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Built-in robots a key feature of new system at Liverpool Laboratory

Built-in robots a key feature of new system at Liverpool Laboratory

NSW Health Pathology’s Liverpool laboratory is getting a major upgrade with the arrival of the brand new state-of-the-art laboratory automation system.

A brand new pathol­o­gy depart­ment at Liv­er­pool Hos­pi­tal is near­ing com­ple­tion as part of the Liv­er­pool Health and Aca­d­e­m­ic Precinct – a $790 mil­lion rede­vel­op­ment of Liv­er­pool Hos­pi­tal and a new edu­ca­tion and research hub.

Dr Michael Maley, Local Pathol­o­gy Direc­tor – South West­ern Syd­ney said this was a fan­tas­tic mile­stone worth celebrating.

“Our micro­bi­ol­o­gy team are excit­ed to work in the new lab­o­ra­to­ry – it’s been many years in the plan­ning, and they look for­ward to imple­ment­ing new work­flows as we con­fig­ure and opti­mise the automa­tion instruments.

We hope to com­bine the ben­e­fits of automa­tion with the ben­e­fits of Fusion, which will deliv­er our statewide lab­o­ra­to­ry infor­ma­tion sys­tem. All of these excit­ing devel­op­ments will improve patient out­comes, dri­ve effi­cien­cy, and deliv­er greater sat­is­fac­tion for our hard-work­ing lab­o­ra­to­ry staff”, Dr Maley said.

NSW Health Pathology’s Senior Oper­a­tions Man­ag­er South West­ern Syd­ney, Parth Nana­vati said the inte­grat­ed mul­ti­dis­ci­pli­nary lab­o­ra­to­ry has been built to meet the com­mu­ni­ty’s needs using next-gen­er­a­tion automa­tion and robot­ic technology.

An image of a blue and white lab machine
The high-tech lab­o­ra­to­ry automa­tion sys­tem installed at the new Liv­er­pool pathol­o­gy laboratory.

“The world-class lab­o­ra­to­ry oper­ates 24 hours a day, sev­en days a week and is cru­cial to detect­ing, diag­nos­ing, treat­ing dis­ease and man­ag­ing long-term health con­di­tions,” Parth said.

“The new NSW Health Pathol­o­gy lab at Liv­er­pool Hos­pi­tal will ser­vice a grow­ing pop­u­la­tion in South West­ern Syd­ney, so it needs equip­ment that can deliv­er high-qual­i­ty results for patients and meet increased vol­umes of micro­bi­ol­o­gy diag­nos­tic testing.”

Liv­er­pool Micro­bi­ol­o­gy is an extreme­ly busy depart­ment and the vol­ume of test­ing is ris­ing. In the finan­cial year 2018/19, the micro­bi­ol­o­gy team processed 203,181 sam­ples and dur­ing 2023/24 that increased to 283,203 samples.

“With grow­ing demands on micro­bi­ol­o­gy ser­vices, there is a tremen­dous need for inno­v­a­tive solu­tions to deliv­er time­ly and accu­rate results for a range of infec­tious dis­eases,” Parth said.

The new sys­tem ful­ly auto­mates bac­te­r­i­al cul­ture inves­ti­ga­tion into patient spec­i­mens, work­ing to trans­form lab­o­ra­to­ry oper­a­tions and min­imis­ing time between load­ing the sam­ple and incu­ba­tion of cultures.

“It allows pathol­o­gists, sci­en­tists and tech­ni­cal offi­cers to work seam­less­ly through auto­mat­ed work­flows from plate labelling to inoc­u­la­tion, incu­ba­tion, imag­ing, cul­ture read­ing and results report­ing,” Parth said.

Two men standing in a high-tech laboratory.
Dr Michael Maley and Parth Nana­vati in the lab.

It has a robot­ic track sys­tem which allows plates to trav­el through the sys­tem at a faster rate and acquires up to 22 images of each plate with a high res­o­lu­tion 25-megapix­el cam­era for advanced image qual­i­ty. This pro­vides detail not vis­i­ble to the human eye.

These enhance­ments will allow effi­cient and improved work­flows and enable sci­en­tif­ic and tech­ni­cal staff to per­form oth­er tasks, such as in-depth result review, tech­ni­cal data analy­sis, qual­i­ty con­trol mon­i­tor­ing, trou­bleshoot­ing and the abil­i­ty to remote­ly read cultures.

