Department of Colorectal Surgery, Park Road, Auckland, New Zealand

Auckland City Hospital (ACH) is a tertiary referral teaching hospital in central Auckland. It is situated close to the Auckland City CBD, and is immediately across the road from the University of Auckland School of Medicine. Five of the seven Colorectal Consultants are CSSANZ members, and supervise one fellow (either ANZTBCRS or International), a SET trainee and a junior surgical trainee, 3 nurse specialists, and 2 Interns. The Fellow participates in general surgical on call (1 in 6) and also receives colorectal acutes daily. The position is fully funded from the hospital. Strengths of ACH are an emphasis on minimally invasive techniques, including taTME, TAMIS, and advanced laparoscopy; multidisciplinary meetings in cancer, IBD, and Pelvic floor; surgical nutrition and intestinal failure with resulting experience in enterocutaneous fistulas and short gut; pelvic floor clinics; peritoneal malignancy and involvement with the NZ Familial GI Cancer Service. The unit has a strong research emphasis.

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Department of Colorectal Surgery, Christchurch, New Zealand

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Auckland, New Zealand

North Shore Hospital is a metropolitan Auckland hospital providing tertiary colorectal services for a population of over 570,000 people. In addition we provide a pelvic exenteration service for much of the North Island of New Zealand. One of our surgeons has an interest in reconstruction of the perineum after exenteration and APR with extensive experience in VRAM and IGAM flap construction. We currently have five fulltime colorectal surgeons, one part-time colorectal surgeons one fellow, three advanced trainees, three basic trainees and six interns. The Fellow works at a junior consultant level with all of the other consultants and has admitting rights. Fellows cover general acute call at consultant level with senior consultant backup. Funding is via a grant and public funding. We promote laparoscopic surgery and have regular cancer and IBD multidisciplinary meetings. There is a dedicated TPN team, access to pelvic floor manometry (off site) and endoanal uss list run by the fellow. Endoscopic training is excellent, with acute colonic stenting and advanced polypectomy provided by the surgeons. We are the site for the NZ colorectal cancer screening pilot. We have a strong background in colorectal research and have participated in ALCAZ and ALaCaRT and a currently initiating ADIPOSE.

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Sydney, New South Wales

Bankstown-Lidcombe hospital is a Tertiary teaching hospital in South West Sydney. It services a primary referral population of approximately 200,000 (the Sydney West Area Health Service serves a population of approximately 900,000). The area is one of the most culturally diverse in Australia. The colorectal unit is comprised of 5 surgeons, an ANZTBCRS accredited fellow, an accredited registrar and a JMO. The unit provides a high number of colorectal cancer and benign cases with a special interest in minimally invasive surgery, pelvic floor disorders, IBD and fistula surgery. The Colorectal unit treats the highest number of colon and rectal cancer patients in the Southwest Area Health Service and is one of the busiest cancer public hospitals in the state. The year includes excellent exposure to laparoscopic surgery, with TEMS /TAMIS and robotic surgery (in the private). There is also a weekly MDT and a monthly IBD MDT. There is an on-site anorectal physiology lab including 3D-ultrasound, with significant exposure for training. Extra clinics can be run by fellows once they are trained. Outpatient clinics are run on a fortnightly basis to allow follow up of patients who have been operated on by the fellow. The unit is also interested in colorectal endometriosis. There is opportunity to be involved in complex cases in both public and private.

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Sydney, New South Wales

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Newcastle, New South Wales

The John Hunter Hospital is a tertiary referral university hospital, located centrally in Newcastle, with one private hospital co-located on campus (Newcastle Private), and two affiliated public hospitals located within the area (Belmont and the Calvary Mater). There are four colorectal surgeons in the department supervising a TBCRS training fellow, one registrar and one intern. The fellow receives specialist colorectal referrals and can participate in general surgical on call as a consultant, with supervision. Funding is from the public hospital commitments and private assisting. Strengths of the Newcastle training position include a wide range of advanced laparoscopic surgery, and exposure to pelvic surgery for malignant disease, IBD and other benign conditions. There is a strong culture of clinical research. There are multidisciplinary meetings in cancer and IBD, and a close working relationship with the gastroenterology unit. Working in a busy surgical department, the busiest emergency and busiest trauma hospital in NSW, provides an exposure to high volume common colorectal conditions: elective and emergency, as well as high volume scopes if required. There is exposure to TEMS, TAMIS, and colonic stenting as well as SNS and anorectal USS.

