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Radiology Local Area Network (LAN) - NSW

Radiology LAN2 is a collaboration of four teaching facilities spanning Sydney and a rural NSW site. LAN2 strives to set high standards in registrar education and training with a commitment to providing a high quality teaching and learning environment by cross-facility networking. Learning is facilitated by both didactic and interactive tutorials provided by recognised experts in their respective fields.

There are currently 3 centres within LAN2 accredited for training in radiology:

Concord Repatriation General Hospital (linked with Canterbury Hospital)

Concord Hospital is a major teaching hospital based in Local Area Network 2 (LAN2). The department of radiology is RANZCR accredited, offering education and support to registrars during their 5 year training program. This program is headed by two co-directors of training, with additional support and teaching offered by all 17 remaining staff specialists based in the department.

At Concord, trainees receive onsite training in PACS, receiving referrals, undertaking procedures, report writing, rostering and OH&S procedures. Concord trainees are exposed to the vast range of services offered by the department, including magnetic resonance imaging (3T MRI), angiography, interventional procedures, mammography, CT scanning (including cardiac CT), general radiography, ultrasound, and special procedures including barium studies. In addition to this, trainees undertake a series of external placements throughout their training period, focussing on breast imaging, nuclear medicine and PET procedures, obstetrics and gynaecology, and paediatrics. These rotations are based in both metropolitan (RPA, WMH) and rural (Orange) sites to ensure trainees receive comprehensive learning experiences reflective of the NSW healthcare system.

Trainees have access to laboratory services and are able to consult with medical specialists in areas including pathology, bacteriology, biochemistry and haematology. The radiology department is home to a library which offers a range of textbooks, and physical or electronic access to a variety of journals, including The Journal of Medical Imaging and Radiation Oncology, Clinical Radiology, Radiographics, Radiology, The American Journal of Roetgenology, and The Radiologic Clinics of North America. Trainees also have access to a multitude of subscription services provided by the department, which include MRI Online, StatDx, IMAIOS and Radiopaedia. Such resources are beneficial in fulfilling the Radiodiagnosis Training Program Curriculum, furthering exam preparations and general study.

Concord trainees are also provided with morning and afternoon tutorials which run from Monday to Friday. Trainees are also invited to partake in multidisciplinary case specific meetings held in the department. Trainees are provided with access to additional learning opportunities, including Journal Club, which is held monthly. Concord trainees are also invited to attend Wide Area Network teaching and lecture programs. Concord Medical Imaging department is RANZCR (Royal Australia New Zealand College of Radiologists) accredited with 12 radiology training positions.

 

Royal Prince Alfred Hospital

Royal Prince Alfred Hospital is one of Australia's premier tertiary referral hospitals and part of a network of hospitals within the Sydney Local Health District. It is the principal teaching hospital of the University of Sydney.

RPA provides an extensive range of diagnostic and treatment services, more than 1000 patients are treated at RPA every day. The Radiology Department at Royal Prince Alfred Hospital and Lifehouse provides equitable diagnostic, interventional and consultative services to medical practitioners and patients through the application of medical imaging technology.

The philosophy of the Department is to maintain a high standard of practice, achieved by coordinated, robust training of a multidisciplinary team. We work within a quality framework focusing on continuous evaluation of services, striving for excellence.

The Department provides timely and accessible diagnostic information. Therapeutic treatments utilize the most appropriate imaging modality available, ensuring efficiency and cost effectiveness of practice.
Medical Imaging Department boasts 4 CT scanners – 16, 64 & 128 slice and a 16 slice dedicated interventional machine, breast imaging in the Lifehouse, including interventional procedures, general radiography units including digital OPG and 3 mobile units, 2 angiography suites with a dedicated interventional CT scanner and several standalone ultrasound units used for a variety of interventional procedures, along with 2 MRI machines - 1.5 tesla GE system and 3 tesla Siemens Syngo. There is a 1.5T MRI Avanto system in theatre currently leased by the Neurosurgery Department. RPA Medical Imaging department are RANZCR (Royal Australia New Zealand College of Radiologists) accredited with 18 radiology training positions.