The impor­tance of hav­ing state-of-the-art lab infra­struc­ture was evi­dent through­out the COVID-19 pan­dem­ic and is a key enabler for the health system’s readi­ness and pre­pared­ness to respond to future pandemics.

The team is set­ting its sights on an envi­ron­men­tal­ly sus­tain­able future, by invest­ing in tech­nolo­gies that reduce ener­gy con­sump­tion and emis­sions and con­tribute to NSW Heath get­ting to net zero.

“The new lab automa­tion sys­tem will help us achieve this green vision because it has a small­er foot­print, uses less pow­er through ener­gy effi­cient prac­tices. With few­er mov­ing parts, we are using less elec­tric­i­ty and have a more effi­cient trans­porta­tion of the plates around the system.

“Pathol­o­gy is an essen­tial sup­port ser­vice for the Liv­er­pool Hos­pi­tal and the upgrade of pathol­o­gy ser­vices is com­ing at a cru­cial time for the hos­pi­tal. NSW Health Pathol­o­gy is proud to be embrac­ing new tech­nolo­gies and set­ting the bench­mark in patient care for South West­ern Syd­ney com­mu­ni­ties, and the peo­ple of NSW,” Parth said.

End of an era – Dr Stephen Braye steps down after four decades of service

NSW Health Pathology’s Chief Medical Information Officer is retiring, leaving behind a remarkable legacy of leadership.

NSW Health Pathology’s Chief Exec­u­tive Vanes­sa Janis­sen thanked Dr Braye for his years of service.

“It’s with mixed emo­tions of grat­i­tude and sad­ness that we farewell Stephen Braye,” she said.

“He has played a piv­otal role in NSW Health and NSW Health Pathol­o­gy, help­ing to shape clin­i­cal ser­vices and dig­i­tal initiatives.”

Stephen’s career has seen him work across many of NSW Health Pathology’s major lab­o­ra­to­ries, including:

  • Prince Hen­ry and Prince of Wales where he com­menced his train­ing as a Reg­is­trar in Anatom­i­cal Pathol­o­gy and sub­se­quent­ly as Senior Lecturer/Accredited Spe­cial­ist in Anatom­i­cal Pathol­o­gy for UNSW
  • ICPMR West­mead where in 1988 he was appoint­ed as Staff Specialist/Lecturer in Anatom­i­cal Pathology
  • John Hunter from 1990 join­ing the Anatom­i­cal Pathol­o­gy Depart­ment and the Uni­ver­si­ty of New­cas­tle Med­ical School as a Senior Lec­tur­er, a post he held to 2017.

Stephen has main­tained a pas­sion­ate inter­est in Cytol­ogy through­out his career, includ­ing sup­port­ing and devel­op­ing the Depart­ment of Cytol­ogy at the John Hunter Laboratory.

His areas of spe­cial inter­est encom­passed head and neck, thy­roid and breast cytol­ogy. His exper­tise in breast cytol­ogy led to his appoint­ment as the Accred­it­ed Des­ig­nat­ed Pathol­o­gist for Breast Screen NSW, New­cas­tle dur­ing the years 2000 – 2017.

He has held many roles in the Hunter area, includ­ing Senior Staff Spe­cial­ist, Direc­tor of Anatom­i­cal Pathol­o­gy, Assis­tant Direc­tor and, in 2011, he was appoint­ed as Net­work Direc­tor of Pathol­o­gy North. In this capac­i­ty Stephen was a foun­da­tion­al exec­u­tive in the for­ma­tion of NSW Health Pathol­o­gy in 2012. He was lat­er appoint­ed the organisation’s Exec­u­tive Direc­tor of Clin­i­cal Ser­vices and then took on the role of Chief Med­ical Infor­ma­tion Offi­cer and Direc­tor of Statewide Clin­i­cal Services.

From Jan­u­ary 2020, Stephen also led our COVID-19 response as Inci­dent Man­age­ment Con­troller pro­vid­ing guid­ance to NSW Health Pathol­o­gy and the Min­istry of Health.

Stephen says he con­sid­ers the work done dur­ing the ear­ly days of the pan­dem­ic to be some of the most reward­ing of his career.