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Sydney, New South Wales

The Liverpool Hospital is the principal Tertiary / Quaternary Hospital of the South Western Sydney Local Health District (SWSLHD) which serves a population of 820 000. Liverpool is now one of the two largest hospitals in NSW with a capacity of 877 beds, 23 operating theatres and 4 endoscopy rooms; further hospital expansion is ongoing. Although the Department of Colon and Rectal Surgery is a relatively young unit within the hospital it has rapidly become a leading surgical player; both the Head of Department of General Surgery within the hospital and the Gastrointestinal Stream Director for the Local Health District are unit consultants. The Liverpool Department of Colon and Rectal Surgery provides excellent educative exposure for its trainees via three regular MDTs (Colorectal Cancer, Inflammatory Bowel Disease and Complex Pelvic Surgery). There is extensive exposure to complex pelvic surgery (benign and malignant) via collaboration with urology and gynaecology (oncology and endometriosis) along with advanced open and laparoscopic colorectal surgery. In addition, there is a very significant proportion of emergency and semi urgent acute surgery so training in emergency colorectal surgery and operative management of advanced pathology is excellent. The unit actively participates in medical student teaching and is closely affiliated to the program of Western Sydney University and the University of New South Wales.

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(Note: Particularly post-COVID there is the potential for involvement in Private Hospital surgical cases, this is optional and does not form a core component of the training programme. These units include Strathfield Private Hospital, Macquarie University Hospital, Sydney Southwest Private Hospital)

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The Liverpool Unit has close ties with the Ingham Research Institute. Projects include:

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Sydney, New South Wales

Nepean Hospital is the tertiary referral centre in Western Sydney (Nepean Blue Mountains Area Health Service). The unit comprises of 5 colorectal surgeons, an ANZTBCRS accredited fellow, a SET trainee and a JMO. This has been a well-established unit for over 20 years. The unit provides a variety of colorectal experience including a high number of cancer and benign cases, including IBD work, endometriosis surgery, pelvic floor disorders including incontinence work with SNS, TEMS, TAMIS and Robotic surgery. It does provide a high level of minimally invasive surgery. The unit has an anophysiology unit on site which the fellow attends. The fellow has the opportunity to run their own endoscopy list once a week, as well as the ability to attend endoscopy lists with consultants. Outpatients clinic is also on site for postoperative patients. There are fortnightly multidisciplinary meetings for colorectal cancer and monthly for endometriosis surgery, and weekly general surgical meetings which cover morbidity and mortality, research meetings and protocol meetings. There are also fortnightly unit meetings for either teaching or unit rounds.

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Sydney, New South Wales

Prince of Wales Hospital is a tertiary referral teaching hospital in the beachside Eastern Suburbs of Sydney. It is affiliated with the University of NSW which is located in close proximity. There are three Colorectal surgeons supervising one JMO and one SET surgical trainee. The Fellow provides 2nd on call cover about every 3rd weekend for acute general surgery. Funding is from the public hospital and assisting in the private hospital. Strengths of POWH are affiliation with the campus hospitals, Sydney Children’s Hospital and Royal Hospital for Women. This provides experience in pelvic malignancy, endometriosis, complex pelvic floor disorders, 3rd and 4th degree obstetric tears and obstetric fistulas. High volume colonoscopies and routine laparoscopic and robotic colorectal resections are performed by the unit. Experience in anal manometry and endoanal ultrasound is available. A weekly oncology multidisciplinary meeting, weekly colorectal clinic and monthly colorectal meeting (in addition to the CSSANZ meeting) are available to the Fellow.

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Both clinical and laboratory research are available including collaborative programs within affiliated campus hospitals, St George Hospital, and UNSW. Recent research projects included learning curve in robotic colorectal surgery, bowel function after endometriosis and rectal surgery, ergonomics of robotic colorectal surgery, stage II colon cancer and chemotherapy, stoma formation in spinal patients, and acute care surgery.

