The registrar roster is based on an 8-hr shift system (day/evening/night) on weekdays and a 12-hr shift (day/night) on weekends. Start and finish times for these shifts can vary to ensure the total hours worked per week do not exceed 38 (76-hour fortnight). Junior registrars are generally rostered to work 1 in 3 weekends.
On each shift, registrars will be rostered to one of four clinical areas (Pod 1, Pod 2, Pod 3, or Pod 4), each comprising 9-beds. Pod 1 is the elective surgical high dependency unit (ES-HDU). There is no distinction between Pod 2, Pod 3 or Pod 4 in terms of clinical case-mix. Registrars are expected to undertake any specific imaging, blood work, referrals, clinical review or additional investigations as directed by the consultant or senior registrar. Completion of admission and discharge paperwork is also their responsibility. Opportunities for central venous and intra-arterial line insertion, endotracheal intubation, and transport of mechanically ventilated patients are routinely available. On night shifts, registrars review each patient, following the management plan determined by the day team. Each morning patients are then presented to the day staff in terms of their clinical progress.
RBWH hosts a weekly Queensland wide telemedicine programme, in which registrars or Intensivists from participating units present clinical cases for discussion. Junior doctors working in Queensland ICUs access and participate in teaching sessions via a telemedicine link-up. Please check the ICU training pathway calendar for more information on upcoming sessions.
A simulation training session is held on Friday afternoons, designed to simulate real life ICU events. This is a multi-disciplinary teaching session for registrars, junior and senior nurses, facilitated by an Intensivist and a Nurse educator.
RBWH ICU treats these sessions as protected teaching time for registrars.
RBWH ICU trainees will receive an invite to complete the e-Learning Intensive Care Orientation and Training Course through the Clinical Skills Development Service. This is a multi-media modular course, which provides an overview of the basic core knowledge required for junior medical staff working and training in intensive care.
CICM primary exam preparation
RBWH ICU has primary examiners on staff.
Trainees sitting the CICM primary exam are also encouraged to attend some of the local courses:
- Mater Basic Sciences course: this course, aimed at CICM and ANZCA primary candidates, has weekly teaching sessions on Thusrday afternoon by Intensivists and Anaesthetists.
- Mater CICM Primary short course: a 5-day course focusing on the CICM primary exam, with topic areas drawn from the CICM primary syllabus. Course faculty includes primary examiners and published experts.
- GoldPERC: a one day primary exam revision course hosted at the Gold Coast University Hospital
Journal Club is hosted monthly on Monday night. A senior registrar is partnered up with a Staff Specialist to present a recent paper relevant to Intensive Care, with a critical appraisal of the paper and the relevant literature.
Please check out our Journal Club for examples of previous meetings.
Mortality & Morbidity Meetings (M&M)
As part of the RBWH ICU quality assurance activities, there are weekly M&M sessions. These are multi-disciplinary meetings, in which senior registrars present educational or interesting cases. All staff are encouraged to attend.
Formal projects and other research opportunities
All trainees working at RBWH ICU have the opportunity to do research. For more information, please check out Formal Projects.
We encourage trainees to contact us about their proposed project before starting their rotation, so that they can start the process of obtaining ethical approval early.