Specialist Cardiologist – Melbourne, North-West, VIC

Position: Specialist Cardiologist

Location: Melbourne, North-West

Position Summary: Applications are invited from qualified cardiologists to join a busy and highly successful Cardiology practice in North West Melbourne.

With specialist suites in Niddrie, Flemington and Essendon with busy referral patterns from regional sites our practice is keen to continue growing and invites interest from competent and enthusiastic cardiologists to join us.  There is ample support from our administrative and technical teams to quickly build up a rewarding practice with us.

We are seeking Cardiologists who specialise in General Cardiology, Heart Failure, Electrophysiology and Pacing, Cardiac Imaging and Interventional Cardiology to join us.  There will be opportunity to practice across any of our sites. We offer onsite cardiac testing at each of our locations (including echo, stress echo and Holter monitoring), and have an expanding network of referring GPs ensuring a steady flow of new patients.

Our goal is to provide world-class care using state-of-the-art facilities for both cardiac investigation and treatment. High level interpersonal and communication skills and a track record of working harmoniously and collaboratively in a team environment are essential prerequisites for this role.

You will join a group of cardiologists in this busy and thriving practice. You will benefit from an established referral network with an immediate referral base. Working within an established practice presents a genuine opportunity for you to enjoy a rewarding career with long-term prospects and excellent financial remuneration.

Flexible hours are offered to support your lifestyle and public hospital or research commitments.

Remuneration: This will be attractive and the cardiologist will keep a generous percentage of billings.

Qualifications: Applicants must be registered as a Medical Practitioner with the AHPRA and must hold FRACP including advanced training and specialist recognition as a cardiologist.

Please forward your expression of Interest and CV to Miranda Storey at miranda@ohcardiology.com.au

Clinical Lead Cardiac Intervention – Box Hill, VIC


Position: Clinical Lead Cardiac Intervention

  • Permanent Part-time
  • Box Hill Hospital
  • Wonderful unit culture and fabulous employee benefits

Eastern Health

Eastern Health is one of Melbourne’s largest public health services. We provide a range of emergency, surgical, medical and general healthcare services, including maternity, palliative care, mental health, drug and alcohol, residential care, community health and state-wide specialist services to people and communities that are diverse in culture, age, socio-economic status, population and healthcare needs.

About the role

An exciting opportunity exists in the Department of Cardiology for an experienced and enthusiastic interventional cardiologist to provide clinical and administrative leadership in the cardiac cath labs as well as the broader cardiology unit. This position requires someone with a vision for the delivery and improvement of interventional cardiac services as appropriate for Eastern Health. A keen interest in teaching, training and fostering research is also required. This role will be expected to:

  • Oversee the day to day running of Cardiac Cath Labs (CCL) and ensure compliance with credentialing and accreditation standards
  • Provide leadership for the planning and incorporation of advances in interventional practice, including business case development
  • Lead policy development and revisions related to CCL practice
  • Demonstrate high-level leadership and change management skills
  • Demonstrate the ability to develop and successfully implement creative solutions to complex system and organisational problems.
  • Grow and foster the teaching environment within the cardiology unit and contribute to physician training at Eastern Health
  • Lead periodic audits and benchmarking activities related to the CCL

About you

To be successful in this role you will possess:

  • Current registration with AHPRA and RACP membership
  • Recognised by Medicare as a specialist in Cardiologist, with subspecialty training in Interventional Cardiology
  • Highly developed interpersonal and leadership experience
  • A strong commitment to high quality care and engagement in audit and other quality activities
  • The ability to work as part of a diverse team
  • Excellent communication and organisational skills
  • A demonstrated commitment to team roles, supporting and mentoring juniors and colleagues

Vaccination against infectious disease is a mandatory requirement of this role.  An offer of employment is conditional on you providing evidence that you are currently vaccinated against COVID-19 with booster & Influenza, prior to commencing employment.

What we offer

  • Diverse and engaging career opportunities
  • Friendly & supportive team
  • Flexible working hours
  • Salary packaging options
  • Career progression in our teaching hospitals

If you believe you have the ability to make a difference in this rewarding industry, apply today!

Please note:

  • All applications must be submitted online via E-Mercury
  • All appointments are made subject to a satisfactory Fit2Work Check, where preferred candidates will be required to complete a Criminal History Check at the expense of Eastern Health.
  • You must have Australian work rights to apply for this position.
  • Recruitment agency applications will not be accepted.