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Northern Sydney, New South Wales

Royal North Shore Hospital is a principal tertiary referral hospital for Northern Sydney Local Health District providing a comprehensive range of complex services to patients from across NSW. It has a strong and proud history in education, research and provision of high quality clinical care. Royal North Shore Hospital provides specialty services including major trauma, severe burns, spinal cord injuries, neonatal intensive care, bone marrow transplantation, neurosurgery and interventional neuroradiology alongside acute medical, surgical, mental health, paediatric, cancer and maternity services. The campus is also home to The Kolling – a medical research institute jointly governed with the University of Sydney.

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5 CSSANZ qualified surgeons, including:

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Sydney, New South Wales

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Sydney, New South Wales

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Westmead, New South Wales:

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Parklands Drive, Southport, Queensland

The Gold Coast University Hospital (GCUH) opened in late September 2013. It is a 750 bed public hospital and is the major tertiary referral centre for colorectal disease for the south coast of Queensland . It services a population of around 600,000.

The Colorectal Unit (CU) manages a large volume of major colorectal cases for cancer and inflammatory bowel disease. We run a weekly cancer multidisciplinary (MDT) and are supported by a dedicated colorectal clinical nurse co-ordinator. A fortnightly inflammatory bowel disease MDT is run in conjunction with our Gastroenterology department. There is a weekly endoscopy list and proctology list. There is an on-site radiology, oncology and stoma therapy service. The Colorectal clinics operate at GCUH and Robina Hospital. The unit currently has five colorectal surgeons, an ANZTBCRS fellow, a non-ANZTBCRS fellow, a RACS SET trainee, Principle House Officer and two interns. The unit participates in the Bi-National Colorectal Cancer Audit of the CSSANZ. Research opportunities exist within the unit’s clinical work or at the co-located Griffith University. There is the opportunity to participate in private assisting.

The GCUH CU is a cohesive, welcoming unit. The job is busy but well supported, ideal for 2nd year fellows seeking graduated operative independence and a high volume of cases. A beach-side locale with great weather and abundant leisure activities means fellows and their families will enjoy their time on the Gold Coast.

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Ipswich Road, Buranda, Brisbane

The Princess Alexandra Hospital is one of three tertiary level facilities in Queensland providing care in all major adult specialities with the exception of obstetrics and gynaecology and is one of Australia’s leading academic and research health centres. Princess Alexandra Hospital's Colorectal Unit provides a comprehensive colorectal surgery service to South East Queensland. This Colorectal Unit has a strong emphasis on teaching and is one of the leading Colorectal teaching facilities in Queensland. It is also the quaternary referral centre for peritoneal malignancy in Queensland.

The Princess Alexandra Hospital is also a major centre dealing in complex inflammatory bowel disease. Joint Surgical/Gastroenterology IBD clinics are run, and trainees are involved in these clinics as well as the subsequent surgery which may result from these consultations.

The Princess Alexandra Hospital Colorectal Unit has a strong interest in ensuring that all levels of Health Care Professionals working within it have strong and ongoing exposure to education and education forums to maintain current and best practice under the areas of care in the area in which we operate.

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Fellows are predominantly based at the PA Hospital, but also gain experience from time spent at Mater Private, Greenslopes Private and the QE2 Hospital.

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The Princess Alexandra Hospital is affiliated with The University of Queensland.

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The Princess Alexandra Hospital Colorectal Unit is supervised by Dr Nicholas Lutton* (Chairman of Colorectal Unit), Dr Peter Gourlas*, Dr Brian Meade*, Dr Timothy Slack*, Dr Christopher Gillespie*, Dr Bradley Morris* and Dr Joy Chakraborty*. It provides comprehensive training experience to all levels of resident medical officers such as Interns, Principal House Officers, Registrars and Fellow. The Unit has two dedicated specialist nurse co-ordinators attached to the unit. The Colorectal Unit has 2 fellows, an ANZTBCRS fellow and a second fellow which can be local or international. Both fellows are exposed to all aspects of Colorectal Surgery, including laparoscopic, open and robotic surgery, as well as endoscopy and anorectal physiology.

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Bowen Bridge Road, Herston, Queensland

The Royal Brisbane & Women’s Hospital (RBWH) is a major tertiary referral centre for colorectal disease. The Colorectal Unit has a special interest in the application and development of minimally invasive techniques for colorectal disorders.