“You’d like to say it was painful and mis­er­able, and debil­i­tat­ing, but it was none of those things, it was actu­al­ly very, very excit­ing,” he said.

“As a team we were engaged and coop­er­a­tive – it was tru­ly ener­gis­ing. One of the best expe­ri­ences of my work­ing life was work­ing with a team so incred­i­bly focused on deliv­er­ing real, tan­gi­ble and vis­i­ble out­comes for the community.

“I think I would have been absolute­ly mis­er­able if I’d retired five years ear­li­er and missed the oppor­tu­ni­ty of being engaged in NSW Health Pathology’s response to COVID-19.”

A man smiling in front of  a pink background.
Stephen Braye led NSW Health Pathol­o­gy’s COVID pan­dem­ic response and says it was some of the most reward­ing work of his career.

Ms Janis­sen acknowl­edged Stephen’s gen­eros­i­ty and com­mit­ment to sup­port­ing oth­er staff at NSW health Pathol­o­gy, through staff devel­op­ment work­shops, plan­ning days, organ­i­sa­tion­al lead­er­ship, and spon­sor­ing many valu­able edu­ca­tion­al opportunities.

“I would like to thank Stephen for his excep­tion­al ser­vice, pro­fes­sion­al­ism and ded­i­ca­tion to NSW Health Pathol­o­gy. We wish him all the best as he steps into what is sure to be a busy and ful­fill­ing retirement.”

Stephen will be fea­tured on the offi­cial NSW Health Pathol­o­gy pod­cast, Pathol­o­gy Speak­ing, in the spe­cial COVID episode. You can check out the pod­cast page on our web­site so you don’t miss an episode. It’s also avail­able here on Spo­ti­fy or wher­ev­er you get your podcasts.

Interested in all things pathology? We’ve got a podcast for that!

NSW Health Pathology has launched its own podcast – Pathologically Speaking. It’s where you’ll meet some of the best and brightest people working behind the scenes to protect and enhance the health, safety and wellbeing of our communities at all stages of life.

We are releas­ing new episodes each week and we take some deep dives into some fas­ci­nat­ing topics.

We talk foren­sics, genet­ics, pan­demics, and delve into some of our organisation’s most inter­est­ing backstories.

Your host, Liz Far­quhar, chats to a fan­tas­tic line up of guests about their roles at NSW Health Pathol­o­gy, their back­ground, inter­est­ing sto­ries of their job, dis­cov­er­ies, break­throughs, career tips, per­son­al and pro­fes­sion­al tri­umphs and hur­dles, and the pow­er of curios­i­ty when find­ing the answers that mat­ter to people.

Liz worked as a jour­nal­ist with the ABC for more than 27 years before join­ing NSW Health Pathol­o­gy in 2022 as the media rela­tions manager.

Artwork for the Pathologically Speaking podcast featuring a purple microphone.
Patho­log­i­cal­ly Speak­ing brings you the sto­ries of the peo­ple at NSW Health Pathology.

“I knew soon after arriv­ing here that this was the per­fect place to launch a pod­cast,” Liz said.

“There is so much incred­i­ble work going on through­out the organ­i­sa­tion, sto­ries that very rarely get told and this was a chance to bring some of that work and the amaz­ing peo­ple behind it into the spot­light,” she said.

“A lot of peo­ple in pathol­o­gy are used to work­ing behind the scenes, but the work they do plays such a vital role in keep­ing us all safe and healthy as a com­mu­ni­ty, I’m so grate­ful they’ve tak­en the time to step out of the lab and the office to share their stories.

“The pod­cast is about let­ting peo­ple know how vital pathol­o­gy ser­vices are, things you may not even realise are being done in the lab­o­ra­to­ry of your local hospital.”

A man in a lab coat smiles, with a microscope and image of a virus on a computer monitor in the background.
Virol­o­gist and pub­lic health physi­cian, Prof Dominic Dwyer.

In the first episode Liz talks to Pro­fes­sor Dominic Dwyer, a world-renowned med­ical virol­o­gist and pub­lic health physi­cian about his extra­or­di­nary career span­ning more than four decades and ded­i­cat­ed to research­ing, diag­nos­ing and treat­ing infec­tious diseases.

