Trainee Job at NSW Health Service in Sydney NSW
Position Number 22586
Employment Status Full Time – Exempt
Applications Close 09/06/2020
Maximum length of training contract 31/01/2021
Local Health District Sydney Local Health District
Facility Concord Hospital
Specialty Intensive Care Medicine
Sub Specialty None
Award Public Hospital Medical Officers (State) Award
Classification Resident Medical Officer
Salary Band $81,639.00 to $127,539.00
Main Purpose of Position There is 1 FTE position for the remainder of the 2020 medical year to commence asap.
This position is suitable for medical officers who are registered with the CICM or for those with a commensurate level of experience in critical care medicine (Emergency, Anaesthesia & ICU) seeking to obtain further experience & training in an Intensive Care setting.
The ICU trainee position is responsible for the provision of critical care services to the ICU and greater hospital, under the guidance of the ICU Advanced Trainee and Duty Intensivist
The Intensive Care Unit at Concord General Repatriation hospital is a level 16 ICU, a tertiary referral centre within the Sydney Local Health District. The ICU is a 13 bed centre admitting approximately 1000 patients per year & employing 4 full time Intensivists. Concord Hospital and the Intensive Care provides nationally recognised subspecialty care through the Statewide Burns Injury Service as a quaternary referral centre, and offers opportunity to gain exposure to state of the art management of the critically ill burn patient in a centre of excellence.
The Intensive Care at Concord hospital provides critical care services throughout the broader hospital, including complex medical & surgical sub-specialities, such as upper GI surgery, neurosurgery, interventional cardiology, vascular surgery and limited thoracic surgery. With a longstanding tradition of excellence in physician training, Concord ICU also offers the opportunity to develop skills in the management of the complex, multi-morbid medical ICU patient, within a unit led by specialists with dual speciality training & experience.
The Intensive Care Unit at Concord is committed to providing integrated and high quality patient care as well as high level training in intensive care the main purpose of the position is twofold:
- To provide excellence in provision of care to critically ill patients
- To begin to develop (under supervision) the high level and broad skills necessary to become a high quality practitioner in intensive care medicine.
In order to achieve these goals the ICU at Concord focuses on:
- Proper support and supervision of junior doctors by consultants
- Teaching- at the bedside, in tutorials and examination preparation (including hot case and viva practice)
- Involvement in research and quality assurance activities
- The practice of evidence based medicine
ICU Trainees will have responsibilities which include:
- Reviewing and triage of patients referred for admission to ICU
- Participating in the Cardiac Arrest & MET Teams
- Participating in the trauma team
- Transportation of ICU patients within the hospital
- Teaching and mentoring of junior colleagues
- Development of cognitive, technical and personal skills in a complex and challenging environment.
- Co-ordinating and documenting the admission, management and discharge of patients.
- The day-to-day assessment and management of patients in the unit
- Communicating with patients and family
- Co-ordinating care with other specialties and primary care providers
- Close liaison and communication with the duty Intensive Care Specialist & ICU team members
- Initial resuscitation and subsequent management of ICU patients
- Working collaboratively and effectively in a team which includes other medical staff, nursing, allied health and clerical staff
- Participation in all relevant unit based education and administrative activities, as directed
The Intensive Care unit offers an established program for professional development and structured education, recognised with an educational award in 2016. We pride ourselves on providing a supportive educational environment & flexibility to meet the needs of our trainees and to assist them with their training goals. Our training opportunities includes:
- Multidisciplinary Echocardiography training weekly & support for CCPU candidates
- Access to cardiology echocardiography reporting and educational training programs
- Weekly structured ICU education program,
- Multidisciplinary academic ICU grand rounds
- Point of care ultrasound teaching
- Consultant led clinical teaching rounds
- Multidisciplinary simulation program
Concord ICU has a established history of research and quality assurance. Our research collaborative is led by a clinician- researcher with a published track record of published clinical research. With the support of the ICU research collaborative, the successful candidate will have access to dedicated clinician researcher support to conceptualise, develop and successfully complete research and quality investigations, commensurate with the requirements for the CICM formal project.