Eastern Health is a child safe organisation, committed to promoting the wellbeing and cultural safety of Aboriginal children, children with disabilities and all children in their diversity.

Eastern Health is committed to creating a diverse and inclusive environment that welcomes and values all people. We recognise that diversity is essential in ensuring Eastern Health provides the best service to its consumers.

Aboriginal and Torres Strait Islander people, women, those from the LGBTIQ+ community, people living with disability and those from a culturally and linguistically diverse background, are strongly encouraged to apply. Those seeking support in submitting an application are welcome to contact the hiring manger listed or feel free to contact the Talent Acquisition team.

Eastern Health Values:  Patients First | Agility | Humility | Respect | Kindness | Excellence

APPLY AT THIS LINK

Closing date 29 August 2022

**Please note applications will be screened upon receipt and advertising may close prior to the closing date.**

Cardiology Research Review, Issue 145, with commentary by A/Prof John Amerena

In this edition

  • Temporal trends in the incidence of AF in England
  • Temporal trends in nonvalvular AF and OAC prescribing in England
  • Rivaroxaban monotherapy vs dual antiplatelet therapy in patients with AF and CAD
  • Does CACS add value beyond traditional CVD risk assessment?
  • Impact of pre-existing AF on cardiovascular outcomes after noncardiac surgery
  • Cardiovascular risk 10 years after hypertension in pregnancy
  • SGLT2 inhibition improves endothelial function and reduces mitochondrial oxidative stress
  • Lipoprotein(a) is associated with onset but not progression of aortic valve calcification
  • Systemic embolism in amyloid transthyretin cardiomyopathy
  • Characteristics of HFpEF across the range of left ventricular ejection fraction

Download Cardiology_Research_Review_Issue_145 (pdf) with commentary by A/Prof John Amerena

Consultant Cardiologist, Nelson Hospital – New Zealand

Position: Cardiologist

Te Whatu Ora- Health New Zealand, Nelson Marlborough seeks an experienced Cardiologist to join the Cardiology team to cover leave for 12 months from 1 December 2022.

  • Fixed-term, part-time 0.8FTE (64 hours a fortnight)
  • Be part of a supportive multidisciplinary team
  • On-call 1:5
  • Nelson Hospital, Nelson, New Zealand

Nga mohiohio e pa ana ki tenei mahi (About this position)

The successful candidate will do the following:

  • Deliver quality services to improve health of the population in Nelson region
  • Participate in the 1:5 general cardiology on-call roster and require to provide a district-wide service across both Nelson and Wairau hospitals
  • Supervise and participate in teaching of junior medical workforce
  • Enjoy work/life balance in one of New Zealand’s most sought after regions

Ko wai he kaitono totika? (Who is an appropriate applicant?)

The ideal applicant will do the following:

  • Bring their medical expertise to an acute secondary care hospital and contribute to critical care to the patients in the Nelson region
  • Have sub specialist training recognised by cardiac society in either interventional cardiology electrophysiological procedures, non-invasive imaging or heart failure
  • Have specialist accreditation in cardiology including device insertion, advanced non-invasive imaging (CT or Cardiac MRI), or percutaneous coronary intervention would be preferred
  • Hold Fellowship of the Australian and New Zealand College of Physicians (FANZCP), or equivalent
  • Be eligible for an Annual Practising Certificate and vocational registration of Cardiology with the Medical Council of New Zealand
  • Fit into a cohesive team culture of collaborative practice, openness, humour, and respect across disciplines

Collegiality and collaboration across all disciplines are key to our delivery of a successful service to our patients and our community. If this sounds like the sort of environment that you will thrive in, then we want to hear from you!

Nga huanga o tenei mahi (The benefits of this position)

The salary for this position is based on the current Senior Medical Officer collective agreement dependent on skills, experience, and vocational registration in NZ. Meca | ASMS

In addition to your salary you will do the following:

  • Receive a generous annual allowance cover your continued medical education expenses (including associated travel and accommodation costs) as well as paid time off to attend events including international conferences
  • Have access to an employer matched Superannuation contribution of up to 6% of annual earnings
  • Be reimbursed competitive relocation, accommodation and car rental expenses (conditions apply)

This is an incredible region of Aotearoa – New Zealand with a lovely climate boasting some of the highest annual sunshine hours year after year and is a wonderful place to work and enjoy life. The schools are excellent, and Nelson is well connected to the rest of New Zealand and the world via its centrally located and well served domestic airport terminal.

