its aims and objectives, a
SWOT analysis, development of the plan,
and its implementation and review.
How long will it take?
The time needed to develop a business
plan depends on the complexity of the
practice and how much detail is included.
Dr Steer estimates a reasonable-quality
business plan for a small to medium-sized
practice would take about 50 hours to
develop. The process would involve two to
three meetings with key personnel, with
tasks delegated to senior staff to develop
certain aspects of the plan.
Before implementation, a summary of
the plan and its aims should be provided
to all staff. Other information should be
provided on a “need to know” basis.
For doctors, a business plan can be an
eye-opener to what running a business is
all about. “The problem for doctors is that
they learn the profession but not how to
run a business”, Dr Steer says.
Kath Ryan
‘‘Spending money to create a business plan that
deals with a wide range of future scenarios will
minimise the chance of costly and extensive legal
challenges down the track
” James Gerrard
Careers 060212.indd 7 1/27/2012 12:07:12 PM
Careers
C8 MJA 196 (2) · 6 February 2012
Road less travelled
Professor Michael Levy’s interest in
the health of prisoners was sparked
the very fi rst time he visited a
prison, when he was a board member of
the then NSW Corrections Health Service
in 1994.
“From the fi rst moment that I got
engaged in this issue through a committee
prison visit, there was just something that
lit up in me”, he says.
Professor Levy, who is now director
of ACT Justice Health Services, further
developed his interest when he spent
2 years working with the World Health
Organization in Geneva between 1995
and 1997. He had the opportunity to visit
prisons in several countries while working
on tuberculosis control programs.
When he returned to Australia in 1997,
he and Professor Tony Butler established
the very fi rst research centre focused on
health and the criminal justice system, the
Centre for Health Research in Criminal
Justice.
The centre conducted unprecedented
inmate health surveys in NSW,
Queensland, New Zealand, Victoria and
recently the ACT, defi ning the health
needs of those in custody for the fi rst time.
Professor Levy’s current role combines
clinical, administrative and academic
responsibilities.
A substantial proportion of his time is
spent providing direct clinical care to the
250 adult prisoners and up to 30 young
people in juvenile detention in the ACT.
Much of the clinical work involves
managing drug dependency, including
opiate-substitution prescribing, with
approximately 75 of the 250 prisoners
receiving methadone at any one time.
Hepatitis C and mental health issues
are also common concerns among those
in custody; however, many prisoners have
also neglected their more basic health
needs over the years.
“Not a lot of the folk who we get
in here have fantastic health-seeking
behaviours. All too often, it’s the fi rst time
for a long time that they’ve had any sort of
coordinated health care. We make plans
for ongoing dental treatment, or give
them spectacles — that can make a big
difference”, he says.
The health workers regularly provide
catch-up care to prisoners, such as
hepatitis and infl uenza vaccinations, and
screening and treatment for sexually
transmitted infections.
“We have an opportunity to intervene
and start to refer them through to
specialists, and hope against hope they
will reconnect with health services once
they are released. It sometimes happens
but it doesn’t always happen.”
Paradoxically, being in prison can
actually be good for the health of some
prisoners, because they have access to
comprehensive health care and are able
to reduce some of their poor health
behaviours, such as drug dependency.
“It’s fascinating, it’s rewarding. You see
people come in, intoxicated on a cocktail
of drugs and, day by day, that intoxication
lessens.”
Professor Levy continues to work with
a number of research groups, on projects
such as making prisons more “child
friendly” and harm minimisation in the
prison environment.
He is also working on a project looking
at the experience of women who are
pregnant in custody.
“It’s a contested area. They have very
high-risk pregnancies but, in some cases,
their lives are so chaotic that there are
health benefi ts of being institutionalised”,
he says.
Professor Levy is the only full-time
doctor working in ACT Justice Health,
with six other doctors working part-time,
plus 18 highly qualifi ed nurses. He fi nds
it satisfying that some of the “best GPs in
town” choose to work in the ACT justice
system for a session or two each week.
Professor Levy, who trained as a
public health physician, says the work is
incredibly rewarding because there are
measurable public health benefi ts on top
of the individual and family-level benefi ts.
“In terms of public health in general,
the gains are pretty minimal in Australia
— you can tweak an immunisation
schedule here or there but that’s about it ...
working in this setting is a big honour and
the potential gains are huge.”
He says it can also be heartening to give
families a chance to see “how good these
people can be if they keep up with their
health care”.