 

Westmead Hospital (linked with Auburn Hospital)

Westmead Hospital is a key facility of one of Australia’s largest major health and medical research precincts and is the principal referral hospital for Western Sydney Local Health District providing district level health services to Parramatta, Holroyd and The Hills Shire LGAs including tertiary and quaternary services to greater western Sydney, greater metropolitan Sydney, rural NSW and other states.

The Westmead Medical Imaging service provides a high end high quality cost effective diagnostic and therapeutic service in all areas appropriate for a major teaching hospital.

 

Orange Base Hospital (rural rotation site)

Orange is a large regional hospital in central western NSW with 190 beds and 26,000 ED presentations in 2015/16, the largest of the three major referral centres in the region. The greater region has a patient population of 50,000 expected to grow 14% in the next 25 years.

The department is able to provide trainees with exposure to a wider range of pathology than that of a metropolitan hospital, high quality paediatric teaching, the opportunity to report a wide variety and high number of plain films, and exposure to a wide variety of MRI’s, including extensive emergency utilisation.

Orange Hospital also has access to an on-site BreastScreen NSW site which will expose trainees to mammograms and assessment clinics on a regular basis. There is access to weekly district wide MDTs for a variety of clinical streams. The hospital is accredited for training across a range of specialties and is linked with the Sydney University School of Rural Health through the local campus.
Offsite accommodation (shared) for trainees is provided by the hospital; video/teleconferencing equipment is available in the department to connect with teaching and meetings in metropolitan hospitals.
This site is RANZCR accredited for one 2nd-5th year trainee with a 3month rotation with no on call requirement. Interested trainees can request for longer rotations.

I-MED PTY LTD provide onsite radiology services at a variety of Western NSW Local Health District site under contractual arrangements, Orange being one of those sites. At the WNSWLHD Medical Imaging Departments I-Med radiologists perform clinical services including trainee teaching, assessment and supervision, and all other aspects of the functioning of the Medical Imaging Department and trainee employment will be provided by WNSWLHD under NSW Ministry of Health.

It should be noted that I-Med provide the majority of onsite clinical supervision at WNSWLHD sites, but staff specialists and WNSWLHD employed VMOs will also provide supervision and training at Orange Base Hospital. The I-Med Director of Training remains responsible for all radiology trainee supervision and training regardless of the supervising radiologist’s employing or contracting entity.

 

Trainees will be directly employed by one of the three “home” hospitals, where the trainee will be located the majority of their working/training time of 5 years. As these hospitals are affiliated with LAN 2, you will be referred to as a LAN 2 trainee. RANZCR requires trainees to complete 12 months (of the 5years training program) outside of their home hospital. These 12 months will be a cumulative of a Network rotation (one of the Network sites), a paediatric rotation of 12 weeks (Westmead Children’s Hospital is affiliated with our sites to provide onsite allocated paediatric radiology training) and other subspecialty rotations.

LAN 2 - Governance and management

LAN 2 is managed by the Network Director of Training (“NDT”) and the Network Education Support officer (“NESO”), in collaboration with other stakeholders (eg. LAN 2 Director(s) of Training (“DoT”), heads of departments, hospital administrators, HETI, RANZCR etc).

DoTs at each site play an important role, being responsible for trainee training and welfare at their site, and will be the initial point of contact for trainees regarding training and related issues.

LAN 2 has a Local Governance Committee (encompassing representatives from all the LAN 2 individual sites) to manage network related matters. Senior trainees from each site are invited to the Committee meetings to provide trainee insight and raise issues on behalf of the trainees.

Other Radiology Training Networks in NSW

  • A LAN is defined as a group of RANZCR accredited (or linked) sites joined together for Radiology trainee training purposes.
  • In NSW, in addition to LAN 2, there are 2 other Radiology training networks or Local Area Networks (ie. LAN 1 and LAN 3) which also offer structured 5 year training programs in order for Radiology trainees (ie. registrars) to become accredited as a RANZCR qualified Radiologist.
  • The three Local Area Networks work closely and have a Wide Area Network Teaching program aimed at providing education lectures on a weekly basis over a two year cycle.

As a Network trainee, you will be expected to meet and fulfill all requirements set out by The Royal Australian and New Zealand College of Radiologists (RANZCR) as well as an NSW Health employee. RANZCR has implemented an Enhanced Curriculum in 2022 and some changes have been made to the program.

For more information regarding RANZCR requirements please refer to the RANZCR website.

 

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