The Alfred Trauma Service also offers a comprehensive six month placement to suitable candidates. The six month timeline will focus on the clinical aspects of complex trauma management at a world-class Level 1 Trauma Centre. 

Further Information

Essential Resources »

The Alfred Trauma Service Six Month Placement Eligibility »

The Six-Month Placement is aimed at medical practitioners in training near completion of speciality training. The Six Month Placement is also open to medical practitioners with specialist qualifications seeking further training and/or experience in Trauma. However, it is likely the Twelve-Month Fellowship may be more appropriate to these candidates (Specialists should contact the Clinical Co-ordinator directly via e-mail for further information).

The Six-Month Placement is suitable for both physician and surgical trainees. We welcome Expressions of Interest from both domestic and international applicants. The Six-Month Placement for domestic applicants has been approved by The Australasian College for Emergency Medicine (ACEM) for a six month Non-ED term as well as the Royal Australasian College of Surgeons for SET trainees.

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 Six-Month Placement 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 Clinical Co-ordinator for this program 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 The Placement »

The Six-Month Placement is typically six calendar months in duration beginning in either February or August of each year. 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 placement 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.

Program Objectives »

The program will have a great focus on the enhancements of candidates’ clinical skills, knowledge and abilities in the advanced management of trauma, based on the following objectives:

  • 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

It will also be possible for candidates to engage in education and / or research and quality improvement projects in addition to their clinical responsibilities. Please see the Six-Month Placement structure (below) for more details.

The Alfred Trauma Service Six-Month Placement Structure »

The Six-Month Placement has a greater focus on the clinical aspects of trauma management from patient admission to discharge. Applicants are encouraged to engage in projects i.e. research and education/quality improvement/leadership, however, the shorter time period is taken into account when developing the candidate’s individual program. The program structure is a guide only and may vary depending on course and workshop dates as well as key project timelines.

Mandatory Courses and Workshops »

Several courses and workshops listed in both the Fellowship Program and Six-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 Medicine (Trauma) 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 Emergency Management of Severe Trauma (EMST) course is run by RACS.

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

Application Process: Six-Month Placement »

The application process commences once the candidate submits an Expression of Interest (EOI) to The Alfred Trauma Service by emailing the Clinical Co-ordinator for this program. 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.

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

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). The medical registration and visa processes can take up to six months to complete which is why candidates need to have met the Medical Board of Australia’s English language requirements before applying. International applicants must be advised that the Australian medical registration process involves a number of key independent bodies external to The Alfred including the relevant specialist medical college, the Medical Board of Australia and the Australian Medical Council who will assess and process the applicant’s request for registration.

Based on the current (i.e. as at June 2016) assessment pathways to registration for International Medical Graduates (IMGs), international applicants to the Fellowship Program or Six-Month placement program fall under the Specialist pathway- short-term training pathway. Applications under this pathway, require input and cooperation from the relevant college, which for this program is likely to be The Royal Australasian College of Surgeons (RACS).

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.

Evaluation of Performance - Six-Month Placement »

The Six-Month Placement has similar objectives to the Fellowship, however, it is accepted that given the shorter duration of the program, the core requirements for completion will be assessed differently. Formal reviews by select members of the review board will take place and will be largely based on the objectives set at the beginning of the placement. ACEM trainees and RACS SET trainees will also be assessed based on their relevant college guidelines.