Professor Levy has an eye on training
the next generation of prison doctors
— since 2002, he has coordinated the
custodial medicine module in the Master
of Forensic Medicine course run through
Monash University.
Professor Levy also works at the School
of Clinical Medicine at the Australian
National University, where he teaches
graduate medical students about justice
health, such as the ethical dilemmas of
working with people in custody and the
complexity of a fi eld where medicine,
social justice and the legal system
intersect.
“In the general discussion about
social determinants of health and health
ethics, prison health is where it all comes
together.”
Sophie McNamara
Medicine behind bars
‘‘In some cases, their lives are so chaotic
that there are health benefi ts of being
institutionalised
”
Providing medical care to those in custody
Careers 060212.indd 8 1/27/2012 12:07:13 PM
Careers
C9MJA 196 (2) · 6 February 2012
Overseas Appointments
www.headmedical.com
Call Laura Hudson in confidenceon +44(0)131 226 2200 oremail: [email protected]
Head Medical, 20 Alva StreetEdinburgh EH2 4PY
This hospital will be the Middle East’s first academic medical centre and hasbeen designed to the highest international standards. Scheduled to open inearly 2013, the centre will provide world class, patient-focused, clinicalservices for women and children, as well as medical education andbiomedical research in an ultra-modern, all-digital facility. Cornell University, amember of the prestigious Ivy League in the USA, has brought its top-notchprogram of medical education to Qatar and the centre will be a primaryteaching facility for Weill Cornell Medical College.Candidates must hold specialist qualifications from Australasia, the UK,Europe or North America and should be able todemonstrate achievement in Clinical Practice aswell as Teaching and/or Research.
RECRUITING FOR EXCITING JOINTCLINICAL & ACADEMIC ROLES IN QATAR
Often international job seekers have to make some kind ofcompromise, whether it’s on earnings, job, employer or location.We believe that these opportunities will deliver on all fronts.
Clinical Director, General Medicine | Southland Hospital, Invercargill We’re New Zealand’s southern-most provider of public hospital and community health services. A secondary level hospital, the geographic region we service presents unique professional challenges. Many here will tell you it’s a place where lifestyle and professional opportunity meet in perfect balance.
We are on the lookout for a Clinical Director who is passionate about service delivery and optimising it for the good of patient outcomes, for their team and colleagues. We’ve placed huge emphasis on clinical governance and have a lot of positives to show for it. It’s fair to say the department has remained somewhat traditional in its structure and approach but they know now the time has come for change. It is you who will spearhead this, re-invigorating a department that provides services encompassing internal medicine, a wide range of sub-specialties, geriatrics and rehabilitation.
A well experienced Clinician you’ll ideally have an interest in internal medicine however other sub-specialties will be considered. It’s crucial you be vocationally registered with the Australasian College. If you aspire to be a key member of a forward-thinking management team the job description is written for you. You’ve got ideas, you’ve got the clinical and leadership skills and you’re ready for a new opportunity.
www.healthdownsouth.co.nz
NEW OPPORTUNITY
TAKE YOUR PLACE IN ANTARCTIC HISTORY
Now recruiting for Professional, Trade,
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Antarctica.
To fi nd out about working and living in
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Careers
C10 MJA 196 (2) · 6 February 2012
WA Health puts the care into your careerWhile you care for others, we care for your career. Find your opportunity at www.health.wa.gov.au
Alternatively, call (08) 6444 5815
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To DONATE, CALL 1800 534 229 OR VISIT LEGACY.COM.AU
Caring for the families of deceased and incapacitated veterans.
Government of Western AustraliaDepartment of HealthWA Country Health Service
ARE YOU A LEADER? Explore, discover and make
your mark on WA
WA Country Health Service is seeking dynamic medical professionals with experience in medical administration, management innovation and communication excellence.
From pristine coastlines to sprawling desserts and breakaway hills – if you have the experience, we have the location to suit!
Consider our vacancies at:www.wacountry.health.wa/gov/careers&vacancies/medical
Careers
C11MJA 196 (2) · 6 February 2012
Locums
Careers
C12 MJA 196 (2) · 6 February 2012
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Th e Rural Health Academic Centre, based in Shepparton, Victoria, is seeking two outstanding academic leaders to build on its existing success and help guide its next phase of growth and development.Th ese are key leadership positions and candidates will have a relevant range of skills and experience in areas such as leadership, clinical practice, research, medical education, and/or community engagement.Th e University has engaged executive search recruitment consultants Ccentric Group to assist in this recruitment. For a confi dential discussion please contact
M: +61 407 245 799 Email: [email protected]
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Outstanding Leadership Opportunities with One of the World’s Leading Universities
For position information go to ,
click on ‘Job Search’ and search under the job title.
