Unaccredited Trainee Job at NSW Health Service in Central Coast NSW
Position Number 21731
Employment Status Full Time – Exempt
Applications Close 20/11/2019
Maximum length of training contract 31/01/2021
Local Health District Central Coast Local Health District
Facility Wyong Hospital
Specialty General Medicine
Sub Specialty None
Award Public Hospital Medical Officers (State) Award
Classification Resident Medical Officer
Salary Band $81,639.00 to $127,539.00
Current Rotations/Networks (which may change from time to time) Speciality: Rotations in ICU, Medicine, Emergency Medicine & Addiction Medicine. You may be required to work at the different facilities and locations with the NSW public health system as part of Central Coast Local Health District which includes Gosford, Wyong, Woy Woy and Long Jetty Hospitals.
Main Purpose of Position The Unaccredited Trainee provides effective medical service to patients under supervision in a complex clinical environment at Wyong, Woy Woy and Gosford Hospitals.
The position offers mentoring, supervision, workforce support and career guidance from a supportive Medical Workforce Team, Staff Specialists and Visiting Medical Officer’s (VMOs),with exposure to medical terms that give the Medical Officer the opportunity to develop the necessary skills and competencies before entering the Basic Physician Training Program (BPT) with several terms being accredited by RACP.
Central Coast Local Health District (CCLHD) is affiliated with both the Northern Network and Hunter New England Network for Basic Physician Training, offering insight into both networks prior to applying for BPT.
The position will consist of 4 rotations. Employment for this position is within Central Coast Local Health District (CCLHD), rather than hospital based and as a part of your employment contract you may be expected to rotate within the following hospitals:
Wyong Hospital (primary location)
Woy Woy Hospital
Long Jetty Hospital
The Unaccredited Trainee is responsible for co-ordinating and documenting the admission,management and discharge planning of patients within the unit; the day-to-day
assessment and management of the patients, maintaining high levels of communication
with patients and family regarding the nature of their condition and its treatment;
communicating and co-ordinating care with the team; arranging consultation with other
staff when appropriate; and arranging discharge and liaising with local medical officers
and other community based care modalities in order to ensure the provision of optimal
patient care within CCLHD.
Each patient that is admitted into hospital will transition through five stages of care coordination:
- Pre Admissions/Admission
- Multidisciplinary Team Review
- Estimated Date of Discharge (EDD)
- Referrals and Liaison for patient transfer of care
- Transfer of care out the hospital
It is the responsibility of the position holder that in order for best care and practice for the patient, that discharge documentation, referrals and medication must be completed prior to the transfer of the patient.
Compliance and currency certificates must be submitted to Central Coast Local Health District Medical Workforce and Education Unit prior to commencement of the position:
Bloodsafe: eLearning module/s
Detect: – Between the Flags e-learning module and face to face
BLS and/or ALS
Employment is subject to you having current immunity status that complies with the
Occupational Assessment, Screening and Vaccination Against Specified Infectious
Appointment and ongoing employment will be subject to continued compliance of all
NSW Health Policy Directives.
Mandatory Clinical Handover:
Clinical handover involves the transfer of information, accountability and responsibility
for a patient or group of patients. Clinical handover happens within and between
Medical, Surgical, Emergency, Paediatric and Critical Care teams to ensure that we are
following the ISBAR protocol, National Australian Standards and providing the best care
and safety to all of our patients. Night to morning handover is conducted at 0800 hrs sharp at Wyong and Gosford Hospitals each day. Evening to night handover is conducted at 2200 hrs sharp at Wyong and Gosford Hospitals each day.
To provide effective medical services and training exposure for the Unaccredited Trainee to patients under supervision in a complex clinical environment in both Medical and Surgical inpatients and outpatient areas in the public health organisation.
- Coordinating and documenting the admission, management and discharge planning of patients seen in or admitted to his/her Unit within the public health organisation.
- The day-to-day assessment and management of the patients in his/her Unit, communicating with them and their family the nature of their condition and its treatment.
- Communicating and coordinating care with their team, arranging consultation with other staff when appropriate, then arranging discharge and liaising with local medical officers and other community based care modalities.
- All decisions concerning the patient(s) in consultation with their immediate supervisor.
- Participation in the afterhours and relief roster.
Position Requirements Unaccredited Trainee General Medicines at Central Coast Local Health District have the opportunity to undertake terms (rotations) in some of the following areas: ICU, General Medicine, Geriatrics, Medical Assessment Unit, Cardiology, Emergency, Addiction Medicine, Nights with relief in Respiratory, Cardiology, Neurology, Gastroenterology and Medical Oncology. The Unaccredited Trainee General Medicine clinical year consists of 4 terms and Trainees may be expected to undertake one term in Emergency at either Gosford or Wyong Hospitals.