Concord Intensive Care unit has C12 CICM accreditation for training in Intensive care medicine.
LHD vision is “To Achieve Excellence in Healthcare for All”. This embeds concepts of patient and family centred care, equity, health improvement, timeliness and efficiency, recognising that evidence-based service delivery requires highly skilled and valued staff supported by research, education and state-of-the-art technologies.
The SLHD goals focus on patients, staff, community and the need for excellence in services, education, research and organisational support. Central to the District’s workplace culture are the “CORE Values” articulated by the NSW Ministry of Health in our Code of Conduct. As an employee of SLHD you will be expected to uphold and promote these important CORE Values of Collaboration, Openness, Respect and Empowerment which inform every aspect of the District’s activities. These
CORE values build upon the public sector values of integrity, trust, service and accountability.
For more information please go to:
Position Requirements Qualification
- MBBS or equivalent medical qualification recognised by the Australian Health Practitioner Regulation Agency
- Registered Trainee with the CICM, ANZCA, ACEM or equivalent.
- A least 3 years of full time hospital experience and demonstrable significant background in critical medicine / intensive care medicine, and skills commensurate with the position requirements.
- The ability to function within a complex clinical environment in a leadership role, facilitate effective and timely communication within the team and co-ordinate clinical care of the critically ill patient
- Demonstrated capacity for critical thinking and problem solving
- Demonstrated ability to encourage positive working relationships within and outside of the ICU team
- Clinical experience in intensive care medicine, commensurate with the position of trainee in Intensive Care Medicine
- Cognitive and technical skills in intensive care medicine including:
- Proficiency as provider / team leaders in advanced resuscitation scenarios
- Proficiency in airway management and resuscitation of the unstable patient
- Proficiency in vascular access techniques
- Demonstrated ability to function as part of a cohesive multidisciplinary team
- Excellence in communication skills & task/team leadership
- Demonstrated ability to work independently within a supervised complex clinical environment, demonstrating judgement, insight and a high level of reliability.
- Demonstrated ability to oversee and mentor junior members of the ICU team
Research and Teaching
- Demonstrated proficiency in mentoring and teaching junior medical & ICU team members
- Demonstrated ability & willingness to participate in departmental educational activities & formal education programs
- Ability to develop and lead de-novo quality & research projects, supported by the ICU research collaborative
- Demonstrated ability to participate in departmental research and quality assurance activities
Orientation and mandatory training
- Participation in hospital orientation programs and mandatory training requirements
- Ability to work under the supervision and guidance of intensive care specialists
- Compliance with various legislative & policy requirements relating to:
- Registration or eligibility for registration as a medical practitioner with the Australian Health Practitioner Regulation Agency (AHPRA)
- Compliance with the NSW Code of Conduct
- Compliance with the Local Health District and hospital requirements
Local Background & Environment Concord Repatriation General Hospital is a principal referral facility and a teaching hospital of the University of Sydney. We offer a comprehensive range of specialty and sub-specialty services, many recognised nationally and internationally as centres of excellence. Major services provided include colorectal and laparoscopic surgery, gastroenterology, geriatrics and rehabilitation medicine, bone and joint services, cancer services, haematology, respiratory medicine and sleep studies, molecular biology and genetics, and those provided through the internationally acknowledged Statewide Burns Service, in which Concord plays a major part.
Key Internal and External Relationships Successful candidates will be required to communicate with the following stakeholders in this role:
- Patients and relatives
- Clinicians, nursing, allied health and all members of the ICU multidisciplinary team
- Relevant committees
Supervision Arrangements The ICU Trainee will be supported and supervised by the duty Intensivist and ICU Advanced trainee. The ICU trainee position will be expected to provide support and oversight to junior members of the multidisciplinary ICU team.
Challenges/Problem Solving • Assessment and management of the critically ill patient and the deteriorating critically ill patient.
