MJATHE MEDICAL JOURNAL OF AUSTRALIA
N U M B E R 6 • 2 1 M A R C H 2 0 1 1
CareersC1
“I BELIEVE that the last frontier, the last great unknown, in medicine is the mind. We know some of what it does and some of how it works, but a great deal of its function remains an enigma.”
So says Matthew Kiernan, Professor of Neurology, Prince of Wales Clinical School, Sydney, when asked why neurologists
choose their particular speciality.“Budding neurologists need a sense of
adventure, a yearning for discovery and a fortitude that allows them to realise that some parts of the brain and its workings will not be unravelled in our lifetime, but to always strive for knowledge,” says Professor Kiernan, who is also Senior
Scientist, Neuroscience Research Australia, and Editor-in-Chief of the Journal of Neurology, Neurosurgery and Psychiatry.
Professor Richard Macdonell, Chair of the Australian and New Zealand Association of Neurologists Education and Training Committee, agrees that it’s a job for someone with a questioning mind. “Diagnosis is an important part of the job, and it can be a complex and challenging task to diagnose complex disorders that can present in a number of ways, often with unusual patterns”, he says. Most of the information for a diagnosis comes from a careful history and physical examination, and eliciting the signs is a skilled art.
Neurologists also need to have an interest in managing chronic illness, says Professor Macdonell. Most neurological conditions are chronic; there are not many outright cures and much of the effort is centred on maintaining a patient’s quality of life for as long as possible, he says.
Still, many conditions, such as stroke and migraines, improve with good management and even small improvements with treatment can make a big difference to patients.
“One of the highlights of the speciality is when patients come to you for a second opinion and you are able to tell them that they don’t have ‘the worst case scenario’ they were imagining, but something that is highly treatable,” says Professor Kiernan.
Moreover, the outlook for patients with chronic conditions is improving, with better diagnostic technology (particularly in radiology, computed tomography and magnetic resonance imaging), more targeted therapy, more refi ned treatments, fewer side
Editor: Dr Peter Lavelle • [email protected] • (02) 9562 6666
continued on page C6
In this issueC1 A career in neurology
C3 Medical practice legal structures
C4 Dr Bronwyn Jenkins: neurologist
C2 & C13 Specialist AppointmentsC6 Medical EquipmentC7 & C8 LocumsC10 & C11 Overseas AppointmentsC15 Real Estate
The last frontier in medicine
www.mjacareers.com.au • Number 6 • 21 March 2011MJA Careers
C2
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www.mjacareers.com.au • Number 6 • 21 March 2011MJA Careers
C3
HOW a doctor structures his or her practice can affect profi ts, expenses, tax and legal liabilities.
It’s a seminal moment in a doctor’s life — when he or she leaves the salaried system of the hospital, as most do, and enters the world of fee-for-service in the private sector.
Before they make the leap, doctors should consider the kind of structure they are going to use to operate with, says John Wallis, partner at Sothertons Sydney Chartered Accountants.
These days, the choice in practice boils down to one of two options. Doctors can operate either as a sole trader, or through a trust, Wallis says.
Operating as a sole trader means operating as a small business person. The doctor receives income under his or her own name, and pays the practice expenses out of practice income. The doctor pays tax under the quarterly Pay As You Go (PAYG) instalment system and collects and pays goods and services tax, says Wallis.
A trust is a separate entity that the doctor sets up to receive the practice income. The trust employs the doctor and pays the doctor a wage, as well as paying associated PAYG withholding tax and superannuation contributions. A PAYG payment summary is issued to the doctor at year end. Income earned by the trust that isn’t paid out as salary must also be paid out to the doctor, as a benefi ciary of the trust.
A medical practice trust is usually a personal services income (PSI) trust, which must distribute income solely to the doctor. In very limited circumstances, the trust may fall outside the PSI rules and pay distributions to other benefi ciaries as well as the doctor.