The RBWH is the major centre for complex inflammatory bowel disease cases and there is thus considerable exposure to laparoscopic total colectomies for acute severe colitis and the subsequent restorative ileal pouch procedures. The unit has a strong philosophy of combined Gastro/surgical consultation. Early surgery in ileal Crohn’s disease is an area of interest and thus there is considerable exposure to laparoscopic surgery for Crohn’s disease. There is also considerable experience in the treatment of functional disorders including sacral nerve stimulation and laparoscopic and robotic surgery for prolapse. An exenteration unit is now well established and headed by Dr David Taylor and Dr Craig Harris. A dual console Da Vinci Xi Robot is available at the RBWH and is ideal for training. Further exposure to the robotic platform occurs in the private sector. Colorectal cancer is well represented and the trans-anal approach to rectal diseases is currently under evaluation. Brisbane is a major teaching centre for the binational workshops in TaTME.
The Colorectal Unit also has a second training Fellow from overseas who has similar operative experience and logbook numbers as the ANZTBCRS Fellow. Both Fellows are intimately involved in the 3 day workshop in laparoscopic colorectal surgery which is held every 8 weeks. The workshop has been a regular fixture since 2001. The Fellow is supported by 2 advanced training registrars, a principle house officer and 3 interns. There is a dedicated unit nurse co-ordinator.

Data has been prospectively collected on laparoscopic surgery since 1991 and over 4,500 patients are now on the database. A further comprehensive database is separately maintained for inflammatory bowel disease. The Brisbane Colorectal Research Unit supervises and co-ordinates numerous research projects and clinical trials. There are a number of ongoing prospective research studies to participate in. It is supported by a dedicated research co-ordinator and forthcoming clinical trials co-ordinator in 2022.

The RBWH ANZTBCRS training unit is based in the South-east QLD city of Brisbane, the capital of Queensland and enjoys nearly perfect weather almost every day.

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The Tweed Colorectal Group – NSW/QLD

The Tweed Hospital, joined with Murwillumbah District Hospital, Byron District Hospital and Mullumbimby & District War Memorial Hospital forms the Tweed Byron District (TBD) located within the Northern New Wales Local Health District (NNSW LHD).

The Tweed Hospital is the major rural referral hospital for the District. It is classified within NSW Health as a Rural Major Regional Referral Hospital and The Tweed Hospital has approximately 220 beds. The hospital is situated 1 kilometre south of the Queensland border. The Gold Coast and Brisbane hospitals are the referral hospitals for the Tweed Byron Health Service Group. The new Tweed Valley Hospital expected to open in 2023 will expand to nearly double the current service provision.

The Tweed Hospital provides a full range of services including 24 hour emergency services, Paediatric, Obstetric and Gynaecology, Renal, Mental Health, Intensive Care, High Dependency, Coronary Care and a range of specialist and general medical and surgical services.

John Flynn Private Hospital is a 345 bed acute care hospital located at Tugun, on the southern end of the Gold Coast, within 5 minutes from the Gold Coast Airport. The hospital provides services to the population of the Gold Coast and the Tweed Coast extending into the NSW Northern Rivers area.

John Flynn provides a wide range of health care services with a 24 hour emergency department, comprehensive cardiac services, general and orthopaedic surgery, cancer services, medical, maternity and paediatrics, renal dialysis, day surgery and rehabilitation services. John Flynn has a Tier One Contract with the Department of Veteran Affairs and also provide services to the Gold Coast and Tweed Veteran community.

John Flynn Hospital Colorectal Unit has been performing robotic colorectal procedures for over 8 years. With 3 busy colorectal surgeons performing robotic surgery there is a large exposure for fellows to this including colorectal resection procedures, complex pelvic floor disorders and ventral/parastomal hernia repairs. In development, at present, is a robotic training pathway to allow fellows to be involved and gain proficiency with robotic surgery.

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Adelaide, South Australia

The Lyell McEwin Hospital is a 280 bed tertiary referral hospital situated at Elizabeth Vale in the northern suburbs of Adelaide. The LMH colorectal unit provides a tertiary level colorectal service to the North and North-Eastern regions of metropolitan Adelaide. The unit also manages patients from rural centers throughout South Australia as well as the Northern Territory. The Colorectal unit consists of seven consultant surgeons, one colorectal fellow, two advanced SET trainees (SET 3/4 and a SET2), two resident medical officers, two interns and a colorectal nurse specialist.