There are three national parks nearby providing ample opportunities for quality family-time and appreciation of nature’s wonders. The region is renowned for its breath-taking natural landscapes, with stunning geography capturing everything from unbelievably long golden beaches to rugged mountains and untouched forests.

These magnificent features offer endless opportunities for mountain biking, walking/hiking, water sports and skiing. The region is also well known for its café culture, wineries, art, crafts, and relaxed lifestyle. To explore all these ingredients for a better work/life balance, please visit https://www.nelsontasman.nz/ and https://www.newzealand.com/nz/nelson-tasman/

A matou ropu (About our team)

Te Whatu Ora- Health New Zealand, Nelson Marlborough is the main health provider for the region serving a population of approximately 150,000. Nearly 3,000 strong, we are the largest employer in the region. Our main locations are Nelson and Wairau Hospitals but we are spread across the region and service all parts of the community. Our work can be challenging, but we are up for it. We have a great team and we work hard to make a difference. We value integrity, innovation, respect and teamwork.

Nelson has a full interventional service providing PCI, pacemaker, and implantable defibrillator insertion, as well as a progressive non interventional service including advanced echocardiography, heart failure, GUCH, cardiac MRI, and CTCA.

Etahi atu mohiohio (More information)

https://www.youtube.com/channel/UC34XErxkHJ5YAn59o6SrhnA

Me pehea ahau e tono ai? (How do I apply?)

For general enquiries please contact our recruitment team on vacancies@nmdhb.govt.nz or +64 3 546 1274

For role specific information please contact:
– Jess Ettema – Service Manager, Jess.Ettema@nmdhb.govt.nz, or
– Tammy Pegg – Cardiologist, Tammy.Pegg@nmdhb.govt.nz

To apply please follow the link to complete our online application form https://nmdhb.careercentre.net.nz. Applications via email will not be considered.

Please note: In line with the COVID-19 Public Health Response (Vaccinations) Amendment Order 2021 all Te Whatu Ora- Health New Zealand, Nelson Marlborough staff are required to be fully vaccinated for COVID-19 with the approved vaccines.
N22-511.

Applications close Sunday, 14 August 2022.

Te Whatu Ora- Health New Zealand, Nelson Marlborough strongly endorses Te Tiriti o Waitangi.

We believe that to achieve equity in health outcomes for Maori we need a workforce reflective of the population it serves. We strongly encourage applications from candidates who identify as Maori and we recruit for cultural competence.

He waka eke noa. We are all in this together.

Critical Care Registered Nurses – Monash Health, VIC

Position : Critical Care Registered Nurses

\Australia’s first Heart Hospital is opening soon! Join us at Australia’s only dedicated, purpose-built heart hospital.

 Our journey

The Victorian Heart Hospital will be Australia’s first dedicated heart hospital and is nearing its final stages of construction. It will include a full range of ambulatory and inpatient cardiac care, including cardiac theatres, cardiac catheterisation laboratories and ambulatory services such as cardiac CT, Cardiac MR, echocardiography and specialist consultation. It will also feature a unique, patient centred model of care.  The Victorian Heart Hospital will also play a key role in advancing research and teaching and will be home to the Victorian Heart Institute, a brand new, health and medical research organisation at Monash University.

By joining Monash Health’s cardiac team now, you will be part of the team that transitions into the brand-new facility after its completion. You’ll be welcomed into a positive and supportive environment, passionate about delivering cardiac care to a diverse and growing local community.

