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Monash Physician Education Information Guide 2020

Monash Physician Education · 2019. 6. 4. · Monash Health is a major research organization with an abundance of opportunities both during and following your training. Your research

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Page 1: Monash Physician Education · 2019. 6. 4. · Monash Health is a major research organization with an abundance of opportunities both during and following your training. Your research

Monash Physician Education Information Guide 2020

Page 2: Monash Physician Education · 2019. 6. 4. · Monash Health is a major research organization with an abundance of opportunities both during and following your training. Your research

Monash Physician Education 1

Table of Contents Introduction .................................................................................................................................................... 2

Monash Health Physician Education Staff ...................................................................................................... 3

Training Sites ................................................................................................................................................... 4

Main Sites: .................................................................................................................................................. 4 Monash Medical Centre ......................................................................................................................... 4

Dandenong Hospital ............................................................................................................................... 4

Casey Hospital ........................................................................................................................................ 4

Training Opportunities .................................................................................................................................... 5

Supervision...................................................................................................................................................... 6

BPT1 Training Modules ................................................................................................................................... 6

Written Examination ....................................................................................................................................... 6

Clinical Examination ........................................................................................................................................ 6

Exam Preparation ........................................................................................................................................... 6

Hot Topics Written Exam Preparation Lectures ..................................................................................... 6

Mock Written Exam ................................................................................................................................ 7

Mentorship Program .............................................................................................................................. 7

Communication Skills for the Clinical Examination ................................................................................ 7

Support through the Exam preparation period ...................................................................................... 7

Weekend Workshops ............................................................................................................................. 7

Mock Clinical Exam ................................................................................................................................. 7

Neurology Day ........................................................................................................................................ 7

Epworth Hospital .................................................................................................................................... 7

RACP Clinical Exam Presentation Series ................................................................................................. 8

Roster and rotations ............................................................................................................................... 8

FAQs ................................................................................................................................................................ 9

Example BPT 1 Rotations: .............................................................................................................................13

Example BPT 2 Rotations: .............................................................................................................................14

Page 3: Monash Physician Education · 2019. 6. 4. · Monash Health is a major research organization with an abundance of opportunities both during and following your training. Your research

Monash Physician Education 2

Introduction Monash Health Physician Training Program (Basic Physician Training) is an exciting opportunity to acquire first class clinical exposure in one of the largest and most diverse health care facilities in Australia. Monash Health dramatically outperforms other Victorian networks in terms of the quality and volume of healthcare delivered. With a wide range of core and sub-specialist disciplines on offer, Monash Health is one of the most highly sought after organisations for RACP Advanced Training in the state. Monash Health is a major research organization with an abundance of opportunities both during and following your training. Your research opportunities are underpinned by the co-location of Monash University, one of Australia’s leading university in terms of research grant allocations and publication activity. Career paths in specialty health, population health and medical education can be developed by your training here. Monash Health receives podcasts from the RACP accessible to you when and where you are ready. In addition to the RACP lecture series we offer an in-house lecture series, communication and interview training, professional development seminars, advanced life support training, weekend practice exams for the written and clinical, plus an abundance of rostered long and short case presentations. You have access to more than 8 examiners on the National Examiner Panel (NEP) and other dedicated consultants with extensive RACP experience. Training across a large organization such as Monash Health also has its challenges. Size and deployment across multiple sites inevitably reduces the sense of intimacy that may otherwise come from a training program at smaller hospitals. As a response to this, we have put specific countermeasures in place. Each BPT is assigned an Educational Supervisor/Professional Development Advisor whose role is to mentor, address problems or concerns and track your progress. They will be your advocate and voice in a large organization. The Physician Education Manager is also available to support you in day to day issues. We have very high expectations of trainees. A successful Monash BPT will show initiative and actively participate in the supervision process. It will be expected that you discuss your situation with your supervisor if you are unable to embrace these learning opportunities. Collegiality is an essential part of our training method. We are strong believers in the value of peer learning through study groups. We heavily promote this aspect of the program. We not only intend to train high quality doctors and assist with examination success, but we also want to ensure our trainees are best placed for Advanced Training positions. Monash Health Physician Training program works with BPTs on interview technique and CV development early in our program, both of which increase Advanced Trainee selection success. We run an “Optimizing your Advance Training prospects” seminar every year. Our training programs are constantly evolving and continually improving and committed to excellence.