The Unit provides specialist colorectal surgical services and participates in the general surgery on call roster on a 1 in 3 rotation. Colorectal emergencies including obstetric injuries are handled 24/7 by the unit.

The Colorectal Unit manages a broad range of colorectal diseases including colorectal and anal cancer, benign colorectal diseases, inflammatory bowel disease, pelvic floor disorders and perianal disease. The Colorectal Fellow is exposed to a high volume of advanced laparoscopic and open surgery for colorectal cancer including transanal total mesorectal excision. There is a weekly multidisciplinary pelvic floor clinic which provides exposure to pelvic floor disorders and the use of 3D anorectal USS. There is also the possibility of exposure to robotic colorectal surgery.

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Adelaide, South Australia

The Royal Adelaide Hospital (RAH) is South Australia's flagship hospital located in the CBD. With 800 beds, the RAH is one of Australia’s most modern and technologically advanced healthcare facilities, integrating
the latest innovations across health, education and research to deliver high-quality care.

The RAH Colorectal Unit comprises six consultant surgeons all of whom are CSSANZ members. The rest of the colorectal team consists of one ANZTBCRS fellow, a senior SET trainee, an RMO, 3 interns and 3
research fellows. A full-time colorectal cancer care coordinator, dedicated colorectal ward and theatre charge nurses, a comprehensive stoma and wound care service, and a full-time research officer are also
an integral part of the unit.

The unit provides specialist colorectal surgical services and the consultants participate in a dedicated colorectal on call roster (1 in 6) with fellow participation during working hours. The unit also contributes to
emergency general surgical cover supported by a dedicated separate Acute Surgical Unit and Trauma service.

The RAH CSSANZ fellow position consistently offers high volume primary operating exposure to major open and laparoscopic colorectal cancer surgery, complex pelvic malignancy and inflammatory bowel
disease cases, interventional colonoscopy and trans-anal endoscopic microsurgery. Pelvic floor and continence surgery are supported by an anorectal physiology facility and a continence clinic. Robotic
surgery is offered in highly selected cases, with exposure available through private assisting. Involvement in weekly multidisciplinary colorectal oncology and IBD meetings is strongly promoted within the unit.

At the end of their year the fellow can expect to gain confidence in managing high volume elective and complex acute colorectal cases, and to develop well rounded evidence-based decision-making skills, with
a shared decision-making approach to complex colorectal conditions.

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The RAH is co-located with University of Adelaide and SAHMRI in the new Adelaide Biomedical Precinct, creating a vibrant atmosphere for academic activity. The RAH Colorectal Research Group is embedded within the RAH colorectal unit. Our singular focus is patient centred outcomes research in colorectal surgery, with three main stems: colorectal surgical oncology, post-operative recovery, and artificial intelligence research. Up to date details on the current research activity of the unit, including international collaborations, can be found here: www.colorectalresearch.org

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Adelaide, South Australia

The Queen Elizabeth Hospital Department of Colorectal Surgery is a Major Tertiary Emergency and Elective Colorectal Centre which services central and western Adelaide. It is a tertiary referral centre for major rural areas of South Australia, and the Northern Territory. There is a strong association with the University of Adelaide Department of Surgery with a culture of research teaching and service commitment.

The unit offers a unique experience in broad range of colorectal disciplines. In addition to a solid workload of open and laparoscopic surgery for colorectal cancer, inflammatory bowel disease and benign colorectal conditions, the QEH provides experience and training in a number of important areas. Specifically, Peritonectomy and HIPEC for peritoneal malignancy, Robotic Colorectal Surgery, Pelvic Floor Diagnostics, Advanced laparoscopic colorectal procedures, Sacral Nerve Modulation, and advanced open and minimally invasive abdominal wall reconstruction. Colonoscopy is an important part of the unit activities.

The unit is staffed by six surgeons, supervising one ANZTBCRS trainee, two SET trainees, one RMO and 3 interns. There are fortnightly multidisciplinary meetings for both colorectal malignancy and IBD cases. Clinical activities include significant access to colonoscopy lists and fortnightly anorectal diagnostic clinics (US, manometry, PNTML). The fellow is rostered 2nd on call for general surgery emergency cover, one in 4, and the unit covers colorectal specific emergencies at consultant level.