 Grow your Critical Care Nursing Career

We are excited to invite suitably qualified Critical Care Registered Nurses (CCRN) to become a valuable part of our critical care teams. Yours is a pivotal front-line role providing cardiac care within a dynamic fast paced setting.  You are committed to providing evidence based, patient and family centred care and you are motivated to seek all opportunities to further upskill and master your critical care cardiac expertise.  No two days will be the same and you’ll be part of a passionate team at Australia’s only dedicated heart hospital, providing faster access to cardiac critical care and highly skilled staff when they need it most.  These are exceptional roles currently available in the following cardiac services: –

  • Acute Cardiac Care – embracing a new model of cardiac inpatient care our critical care nurses will care for a full range of acute, complex tertiary, quaternary cardiac patients for their entire length of stay. You will be an integral member of the team committed to providing excellent cardiac care in a state-of-the-art cardiovascular service. In this role you will have prior experience within an acute cardiac care setting whilst providing excellence in patient centred care
  • Cath Lab – a pioneer in many advanced cardiac catheterisation laboratory procedures and first in man trials to improve patient outcomes, our heart hospital is set to further cement our vision of “exceptional care, outstanding outcomes”. You will work within a dynamic and supportive multidisciplinary team and proactively contribute to our vision. In this role, you will bring scrub/scout/recovery experience, complex and/or basic interventional and/or cardiac rhythm management cardiology procedural skills. A strong interest and/or experience in structural heart intervention is desired with the commissioning of Australian’s newest hybrid Catheterisation Laboratories.
  • Emergency– the first dedicated cardiac emergency service in Australia with state of the art 22 bed capacity. You will have the opportunity to be an integral member of the part of a newly built cardiac emergency service that will deliver patient centred emergency care with access to cardiac care specialists.  In this role, you will bring previous emergency/critical and/or acute care clinical skills coupled with evidence-based emergency care
  • ICU – a 16 bed Cardiothoracic care and a nurse lead ECMO service providing excellence in care to complex cardiac patients. You will work in a newly developed cardiac team of critical care nurses.  In this role you will bring a critical care certificate and you will have access to undertake an ECMO course to gain competency

As a cardiac CCRN you will bring: –

  • Postgraduate Certificate or higher in Critical Care Nursing (Emergency, Intensive Care, Coronary Care or Interventional Cardiology) required or working towards
  • Current clinical critical care experience in acute coronary, emergency, Cath Lab or intensive care
  • Acute, Emergency and ICU – availability to work across a 24/7 rotating roster
  • Cath Lab –an advanced life support certificate, a current Australian driver’s license, and ability to travel to the hospital in 30 minutes when participating in the 24/7 emergency service is also highly desired.
  • Current AHPRA registration and eligibility to work in Australia
  • Superior communication and organisational required with leadership qualities highly sought

These are ongoing positions with availability to work full or part time. 

When applying clearly highlight in your cover letter and selection criteria, your above preferred cardiac service.

In return

Monash Health is a connected team with strong shared values and an unwavering commitment to excellence in patient centred care. We are also a highly skilled, collaborative, and welcoming multidisciplinary team where the only limit in your nursing cardiac career is you.

Monash Heath is a great place to work where you will thrive with: –

  • a cardiac team committed to making a difference to the health of Victorians
  • continual upskilling of clinical skills to further develop your clinical pathway
  • access to education support within our tertiary hospital
  • leadership team fostering high performing talent and career progression
  • a comprehensive Health and Wellbeing program
  • salary packaging options that increase your take-home pay
  • travel clinic and Employee Imaging Service
  • Employee Assistance Program available to employees and their families; and
  • Private health insurance at discounted rates
  • Victoria’s largest public health service in Victoria, employing more than 22,000 people

Monash Health recognises the value of equal employment opportunity and is committed to patient safety and promoting fairness, equity and diversity in the workplace.  At Monash Health we are relentless in our pursuit of excellence and work to our six guiding principles.

 For more details about the role plus how to apply, please refer to attached ‘Application Guide’ located under Position Documents.

 Search our Facebook community ‘Nursing and Midwifery Careers at Monash Health’ to be part of an online group; keep updated with recruitment tips and opportunities at Monash Health.

For Job link and how to apply click here

Role close date 19/08/2022

Editorial Manager – Heart Lung and Circulation

Editorial Manager, Heart Lung and Circulation – Part-time 0.6FTE

  • High level of accountability and autonomy within a small collaborative team
  • Part-time permanent role with flexible working arrangements (remote work)
  • Instrumental role supporting the successful publication of the ‘Heart, Lung & Circulation journal’

An exciting opportunity for a talented and driven Editorial Manager to join Heart Lung and Circulation, the journal of the Cardiac Society of Australia and New Zealand (CSANZ) and the Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS). The Journal is a flagship activity of both societies.  Heart, Lung and Circulation accepts original articles, current reviews, brief communications, and letters to the Editor, concerned with clinical practice and research in all fields of cardiovascular disease.

