Islet and Kidney Transplant Registrar - VIC St Vincent's Hospital Melbourne - Fitzroy Campus

Job Description:

Islet Transplant Fellow

• 0.6 FTE
• Accredited for 6 Months of Advanced Training in Nephrology (Royal Australasian College of Physicians) 
• Fitzroy location
• Suitable for current renal AT or recent RACP fellows seeking further transplant experience

About the Role:

St Vincent’s Hospital is seeking a Registrar/Fellow level Year 3-6 to join a leading Department of Nephrology with a focussed role in Transplantation.  The successful applicant will have a key role in the Renal and Islet Cell Transplant Program which is part of the National Islet Cell Transplant Consortium.

The Nephrology Department is located within the Healy Wing of St Vincent’s Hospital Melbourne in Fitzroy. The Islet Transplant Program sits within the broader St Vincent’s Transplant service which undertakes living donor and deceased donor kidney transplantation as well as Vascularised Composite Allograft transplants. St Vincent’s Hospital Islet Transplant program is a member of The Australian Islet Transplant Consortium along with Westmead Hospital, NSW and Royal Adelaide Hospital, SA. Pancreatic islet transplantation in Australia occurs through the Nationally Funded Centre Program for Pancreatic Islet Cell Transplantation. The St Vincent’s Hospital Islet Transplant Program includes a multidisciplinary clinical team including the departments of Endocrinology, Nephrology and Radiology working in partnership with the Pancreatic Islet Isolation Laboratory Program and St Vincent’s Institute for Research.  The role sits within the Renal Transplant Program and Nephrology Service, working as a key member of our multi-disciplinary clinical team.

The duties include:

• Provide clinical care and expertise to the patients of St Vincent’s Islet Transplant Program, providing transplant care to patients being assessed for and after Islet Transplantation under the supervision of transplant physicians, endocrinologists and laboratory scientists.
• Provide clinical care and expertise to the patients of the St Vincent’s Renal Transplant Program providing care to patients being assessed for and after living and deceased renal transplant
• Undertake clinical research activities adhering to ethical and scientific principles set out by the National Health and Medical Research Council of Australia and the Good Clinical Research Practice Guidelines of the Therapeutic Goods Administration.
• Contribute to the collection and auditing of clinical data on Islet and Renal Transplantation at St Vincent’s for the purposes of clinical research and program auditing activities
• Contribute to Islet Transplant program service evaluation, improvement and development
• Demonstrate a commitment to ongoing learning and professional development in transplantation.
• Although the focus of the role is Renal and Islet Transplantation, the successful applicant will be an active member of the Kidney Transplant Program and the wider Nephology Service with inpatient care, outpatient clinics, referral service and sharing cover with 4 other Renal Registrars.  
• Demonstrate a commitment to ongoing learning and professional development in transplantation\ and general nephrology and dialysis

CLINICAL ROLES

• Undertake medical assessment of all Islet Transplant referrals received for general medical suitability for commencement of screening for Pancreatic Islet Transplant.
• Referral of patients to Islet Transplant Diabetes Team for assessment of diabetes and glycaemic indications for Islet Transplant and closely liaise with the Diabetes Team to facilitate patient focused diabetes management.
• Undertake renal transplant work up assessment including: medical and surgical referrals as required to other specialty units for assessments and opinions , order and review results of all required screening investigations and formulate medical patient centre treatment plan to facilitate efficient activation on the transplant list.
• Liaise with other members of the multidisciplinary team on the delivery of the treatment plan.
• Participate in patient education activities including provision of the patient information booklet, one-on-one transplant education and involvement in education seminars to patients and care-givers.
• Formulate medical summaries and present patients for approval for activation on transplant waiting list at Islet Transplant Activation Multi Disciplinary Meeting, this occurs in with close communication and supervision by the Islet and Renal Transplant physician
• Provide thorough, timely and accurate medical handover of patients to the ward transplant team for those receiving transplants after-hours and participate in scheduling and oversight of Islet transplant procedures during standard work hours.
• Communicate and coordinate clearly with the Islet Isolation Laboratory staff to ensure optimal patient outcomes during transplants.
• Conduct annual reviews for patients active on the Islet Transplant Waiting List to ensure ongoing medical suitability for transplant.
• Attend weekly post transplant meeting and undertake required medication changes and arrange any urgent investigations or medical interventions required based on post transplant investigation results.
• Provide weekday business hours urgent medical phone advice to post islet transplant recipients (within rostered hours only)
• Manage the Islet Transplant assessment and post transplant patient databases to ensure efficient and timely work up of patients and appropriate use of clinical resources.
• Presentation and promotion at local, interstate and International meetings of Islet Transplant outcomes.

CLINICAL LEADERSHIP

• Provide leadership that facilitates the development of evidence based clinical practice including involvement in revision of Islet Transplant protocols and guidelines.
• Provide clinical leadership to the ward transplant team including clinical management advice and ongoing evidence based education to all team members.
• Participate in discussions with TMITP multi-disciplinary team and the National Islet Transplant Consortium meetings including the New South Wales and South Australia Islet Transplant Teams.
• Lead discussions in the Kidney Transplant Program and Nephrology Service 
• Respect the leadership roles and the varied other roles and responsibilities within the Islet transplant team and work effectively with others.