Exposure to robotic surgery and training is via a monthly public list (daVinci Xi) where the Fellow is encouraged to be actively involved. After completion of initial online & simulator training, the Fellow will progress through patient side assisting and console surgery, utilizing the dual console system. In addition to public access, there is significant opportunity for further experience to be obtained in the private system, with approx. 70 to 100 cases being performed per annum. It is envisaged that, at completion of the year, the Fellow would be in a position to attend final wet lab training and progress to proctored solo cases on return to their home institution.

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Randomised trial involving adjuvant chemotherapy in the post radiotherapy period in rectal cancer (WAIT)

Numerous trials on learning minimally invasive surgery and non technical skills in the operating theatre.

Projects involving simulation of surgical activities are ongoing.  Some of these projects are conducted within the structure of the Adelaide Northern Colorectal Unit which involves the Colorectal Surgical Departments of The Queen Elizabeth Hospital, Royal Adelaide Hospital and Lyell McEwin Hospital. Joint meetings between these departments are held every 3 months.

The unit also hosts the Adelaide University Masters of Minimally Invasive Surgery Course, a unique advanced course with opportunity for the ANZTBCRS fellows to gain a higher degree during their year. The course involves an extensive theoretical grounding in laparoscopic and robotic surgery. There are also a significant research and clinical components built into the degree. This is an online course and participants can be in any state in Australia. (https://www.adelaide.edu.au/degree-finder/mmis_mmininvsur.html)

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Melbourne, Victoria

The Alfred Hospital is a tertiary referral teaching hospital adjacent to parklands just south of Melbourne’s CBD. There are eight Colorectal surgeons in the Department supervising an ANZTBCRS training fellow, one registrar, one HMO 3 and two interns. Strengths of the Alfred Hospital unit are a wide range of advanced laparoscopic surgery, and a strong exposure to pelvic surgery for malignant disease, IBD and other benign conditions. There is excellent exposure to endoscopy and pelvic floor labs; along with TEMS/TAMIS surgery and colorectal specific trauma. The Fellow receives specialist colorectal referrals, and has general surgical on call commitment as a consultant, with supervision. Funding is from the Public hospital commitments, and may be supplemented by Private assisting. There are multidisciplinary meetings in cancer and IBD. There is a close working relationship with the gastroenterology unit for IBD management, with resulting experience in enterocutaneous fistulas and short gut. The fellow attends the pelvic floor investigation unit at Alfred Hospital, and has good exposure to functional and pelvic floor surgery. There is a large volume of Transanal Endoscopic MicroSurgery. There are regular research meetings to support the fellow progress and publish significant research.

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Studley Road, Heidelberg, Victoria

Austin Health is a tertiary referral teaching hospital located in Heidelberg, a north-eastern suburb of Melbourne. Austin Health comprises the Austin Hospital, Heidelberg Repatriation Hospital and the Royal Talbot Rehabilitation Centre.

Austin Health operates 671 beds across acute, sub-acute and mental health with an annual operating budget of more than $700 million.

Austin Health is an internationally recognised leader in clinical teaching and training, affiliated with eight universities. In addition, it is the largest Victorian provider of training for specialist physicians and surgeons.

During 2013-14, Austin Health completed 95,142 inpatient admissions,177,027 outpatient attendances and 75,366 emergency attendances.

The Colorectal Unit is one of five general surgical units and provides dedicated colorectal services in the Hospital. There are eight surgeons in the Unit supervising one ANZTBCRS Fellow, one Research Fellow, two advanced General Surgery Trainees and three interns.

The ANZTBCRS Fellow shares the on call with the Research Fellow on an alternating 1 in 2 weekend basis, as the second on call person. Overall, the Unit participates in the on call roster for Colorectal and General Surgery one day a week and one weekend in six weeks.

The ANZTBCRS Fellow receives full funding from the hospital with additional income from private assisting.

Strengths of the Unit are the high volume of colorectal cancer cases of primary and recurrent state, significant IBD workload, busy colonoscopy lists, surgery for spinal patients within the Victorian Spinal Unit, combined pelvic surgery for gynaecological malignancy and endosurgery for endometriosis in collaboration with gynaecologists from the Mercy Hospital. A pelvic floor lab and surgery for Faecal Incontinence including Sacro neuromodulation.

