The Fellowship Program is a comprehensive formal one-year program with both clinical and research and education related objectives that allow candidates to gain advanced knowledge and skills in the advanced management of trauma patients at a world-class Level 1 Trauma Centre.  

Further Information

Essential Resources »

The Alfred Trauma Service Twelve Month Fellowship Eligibility »

The Fellowship Program is aimed at medical practitioners with specialist qualifications seeking further training and/or experience in Trauma as a subspecialty OR medical practitioners in training near completion of specialty training. The program is suitable for both physician and surgical trainees/specialists and can be tailored to achieve specific outcomes depending on the duration of the program and the candidate’s goals and experience. We welcome Expressions of Interest from domestic and international applicants. Domestic applicants have a separate application process to that for international applicants and can contact the Fellowship Clinical Co-ordinator directly via e-mail for more information.

In some cases, namely for international candidates, it may be necessary to complete a Medical Observership prior to commencing The Fellowship Program thereby allowing sufficient time to become familiar with the Australian medical system. This requirement and the duration of the Observership can be discussed with The Fellowship Clinical Co-ordinator on initial application and/or during the candidate’s interview. Please refer to the relevant section on The Alfred Trauma Service Medical Observership Program for more information.

Background »

The Alfred Hospital, based in Melbourne, Australia, was founded in 1871. The Alfred is the busiest trauma centre in Australasia and has one of the largest and most advanced intensive care units in the region. As a major tertiary-referral hospital, it provides one of the most comprehensive ranges of specialist acute health in Victoria. The Alfred is the designated surgical state-wide provider of major trauma, burns, heart and lung replacement and transplantation and hyperbaric medicine.

The Alfred is a recognised world leader in trauma and critical care and has successfully developed and delivered international, interdisciplinary trauma training programs, linked to infrastructure capacity building and data monitoring. The Alfred’s Trauma Service receives regular requests from physicians around the world to take part in its competitive Fellowship Program.

The Alfred is a Monash University teaching hospital. Monash University is ranked in the top one percent of world universities and has a global reputation for research into accidents and injury, supporting trauma research and education as well as administering the Victorian State Trauma Outcome Registry (VSTR).

In 2003, The Alfred and Monash University established the National Trauma Research Institute (NTRI) that co-ordinates the clinical research and education activities that are run by The Alfred Trauma Service and Monash University.

The Trauma Service Fellowship Program at Alfred Health will be managed and run by staff from The Alfred Trauma Service, NTRI and Monash University.

Clinical Departments Affiliated With The Alfred Trauma Service »

Speciality rotations of varying durations are available for candidates with both Pre-hospital services and the following list of clinical units at The Alfred:

  • Emergency & Trauma Centre
  • Burns and Plastic Surgery Unit
  • Orthopaedics Unit
  • Intensive Care Unit (ICU)
  • Neurosurgery Unit
  • Radiology (Trauma Imaging) Unit
  • Anaesthetics Unit

Durations of rotations will depend on candidate’s area(s) of interest and can be chosen with The Fellowship Clinical Co-ordinator prior to commencement. A description of the key features of each ward/unit can be found in the relevant section in The Alfred Trauma Service Visitors Welcome Pack.

Duration of Twelve Month Fellowship »

The Alfred Trauma Service Fellowship Program is typically 12 months in duration. The length of the program will be specified for each candidate and will depend on the candidate’s experience, goals and an assessment by the program’s selection panel.

The duration of the program that was initially specified for a candidate may also be extended if the candidate demonstrates unsatisfactory compliance with organisational and/or program standards and/or failure to complete core requirements.

The Alfred Trauma Service, together with Monash University, will also be offering a Master’s Program commencing in 2017. The Master of Clinical Medicine (Trauma) will offer a globally recognized specialist qualification and can be completed alongside the Fellowship Program.

The Alfred Trauma Service Fellowship Program Objectives »

The objectives of the program involve the enhancement of the candidates’ skills, knowledge and abilities across the program’s two domains; clinical and research & education. The specific objectives associated with each program domain are listed below.

Clinical:

  • Ability to assess and manage a broad variety of trauma presentations
  • Development of systematic approach for the reception and resuscitation of trauma patients
  • Enhanced clinical decision making skills and processes
  • To learn skills for effectively managing trauma patients in the ward environment and ICU
  • Enhanced team development and leadership skills
  • Advanced interpretation of trauma radiology
  • To gain an understanding of the significance of mechanism of injury and potential/actual resultant injury patterns
  • Ability to comprehend and accurately apply pre-hospital resuscitation principles
  • Ability to provide high quality clinical supervision
  • To acquire specialty skills and competency in definitive surgical management

Research & Education:

  • Detailed knowledge of trauma systems & understanding of the horizontal integration of services
  • High level understanding of trauma quality improvement (QI) theory and active engagement in QI projects
  • Development of mature, theory-based approach to managerial and administrative skills
  • Ability to undertake complex research in a clinical environment
  • Introduction to Victorian State Trauma Registry methods of data collection and analysis.
  • Multi-faceted educational skills:
    • Teaching development with a focus on complex trauma team leadership and resuscitation
    • Development and supervision of trauma educational programs
    • Assistance in development and delivery of educational programs at the Trauma Service

The Alfred Trauma Service Fellowship Program Structure »

The Fellowship Program can be divided into two phases. Phase 1 focuses on the clinical aspects of trauma management. Phase 2, while continuing in the clinical role, will focus on the candidate’s development of a project of interest as well as educational program(s) in The Trauma Service. The program structure is a guide only and may vary depending on course and workshop dates as well as key project timelines.