RESEARCH

• Undertake implementation and evaluation of research projects proposed and conducted by the Islet transplant team at St Vincent’s Hospital and affiliated institutions to promote evidence based practice and optimal patient outcomes.
• Assist in the development of National Ethics Applications for Islet transplant research projects.
• Undertake informed consent process for eligible participants of HREC approved research protocols.
• Undertake clinical research activities in the Centre for Transplant and Diabetes Research, including clinical research patient assessments, research data collection and curation and analysis of research project data and outcomes.
• Comply with relevant legal requirements and organizational policies regarding health records and timely and accurate patient documentation and statistical data.
• Provide clinical data to other researchers to act as a co-author for inclusion in publication
• Maintain currency in relation to research training including completion and maintenance of GCP-ICH training.
• Presentation at local, interstate and International meetings of Islet Cell Transplant research activities.

EDUCATION

• Particiapte in the existing Nephrology Teaching programme. 
• Provide in-services, tutorials and lectures to medical, nursing and allied health staff on current evidence based medical care in Islet transplantation.
• Provide education services to Diabetes educators, transplant physicians, and transplant nurses in external centres including rural and remote areas and interstate particularly in Tasmania.

CLINICAL SERVICE MANAGEMENT

• Participate in the ongoing evaluation and auditing of the Islet Transplant program clinical services.
• Develop key performance indicator for optimal duration and timing of patient Islet Transplant suitability assessment.
• Contribute to future planning of Islet Transplant services.
• Maintain regular communication with the Islet Isolation Laboratory staff to ensure efficient service provision by the laboratory to the St Vincent’s Hospital Islet transplant program.

Classifications for this position will range from HM25 - HM30 ($125,900.84 - $173,290.00 per annum).

Your Contribution

• Bachelor Medicine, Bachelor Surgery or equivalent
• Registration with the AHPRA or eligibility for general registration
• Registration as a medication prescriber
• Commitment to:
  • The Values and Health Care Philosophy of the Sisters of Charity
  • The Principles of the St. Vincent’s Hospital Patient Care Model
  • The Hospital’s Code of  Conduct
• Ongoing involvement in and commitment to continuing education
• Excellent communication skills with the ability to communicate effectively with colleagues at all levels both internal and external to the Department

What we Offer
• A focus on wellbeing initiatives, with regular events and programs
• Confidential, solutions-focused employee counselling
• Ability to join Fitness Passport - Your pass to an extensive choice of fitness facilities
• Salary Packaging – Increase your take home pay!
• In the heart of Fitzroy, CBD at our doorstep, close to some of Melbourne’s best cafes, public transport and lots of carparks
• Discounts and Promotions always available through our Foundation
• Regular opportunities for professional development to assist you to reach your career goals
• Culture of continuous improvement

About The Nephrology Department

The Nephrology Department is located within the Healy Wing of St Vincent’s Hospital Melbourne in Fitzroy. The Islet Transplant Program sits within the broader St Vincent’s Transplant service which undertakes living donor and deceased donor kidney transplantation as well as Vascularised Composite Allograft transplants.

The St Vincent’s Hospital Islet Transplant Program includes a multidisciplinary clinical team including the departments of Endocrinology, Nephrology and Radiology working in partnership with the Pancreatic Islet Isolation Laboratory Program and St Vincent’s Institute for Research.  

Working at St Vincent’s
St Vincent’s Hospital Melbourne (SVHM) is a leading teaching, research and tertiary health service. SVHM provides a diverse range of adult clinical services and is driven by values of Compassion, Justice, Integrity and Excellence.

Application
Please attach your resume and cover letter to your application.

For any inquiries, please contact Professor Francesco Ierino, Director of Nephrology - frank.ierino@svha.org.au, Matthew Damasiewicz - matthew.damasiewicz@svha.org.au 

Shortlisting for this position will commence immediately. We encourage you to apply promptly as the advertisement may close early should a suitable applicant be sourced.
We encourage applications from people of all backgrounds and abilities. Inclusion is essential to our mission and diversity reflects the community we serve.
Please visit our website, for further information regarding our Aboriginal and Torres Strait Islander Employment at SVHM.
SVHA has a duty of care under work health and safety legislation to eliminate and/or control the risk of transmission of vaccine preventable diseases in healthcare settings. You may therefore be required to undergo mandatory immunisations/vaccinations (including flu vaccinations).
This position is subject to a Victorian government direction regarding vaccination against COVID-19. Successful applicants must meet these vaccination requirements. Please contact us if you would like to know more.

Position Description and Critical Job Demands Checklist:

Contact Details:

Francesco Ierino - Director of Nephrology - frank.ierino@svha.org.au

Alternate Contact:

Closing Date:

23 July 2024 11:59pm

Reconciliation Action Plan:

At St Vincent's we acknowledge the importance of creating a work environment that is welcoming, safe, equitable and inclusive for Aboriginal and/or Torres Strait Islander Employees. As part of our Commitment to Reconciliation and Closing the Gap in employment related outcomes, we encourage applications from Aboriginal and Torres Strait Islander Peoples.

For further information, visit https://www.svha.org.au/about-us/reconciliation or get in contact at indigenouscareers@svha.org.au

View Reconciliation Action Plan

Code of Conduct:

View Code of Conduct