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Overview: ANZGOSA fellow John Hunter Hospital (JHH)

JHH is the tertiary referral hospital for the Hunter New England Health network. It is located in Newcastle, NSW. The hospital has 800 beds and the population of the area is around 900 000.

Seven surgeons specialise in upper GI surgery, including hepatobiliary and oesophagogastric work. The hospital also has a high emergency workload.

The upper GI surgeons are divided over two teams, each with their own SET registrar and JMO. The fellow can work with all surgeons, but is expected to focus on areas of most interest to them. Team 1 is Stan Chen , Kalpesh Shah, Tim Wright. Team 2 is Jon Gani, Vanessa Wills, Adeeb Majid and Costa Karihaloo.

The position offers a wide range of opportunity which includes(per annum)

  • 12-15 oesophageal resections
  • 20-25 gastric resections
  • 35 pancreatic resections
  • 35-40 hepatic resections
  • 10 Heller myotomies
  • 30-40 hiatal hernia repairs and fundoplications

Many other types of complex upper GI and emergency surgery, including revisional bariatric surgery.

There is some opportunity to experience bariatric surgery in the private system.

Interventional endoscopy is also available with 500 ERCPS per annum, EUS, and weekly lists involving EMR, oesophageal and duodenal stents, PEGs and PEG-Js and dilations.

OUT PATIENTS: Many patients are seen at outpatient clinics providing an excellent opportunity to be involved in total patient care. Regular oesophageal oncology and hepato-pancreatic clinics are held.

ON CALL: The fellowdoes AGSU shifts (from 7pm to 7pm) in lieu of an upper GI consultant once every 2 to 3 weeks on a rotating basis. The nominated consultant provides back up and support.

RESEARCH: It is expected research be undertaken. Current areas being investigated are jejunostomies, preoperative scoring systems and improvement of patient fitness prior to major upper GI resection. Involvement in multicentre trials includes DOCTOR and TOPGEAR

CME AND MEETINGS:

  • a weekly audit and CME
  • 3 monthly dinner journal club
  • 4 monthly oncology dinner
  • Weekly GI oncology MDT
  • Monthly endoscopy meetings

TEACHING:

The fellow is expected to help teach medical students, JMOs and registrars. Formal teaching programmes exist for all these groups. Trial exams to assist fellowship candidates are arranged by fellows and the superintendent.

CONTACT:

For further information email Dr Vanessa Wills Vanessa.wills@hnehealth.nsw.gov.au

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ANZGOSA - Australia & New Zealand Gastric & Oesophageal Surgery Association Your Practice Online