He became the pub­lic face of pathol­o­gy ser­vices dur­ing the COVID-19 pan­dem­ic and was the only Aus­tralian select­ed by the WHO to trav­el to Chi­na to inves­ti­gate the ori­gins of the virus.

Prof Dwyer reveals what he con­sid­ers his most reward­ing work and how work­ing in west­ern Syd­ney changed his per­spec­tive on pub­lic health.

A woman wearing full PPE stands in a laboratory.
Dr Sairi­ta Maistry, Senior Foren­sic Pathol­o­gist at NSW Health Pathology.

Next, Liz inter­views Senior Foren­sic Pathol­o­gist Dr Sairi­ta Maistry about what drew her to foren­sic pathol­o­gy as a young woman grow­ing up in South Africa, and why she rec­om­mends med­ical stu­dents take time to con­sid­er foren­sic pathol­o­gy as a career pathway.

Dr Maistry describes how NSW Health Pathology’s Foren­sic Med­i­cine Ser­vice oper­ates with­in the Coro­nial sys­tem, pro­vid­ing answers when there is an unex­pect­ed or unex­plained death referred to the Coroner.

A woman sits a desk with a microphone.
Sarah Dim­mock talks about how blood dona­tions get to patients at New­castle’s John Hunter Hospital.

Then we take you into the blood trans­fu­sion lab at Newcastle’s John Hunter Hos­pi­tal. Liz sits down with Kami­laroi woman and Senior Med­ical Lab­o­ra­to­ry Sci­en­tist in charge of Blood Trans­fu­sion, Sarah Dimmock.

Sarah explains what hap­pens to the pre­cious blood dona­tions that arrive dai­ly in our major hos­pi­tals, how we deter­mine whether the blood will match each patient, and the extra­or­di­nary work that goes into ensur­ing that it’s ready when it’s need­ed most – and we don’t waste a drop.

And that’s just the start.

We also speak to renowned melanoma expert and joint Aus­tralian of the Year, pathol­o­gist Richard Scoly­er about his ground­break­ing work in the treat­ment of the dead­liest form of skin can­cer and his own bat­tle to beat brain cancer.

Med­ical ento­mol­o­gist and mozzie expert Cameron Webb explains how the Syd­ney Olympics played a cru­cial role in deter­min­ing his career path and reveals a secret tal­ent for cre­at­ing music.

We find out what being an authen­tic leader means to our Chief Exec­u­tive Vanes­sa Janissen.

We’ll also bring you the incred­i­ble sto­ries of what went on at Australia’s largest pub­lic pathol­o­gy ser­vice dur­ing the COVID pan­dem­ic and the lat­est on genomics and pre­ci­sion, per­son­alised can­cer treatment.

Patho­log­i­cal­ly Speak­ing is avail­able on Spo­ti­fy, YouTube, Apple Pod­casts, and iHeartRa­dio and you can find the lat­est episodes here.

What is ‘sloth fever’? And how can I avoid it when travelling to South America?

International authorities are issuing warnings about “sloth fever”. Despite the name, it’s not contracted via contact with sloths. Rather, you should avoid contact with mosquitoes and biting midges.

So how can Aus­tralians pro­tect them­selves from sloth fever when trav­el­ling to South and Cen­tral Amer­i­ca? And how does “sloth fever” com­pare with oth­er mos­qui­to-borne dis­eases, such as Zika?

Sloth fever is caused by Oropouche virus and is for­mal­ly known as Oropouche virus dis­ease or Oropouche fever.

The virus is an orthobun­yavirus. So it’s from a dif­fer­ent fam­i­ly of virus­es to the fla­vivirus­es (which includes dengue, Japan­ese encephali­tis and Mur­ray Val­ley encephali­tis virus­es) and alphavirus­es (chikun­gun­ya, Ross Riv­er and Barmah For­est viruses).

Oropouche virus was first iden­ti­fied in 1955. It takes its name from a vil­lage in Trinidad and Toba­go, where the per­son who it was first iso­lat­ed from lived.

Symp­toms include fever, severe headache, chills, mus­cle aches, joint pain, nau­sea, vom­it­ing and a rash. This makes it dif­fi­cult to dis­tin­guish it from oth­er viral infec­tions. Around 60% of peo­ple infect­ed with the virus become ill.

There is no spe­cif­ic treat­ment and most peo­ple recov­er in less than one month.