Page 4: Monash Physician Education · 2019. 6. 4. · Monash Health is a major research organization with an abundance of opportunities both during and following your training. Your research

Monash Physician Education 3

Monash Health Physician Education Staff

Dr Darren Mansfield

Consortia Director of Physician Education

Dr Claire Dendle Director of Physician Education –

Monash Health

Dr Siobhan Lockwood Deputy Director of Physician Education – Monash Health

Dr Andy Lim Director of Physician

Education - Dandenong

Dr Michelle White Director of Physician

Education – Moorabbin

TBC Director of Physician Education – Kingston

TBC Director of Physician

Education – Casey

Dr Marcus Robertson

Clinical Education Supervisor Tonina Hore

Unit Manager – Monash Physician Education

Carol Low Administration Manager –

Monash Physician Education

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Monash Physician Education 4

Training Sites

Main Sites:Monash Medical Centre

Monash Medical Centre is the largest hospital within the Monash Health network with 640 beds. It hosts the majority of subspecialties along with intensive care and coronary care units. Its proximity to Monash University and research institutes provides excellent opportunity for clinical translational research. Many members of the senior medical staff at Monash Medical Centre are involved with on-site research programs.

Monash Medical Centre also provides undergraduate, postgraduate, pre-vocational and vocational training. Our comprehensive physician training program is complemented by weekly general medicine grand rounds, subspecialty grand round, and unit specific radiology and pathology meetings.

Dandenong Hospital

The majority of BPT training at Dandenong hospital is conducted through the General Medicine Unit however there is exposure to sub-specialty inpatient units at Dandenong including Cardiology, Gastroenterology, Endocrinology with an on-site chemotherapy unit and inpatient dialysis. A consult service is provided for all other medical specialties from Clayton.

The Dandenong hospital teaching sessions include the Wednesday clinical meeting (case presentation and journal club), Thursday Grand Rounds and Friday Radiology session. During the FRACP clinical examination season, other activities include: public long case presentations, bedside short case tutorials and small group long case sessions.

Casey Hospital

Casey Hospital is a rapidly expanding 250 bed peripheral hospital with three general medical units, rehabilitation, geriatrics and palliative care. There is no HDU/ICU on site and registrars will be expected to identify and manage/transfer unwell patients early. Endocrinology, ID and neurology consultative services are provided permanently with additional consults offered in line with the subspecialty interests of the rotating physicians. Trainees are supported by Director of Medicine A/Prof Michael Farmer. Excellent long and short case opportunities with consultant input are on offer.

Other Sites include:

Moorabbin Hospital

Kingston Hospital

Latrobe Regional Hospital - Traralgon

West Gippsland Health Group – Warragul

Epworth Hospital – Richmond

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Monash Physician Education 5

Training Opportunities

ALL TRAINEES

Orientation evening for all new trainees

All trainees will have an Educational Supervisor/Professional Development Advisor allocated to them on commencement to the program

General Medicine lecture series weekly

Medicine Program Grand Rounds weekly

Plus - BPT year level 1 Trainees

Fortnightly dedicated BPT1 Case Presentations

Training Modules x 3

Training session -Enhance your CV – Preparing for advanced training positions now

Opportunity to Bulldog for clinical exam

Plus - BPT year level 2 Trainees

Weekly dedicated BPT2 MCQ Teaching

HILS - Hospital Intermediate Life Support Training

Preparation for written exams

Registrars Professional Development Program

MCQ teaching

Mock written exams

Hot Topics Series for trainees sitting written exam

Leave for exam study courses

Opportunity to Bulldog for clinical exam

Plus - BPT year level 3 Trainees

Weekly dedicated BPT3 Clinical exam teaching

Mock Written exam

Long Case schedule – with national examiner rostering

How to do a long case session

Communication skills- Individual and group sessions

Mock Clinical Exams – Clayton & Dandenong

Sub-specialty mock exams – Neurology / Cardiology / Rheumatology / Abdominal / Respiratory / Ophthalmology

RACP Clinical exams

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Monash Physician Education 6

Supervision

General supervision is provided by your ward service consultant. Most consultants will conduct ward service for a minimum of 4 weeks duration. Your consultants are usually derived from a variety of specialty backgrounds such as Nephrology, Respiratory, Infectious Diseases, Endocrinology, Neurology and the like. There will be ample opportunity for you to complete your mini-CEX and rotation assessments. In addition, the Director of Physician Training at each site hospital will also monitor your progress. In addition, there is a mentorship program (separate to the clinical exam mentorship program) which provides an independent mentor to assist the trainee if a problem should arise between the trainee and the supervisor.

BPT1 Training Modules There will be three training modules to complete in your BPT1 year. These will take approximately 2.5

hours each. The three topics are:

Diabetes

Anticoagulation

Atrial Fibrillation

Written Examination The written exam is held in late February each year. It is a 5 hour exam with 2 hours for Part A (basic science) and 3 hours for part B (clinical management). The exam consists of 170 MCQs, 20 of these are repeated from previous years for standardisation and are not counted towards your score. The Monash Health pass mark is generally higher than the national average.