The Unit provides training in laparoscopic surgery, TAMIS, TaTME , anorectal surgery, advanced colonoscopy and colonic stenting, endo-anorectal ultrasound and anorectal manometry. A recent addition is the training opportunity in assisting in Robotic colorectal surgery at the Private Hospital. There is also exposure to teaching in MRI through the colorectal cancer MDT meetings and research through the University of Melbourne Department of Surgery.

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Box Hill, Victoria

Box Hill Hospital is a large teaching hospital located 15 kms from Melbourne’s CBD, in the eastern suburbs. It is part of Eastern Health, and the main site of colorectal surgery within Eastern Health. There are ten colorectal surgeons in the unit, a non accredited fellow, an advanced surgical trainee and one intern. The Fellow is first on call for the Colorectal Unit but does not take general surgical calls. There is co-location with Epworth Eastern Private Hospital. Funding is through the public hospital and is supplemented by private assisting. The strengths of the unit are a large surgical work load, particularly in colorectal cancer both open and laparoscopic. There is a strong association with medical and radiation oncology, radiology and anatomical pathology with regular multi disciplinary cancer meetings. There is also a strong association with the Gastroenterology Unit and a large referral practice in inflammatory bowel disease. In addition, there is exposure to regular colonoscopy lists and anorectal manometry.

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Monash Health Surgery – Dandenong, Victoria.

Monash Health is the largest Health Service in Victoria serving over 1 million people in the south east of Melbourne across 5 campuses providing surgical services at Clayton, Dandenong, Casey – Berwick, Moorabbin and Cranbourne Integrated Care Centre. Tertiary services are provided at Clayton and Dandenong, both with busy ED and ICU facilities. All campuses are affiliated teaching hospitals with Monash University.

The Colorectal Surgery Unit is based at the Dandenong campus and the unit’s structure consists of: nine colorectal surgeons, a CSSANZ ANZTBCRS fellow, a colorectal research fellow, two SET trainees in General Surgery, one non-accredited registrar, two HMO and five interns, a ward dedicated to colorectal surgery, colorectal cancer care nurse, data manager, secretary and an expert stomal therapy and wound management nursing team.

The Unit has daily operating lists, colonoscopy lists every Thursday and alternative Fridays, a weekly Outpatient Clinic at Dandenong and access to Anorectal manometry and Endorectal Ultrasound at South East Colorectal adjacent to the hospital.

The consultants also have access to operating lists at Clayton, Moorabbin, Casey and Cranbourne. The Fellow participates in all aspects of the Unit activities on all campuses, is on call exclusively for colorectal referrals and is funded totally by Monash Health, but may obtain extra income from assisting in private at either Mulgrave Private, St John of God (Berwick), Waverley Private, Peninsula Private or Knox Private hospitals.

Strengths of the Monash Health Colorectal Surgery Unit are: the sheer volume of major and range of minor ano‐rectal cases; advanced laparoscopic surgery particularly for rectal cancer, integrated IBD and pelvic floor services with the gastro‐enterologists and uro‐gynecologists respectively, multidisciplinary meetings in cancer aligned with SMICS and a strong commitment to Education, Training and Research through the MASTER program.

Sub‐specialty interests of the consultants include: Transanal endoscopic Microsurgery, TAMIS, TaTME, robotic surgery (in private hospital), sacral nerve modulation, endometriosis and IBD. There are regular research meetings to support the fellow’s research project and publications.

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Melbourne, Victoria

The Royal Melbourne Hospital (RMH) is one of Melbourne’s major teaching hospitals. It is situated in the inner suburb of Parkville in a major medical and research precinct including The University of Melbourne, The Walter and Eliza Hall institute, The Victorian Comprehensive Cancer Centre (VCCC) and The Royal Women’s Hospital. The Colorectal Surgery Unit comprises 6 VMO surgeons, all of whom are members of CSSANZ. We have an ANZTBCRS clinical fellow, a research fellow, a registrar and 3 interns. While our unit is focused on tertiary referral elective work, we are also heavily involved with the complex emergency cases that are generated by a major general hospital with a large emergency and trauma workload. All this produces a busy and rewarding training environment for our ANZTBCRS fellow.

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The RMH Colorectal unit is a consultant led service with an emphasis on high quality clinical outcomes. Most of our major elective work is colorectal cancer. Most of this work is laparoscopic. Our fellow is heavily involved in running the unit but we hold the philosophy that the follow position is for high level supervised training rather than just service provision. Overall this is a busy clinical job with good exposure to a wide range of complex cases and it provides the ANZTBCRS clinical fellow with very solid training.