How­ev­er, seri­ous symp­toms, includ­ing encephali­tis and menin­gi­tis (inflam­ma­tion of the brain and mem­branes sur­round­ing the brain and spinal cord) have occa­sion­al­ly been reported.

What’s happening with this latest outbreak?

In July, the Pan Amer­i­can Health Orga­ni­za­tion issued a warn­ing after two women from north­east­ern Brazil died fol­low­ing infec­tion with Oropouche virus, the first fatal­i­ties linked to this virus.

There has also been one fetal death, one mis­car­riage and four cas­es of new­borns with micro­cephaly, a con­di­tion char­ac­terised by an abnor­mal­ly small head, where infec­tion dur­ing preg­nan­cy occurred. The sit­u­a­tion is rem­i­nis­cent of the Zika out­break in 2015–16.

Oropouche had his­tor­i­cal­ly been a sig­nif­i­cant con­cern in the Amer­i­c­as. How­ev­er, the ill­ness had slipped in impor­tance fol­low­ing suc­ces­sive out­breaks of chikun­gun­ya and Zika from 2013 to 2016, and more recent­ly, dengue.

How is Oropouche virus spread?

Oropouche virus has not been well stud­ied com­pared to oth­er insect-borne pathogens. We still don’t ful­ly under­stand how the virus spreads.

The virus is pri­mar­i­ly trans­mit­ted by blood-feed­ing insects, par­tic­u­lar­ly bit­ing midges (espe­cial­ly Culi­coides paraen­sis) and mos­qui­toes (poten­tial­ly a num­ber of Aedes, Coquil­let­tidia, and Culex species).

We think the virus cir­cu­lates in forest­ed areas with non-human pri­mates, sloths and birds as the main sus­pect­ed hosts. Dur­ing urban out­breaks, humans are car­ry­ing the virus and blood-feed­ing insects then go on to infect oth­er people.

The involve­ment of bit­ing midges (blood suck­ing insects mis­tak­en­ly known as “sand­flies” in Aus­tralia) makes the trans­mis­sion cycle of Oropouche virus a lit­tle dif­fer­ent to those only spread by mos­qui­toes. The types of insects spread­ing the virus may also dif­fer between forest­ed and urban areas.

A close up shot of small brown insects.
Bit­ing midges are much small­er than mos­qui­toes but can still spread pathogens such as Oropouche virus. A/Prof Cameron Webb (NSW Health Pathology)

 

Why is Oropouche virus on the rise?

The Unit­ed States Cen­tres for Dis­ease Con­trol and Pre­ven­tion (CDC) recent­ly issued a warn­ing about ris­ing cas­es of Oropouche in the Amer­i­c­as. Cas­es are ris­ing out­side areas where it was pre­vi­ous­ly found, such as the Ama­zon basin, which has author­i­ties concerned.

More than 8,000 cas­es of dis­ease have been report­ed from coun­tries includ­ing Brazil, Bolivia, Peru, Colom­bia and Cuba.

Cas­es of trav­ellers acquir­ing infec­tion in Cuba and Brazil have been report­ed on return to Europe and North Amer­i­ca, respec­tive­ly.

While a chang­ing cli­mate, defor­esta­tion and increased move­ment of peo­ple may part­ly explain the increase and geo­graph­ic spread of the virus, some­thing more may be at play.

Oropouche virus appears to have a greater poten­tial for genom­ic reas­sort­ment. This means the evo­lu­tion of the virus may hap­pen faster than oth­er virus­es, poten­tial­ly lead­ing to more sig­nif­i­cant dis­ease or increased transmissibility.

Oth­er types of orthobun­yavirus­es have been shown to under­go genet­ic changes to result in more severe dis­ease.

Should Australia be concerned?

With­out more defin­i­tive infor­ma­tion about the role of local bit­ing midges and mos­qui­toes in Oropouche virus spread, it is dif­fi­cult to assess how great the risk is to Australia.

The risk of an infect­ed trav­eller bring­ing the virus to Aus­tralia is low. Very few cas­es of Zika were report­ed in trav­ellers from South or Cen­tral Amer­i­ca return­ing to Aus­tralia. Dengue is rarely report­ed from those trav­ellers either.

The bit­ing midges most impor­tant to the spread of the virus in the Amer­i­c­as are not present in Australia.