Clinical Examination This is usually held in the last week of July through to the first week of August. It comprises two long cases and four short cases. The day is divided into two cycles and each cycle consists of one long and two short cases.

Exam PreparationWritten exam courses are seen by most candidates as a valuable preparation opportunity. We encourage trainees to consider attending and we work with Monash Doctors Workforce to arrange the roster to accommodate exam leave.

Hot Topics Written Exam Preparation Lectures These lectures are aimed at preparing the candidate for the RACP written exam in the following year. It includes up-to-date, hot topic lectures and MCQ revision. Monash registrars and consultants present in their respective fields. Lectures typically begin in September.

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Monash Physician Education 7

Mock Written Exam A full 170 MCQs written mock exam will be held in every January on a Saturday morning for 5 hours. This includes both Paper A and Paper B MCQs. Over the last few years, the outcome of this mock exam has been well correlated with the result of the RACP exam. About 50 to 70% of the MCQs are updated every year by our senior medical staff.

Mentorship Program Each candidate is assigned a mentor during the clinical exam preparation period. The mentor will meet with the candidate regularly for case preparation and support. It is the responsibility of the candidate to organise regular meetings with the mentor.

Communication Skills for the Clinical Examination The RACP clinical examination not only requires candidates to be highly skilled clinicians, it also requires advanced language and communication skills to successfully demonstrate that knowledge. Individual sessions evaluate candidate’s presentation skills to meet these challenges. During the sessions candidates receive communication feedback on video recordings of cases they have presented and strategies for improvement are discussed. Trainees who require further support will be offered additional sessions.

Support through the Exam preparation period It is well known that the exam preparation period can be difficult both physically and emotionally. Candidates are supported through their supervisor and clinical exam mentor. We encourage trainees to approach their supervisors or mentors early to manage any issues. Very often these are issues which can be resolved by discussion and forward planning. Learning how to balance work, stress and rest during this period is critical.

Weekend Workshops Saturday workshops to hone skills for the clinical exam are offered. These will include typical examples of common rheumatology, cardiology and abdominal short cases.

Mock Clinical Exam Mock exams will be held at MMC and DDH. Each site will hold a half day mock exam including one long and two short cases. The mock exams are conducted according to the same format as the official exam to best prepare the candidate for the exam.

Neurology Day Neurology short cases often include uncommon and outpatient cases to which candidates may not have had enough exposure. Neurologist will bring in their private patients and candidates will rotate from room to room at Monash Neurology to exam patients under individual supervision.

Epworth Hospital Candidates who are rostered to Epworth Hospital will follow the excellent clinical exam preparation program coordinated by local physicians and Prof Ian Fraser. Candidates are also encouraged to attend the program at Monash Health.

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Monash Physician Education 8

RACP Clinical Exam Presentation Series RACP conducts a series of lectures and clinical case presentation which are held at the RACP Office in St Kilda available for Podcast. It provides a range of subspecialty long case presentations and tips on exam preparation. Traditionally two of our candidates and renal physicians will participate by presenting the renal long case.

Roster and rotations During the clinical exam preparation period all the candidates are rostered to Monash Medical Centre, Dandenong Hospital or Casey Hospital to ensure adequate access to the preparation program.

Page 10: Monash Physician Education · 2019. 6. 4. · Monash Health is a major research organization with an abundance of opportunities both during and following your training. Your research

Monash Physician Education 9

FAQs How Many BPT positions does Monash Health have?

30 BPT1s 30 BPT2s 41 BPT3s

What criteria does Monash Health use for selecting BPTs?

All applications will only be accepted on-line via the Monash Health on-line recruitment system. BPT

positions are also constrained to the PMCV central matching system.

The following information should be attached to your electronic application:

Curriculum Vitae

Cover letter

Photograph

Fit2work consent form (non MH employees only)

Copy of 100 points of certified Identification (non MH employees only)

Current employee Working with Children’s Check (if you have one)

Monash Health will access your references via the PMCV. If you are a current Monash Health employee,

your rotation assessments may also be used. Please ensure all of your rotation assessments are up to

date and have been submitted.

Further information is available in the application guidelines.

What is the Greater South Eastern Consortium?

All Physician Training positions are provided through Consortia comprised of metropolitan, urban and rural hospitals. (Monash Health is part of the Greater South Eastern Consortium (GSEC) which includes Eastern Health, Latrobe Regional Hospital (Traralgon) and West Gippsland Hospital (Warragul).

What are the rotation options?

In BPT 1 and 2 there are 30 full time rotation options. This number of jobs will not change.

These rotation options have been specifically designed so they are equivalent in breath of experience,

and access to popular rotations such as cardiology and renal. We do not believe that any single rotation

option offers a better experience than any other. In addition, these rotations meet the complex

requirement for training mandated by the RACP.