For example, where the practice is earning additional business income,
a discretionary trust may be able to pay out some of that income to other benefi ciaries (ie, other than the doctor) on a discretionary basis. This may occur by employing other doctors or using the actual business structure (such as radiology equipment) to generate business income. But it’s important to seek specialist advice about this, Wallis stresses.
Melbourne accountant and lawyer Terry McMaster says he favours a trust structure because, as an employee of a trust, the doctor gets a much wider
range of tax benefi ts than as a sole trader.
For example, the doctor may get more generous deductions for a second practice vehicle and fewer
requirements for substantiating travel expenses as an employee of a trust. The downside of a trust, says Wallis, is that it is somewhat more expensive and time consuming to set up and administer. A sole trader needs to submit only a personal tax return to the Australian Taxation Offi ce (ATO) annually, whereas a doctor operating a trust must prepare a set of fi nancial accounts and send a tax return for the entity to the ATO as well.
What about a company? These days, a company is not often used to run a practice. Because it must pay company tax before it can pay out earned income, a company is less fl exible than a trust. For high-income earners, there is also a greater risk of exceeding payroll tax thresholds and being subject to an additional tax unnecessarily. In the past, a company had the advantage of more generous superannuation contributions, but sole traders and trusts now get the same superannuation concessions, says Wallis.
Group practices
What if the doctor works in a group practice? In effect, the doctor faces the same choice — sole trader or trust, says Wallis. Each doctor works for himself or herself, as either a sole trader or via a discretionary trust, but shares expenses
with other doctors. This is known as an associateship model, and the doctors are called associates.
Each doctor keeps individually generated income, and pays an agreed share of the costs of administration staff, power, telephone, use of consulting rooms, equipment, consumables, cleaning and other costs. Each doctor is responsible for personal costs, such as professional indemnity insurance, cars, registration fees, training and professional membership fees.
Each practitioner keeps separate patient records and accounting records. Each should have his or her own stationery and invoices, and each should ideally have separate legal and fi nancial advisors.
The associateship model has largely replaced the partnership, which is rarely used these days.
In a partnership, all the partners collectively own a single practice. Each partner receives a fi xed portion of the practice income and pays a fi xed proportion of expenses. The problem with a partnership is that each doctor is jointly liable for claims on the practice, so that if one partner is sued for medical malpractice, for example, all the other partners became liable. Also, there are frequently disputes when one partner complains about earning more than another partner, but both being paid the same. “Most partnerships end in disputes”, says Wallis.
Ultimately, the most suitable structure depends on the doctor’s individual circumstances, says McMaster. Whatever structure a doctor decides on, it is vital to seek independent legal advice from a solicitor and an accountant to make sure his or her interests are protected.
By Dr Peter Lavelle
Private Practice — WHICH LEGAL STRUCTURE?
Ultimately, the most suitable structure depends on the doctor’s individual circumstances
www.mjacareers.com.au • Number 6 • 21 March 2011MJA Careers
Dr Bronwyn Jenkins did her undergraduate training in medicine at the University of Newcastle. She did her advanced neurology training at the Royal North Shore and Westmead hospitals, with subspecialty training in stroke management. She currently works at Hornsby Hospital and in private rooms at Epping and St Leonards.
Q&A
When did you decide to become a neurologist?
What led you to the decision?
I knew I wanted to be a physician and gained
experience in many areas, with an additional
year of basic training to ensure I chose the
right fi eld. I had an epiphany at a lecture given
by Dr Ron Joffe, a senior neurologist at RNSH
on movement disorders; I was inspired by
his amazing clinical examples and videos of
patients. I decided that neurology was complex
and would challenge me for the next 50 years.
What attracts you about neurology? What aspects
of the job do you enjoy most?
There is still an art to eliciting all the signs in
patients with neurological disorders. It is very
rewarding to ascertain much of the information
from a careful history and examination. I enjoy
managing a wide range of patients.