Reporting to the Editor-in-Chief, Heart, Lung and Circulation, the Editorial Manager is responsible for managing the submission and on-line review of submitted papers in a timely manner. This includes ensuring deadlines are met; to process, edit and proof-read manuscripts through the editorial system, supporting and working collaboratively with the Editor-in-Chief to further the aims of the Journal. Other key responsibilities include:

  • Responding to all editorial queries via phone, email, and land mail
  • Liaising with authors, providing timely and accurate information as required
  • Providing secretariat support to Editorial Board and all-around administration assistance
  • Coordinating editorials ensuring issue deadlines are met
  • Working collaboratively with the Commissioning Editor, Section Editors, and other stakeholders
  • Copy / technical editing; and proof reading

To meet the requirements of this role you must have

  • 5+ years’ experience in a similar role (professional health care association exp. ideal)
  • Tertiary qualification in journalism or English or a related discipline
  • Demonstrated ability to contribute to best practice ideas, workflow efficiencies and projects
  • Exceptional interpersonal, verbal and written (grammar, spelling, punctuation) skills
  • Highly developed organisational and admin skills with the ability to manage multiple projects
  • Meticulous attention to detail – abler to deliver high-quality outputs on time and free from errors
  • Highly proficient in MS Office Suite, content management systems and (publishing systems, ideal)
  • Experience with both scientific and English editing (ideal)

If you meet the requirements listed above, enjoy working autonomously yet collaboratively, ensuring tasks are competed on time and to a high standard, are able to develop and maintain strong working relationships with a range of stakeholders, we would like to hear from you, apply now!

Apply at Seek.com.au, please submit your resume and a covering letter (cover letter is essential) outlining how you meet the key requirements of this role.

Click here to download a position description.

For a confidential discussion or more information, contact Anna Hazewinkel 1300 277 633.

Closing Date: Monday, 22 August 2022

Heart Health for All – 2022 CSANZ ASM Program highlights of Indigenous health and equity sessions

The Cardiac Society of Australia and New Zealand is delighted that the overarching theme for this year’s ASM is Heart Health for All. The Meeting’s Scientific Program Committee has made a fantastic effort to weave heart health equity topics throughout the 2022 Program. 

Here are some of the program highlights focusing on Indigenous health and equity issues. 

Thursday 11 August 2022 

Commencing on Thursday 11 August from 11.30am, the Indigenous Health Council will be holding the Indigenous Health Symposium where Dr Anna Rolleston and Prof Alex Brown will be giving their perspectives from Aotearoa and Australia respectively, on the Importance of doing research in line with Indigenous community expectations and the current principles and guidelines. Followed by examples of good practice and a facilitated panel discussion. See the full Symposium program here.

Friday 12 August 2022 

On Friday 12 August, Equity of Care and Indigenous Health Prize Finalists session will take place after lunch, commencing with speakers: 
•       Dr Karen Brewer – What are the problems and what are the Kiwis doing about it?
•       Prof Alex Brown – How is Australia improving equity in healthcare?
The Indigenous Health Prize session will be passionate and inspirational with our four finalists starting from 2.30pm:
•       Dr Zara Rolfe, St George Hospital (NSW)
•       Dr Nicholas Seton, Gold Coast Hospital and Health Service (QLD)
•       Dr Emma Haynes, University of Western Australia (WA)
•       Dr Keriana Kingi-Nepe, Hauora Tairawhiti (NZ)

Good luck to all (Read the finalists’ presentation topics here)

There are several other full sessions, individual presentations and topics across the broad spectrum of cardiology that speak to Heart Health for all. Here are just a few highlights.

Don’t miss the Multidisciplinary: Cardiovascular health for all – a global perspective session on Friday afternoon. International presenter, Prof Mariachiara Di Cesare (UK) – Global perspective on inequalities in cardiovascular risk and outcomes; and Prof Gita Mishra – Global issues in women’s cardiovascular health: Results from InterLACE consortium (Read more here).

Concurrently on Friday, the Paediatrics / Adult Congenital stream’s Striving for equity session presentations include:
•       Prof Anita Moon-Grady (USA) – Using “big data” to help identify inequities in CHD outcomes.
•       Dr Bo Remenyi – Rising inequity in rheumatic heart disease.
•       Ms Rhonda Holloway – Improving adherence and health literacy in families faced with chronic health.
•       Dr Nikki Earle – Prioritising equity in cardiovascular genomics research: The MENZACS story.