For new BPT1s, we will offer 2 years of rotations. You will have the opportunity to preference these “job

lines” (individual rotations). This means, that over the 2 years each trainee will rotate through a diverse

mix of specialty and general rotations (see example rotations attached).

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Monash Physician Education 10

Will I be required to go the country?

Latrobe Regional Hospital (Traralgon) and West Gippsland Health Group (Warragul) are associated with

Monash. Almost all BPTs will be rostered to one of these sites at least once during their training.

Will I do night duty?

All BPTs at Monash Health participate in night duty across their rostered year either within rotating

rosters or as a specific rotation which is usually rostered as 7 nights on/7 nights off. As a general rule to

ensure BPTs meet college requirements, nights are allocated as follows:

BPT1 10-12 week rotation

BPT2 5-10 week rotation

BPT3 10-12 week rotation

What is the length of my contract?

All posts are advertised as 12 month full-time positions. Applicants seeking job-share, part-time or part-

year BPT posts should contact us at [email protected] and highlight this in their

application. Monash Health supports a healthy work/life balance for all of our Junior Medical Staff

members.

What if I need my Annual Leave at a particular time?

If you have any special consideration, such as leave requirements at particular time, you need to submit

this in writing to [email protected] using the Special Consideration for rotation form.

Please preference first the rotation that is most consistent with your special consideration. Wanting to

gain experience in speciality does not constitute special consideration.

What about if I want to take a year off between 1 and 2?

We actively encourage doctors to take a year off. We believe this helps to prevent burnout. There are

two things to bear in mind if you do take a year off

1. The number of BPTs will be fixed each year therefore the number of BPT 2 jobs available will be

dependent on the number of people exiting BPT1. Therefore, admittance back into BPT will based on

interview. You will not be discriminated against in the interview process because of the year break

however job availability will dictate the number of people employed

2. If you are successful in the interview and plan to re-enter BPT training in BPT 2, the rotation options

will be limited by availability.

Job security is not as tight as it would be if you did not take a year off, however on balance, we would

recommend this option if you are considering it.

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Monash Physician Education 11

What about swapping rotations?

We strongly discourage swapping. Rotation options are designed to be equivalent and over two years

you should be able to get a good breath of experience and if your preference sensibly, you should get

exposure to your speciality of interest

There are a lot of complexities around swapping. The only circumstances in which we could consider a

swap is if the following criteria are fulfilled;

1. A full 10-12 week rotation is swapped (no 5-6 week swaps) 2. The rotations are equivalent (ie. secondment for secondment) 3. The rotation swap form is completed by both parties 4. The BPE Manager approves the swap in writing

Will I have to interview again between BPT 1 and 2?

If you are accepted in BPT 1 you will not need to interview again for BPT 2. If you take a year off or have

done BPT elsewhere, you will need to interview formally.

What qualities are we looking for in an interview?

We are primarily looking for doctors who are sensible, clinically sound, work well in teams, have a growth

mindset (ie. you can respond to feedback and change) and can pass exams.

Your references will be taken into account, as will any feedback from doctors with whom you have had

contact.

How you come across in the interview is important. Being sensible, hard-working and kind is important

to us.

We value a track record of high academic performance (z score or academic prizes) but it is not essential.

We do not expect publications or other extra degrees on your CV at this stage. These are a bonus but not

as highly weighted as clinical performance at this junior level.

Preference will be given to doctors who have completed their intern year at Monash Health.

What if I do not get accepted into BPT training?

Every year about 400 trainees apply for 30 places so obviously, high performing, fantastic doctors are

going to miss out. If this is the case of you, we would recommend you think about two things

1. Is physician training the best route for you? Would it be worth exploring other options?

2. If you are sure it is the right path for your, seek advice on how you could work towards opportunities

to engage with physicians either in teaching, service or research roles.

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Monash Physician Education 12

Can I move from General Stream into the BPT program?

Any HMO is welcome to apply for a place in the BPT program via the normal application process.

Can I have previous experience/rotations recognized so I can enter as BPT2?

All discussions regarding recognition of prior learning need to be through the college. We are unable to

approve these. It is generally difficult to have experience recognised retrospectively so you would likely

need to be prepared to commence as a BPT1.

We recommend you contact us to discuss your individual situation with us.

Page 14: Monash Physician Education · 2019. 6. 4. · Monash Health is a major research organization with an abundance of opportunities both during and following your training. Your research

Monash Physician Education 13

Example BPT 1 Rotations:

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Page 15: Monash Physician Education · 2019. 6. 4. · Monash Health is a major research organization with an abundance of opportunities both during and following your training. Your research

Monash Physician Education 14

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52

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