Do you have a particular subspecialty interest
in neurology? Why this particular area?
I specialise in stroke and headache
management. In retrospect, these decisions
have probably been infl uenced by my
grandfather’s disabling aphasic stroke and my
own migraines which allow me a degree of
empathy for such patients (and their carers).
What do you think are the attributes that make a
good neurologist?
Patience! Neurological recovery after stroke
or other insults takes months to years. The
benefi ts of nerve stabilising medications are
usually measured in months. Most patients
come wanting a quick fi x and with a one-stop-
shop approach, but later realise that it will take
time as well as the right treatment. Neurologists
should be good at communicating (listening,
interpreting and relaying information) and
kind to patients. They should be motivated to
continue their self-education to keep up with
the constant stream of new information.
“There are not many cures in neurology.” Do you agree with this statement?
In the case of stroke, we need to encourage patients to present early to
increase thrombolysis (and potential cure) rates. I do agree that there are
many chronic, incurable diseases but they all still have management issues. It
makes a huge difference to patients if they can reduce their migraines by 50%
or improve and prolong their quality of life in neurodegenerative disorders.
Is it frustrating or rewarding to be treating patients with a chronic condition that
can be managed but not cured outright?
It is satisfying to treat people with chronic disease since there are still aspects
that can be improved in their illness. A long-term therapeutic alliance is also
established with the patients. It would, of course, be great to fi nd more cures!
Does it give you a degree of fl exibility … is it a suitable career for someone
with a family?
My current work is fl exible and rewarding. I start early and fi nish paperwork
late so I can pick up the kids from school 3–4 days a week. My current work
regimen is fantastic for the family and I feel I have the best of both worlds
much of the time. However, fulltime training with young babies was hard
and I hope that all specialties can increase their part-time options for trainees
while maintaining their standards. This is particularly important now that
many students are doing postgraduate work; placing female registrars even
more into their childbearing years.
How important are good diagnostic skills in this specialty?
Diagnostic skills are essential in neurology. Digital video is a useful tool
to communicate and remember clinical signs, in some rare conditions.
As with many other specialties, there is a shortage of neurologists, especially
in rural areas. What do you think should be done about the situation?
Having studied at Newcastle, I noted that rural students were more likely to
return to rural areas. Rural scholarships and other incentives are also helpful.
Specialty training opportunities should be increased at the Base Hospitals to
encourage trainees to lay down roots in rural areas. Telemedicine will also be
of increasing importance to provide support to patients and doctors alike.
If you weren’t a neurologist, what would you be?
An actuary … or barista. Somewhere along that wide spectrum!
What do you think the future holds for this specialty?
With such diverse and complex diseases, I think neurologists will
increasingly subspecialise. I hope we see some advances for progressive
neurodegenerative disease with prolonged presymptomatic stages that have
remained elusive to cures. Gene therapies are likely to be groundbreaking in
the disorders with known genetic aetiology. Whatever the case, I think I will
continue to be challenged for a long time to come. ■
MJA Careers profi les interesting and important jobs and the people who do them
C4
www.mjacareers.com.au • Number 6 • 21 March 2011MJA Careers
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www.mjacareers.com.au • Number 6 • 21 March 2011MJA Careers
effects and better patient outcomes.But because many conditions are chronic
and degenerative, empathy and good communication skills with patients are essential, as is the ability to work in a team since (particularly in large metropolitan centres) neurologists will often be part of a multidisciplinary team, working with radiologists, oncologists, rehabilitation specialists, neurosurgeons and others.
Most neurologists work predominantly in the private sector, says Professor Macdonell. Salaried hospital staff positions are uncommon. A mix of public and private visiting medical offi cer (VMO) work is the norm.
However, a hospital appointment isn’t necessary to practice as a neurologist, says Professor Macdonell. Most neurology patients are treated on an outpatient basis, in rooms, or outpatient clinics. It’s not uncommon for a neurology patient never to need inpatient services, he says.