In other streams, Prof Robyn Clark will be presenting, Equity and access to care for patients with heart failure and A/Prof Saurabh Kumar presenting Demand, equity, and access to VT ablation.

Saturday 13 August 2022 

Throughout Saturday the Multidisciplinarystream is hosting some interesting topics from addressing health literacy in the breakfast session to Implementation of evidence into clinical practice: challenges and success later in the afternoon. There’s a wide range of presentations including:

•       Implementing socially protective factors to reduce CVD incidence in Aboriginal women.  
•       Delivering cardiovascular care in rural and remote QLD: Heart of Australia service.  
•       Telemedicine to Timor-Leste: implementing an international cardiac telehealth service during population dislocation, floods and COVID-19.

During the Paediatrics and Adult Congenital Prize Final presentations, we will hear from Dr Belinda Gowen, who will be speaking on Indigenous Paediatric Cardiac Surgical Patient Outcomes.

Also, don’t forget to attend the Women In Cardiology networking event during Saturday’s afternoon tea break out on the South Terrace.

Sunday 14 August 2022 

In the Cardiac Imaging Access and Equity session on Sunday morning, there are some thought provoking ideas being presented followed by a panel discussion and Q&A.            

 

Heart Health for All – Program Highlights of the Indigenous health and equity sessions (Download pdf here)

The role of Street Side Medics for Australians experiencing homelessness

Cardiovascular disease in the Australians experiencing homelessness, and the role of Street Side Medics

 

“The enjoyment of the highest attainable standard of health is one of the fundamental rights of every human being without distinction of race, religion, political belief, economic or social condition”.

     –  World Health Organisation

Over 100 million people are experiencing homelessness globally, with an estimated 1.6 billion living under inadequate shelter. As of the 2016 Census, there were 116, 427 Australians characterised as homeless(1). Whilst this figure represents less than 1% of Australia’s total population, people experiencing homelessness are over-represented in health statistics, particularly in relation to cardiovascular disease.

Status of CVD in homeless Australians

Cardiovascular disease (CVD) affects 17% of all Australians(2), and is the leading cause of mortality, accounting for a quarter of all deaths in 2019(3). Compared to the general population, CVD amongst those experiencing homelessness has a higher prevalence and mortality, as well as a greater burden of contributing risk factors, and an earlier age of onset (4-6). Whilst Australian data is scarce, international studies have shown a similar or slightly higher prevalence of hypertension, diabetes, and dyslipidaemia in those experiencing homelessness (7-10), and these statistics do not account for the likely under-diagnosis of these conditions. Substance use, particularly tobacco, is significantly more prevalent, with local data demonstrating that up to 81% (11, 12) of those who experience homelessness smoke cigarettes, compared to 15% of the general Australian population(13). Alcohol dependence, as well as cocaine and methamphetamine usage, all of which are detrimental to long-term cardiac health, are more prevalent in the Australian homeless population (14). Similarly, mental health disorders are three times more likely in the homeless population(15), and these have also been linked to poorer cardiovascular outcomes(16), reduced engagement with health services(17) and lower medication adherence(18).

There are various obstacles to delivering healthcare to Australians experiencing homelessness, which can be categorised into personal, practical and relationship barriers (19). Personal barriers refer to competing priorities such as shelter and food instead of medicine or appointments, which lead to many homeless Australians only seeking medical attention in perceived emergencies. Practical barriers refer to the concrete obstacles of finances, transport, and medication security. Finally, relationship barriers encompass the stigmatisation and lack of trust in the healthcare system, arising from prior negative experiences or perceived clinician bias(20).

The role of Street Side Medics

Accessible, opportunistic, and tailored care is essential. Tackling the increased burden of CVD in Australia’s homeless population requires focus on primary and secondary prevention, but also the development of pragmatic interventions which consider and address the underlying social determinants.