- Multi-tasking and prioritization of work load.
- Dealing with end of life issues.
- Balancing training and education requirements with service provision, within the limitations of a busy public health service.
- Maintaining a professional role and responsibility for patient care, in close liaison with supervising consultants.
- Working collaboratively with other staff in a multi-disciplinary team.
- Maximising the efficient utilisation of the physical resources of the Health Service.
- Being Flexible with the work required in a range of Health Services and Locations.
- Responsibility for supervision and teaching of junior medical officers attached to the medical team.
Decision Making • Be familiar with the protocols and policies of the Unit.
- Assess patients in the wards, Emergency Department or other areas of the hospital for admission as requested.
- Take booked admission requests from surgical and anaesthetic staff.
- Conduct initial assessment of the patient and complete admission records ; develop management plan and discuss with ICU consultant.
- Be responsible for notifying primary teams of admission and management plan.
- Be responsible for accurate completion of medication charts and intravenous orders.
- Attend ward rounds with the ICU specialist.
- Ensure ICU medicial officers coordinate and/or arrange investigations in conjunction with ICU RMO.
- Assess the patient frequently and be aware of the management plan for the patients in the unit, ensuring all management plans are accurately reflected in the medical notes.
- Liaise with the primary care team, communicate management plans to nursing staff and allied health staff.
- Oversee and support safe clinical handover and ensure effective transfer of management plans and outstanding tasks.
- Ensures the relevant surgical / medical teams are aware of the transfer and management plan when patients are transferred to the ward.
- Supervise the ICU RMO and ICU medicial officers in the performance of their duties, especially in the acquisition of practical skills.
- Conduct duties in a professional manner and observe patient and staff rights.
- Be involved with the Quality Assurance and educational activities of the Unit.
- Data collection activities for the ANZICS AORTIC Adult patient database
- Attend emergencies as required.
- Assist with supervision and teaching of Medical Students RMOs and medicial officers attached to ICU.
- Attend and participate in Unit meetings and present as required.
- Participate in the research activities of the Unit.
- Undertake own research project if appropriate/applicable.
Communication • Liaise with primary care teams regarding the management of patients admitted under the primary care team.
- Take telephone requests from other hospitals regarding ICU admissions, provide advice regarding the initial management of burns patients prior to transfer.
- Liaise with primary teams regarding transfers of patients from other hospitals.
- Discuss patient’s condition on admission with relatives, subsequently update patient’s relatives regularly regarding progress; ensure ongoing communication with family members by ICU medicial officers and RMOs, particularly regarding changes in the condition of patients.
- Communicate in a caring way with patient relatives; ensure patient privacy and confidentiality.
Performance Monitoring Participating in ongoing review of their clinical practice as per conditional registration guidelines;
Participating in continuing medical education and professional development as covered by the supervision arrangements stipulated by the Medical Board; and
Maintaining his/her professional competence.
Additional Documents no addditional documents have been provided
College College of Intensive Care Medicine of Australia and New Zealand
Organisation Chart ORGCHARTGENERIC Concord.docx
Job Demands Checklist Click Here to View
Selection Criteria 1: MBBS or equivalent, currently registered or eligible for registration with the Medical Board of Australia
2: Previous experience in the assessment and management of critically ill patients, commensurate with the position of ICU Trainee.
3: Demonstrable proficiency in assessment and resuscitation of the critically ill patient, proficiency in leadership skills in the critical care.
4: Demonstrable proficiency in advanced airway management & resuscitation.
5: Demonstrable Proficiency in central venous and arterial line insertion.
6: Demonstrates previous appropriate experience in ICU coupled with a breadth of medical knowledge & experience.
7: Demonstrated excellent communication skills (verbal and written).
8: Demonstrates ability to work independently within a supervised complex clinical environment utilising excellent clinical skills (at the required level of competency) and judgment and expertise.
Company: NSW Health Service
Company Location: Sydney NSW