University AppointmentsLocums
Our experience will take you to new places.
L O C U M O P P O R T U N I T I E S
ChoiceOne is currently seeking Medical Practitioners to fill locum and permanent positions of all grades including:
Specialists / ConsultantsGeneral Practitioners / GP RegistrarsJunior Doctors
We have opportunities located throughout Australia in metropolitan, regional and rural / remote areas.
With over 22 years of experience, talk to us without delay.
Call Brett on:
email [email protected]
YOUR FIRST CHOICE.www.choiceone.com.au
Put us where we’reneeded. Please put us in your Will.
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Careers
C13MJA 196 (2) · 6 February 2012
Gynaecologist & Obstetrician required. in Albury Wodonga, Australia
Reproductive Medicine Albury & Wodonga Specialist Obstetrics
Lifestyle
Income:
CONTACTDenise Klemm Border Medical Recruitment Taskforce+61 418 933763 [email protected]
Specialist Appointments
General Physician
Ref: DJH105/12
Expressions of Interest are currently being sought for a suitably qualified and experienced General Physician to join our Medical Specialist team at Melton Health. Melton Health is the ambulatory care site for Djerriwarrh Health Services providing four program streams; Day Medical, Adult Health, Women’s & Children’s Health and Dental. Djerriwarrh Health Services is a rapidly growing organization providing healthcare to the Shires of Melton and Moorabool, one of the fastest growing population corridors in Australia.
Selection Criteria
willing to undertake at least two consulting sessions per
Djerriwarrh Health Services offers the following benefits to
with an excellent culture.
For further information please contact: Elizabeth Wilson Director Clinical & Quality Support Services Phn: Mobile: 0419507831 Email: [email protected]
GASTROENTEROLOGIST / PHYSICIAN - BENDIGOAn exciting opportunity exists to establish a busy Gastroenterology Practice in Bendigo; a growing regional centre serving a large sector of Northern Victoria, and with a rapidly developing Medical school.
The new specialist would have the support of all the physicians practising in this discipline.
Additional skills in General Medicine are preferred.
There is the possibility of a sessional appointment in the public sector, and association with the Monash Medical School.
Bendigo Day Surgery has excellent procedural and consulting facilities, and would support and promote a suitable applicant.
For information in confidence contact:Philip SuttonChief Executive OfficerBendigo Day Surgery [email protected] 5444 3533 / 0488 128 196www.bendigodaysurgery.com.au
Careers
C14 MJA 196 (2) · 6 February 2012
InSight: Take a closer look
> NEWS AND RESEARCH
> COMMENT
> INSIGHTS
MJA InSight. Australia’s leading online newsletter MJA InSight. Australia’s leading onlinading online newslee newslettetterrfor the medical profession.for the medical professionoorrffofoffoooorr ppaacceeee dd lliimmhhtt al ppddeeee me itthheeee mmeeeeddddiiccaaall pppp ssss ooeeoo iiffrr oooo eessirrooooffeeeessssiioooonnnn..
Register today for your free weekly e-newsletter from the MJA. InSight will keep you up to date with the latest news, research
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Engage with your professional colleagues. Contribute to the online conversation.
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Careers
C15MJA 196 (2) · 6 February 2012
FREE CALL: 1800 005 915www.health247.com.au
EXPLORE 24-7Do you want an opportunity to explore? Consider a locum.
At Health 24-7 we can help you discover new places, exciting prospects, fresh challenges and greater levels of financial security.
Check our website www.health247.com.au or call us now on 1800 005 915 and get ready to pack your bag.
Specialist Appointments
Careers
C16 MJA 196 (2) · 6 February 2012
Real Estate
Consulting Rooms Sessions & Suites
Hospital Appointments
Full time or part time GPrequired at well established privately owned family practice in Castle Hill, Sydney. Bulk billing/private rates. Contact Dr Robyn Trompf ph 0428505811, 02 88505411
GP Opportunities
YOU CAN ADVERTISE WITH US!
New Zealand Doctor NewspaperContact Angie Duberly T +64 9-488 4286 E [email protected]
New Zealand Doctor helps you reach GPs, locums, specialists, nurses, practice managers, health clinics… and more.
SESSIONS AVAILABLESPECIALIST ROOMS WELL POSITIONED STYLISH BLDLINDFIELD (SYDNEY)CONTACT: 02 9745 1099