While the risks are low, author­i­ties need to be aware of poten­tial­ly infect­ed trav­ellers return­ing from South and Cen­tral Amer­i­ca and to have appro­pri­ate test­ing pro­to­cols to iden­ti­fy infection.

Aus­tralia has its own local orthobun­yavirus­es and while these are known to infect peo­ple, the health risks are con­sid­ered low.

What can travellers do to protect themselves?

There are no vac­cines or spe­cif­ic treat­ments avail­able for Oropouche virus.

If you’re trav­el­ling to coun­tries in South and Cen­tral Amer­i­ca, take steps to avoid mos­qui­to and bit­ing midge bites.

Mos­qui­to repel­lents con­tain­ing diethy­tolu­amide (DEET), picaridin and oil of lemon euca­lyp­tus have been shown to be effec­tive in reduc­ing mos­qui­to bites, and are expect­ed to work against bit­ing midge bites too.

Wear­ing long-sleeved shirts, long pants and cov­ered shoes will fur­ther reduce the risk.

Sleep­ing and rest­ing under insec­ti­cide-treat­ed mos­qui­to bed nets will help, but much fin­er mesh nets are required as bit­ing midges are much small­er than mosquitoes.

Although no spe­cif­ic warn­ings have been issued by Aus­tralian author­i­ties, the CDC and Euro­pean Cen­tre for Dis­ease Pre­ven­tion and Con­trol have warned that preg­nant trav­ellers should dis­cuss trav­el plans and poten­tial risks with their health-care professional.The Conversation

Cameron Webb, Clin­i­cal Asso­ciate Pro­fes­sor and Prin­ci­pal Hos­pi­tal Sci­en­tist, Uni­ver­si­ty of Syd­ney and Andrew van den Hurk, Med­ical Ento­mol­o­gist, The Uni­ver­si­ty of Queensland

This arti­cle is repub­lished from The Con­ver­sa­tion under a Cre­ative Com­mons license. Read the orig­i­nal arti­cle.

NSW Skills Minister meets our new trainees

The NSW Minister for Skills, TAFE and Tertiary Education Steve Whan visited our pathology laboratory at Royal North Shore Hospital during Skills Week 2024, where he announced a second round of government traineeships and apprenticeships.

As part of Skills Week cel­e­bra­tions this year, NSW Health Pathol­o­gy Chief Exec­u­tive Vanes­sa Janis­sen showed the Min­is­ter around our lab­o­ra­to­ry at Roy­al North Shore Hos­pi­tal (RNSH) where he met four of our new trainees and talked about how their trainee­ships are going.

In June 2024 NSW Health Pathol­o­gy wel­comed 21 new trainees under the first round of the state government’s 1,000 NSW Pub­lic Sec­tor Appren­tices and Trainees Program.

The intake tar­get­ed dis­ad­van­taged and mar­gin­alised com­mu­ni­ties, includ­ing peo­ple with dis­abil­i­ties and First Nations people.

Our Direc­tor of Peo­ple and Cul­ture Dr Dean­na Paulin explains how this con­nects to our Peo­ple Strategy.

“We know that our peo­ple are their best when they feel like they belong. These trainee­ships are one of our key ini­tia­tives under our Peo­ple Strat­e­gy Pri­or­i­ty Out­come 6: Reflect­ing the diverse com­mu­ni­ties we serve,” she said.

“We are very excit­ed to sup­port our trainees who come from a broad range of back­grounds to have a reward­ing career in Health when they may not oth­er­wise get an oppor­tu­ni­ty to work.”

Trainees Richard Ruther­ford and Jaime Reyes are both based at the Roy­al North Shore Hos­pi­tal pathol­o­gy lab. Richard works at Cen­tral Spec­i­men Recep­tion and Jaime in Collections.

In Cen­tral Spec­i­men Recep­tion, all the pathol­o­gy spec­i­mens at the hos­pi­tal are sent through to the team for sort­ing and iden­ti­fi­ca­tion, data entry and dis­tri­b­u­tion to oth­er pathol­o­gy test­ing areas. In Col­lec­tions, our phle­botomists or col­lec­tors, per­form venepunc­ture col­lec­tions for a wide range of patients and pre­pare spec­i­mens for stor­age and trans­porta­tion to dif­fer­ent test­ing laboratories.