One promising strategy is through “drop-in” outreach clinics which make healthcare considerably more accessible. This was the vision of Dr. Daniel Nour, who founded Street Side Medics in August 2020, and for which he won Young Australian of the Year in 2022, recognising the early success of the service. Street Side Medics is a drop-in clinic service, operated from a mobile medical van, which delivers targeted healthcare at homeless food services, shelters, temporary accommodations, and disaster-affected zones in New South Wales. It is a bulk-billed, volunteer run GP led service, which does not require Medicare or identification, and utilises modern medicine technology including point of care testing, portable ultrasound, echocardiography, and spirometry, within a custom-built mobile clinic to provide opportunistic access to healthcare. In doing so, the model strives to alleviate the personal, practical and relationship barriers, which those experiencing homelessness face. This initiative has recently received Australian Federal Government funding in 2022(21)to help expand and adequately deliver its primary care service to homeless Australians. Professor Ravi Bhindi, head of department of the Royal North Shore Cardiology Department has also been involved since conception and has recently initiated a research arm of Street Side Medics, aiming to better understand the burden of cardiovascular disease in Australians experiencing homelessness.

To learn more: www.streetsidemedics.com.au/what-we-do

Moving forward, we need continued government proactivity with increased supply of social and affordable housing. Healthcare services must be adaptive and holistic and involve collaboration with the local community. It is imperative that we continue to spread awareness, not only in the medical fraternity, but within all levels of society. We hope to improve the general understanding of the challenges faced by our homeless population, to facilitate constructive conversations towards a more compassionate and caring society.

Dr. Karan Rao

On behalf of Dr. Daniel Brieger, Dr. Daniel Nour, Ms. Alex Baer & Professor Ravinay Bhindi

StreetSide Medics Homeless Health Research Group

References

  1. Australian Bureau of Statistics. Census of Population and housing: Estimating homelessness, 2016. In: Government A, editor. Canberra2018.
  2. Australian Bureau of Statistics. Causes of Death, Australia: ABS Website; 2020 [Available from: https://www.abs.gov.au/statistics/health/causes-death/causes-death-australia/2020#content.
  3. Health AIo, Welfare. Heart, stroke and vascular disease—Australian facts. Canberra: AIHW; 2021.
  4. Flatau P, Lester L, Seivwright A, Teal R, Dobrovic J, Vallesi S, et al. Ending homelessness in Australi: An evidence and policy deep dive. UWA Business School, The University of Western Australia; 2021.
  5. Al-Shakarchi NJ, Evans H, Luchenski SA, Story A, Banerjee A. Cardiovascular disease in homeless versus housed individuals: a systematic review of observational and interventional studies. Heart. 2020;106(19):1483-8.
  6. Nanjo A, Evans H, Direk K, Hayward AC, Story A, Banerjee A. Prevalence, incidence, and outcomes across cardiovascular diseases in homeless individuals using national linked electronic health records. Eur Heart J. 2020;41(41):4011-20.
  7. Bernstein RS, Meurer LN, Plumb EJ, Jackson JL. Diabetes and hypertension prevalence in homeless adults in the United States: a systematic review and meta-analysis. Am J Public Health. 2015;105(2):e46-60.
  8. Lee TC, Hanlon JG, Ben-David J, Booth GL, Cantor WJ, Connelly PW, et al. Risk factors for cardiovascular disease in homeless adults. Circulation. 2005;111(20):2629-35.
  9. Scott J, Gavin J, Egan AM, Avalos G, Dennedy MC, Bell M, et al. The prevalence of diabetes, pre-diabetes and the metabolic syndrome in an Irish regional homeless population. Qjm. 2013;106(6):547-53.
  10. Kim DH, Daskalakis C, Plumb JD, Adams S, Brawer R, Orr N, et al. Modifiable cardiovascular risk factors among individuals in low socioeconomic communities and homeless shelters. Fam Community Health. 2008;31(4):269-80.
  11. Nielssen O, Chudleigh A, Chen M, Large M, Markovic T, Cooper L. Results of a metabolic health clinic at a hostel for homeless men. Australas Psychiatry. 2017;25(3):270-3.
  12. Kermode M, Crofts N, Miller P, Speed B, Streeton J. Health indicators and risks among people experiencing homelessness in Melbourne, 1995-1996. Aust N Z J Public Health. 1998;22(4):464-70.
  13. Greenhalgh EM BM, Scollo MM. 1.3 Prevalence of smoking – adults Melbourne: Cancer Council Victoria; 2021 [updated December 2021. Available from: http://www.tobaccoinaustralia.org.au/chapter-1-prevalence/1-3-prevalence-of-smoking-adults.
  14. Scutella R, Tseng Y-P, Wooden M. Journeys Home: Tracking the most vulnerable. 2017. 2017;8(3):17.
  15. Health AIo, Welfare. Mental health services in Australia. Canberra: AIHW; 2022.
  16. Correll CU, Solmi M, Veronese N, Bortolato B, Rosson S, Santonastaso P, et al. Prevalence, incidence and mortality from cardiovascular disease in patients with pooled and specific severe mental illness: a large-scale meta-analysis of 3,211,768 patients and 113,383,368 controls. World Psychiatry. 2017;16(2):163-80.
  17. Resurrección DM, Moreno-Peral P, Gómez-Herranz M, Rubio-Valera M, Pastor L, Caldas de Almeida JM, et al. Factors associated with non-participation in and dropout from cardiac rehabilitation programmes: a systematic review of prospective cohort studies. European Journal of Cardiovascular Nursing. 2019;18(1):38-47.
  18. Kronish IM, Rieckmann N, Halm EA, Shimbo D, Vorchheimer D, Haas DC, et al. Persistent depression affects adherence to secondary prevention behaviors after acute coronary syndromes. J Gen Intern Med. 2006;21(11):1178-83.
  19. Davies A, Wood LJ. Homeless health care: meeting the challenges of providing primary care. Med J Aust. 2018;209(5):230-4.
  20. Gilmer C, Buccieri K. Homeless Patients Associate Clinician Bias With Suboptimal Care for Mental Illness, Addictions, and Chronic Pain. J Prim Care Community Health. 2020;11:2150132720910289.
  21. Commonwealth of Australia. Budget 2022-2023. Canberra; 2022 March 29, 2022.

