Sir Charles Gairdner Hospital
Upper GI and Bariatric Unit, Sir Charles Gairdner Hospital, Perth, Western Australia.
Sir Charles Gairdner Hospital is a major public tertiary hospital in Perth, Western Australia.
The Upper GI and Bariatric surgery unit is part of the Department of General Surgery and the Unit has four consultants, two of whom perform around 75 Bariatric Surgery cases a year, covering the full gamut of laparoscopic adjustable gastric band, laparoscopic sleeve gastrectomy and laparoscopic Roux-en-Y gastric bypass, including revisional surgery. In addition to surgery for treating benign and malignant diseases of the oesophagus, stomach and duodenum, the Unit also performs 20-30 pancreatic resections a year, including laparoscopic distal pancreatectomies. There are around 10-15 oesophageal resections per year, including minimally invasive oesophagectomies. There is no crossover with the hepatobiliary unit and as the Upper GI ANZGOSA Fellow there is no sharing of cases or workload with any hepatobiliary Fellow.
Western Australia in renowned for providing excellent operative experience for its trainees and our Unit is no exception. It would be anticipated that the Upper GI Fellow would be the primary operator in 50-60% of major cases by the end of the year.
There are regular combined Oncology, Gastroenterology and Radiology MDT meetings once a week and there is a close working relationship between the Unit and these specialties within the Hospital.
Public outpatient bariatric and upper GI clinics are run in the hospital once a week. This provides the opportunity for pre and post-operative evaluation and management of patients without any need to travel off-site.
On the ward, the Upper GI Fellow is expected to be responsible for the day to day management of inpatients as well as being second on call for on-take days. These occur once a week, on a Wednesday, and one in four weekends. The Fellow is well supported with a SET Registrar, an RMO, and two Interns. There is also a 24 hour a day, 7 days a week, dedicated acute surgical unit registrar to deal with calls from the Emergency Department.
Remuneration is 100% funded by the Hospital/Health Department of WA, and is commensurate with all other Fellows within the Hospital, at probably one of the best rates in Australia.
There is secretarial support with 3 secretaries within the Department of General Surgery and there is one day a week set aside for administrative, research and educational activities.