Richard lives with sev­er­al invis­i­ble dis­abil­i­ties that have proved chal­leng­ing while look­ing for employment.

He says the trainee­ship has giv­en him his first chance at some work experience.

“This is the first job I’ve had, and it’s been an eye-open­ing expe­ri­ence,” he said.

“I didn’t think I had the abil­i­ty to hold down a job before, but it’s giv­en me rou­tine and the con­fi­dence to know that I can han­dle the work. It’s only been a cou­ple of months, but I’ve proven to myself that I can do it.

“I absolute­ly love the team I am work­ing with here at Cen­tral Spec­i­men Recep­tion at NSW Health Pathol­o­gy at Roy­al North Shore Hos­pi­tal. They have been very wel­com­ing and sup­port­ive. My boss and a few of the peo­ple I work with in the lab have already offered to help me if I am strug­gling with my TAFE stud­ies, so that has also been a great con­fi­dence boost.”

A young man wearing a blue health uniform enters information into a robotic delivery system, while a man wearing a suit watches on.
Richard Ruther­ford shows the Min­is­ter how to oper­ate our spec­i­men deliv­ery robot.

For Jaime in Col­lec­tions, it’s been a chance to learn more about what blood col­lec­tors do.

“Pri­or to work­ing here as a trainee, my only knowl­edge of what blood col­lec­tors did was that they col­lect­ed blood for my local GP. I am now learn­ing there is a lot more to the job, but essen­tial­ly, it’s about work­ing with peo­ple and mak­ing sure they feel comfortable.”

Jaime also lives with an invis­i­ble disability.

“Through­out my time work­ing in casu­al jobs, I devel­oped a fear of telling peo­ple about my dis­abil­i­ty,” Jaime explains.

“I felt like I was a bur­den, risk­ing my employ­ment if I said anything.

“I under­stood that this job was very peo­ple-cen­tred and that was some­thing that strong­ly aligned with my own aspi­ra­tions to work with people.

“To be able to build rela­tion­ships where peo­ple could see me as some­one who was empa­thet­ic and helped them through get­ting their blood col­lec­tion done, this was some­one that I want­ed to be.”

A man in a suit speaks to three young health trainees.
Min­is­ter Whan speaks to NSW Health Pathol­o­gy trainees Ernest Brinas, Mari­am Wadie and Jaime Reyes.

Ernest Brinas is work­ing in our Cen­tral Spec­i­men team at West­mead Hos­pi­tal in Sydney’s west and sees the trainee­ship as an impor­tant step­ping stone in his career.

“I was hit by a car when I was 9 years old and have a trau­mat­ic brain injury that means I have trou­ble with body func­tion on my left side. I find it hard to stand or walk for long peri­ods of time,” he said.

“This has made it hard to hold down a job. This is the first job I’ve seen adver­tised where peo­ple with dis­abil­i­ties were encour­aged to apply and I’m real­ly grate­ful this oppor­tu­ni­ty has come along.

“This trainee­ship has been great because I am able to sit and work at a com­put­er doing data entry for most of the time. The team at West­mead lab­o­ra­to­ry are very sup­port­ive and friend­ly and I am very hap­py to be work­ing in pathology.”

A woman in a suit points at laboratory equipment while a man and a woman stand nearby.
Vanes­sa Janis­sen (right) and Senior Oper­a­tions Man­ag­er Cather­ine Atkins show the Min­is­ter through the NSW Health Pathol­o­gy lab­o­ra­to­ry at Roy­al North Shore Hospital.

Mari­am Wadie is based at NSW Health Pathology’s Foren­sic Med­i­cine Ser­vice at Lid­combe com­plet­ing a trainee­ship in Health Admin­is­tra­tion. Mariam’s role includes work­ing at recep­tion at the Foren­sic Med­i­cine and Coro­ners Court Com­plex at Lid­combe, where she assists fam­i­lies who are attend­ing to view their loved one.

She says the expe­ri­ence has encour­aged her to fur­ther her studies.

“This trainee­ship helps me expand on exist­ing skills obtained from pre­vi­ous work expe­ri­ence and opens doors of oppor­tu­ni­ty as it is an entry into dif­fer­ent career paths,” Mari­am said.