But this mix of options makes neurology an attractive option for women with families. About a third of Australia’s approximately 500 neurologists are women.
TrainingTraining in neurology involves gaining entry into the Royal Australasian College of Physicians Fellowship Training Program.
Applicants can apply and enter in Postgraduate Year 2 or 3. They do 3 years of basic physician’s training, and then a written and clinical examination. They can then apply to do advanced training in neurology. About 30 new trainees gain acceptance each year. Advanced training involves 2 core years, spent in different hospitals with different groups of neurologists, and a year of training in an elective area, during which the trainees study a subspecialty. The most popular subspecialties, according to Professor Kiernan, are stroke (because of its common presentation), multiple sclerosis (because it so often affects young people and is treatable), neuromuscular conditions, and movement disorders. Alternatively, in the fi nal year, the trainees may do research, such as a relevant MD or PhD, or elect to work overseas.
It’s extremely unusual for a graduate not to get a VMO position, says Professor Kiernan.
However, Professor Macdonell says it’s easiest to get a VMO position in the private sector, especially in outer metropolitan and regional areas. Public hospital appointments come up less frequently than private hospital appointments as the former are signifi cantly underfunded, he says, resulting in an average waiting time of 6 months for a patient to see a neurologist in a public hospital.
Neurologists in private practice usually get a steady stream of referrals from general practitioners because so many conditions have a neurological component and GPs are often uncertain about the correct diagnosis.
After graduation, a career in academic research attracts many. Australia is internationally recognised in stroke medicine, epilepsy and across the spectrum of neurodegenerative disorders, including motor neurone disease, says Professor Kiernan. “Neurology research is well represented in terms of National Health and Medical Research Council funding allocations,” says Professor Macdonell.
By Dr Peter Lavelle
continued from page C1
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Peel Health Campus is a busy and expanding privately run peripheral emergency department located in the seaside city of Mandurah, servicing the Peel Region. We are looking to expand our team in the following positions:
Senior Medical OfficerRegistrarResident Medical Officer
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If you would like to join our expanding professional team working within a friendly, supportive environment please contact:
Dr Aled Williams – Director of Medical Services (08) 9531 8000Forward written applications to:
Samantha Larmour – Practice ManagerPeel Health Campus, 110 Lakes Road MANDURAH WA 6210
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MJA Careers
OVERSEAS APPOINTMENTS
The Hospital Authority is a statutory body established and financed by the Hong Kong Government to operate
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Resident Trainees and Specialist Doctors(Ref: H01101018)
The Hospital Authority (HA) invites both non-specialist and specialist doctors who are eligible for full registration with the Medical
Council of Hong Kong (MCHK) to consider joining the HA to pursue specialist training and/or serving the community of Hong Kong.
Pay
For doctors without any prior specialist training, the starting salary is AUD7,000* (approx) per month. Doctors who have successfully
acquired specialist qualification earn between AUD11,460* and AUD16,180* (approx) per month.
* The pay quoted includes Monthly Allowance and end-of-contract gratuity.
* Based on exchange rate: HK$7.95 = AUD1 (subject to fluctuation).
Job
1. To provide clinical and patient care related services.
2. To undergo specialist training in designated specialty (only applicable for Resident Trainees).
Requirements
1. Be eligible for full registration with the MCHK (http://www.mchk.org.hk) under the Medical Registration Ordinance, such as :-
Obtained a degree of medicine and surgery awarded by either i) The University of Hong Kong or ii) The Chinese University of
Hong Kong; or Passed the Licensing Examination of the MCHK.
2. Ability to effectively communicate with predominantly Cantonese-speaking local patients.
3. Fellow of the Hong Kong Academy of Medicine or equivalent and be registered in the Specialist Register in the relevant specia lty
of the MCHK (http://www.mchk.org.hk) (only applicable for Specialist positions).
