Royal North Shore Hospital (RNSH)

RNSH is a major teaching hospital on the lower north shore of Sydney.  Established in 1885, RNSH meets the health needs of four local government areas, Mosman, Willoughby, Lane Cove and North Sydney. RNSH is also the major post-graduate teaching and research facility in Northern Sydney Local Health District. 

RNSH has some state-wide responsibility for clinical services in pain management and research, cardiology, severe burn injury, neonatal intensive care, spinal cord injury, high-risk obstetrics, interventional neuroradiology and cerebrovascular embolization.  The hospital is one of the state's major trauma centres and provides local and state-wide trauma services for patients suffering multiple traumas.

RNSH is currently undergoing a major redevelopment, which has already seen the new site of Community Mental Health services and will include a new 6 bed Psychiatric Emergency Care Centre as well as a 34 bed mental health unit (due 2014).

 

Ryde Community Mental Health Centre (part of the Lower North Shore service)

Training in the Ryde area includes three campuses: Ryde Community Mental Health Centre attached to Ryde Hospital, Riverglen Unit at Greenwich Hospital and Macquarie Hospital in North Ryde.

There are numerous training opportunities in the Ryde area, including Community Adult, and Community Psychogeriatrics at Ryde CMH, Acute Adult, Psychogeriatrics, Rehabilitation, and Dual Diagnosis at Macquarie Hospital and Inpatient psychogeriatrics at Riverglen Unit.

Macquarie Hospital's location in North Ryde is central to the north shore, and is set in beautiful grounds with easy access and ample parking. It's close to shops and public transport.

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Royal North Shore Hospital (RNSH)

Trainees

There are 18.0 training positions and 1 Relief position at RNSH.  These include CJ Cummins Unit (acute inpatient ward), PECC/Emergency Department, Consultation-Liaison Psychiatry (CL), Drug & Alcohol (D&A), Child and Adolescent Mental Health (CAMHS), Specialist Mental Health for Older People Service (SMHOPS) community service, Adult Community Mental Health (including specialist Early Intervention and Assertive Outreach teams) as well as the CADE/Mind care clinic (STP post).

There is 1 senior registrar at RNSH. The senior registrar works closely with the registrars and their liaison with the Clinical Director and Consultants at RNSH.  The registrar receives supervision for this role from the Clinical Director which is in addition to their clinical supervision by the primary supervisor.

Teaching programme

There is a strong focus on teaching at RNSH and we strive to ensure that there is provision of a quality teaching program for trainees.  Currently, there are four primary teaching sessions as below:

Tuesdays:           8 - 9 am – CL Breakfast Journal Club. Registrars present, and sometimes an outside
                                                  speaker.
Wednesdays:
(1st and 2nd)       12 noon – 1 pm – Observed Interview Session and Formulation Skills Sessions

Wednesdays
(every 3rd):         12.15 – 1.15pm  - Psychotherapy Teaching Groups

Thursdays:         12.15 – 1.30pm  - Case Conference,  registrars present, sometimes an Outside speaker.

Thursdays: 
(monthly)            12.15 – 1.30 Therapeutic Alliance Groups

18 Feb 2014        Dr Loyola McLean – Formulation: an integrated attachment and neuroscience
                                perspective.
27 Feb 2014        Dr Lisa Lampe – Case Presentation: Formulation Skills in Psychiatry
11 March 2014   T Chesler & A Grayling: Mandatory Child Protection Update
18 March 2014 Dr Vincent Ip: The impact of alcohol availability & alcohol related violence
15 April 2014       Dr Bruce Singh –Clinical Leadership & Continuity of Care
8 May 2014         Dr Lisa Lampe – Anxiety Disorders & CBT
20 May 2014       Prof Suzanne Abrahams Update on Eating Disorders
3 June 2014         Julia Kwiet – Eye Movement Desensitisation Reprocessing (EMDR)
6 June 2014         Prof Gin Malhi – All you need to know about Bipolar  Disorder
24 June 2014      Dr S Kuiper – Decision Making in Psychiatry

RNSH is also fortunate to have a number of accredited and interested psychotherapy supervisors, who are willing to supervise trainees for their psychotherapy long case.

There is ample opportunity to complete other requirements of training including consumer, carer and NGO activities, psychotherapy cases, ECT experiences, etc.  There is also opportunity to participate in research activities.  The supervisors are all very supportive of training and trainee needs with RNSH fostering a very collegiate environment for all.

Site Coordinator of Training (SCoT)

The role of the SCoT is to help coordinate training for the trainees.  This includes ensuring that training needs are met to provide a comprehensive and valuable training experience.  The SCoT is also the liaison person for Supervisors, should there be any concerns regarding trainees.

SCoTs regularly meet with trainees individually to identify learning goals and any early problems with placements.  SCoTs are generally happy to meet with registrars at any time to discuss anything pertaining to training.

Together with other consultants, the SCoT is involved with helping trainees prepare for examinations and case submissions and available to trainees to assist with the exam process.

 

Ryde Community Mental Health Centre (part of the Lower North Shore service)

Education Sessions, Journal Clubs, Case Presentations

which provide trainees with opportunity to present & discuss their cases. These can be video linked to Ryde CMH.

Exam Preparation

The SCoT is available every Thursday to assist with written and clinical exam preparation. The role is to assist with coordinating training for those based in the Ryde area. This includes regular meetings with trainees to discuss their needs and progress.

Trial Exams

Trial exams are organised to give you an opportunity to practice in an exam environment; these include both writtens and clinicals.

Psychiatry Library available at Macquarie hospital.

ECT experience and supervision available at Riverglen Unit.
 
Trainees at RNSH/Ryde CMHC also have access to the Psychotherapy Educator, Dr Sandy Kuiper who although based at Macquarie Hospital, is available to the whole training Network.

RNSH / Ryde CMHS
Inpatient Adult Services

  • CJ Cummins Unit, Royal North Shore Hospital
  • PECC/ED Acute Adult

Lower North Shore Community Adult Services

  • Chatswood Community Centre
  • Cremorne Community Centre
  • Ryde Community Health Centre

Child and Adolescent Services

  • Royal North Shore Hospital
  • Coral Tree Family Services
  • Tresillian / Royal North Shore

Consultation Liaison Services

  • Royal North Shore Hospital

Psychogeriatric (SMHSOP) Services

  • Royal North Shore Hospital

Drug and Alcohol Services

  • Herbert Street Clinic, Royal North Shore Hospital.