GERIATRIC MEDICINE SERVICE DESCRIPTION
|GERIATRIC MEDICINE SERVICE DESCRIPTION |
| |
|THE PRINCE CHARLES HOSPITAL |
|Number of Core Training Positions accredited: 5 = GEM, CAM, GRLS, Community, Orthogeriatrics |
| |
|Number of Non-core Training Positions accredited: time spent in other departments (e.g. palliative care) may be considered |
|Maximum accredited duration permitted at this training site: 24 months (including core and non-core training time) |
|Contact: Dr Lucy Lucy.Dakin@health..au |
| |
|STAFF: |
|Dr. Lucy Dakin ( Director, Geriatric and Subacute Services), Dr. Jeffrey Rowland (Director, General Medicine) Dr. Shaun Pandy, Dr. |
|Carolina Ling, |
|Dr. Alisa Crouch, Dr. Chrys Pulle, Dr Eamonn Eeles, Dr Gurudev Kewalram, Dr Kannan Natarajan, Dr Debbie Lee. |
|PROGRAM: |
|Internal Medicine Services at The Prince Charles Hospital comprises: |
|Geriatric, Rehabilitation and General Medicine Services. |
| |
|Geriatric services are provided across the continuum of care and include: Community geriatrics (Community Indigenous and Subacute |
|Services CISS) , Geriatric Outreach Assessment Service to nursing homes (GOAS), Older Persons Acute Assessment and Liaison (OPALS) in |
|the Emergency Department, Geriatric Evaluation and Management (GEM), Cognitive Assessment and Management (CAM) unit, Hip Fracture Unit |
|(provides orthogeriatric services in a unique shared-care model and provides a peri-operative medicine service to other surgical units).|
|The Geriatric and Rehabilitation Liaison Service provides geriatric consult liaison service and assesses all referrals for subacute |
|care. |
| |
|General Medicine, including an Early assessment Medical Unit (EMU) and acute general medicine unit) provides care for adult medical |
|patients utilising an age-friendly multi-disciplinary approach, with the support of a broad range of subspecialties. |
| |
|The Rehabilitation and Acute Stroke (RAS) unit led by rehabilitation physicians provides acute inpatient rehabilitation services, and |
|includes an acute stroke unit (co-managed by stroke physicians). Ambulatory rehabilitation services are provided by a Rehabilitation Day|
|Unit. |
|Number/type of Geriatric Beds: |Specialty Clinics: |
|23 Rehabilitation beds (RAS) |Memory Clinic |
|30 GEM |Older persons mental health (community) |
|13 CAM | |
|16 EMU | |
|6 Stroke (In RAS) | |
|30 Acute General Medicine (incl.4 delirium beds ) | |
|16 Hip Fracture Unit beds | |
|Consult Services: |Domiciliary Assessment: |
|Geriatric and Rehabilitation Liaison Service (GRLS), |Community Geriatrics (CISS) – community clinics, home visits, |
|Perioperative Consultation Service |TCP |
|Outpatient Clinics/Day Hospital: | |
|The Day Unit, Investigation and Therapy (DUIT) | |
| | |
|Formal Training |
|Lectures: |Journal Club: |
|Access to state-wide Geriatric Medicine Advanced Training Program every |Weekly |
|Wednesday | |
|Grand Rounds: |Consult Rounds: |
|Weekly |Varies, minimum twice weekly |
|Other Specialty Links: |Protected time: |
|Endocrinology, Palliative Care, Haematology, Gastroenterology, Neurology |Weekly education meetings |
|and Oncology. | |
|Information Infrastructure |
|Library: |IT: |
|Yes |Yes |
| |Full access to internet, journals, CKN and UpToDate |
|Research: |Quality Assurance: |
|Internal Medicine Research Program |Monthly Morbidity and Mortality Meeting |
|(Clinical research with links to QBI) |Participation in hospital-wide QA activities |
|International Clinical Drug Trials | |
|Trainee Responsibilities |
|Coverage Roster: |Ward responsibilities/workload: |
|Weekend (acute medicine) 1 in 4 (1 long shift + post take ward round) |8-15 inpatients acute or subacute patients with RMO and MDT |
|Weekend (subacute ward round) 1 in 6 (Saturday and Sunday mornings) | |
|Hip fracture: 1 in 2 Saturday mornings | |
|Consultations: |Specialist Clinic coverage: |
|Geriatric Liaison Service and Ortho geriatric Medicine Service provide an|Specialty Clinics: |
|in-patient consultation service to Intensive care, Cardiology, |Memory |
|Respiratory and Surgical services with Consultant Geriatrician support | |
| |Neurology |
| |endocrinology |
| |Older Persons Mental Health |
|Domiciliary assessments / ACAT assessments: |Research/presentations: |
|ACAT case conference |Internal Medicine Research Program is able to provide support |
|Home visits |and guidance. |
| |GMAT - Monthly meetings with Senior research staff for |
| |research projects |
| | |
| |Presentations at Journal club, grand rounds |
| | |
| |TPCH Research Forum annually |
|Teaching responsibilities: |Rotations available and opportunities for flexible training: |
|University of Queensland Medical students, years 2-4, on attachments or |Requests for rotations to other medicine sub-specialities and |
|electives. |flexible training arrangements may be considered. |
|Teaching at intern, basic trainee and Internal Medicine Service seminars.| |
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