Melbourne, Victoria

St Vincent’s is a tertiary public healthcare service. We provide a range of services, including acute medical and surgical services, emergency and critical care, aged care, diagnostics, rehabilitation, allied health, mental health, palliative care and residential care. We work with a vast network of collaborative partners to deliver high quality treatment, teaching, education and research. We have more than 5,000 staff and 880 beds in daily use across our services.

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Melbourne, Victoria

Western Health is a tertiary referral teaching hospital network with its principal campus in Footscray, located 8 km to the west of the centre of Melbourne. Western Health has a large, growing catchment area, comprising a diverse population. In addition to the main campus in Footscray, there are hospitals at Sunshine, Williamstown and Sunbury. A new Footscray Hospital is under construction and a new hospital at Melton is planned.

There are six surgeons, supervising a senior SET registrar, a pre-SET registrar and three interns. The Fellow has supervised on-call responsibilities on an average 1/5 roster. The hospital network funds the position; payment is for hours worked at a rate commensurate with experience. Western Health provides other benefits: https://www.westernhealth.org.au/Careers/Pages/Our-Benefits.aspx

In 2020, a new position has been created – a combined research / clinical fellow (non-ANZTBCRS position). This is a 2-year appointment leading to a Master of Surgery with the University of Melbourne. There is a clinical component with access to some operating and endoscopy lists, and some on-call opportunities. The research fellow will share on-call commitments with the ANZTBCRS fellow.

The Fellow position offers excellent operative experience (primarily laparoscopic and hybrid cases), a weekly colorectal MDT, a weekly outpatient clinic, a monthly combined IBD clinic, colonoscopy (including advanced techniques), pelvic floor assessment and management, and collaboration with the gastroenterology unit, obstetric and gynaecology service and radiology (MRI and interventional services). Exposure to endoluminal colorectal stenting is available. Clinical research projects are encouraged and supported by a dedicated supervisor of research

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Fremantle Hospital Group, Murdoch, Western Australia

Fiona Stanley Hospital is a tertiary referral teaching hospital in Perth, opened in 2015. There are 5 colorectal surgeons on the Unit.

Fiona Stanley Hospital's strengths include being the major colorectal cancer centre for the South Metropolitan Area of Perth, with a very busy cancer workload, including large numbers of rectal cancers. It is the main laparoscopic colorectal unit in Perth, with almost all elective cases being performed this way. Fiona Stanley has both the Centre for Inflammatory Bowel Diseases and the Intestinal Failure Unit of Perth and is the only public hospital performing TEMS. Weekly colonoscopy lists are available including colonic stenting. There are multidisciplinary meetings in colorectal cancer, IBD and GI Radiology.

0.8 FTE Fellow salary is funded by Fiona Stanley Hospital. Assisting 2 of the surgeons at the co-located private St John of God Hospital provides additional experience and income. The Fellow is supported by a first year, non CSSANZ fellow, an advanced surgical trainee and 3-4 Interns. There is a full-time colorectal nurse specialist, and 3 stomal therapists who form part of the unit.

The Fellow is required to provide a 1 in 8, 2nd on call cover from home to the advanced trainee covering general surgical and colorectal emergency cases.

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Perth, Western Australia

Sir Charles Gairdner Hospital is the major teaching hospital for the North Metropolitan Health Service Board situated centrally in Perth in the suburb of Nedlands.

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The unit has a high volume of laparoscopic cancer and IBD work as well as pelvic floor surgery. There is a high volume of emergency colorectal surgery with the majority performed by the colorectal unit. Weekly proctology lists are available at Osborne Park Hospital. Private assisting is available (not compulsory) for interesting cases at Hollywood Private Hospital.

There are on average 8 elective operating sessions and 1 colonoscopy list per week. There is 1 outpatient clinic per week. Oncology MDT meetings are conducted weekly with fortnightly IBD meetings.

The fellow participates in a 1 in 4 fellow on call from home as the first point of call for the training or service registrar. Weekend ward rounds are shared between training registrar and fellow. The colorectal unit includes 1 fellow, 1 SET registrar, 2 service registrars, 2 RMOs and 4 interns. There are 2 colorectal / sarcoma cancer nurses and dedicated stoma nurses.

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