Heart Failure Research Review, Issue 68, with commentary by Prof Andrew Coats

In this edition:

  • Triage tool for identifying patients eligible for advanced HF centre referral
  • Empagliflozin improves outcomes in HFPEF irrespective of age
  • Sacubitril/valsartan tolerability in advanced HF
  • ARNI outcomes in HFREF according to race/ethnicity
  • Postoperative AF and HF hospitalisation risk
  • Haemodynamic effects of mirabegron, a β3-adrenoceptor agonist, in advanced HF
  • Right HF following LVAD implantation
  • Vericiguat and health-related QOL in HFREF
  • Diuresis/kidney function after early empagliflozin initiation in acute decompensated HF
  • Short-term effects of dapagliflozin on maximal functional capacity in HFREF

Download Heart_Failure_Research_Review_Issue_68 (pdf)

Cardiologist (non-invasive) – Melbourne, VIC

Position Title: Cardiologist (non-invasive)

Location: Melbourne, VIC (Boronia / Glen Waverley / Fawkner / Knox Hospital)

We are seeking a Cardiologist on a permanent full-time or part-time basis to join Heart of Melbourne, with instant patient base and waiting lists with guaranteed income.

Heart of Melbourne is a busy and thriving Cardiology practice based in Melbourne suburbs, with a team of established Cardiologists and a dedicated staff including full time Cardiac Technologists, Cardiac nursing staff and administration /secretarial staff.

Heart of Melbourne provides a comprehensive patient service including:

  • Cardiology consulting
  • Echocardiography including stress testing
  • Electrophysiology and interventional cardiology
  • Holter monitoring, ECGs, 24 hrs blood pressure monitoring
  • Inpatient services in public and private hospitals

Heart of Melbourne enjoys close professional relationships with private and public hospitals in Melbourne, and provides services in regional sites such as Bacchus Marsh and Mildura.

You will join a group of cardiologists in this busy and thriving practice. You will benefit from an established referral network with an immediate referral base. Working within an established practice presents a genuine opportunity for you to enjoy a rewarding career with long-term prospects and excellent financial remuneration.

Flexible hours are offered to support your lifestyle and public hospital or research commitments. The structure of your appointment will be agreed by negotiation.

Remuneration: This will be attractive and the associate will keep a generous percentage of billings. A pathway to equity can be negotiated after 2 years.

Qualifications: Applicants must be registered as a Medical Practitioner with the AHPRA and must hold FRACP including advanced training and specialist recognition as a cardiologist.

Please forward any queries to:

jobs@hom.com.au

or applications to David Hodge, CEO 1300122888

www.hom.com.au

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