Remarks
1. Salary to be offered will commensurate with relevant experience and qualification, if any, of the selected candidate.
2. Salaries tax in Hong Kong is charged at progressive rates of up to 17%, or standard rate of 15%, whichever is lower.
3. For Resident Trainee positions :
(a) Appointment will be on contract terms for a maximum period of 9 years pursuant to achievement of the recognized
professional examinations and satisfactory performance in the interim.
(b) Contract gratuity up to 15% of total basic salary will be released every 3 years subject to satisfactory performance.
(c) Application should be submitted online via http://www.ha.org.hk (click Careers) on or before 15 April 2011 (Friday).
(d) Short-listed applicants are expected to attend a selection interview and present the required qualifications for full registration
with the MCHK in late April to mid May 2011 in Hong Kong.
(e) Please visit the HA website at http://www.ha.org.hk/ho/resident.htm for details of the training program and available trainee posts.
4. For Specialist positions :
(a) Appointment will be on renewable contract terms from 1 to 3 years.
(b) Contract gratuity up to 15% of total basic salary will be released upon satisfactory completion of the contract.
(c) Recruitment of specialist doctors is conducted throughout the year (no application deadline). Specialist doctors who would
like to obtain further information are welcomed to send email to [email protected].
EnquiriesPlease call Ms Emily Chan, Manager (Medical Grade),
HA Head Office at 852 2300 6921 or send email to [email protected].
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VIERTEL CLINICAL INVESTIGATORS$60,000 for clinical researchers who have recently completed
their clinical and research training and who have been no more than 24 months in
their first definitive career post in Australia.Five awards are available.
Only Australian nationals or permanent residents are eligible for these awards.
Closing date-: 1 May 2011Further information is available from-:
The SecretaryViertel Medical Advisory Board
C/- PhilanthropyANZ Trustees Limited
GPO Box 389 MELBOURNE VIC 3001or Website: www.anz.com/anztrustees
Brian Smith Memorial Award 2011 – in association with The Cabrini Clinical Education & Research Unit
Applications are invited for the Award for the year 2011An award of $35,000 is available to facilitate research, including associated
travel by a practitioner actively pursuing professional development. As Brian Smith’s main surgical interests were disease of the colon and
rectum, the Committee of the Brian Smith Memorial Award will give preference to practitioners with a special interest in the applied anatomy,
physiology or pathology of the colon or rectum.Your application should include the following:
Applications to the Brian Smith Memorial Foundation ANZ Trustees, GPO Box 389, Melbourne VIC 3001 are to be received by April, 2011.
Successful applicants will be notified as soon as a decision has been made.For further information contact 1800 808 910
CONTRACT OFFICE LOCAL MEDICAL ASSOC. ADMINISTRATOR
This is a long established part time flexible position working from home, providing administrative support for the Kuring-gai District Medical Association and will become available from 1st January 2012. The list of duties and full details are available on the KDMA Home Page at www.kdma.com.au.
Please email CV and contact details to [email protected] Closing date for application is 30th April 2011.
MJA Careers
SPECIALIST APPOINTMENTS
If how you live is as important as how you work, you should be
talking to Peninsula Health.
Frankston Hospital
Emergency Department Consultant - FACEMSPermanent Full Time / Permanent Part Time
Peninsula Health is seeking an Emergency Department Consultant for an immediate start.
With the expanding local community, a new management structure and an outlook to a new Emergency Department, we are looking for your assistance.
Peninsula Health provides an extensive range of health services to the surrounding community and is located on Victoria’s beautiful Mornington Peninsula; only 30 minute drive from the CBD via the Eastlink.
Frankston Hospital is a major teaching and referral centre with over 360 beds. The Emergency Department has access to a comprehensive range of services on site. All of the major imaging modalities are available on site.
There are currently 9 consultants working in the Emergency Department which currently treats over 55,000 patients per annum, 35% of which are paediatrics. The admission rate is between 35 to 40%.