“Whilst work­ing at Foren­sic Med­i­cine, par­tic­u­lar­ly as a recep­tion­ist, I have gained the con­fi­dence to make and answer phone calls and deal with dif­fer­ent types of peo­ple, which is a skill I did not have pri­or to this traineeship.

“I’ve been inspired by the amaz­ing Foren­sic Med­i­cine Social Work team in their approach and deal­ing with dis­tressed fam­i­lies. They are a great help and sup­port to those in need and in see­ing their work, I am inspired to be able to pro­vide that same sup­port for fam­i­lies. I can see myself tak­ing on the study of social work.”

NSW Health Pathol­o­gy is excit­ed to be help­ing to kick­start the careers of these incred­i­ble young peo­ple and our oth­er 17 trainees work­ing at our sites across the state and we’re look­ing for­ward to wel­com­ing a new cohort of trainees in the near future.

Four young trainees stand in a laboratory.
(L‑R) Trainees Jaime Reyes, Mari­am Wadie, Ernest Brinas and Richard Rutherford.

Getting to know the next generation of pathologists – our regional registrars

Meet Dr Supriya Pradhan who has been working at the Coffs Harbour Anatomical Pathology laboratory since early 2024.

“It was just by chance that I got into pathol­o­gy,” Supriya admits. “I worked in a can­cer reg­istry in India, and that real­ly piqued my inter­est in the subject.

“I enjoy the process of look­ing at slides and putting all the pieces togeth­er to come to a diag­no­sis. I’m work­ing in the back­ground but still a part of a patient’s journey.”

Supriya moved to Aus­tralia from India in 2018, hav­ing fin­ished med­ical school there in 2008.

“I feel real­ly lucky and priv­i­leged to be doing this work and that I get to visu­alise what is under­neath the sur­face, the cells of body and the many vari­eties of dis­ease process­es that can affect them,” she says.

“I see and learn so many new and inter­est­ing things every day. Pathol­o­gy is not just a ‘bor­ing desk job’ as peo­ple some­times assume.

“I worked with a stu­dent here in the lab the oth­er day and she was fas­ci­nat­ed with the work we do, because as med­ical stu­dents we look at slides, but we don’t always know much about the process that led up to that slide being under the microscope.”

Supriya says in her spare time, she enjoys being in nature and loves solv­ing puz­zles and read­ing mys­ter­ies and detec­tive novels.

“I think that’s part of why I was attract­ed to work­ing in pathol­o­gy. It’s all about work­ing out what is going on with a patient and solv­ing that puzzle.”

A laboratory filled with equipment and two people wearing lab coats.
The Coffs Har­bour lab­o­ra­to­ry pro­vides vital pathol­o­gy ser­vices for the wider mid north coast region and beyond.

Supriya says she is enjoy­ing work­ing in the recent­ly refur­bished Anatom­i­cal Pathol­o­gy lab­o­ra­to­ry at Coffs Har­bour.

“Hav­ing grown up in a small Himalayan town in India with­in a close-knit com­mu­ni­ty, I always enjoy work­ing in region­al set­tings, where I feel my work has a larg­er and direct impact on the health ser­vices pro­vid­ed to patients.

Dr Kate Osborne is the oth­er Anatom­i­cal Pathol­o­gy reg­is­trar here at Coffs, so we share the work,” Supriya explains.

“But we are work­ing direct­ly with the pathol­o­gists and expe­ri­enced sci­en­tists, so learn­ing from the experts them­selves, which is fantastic.

“We also attend week­ly mul­ti-dis­ci­pli­nary team meet­ings, that’s where the sur­geons, oncol­o­gists, radi­ol­o­gists, pathol­o­gists and a whole range of experts come togeth­er and dis­cuss cas­es, giv­ing input into the man­age­ment of a patient.

“It’s also a great lifestyle here in Coffs Har­bour. I have two kids and they enjoy being out­doors and going to the beach.

“If it was up to me, I’d do all my train­ing in a region­al area – but I under­stand that it’s also impor­tant to work in a big­ger area just to get the expe­ri­ence there as well.”

Two young women in an office, smiling.
Supriya Prad­han and her fel­low AP reg­is­trar at the Coffs Har­bour pathol­o­gy lab­o­ra­to­ry, Dr Kate Osborne.
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