Intern / HMO Supervisor: Mr Rohan Sheehy, Consultant (0424 590 004) SUNSHINE: Ms Stacey Cole, Consultant (0409 861 223)
Intern / HMO Orientation and Induction: Jeremy Abetz (0417662684) Andy Griffith (0400 875 446)
Intern / HMO Education : Jeremy Abetz (0417 662 684)
Background
The Orthopaedic Unit at Western Health is a large and complex team operating across 3 sites, with many Consultants, Registrars, HMOs, Interns and Allied Health and Support Staff helping the unit run effectively. This can be a busy environment, with lots of jobs needing to be done collaboratively to ensure we provide efficient and best care to Orthopaedic patients in the west.
Interns and HMOs are an integral part of the team which the rest of the unit rely on to ensure things run smoothly. This requires interns and residents to be able to ‘hit the ground running’, and start working effectively from their first week on the unit. The Unit has recognised this, and has introduced a Induction and Orientation session with one of the Orthopaedic Registrars at some point within their first week on the rotation
Process
Currently, the Intern/HMO Induction and Orientation session is run by Jeremy Abetz, one of the Unaccredited Orthopaedic Registrars
In the week leading up to a new group of Interns or HMOs starting an Orthopaedic Rotation, one of the Orthopaedic Registrars will contact the new junior staff to organise a 2-3 hour time sometime within their first week on Orthopaedics to have their Induction, at a time that fits with the Registrar’s roster
The Induction is generally run at Footscray, with Williamstown and Sunshine HMOs having the option to either attend in person or join via zoom
If HMOs are otherwise not rostered to work on the day of their Induction Session, both Prof Tran (Head of Orthopaedic Unit) and Hien Nguyen (Director of Medical Workforce) have approved for overtime to be paid.
Where possible, we will also try and arrange for new interns / HMOs to meet the Intern/HMO Supervisor, Ms Stacey Cole, at some point during their first week with the unit
Content
During the Orientation Program, we run through examples of how to do commons tasks that interns and HMOs are required to do during their Orthopaedic Rotation. This is generally done by sitting at a computer and working through examples together using mock patients are ficitious scenarios. The aim of the session is for it to be friendly and informal, allowing for HMOs to ask any questions that they may have, and explore any other topics they might have questions about.
Main topics covered:
- How to use the Unit Audit (Sunray)
- How to add/remove patients
- How to add/remove procedures
- How to generate ward lists
- How to do Preadmission Clinic (PAC)
- How to use PAC Guidelines to determine what investigations required/whether fit for surgery
- How to do PAC Follow-up to ensure patients ready for surgery
- How to do Wound Clinic
- How to assess wounds, concerning features to look out for
- Teaching about what sutures are absorbable/non-absorable
- WeLearn Wound Care and Management Module
- Fracture Clinic
- How to do XR Triage
- How to make appropriate referrals
- Consultant Clinic
- How to do XR Triage
- How to make appropriate referrals
- Helping out in Clinic D for campus suitability assessments
- Radiology
- How to Hub and Spoke Images
- Ward Management
- How to effectively and efficiently manage the ward during ward week
- Timely and accurate documentation
- Prioritisation of tasks
- Time Management
- Theatre
- How and when to scrub for theatre when asked/interested
- XR Meeting (Residents Only)
- How to ensure audit accurate and up-to-date for previous week’s cases
- How to generate XR Meeting in Synapse
Resources
Wound Clinic
- WeLearn Wound Care and Management Module – Created by Lily Salehi, Registrar
Preadmission Clinic (PAC)
- Preadmission Clinc Documentation Template
- PAC Orthopaedic Guidelines
- Oral Antiplatelet and Anticoagulant Medications in Perioperative Period
- Perioperative Management of Diabetes in Non-pregnant Adults
- Perioperative Steroid Use Guidelines
- How to do PAC Follow-up
Fracture Clinic
Radiology
- List of External Imaging Provider Logins
- Hub and Spoke Form – for image transfer requests from other hospitals/imaging providers
Unit Audit (Sunray)
Teaching and Learning Resources
- Friday HMO Teaching Roster
- Orthopaedic Teaching Resources
- Recommended Books to Read / Memorise – Apleys, Macrae
OGS Resources
- OGS Website Page
- OGS Admission Criteria
- Guidelines for the Management of Suspected and Confirmed Hip Fractures – PDF Download
- Fractured NOF Bladder Management Pathway – PDF Download
- NOF Analgesia Guidelines – PDF Download
- NOF Pain Management – PDF Download
- NOF Osteoporosis Investigation and Management – PDF Download
- NOF Anticoagulation Protocol – PDF Download
- Fasting Plans / Sip to Send