The department has a strong educational program and is accredited by ACEM for two years of Advanced Vocational training. Peninsula Health is affiliated with Monash University Medical School and its vision is to be recognised as an employer of choice and a leader in promoting and providing quality, innovative, coordinated and personalised health services.
Superior remuneration package commensurate with qualifications and experience is available for successful applicants.
Closes: 31/03/2011 Ref No: 10168
For full details, please visit:www.peninsulahealth.org.au
..It’s about balance
Winner - 2007 and 2009 Premier’s Award - Metropolitan Health Service of the Year
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Mr Yi Yuen (Ian) Wang - NEUROSURGEONwould like to announce the commencement of a new Neurosurgical
Practice in Victoria. This practice will specialise in Pituitary, Brain and Spine pathologies. Mr Wang has trained extensively in
endoscopic and minimally invasive surgery and will aim to provide these services. Main rooms are in Suite 31, Level 3, 141 Grey Street
with consulting rooms also at the Epworth Centre and the Epping Medical and Specialist Centre.
All appointments to,phone (03) 9939 7112 fax (03) 9939 7126 email [email protected]
ANNOUNCEMENTS
CARDIOLOGIST / ECHOCARDIOGRAPHY
Queensland Cardiology is a group of Cardiologists in private practice based in Brisbane.We are seeking a Cardiologist with expertise in echocardiography. The successful person would join the group as an associate with view to full partnership.The candidate will have completed the FRACP with at least one year post fellowship training in echocardiography. The candidate must be registered as a consultant Cardiologist within Australia.The candidate will be fully proficient in transthoracic, trans-oesophageal and exercise echocardiography. The successful person will be expected to work cooperatively with the other Cardiologists in the group, ensure that standards are maintained in echocardiography and supervise training of cardiac scientists (echocardiography).The successful candidate will be energetic with strong moral and ethical values and will have a significant role in expanding the group.Queensland Cardiology is a filly computerised practice with all patient records stored electronically. All echocardiographic records are archived on Prosolv.
RADIOLOGIST AVAILABLE
Exp. all modalities. No MRI orinterventional. Melbourne or
Sydney preferred.Please call 0487 198 673
MJA Marketplace
New Listings in the MJA BookShop http://shop.mja.com.au
MJABookShop
Examination Paediatrics, 4th EdThis text is designed to assist candidates to pass clinical examinations in paediatrics, particularly at postgraduate level. This 4th edition includes a detailed explanation of the attitudinal skills, body language, and motivation necessary to complete clinical examinations successfully.
MJA BookClub ABN 20 000 005 854 Locked Bag 3030, Strawberry Hills NSW 2012
Please send ........ copy(ies) of Substance Abuse Disorders @ $110.00*
and ........ copy(ies) of Examination Paediatrics @ $94.00* and ........ copy(ies) of Neuroanaesthesia @ $91.95* and ........ copy(ies) of On Call Paediatrics @ $74.95* and ........ copy(ies) of Avoiding Common Obstetrics and Gynecology Errors @ $53.90* and ........ copy(ies) of Clinical Skills in Psychiatric Treatment @ $99.95* and ........ copy(ies) of Manual of Simulation In Healthcare @ $110.00*
*Prices include GST. *Prices subject to change without notice. *E&OE. Offer available only while stocks last. *Plus Postage and Handling, $7.65 Australia (Overseas $9.95) for the first item and $3.50 for each additional item.
Neuroanaesthesia,This concise, accessible pocketbook includes information on the basic sciences relevant to the specialty; the general principles of neuroanaesthesia including preoperative assessment, management of the airway, positioning, temperature control, uid administration, analgesia, and postoperative care..
Clinical Skills in Psychiatric TreatmentThis practical and accessible text explores clinical skills that are increasingly assessed in training, postgraduate examinations, continuing professional development programs and reaccreditation appraisals.