N.B. The Fellowship Review Board may, at any time, change the Fellowship Program structure and constituent phases as they see fit.

Mandatory Courses and Workshops »

Several courses and workshops listed in both the Fellowship Program and 6-month placement are mandatory and these will be specified by the Clinical Co-ordinator.

Candidates may be eligible to receive exemption from certain courses upon provision of valid evidence of prior completion. A number of these courses and workshops are run by The Alfred Trauma Service and The Alfred Emergency and Trauma Centre (please see The Alfred Trauma Fellowship Program Structure above).

Candidates undertaking the Master of Clinical Trauma Medicine may also be eligible for credit towards their Masters for certain short courses provided by The Alfred Emergency & Trauma Centre, such as The Emergency Medicine Research Course. The EMST course is run by RACS

The fees and applications for these courses are separate to those for the Fellowship Program.

Master of Clinical Medicine (Trauma) Course Structure (Monash University) »

Candidates who are seeking a globally recognised post-graduate qualification in Trauma can also undertake such a specialisation as part of the Master of Clinical Medicine, offered by Monash University, commencing in 2017. The Master of Clinical Medicine (Trauma) has a duration of 1 year full-time/2 years part-time and must be completed within a maximum of 3 years. Graduates complete academic coursework at Monash University and supplement this with clinical placement with The Alfred Hospital Trauma Service. This course has no exit points such as a Graduate Certificate and/or a Graduate Diploma.

The course is structured in 2 parts; Part A: Foundations for advanced clinical medicine and Part B: Advanced specialist study. Part A will help facilitate the candidates’ capacity to deliver high-quality healthcare in advanced healthcare practice whilst Part B consists of units that will provide candidates with the specialist professional knowledge and advanced skills in advanced healthcare practice in Trauma.

Further information can be found on the Monash University website: Master of Clinical Medicine, Monash

Application Process: Fellowship Program »

The application process commences once the candidate submits an Expression of Interest (EOI) to The Alfred Trauma Service by completing the online form. The EOI must include the applicant’s resume as well as evidence of meeting the required English language skills as per the Medical Board of Australia’s English language skills registration standard. If the candidate progresses to the next stage of the application process, the candidate will be invited to attend an interview with the selection panel at The Alfred. The selection panel will then formally review the candidate’s application to determine his/her suitability for the program.

Successful candidates will be offered a position and will be directed to the relevant staff member from the Medical Workforce Unit (MWU) at Alfred Health to co-ordinate the candidate’s Australian medical registration and visa application which needs to be completed before the candidate is formally accepted into the program (this applies to international applicants only).

After the applicant is granted provisional medical registration, Alfred Health MWU can commence the visa application process for the applicant and his/her spouse/dependents as requested. Based on the current visa categories available at the Australian Government’s Department of Immigration and Border Protection (i.e. as at June 2016), the Training and Research visa (sub class 402) - Occupational Trainee stream applies for international applicants.

MWU will provide applicants with the most up-to-date information and application requirements for the medical registration and visa processes which is frequently subject to change and will liaise with applicants throughout the different stages of these processes as necessary.

Once the registration and visa processes are completed, Alfred Health MWU will inform the applicant and the Clinical Co-ordinator for this program. The applicant will then receive formal approval into their selected program via email.

N.B. Applicants must have met the Medical Board of Australia’s English Language proficiency requirements prior to commencing the application process.

These requirements are updated regularly and are available at http://www.medicalboard.gov.au/Registration-Standards.aspx

Application Process - Master of Clinical Medicine (Trauma), Monash University »

Applications for the Master of Clinical Medicine (Trauma) must be directed to Monash University.

N.B. The minimum English language requirement for Monash University is an IELTS score of 6.5 overall with no band less than 6.0.

Evaluation of performance »

Candidates will undergo formal reviews at a number of designated points through the Fellowship Program. They will be assessed against the objectives, measures and timeline outlined in The Alfred Trauma Service Fellowship Program Structure (see above).

The review board will consist of the following Trauma Service and NTRI staff:

  • Director of Trauma Services
  • Clinical Co-ordinator, The Alfred
  • Education team in relevant Clinical Department
  • Head, International Programs (NTRI)
  • Head, Clinical Research (NTRI)
  • Manager, Academic & International Programs
  • Allocated clinical shift supervisor (FRACS/FACEM)
  • Nurse Unit Manager(s) in relevant Clinical Department
  • Other staff as required

Core requirements for successful completion of the Fellowship include:

  1. Clinical attendance with no unexplained absences
  2. Teaching attendance – 80% of available sessions
  3. Satisfactory completion of workplace based assessments per advanced trainee requirements
  4. Satisfactory assessment by supervisory panel
  5. Demonstration of ability across all domain measures
  6. Completion of all assessments
  7. Compliance with Alfred Health policies, procedures and values.

The candidate will be allowed two attempts to complete any failed assessment in any domain (clinical, research and education). Assessments forming part of coursework must be passed as prescribed by the assessing institution in order for The Fellowship to be completed.