Avoiding Common Obstetrics and Gynecology ErrorsThis pocketbook succinctly describes 154 errors commonly made in obstetrics and gynaecology in all clinical settings and gives practical, easy-to-remember tips for avoiding these errors. Each error is described in a short, clinically relevant vignette.
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MJABookShop
Substance Abuse Disorders: Evidence and ExperienceThis new title in the WPA series will inform psychiatrists, and other medical and mental health professionals about these disorders and their treatment and control in a clear and comprehensive volume. The book covers the three major areas - drugs, alcohol and tobacco. Each section comprises three chapters, one covering epidemiology (the extent and the nature of the problem), one on prevention, and one covering treatment and management.
On Call Paediatrics (with PDA)This text approaches a broad range of paediatric problems supported by clinical skills and steps to consider when approaching problems. The book covers acute and intensive care issues, medical and surgical problems, as well as traumatology.
Manual of Simulation In HealthcareThis book assists both novice and experienced workers in the eld to learn from established practitioners in medical simulation. It includes how to: establish a simulation and skills centre, nd the appropriate simulator, nd the right medical props, develop courses, teaching skill, problem-based learning.
AMA MemberStiudent
MJA Marketplace
HOLIDAY LETTINGLuxury, deep-water with jetty,
3-4 br home at Mooloolaba, few minutes’ walk from surf and esplanade, for holiday letting.
Visit www.culbaramooloolaba.com for further information.
REAL ESTATE
MEDICAL PREMISES/PROPERTY (D.A APPROVED)BLACKTOWN
AUCTIONON-SITE
9th APRIL 2011 AT 10AM
MOTIVATED VENDOR!46 NEWTON ROAD, BLACKTOWN.NSW. 2148
DOCTORS SURGERY (D.A APPROVED) CLAD HOME, LAND SIZE, 851.1SQM
CORNER POSITION MINUTES WALK TO CBD and STATIONPOSSIBLE FUTURE DEVELOPMENT SITE LAND 851.1SQM
OFF STREET PARKING FOR 10 CARSRECEPTION and PATIENTS WAITING ROOM
2 CONSULTING ROOMS,SURGERY + 2 RECOVERY ROOMS
KITCHEN, 2 BATHROOMS WITH 2 TOILETS, A STORAGE ROOM & OFFICE
INSPECT EVERY SATURDAY 1PM-1.30PM.
10% DEPOSIT ON FALL OF HAMMER.
AUCTION: On Site 9th April 2011 at 10am
CONTACT SALES AGENT: GINA HAYES 0406 134 249.CENTURY 21 CARROLL COMBINED
42 FLUSHCOMBE ROAD, BLACKTOWN NSW 2148PHONE: 029621 8000
EMAIL: [email protected]
HOLIDAYS / LIFESTYLE
HOLIDAY LETTINGSmiths Lake, NSW
Spectacular lake and ocean views from this newly built house. Close to the pristine ocean beaches in the Pacific
Palms area, easy walk to Smiths Lake. 3½ hours from Sydney.
Sleeps 6-8. Visit www.aquariusholidays.com
for further information. -Panoramic views -central Noosa -2 minutes to everything -lap pool-3 bed/4 bathroom/double lock up garage
-European design and appliances -built in Bose sound system-Airconditioned -auction on site 2pm 2nd April, 2011
-contact Sam 0412 585 494www.dowlingneylan.com.au/html/for-sale/35/887/noosa-heads
SERVICES
Digital Voice Recorder provided
www.meditype.com.au
Medical suite for rent, Macquarie Street, SydneyOpposite State Library, panoramic views, level 9 modern consulting suite
available 3 days or 6 sessions/week (individual or multiple sessions). Office/waiting room, compactus and medical equipment; $120.00 per session.
Contact Dr Peter Kendall: 02 9949 8800 or [email protected]
CONSULTING ROOMS: SUITES & SESSIONS