CCLHD has a strong commitment to vocational training and career support; term allocation is based on submitted preferences, operational requirements, training needs and future aspirations of the Trainees. Good general experience is provided in all CCLHD hospitals. The position is full-time, Monday to Friday with rostered ward overtime, night shifts and on-call to cover sick relief for ward overtime. All overtime shifts are evenly distributed amongst the Unaccredited Trainees.
- MBBS or equivalent.
- Australian & New Zealand Graduates or Competent Authority; completion of two postgraduate years.
- For Standard Pathway candidates; two post graduate years or more working as a medical officer in a hospital within the last 5 years.
- Currently registered or eligible for registration with AHPRA
Competency is expected in the following as a minimum:
- Veni/Arterial Puncture for sampling
- Venous cannulation
- ABG Analysis
- Insertion of Nasogastric tube
- Suturing skills / Removal of foreign bodies
- Plastering techniques
- Lumbar Puncture
- Slit lamp examination
- Reading of X-rays
- Recognition and initial management of acute illness eg. DETECT Principles
- Interpretation of basic results
o main features of ECGs
o Electrolyte Patterns
o Liver function tests
o Cerebrospinal fluid results
o Blood smear reports, coagulation, iron studies
o Radiological reports
- Can apply the principles of blood transfusion/use of blood products
- Can demonstrate an understanding of:
o Principles of antibiotic usage, medication risks and prescribe and administer drugs appropriately
o Principles of safe oxygen therapy
o Hazards of drug treatment in the elderly
o Pain management
o Principles of preventive geriatrics and geriatric rehabilitation
3. Research Teaching & Education:
- Contribute to teaching activities in the supervision of Medical Students and Interns, unless AHPRA conditions apply.
- Undertake relevant research under the supervision of Term Supervisors
- Provide evidence of continued professional development and commitment to self-education
- Must attend education as organized by the hospital/LHD
Orientation: Hospital orientation takes place on upon commencment. Attendance is compulsory for all SRMOs Medical Skills
Unaccredited Trainees General Medicines will be required to undertake the core mandatory orientation to:
- Gain an understanding of the organisational values, goals and ethics.
- Gain knowledge and develop skills to work in a manner which promotes their own health, safety and security at work, including information relating to infection control and needle-stick injury.
- Gain an understanding of child protection legislation policies and responsibilities associated with notifying and reporting issues about child protection.
- Given guidance on ways to perform their job in an efficient and effective manner; and the code of conduct and ethics, including the behaviours and standards expected by the Public Health Organisation.
- Understand the principles of waste management and the local processes in place which are designed to reduce waste.
- Gain an understanding of the administrative procedures relating to the performance of their work.
- Develop an understanding of the legislative and industrial context in which they work.
- Gain information on the Health Service Employee Assistance Program (EAP).
- Gain education and training in the minimisation and management of aggression, Occupational Health and Safety, Fire Safety and quality improvement processes.
Supervision of prevocational trainees by the Unaccredited Trainee General Medicines in normal hours of work:
The Unaccredited Trainee General Medicines will provide direct supervision of prevocational trainees attached to their team.
Supervision of prevocational trainees by the Unaccredited Trainee General Medicines after hours:
The Unaccredited Trainee General Medicines will provide direct supervision of prevocational trainees performing after hours duties.
In addition to the Values & Behaviours Charter, the Medical Officer is expected to comply with legislative, policy/protocol requirements as they relate to:
- Produce appropriate discharge summaries
- A professional attitude and flexibility in work role
- The supervision requirements as set out by the AHPRA;
- The public health organisation’s Performance Management Policy;
- Occupational, health and safety requirements as an employee;
- The NSW Health Code of Conduct.
- Must know the principles of Open Disclosure & Time Out – Correct Side/Site Policy Directive
- Compliance with all applicable public health organisation and hospital policies and protocols, and with applicable Policy Directives and Guidelines issued by the Department of Health, as amended and as in force from time to time, including the NSW Health Code of Conduct
- Ensuring that all services provided to patients are consistent with any instructions issued by your supervisor or Department Director or any conditions imposed by the Medical Board of Australia;
- Maintenance of adequate hospital clinical records, including completion, within a reasonable time period following the patient’s discharge, of patient discharge letters;
- Observance of general conditions of clinical practice applicable at the Public Health Organisation where you will be working from time to time;
- Demonstrating at all times courteous and professional behaviour towards patients, their relatives and other staff.
Local Background & Environment The NSW Central Coast is positioned between Sydney and Newcastle, with a population that is expected to grow from the current approximate 300,000 to 450,000 before 2030. The Central Coast is a popular destination for holiday makers and retirees, but is also a growing centre for day commuters into Sydney, Newcastle and the Hunter Valley.
Central Coast Local Health District (CCLHD) provides over 700 beds across its network facilities comprising Gosford Hospital, Wyong Hospital, Long Jetty Continuing Care Unit, Woy Woy Hospital and various Community Health Centres and Services. CCLHD has strong connections with Royal North Shore Hospital and is affiliated with the University of Newcastle.
Wyong Hospital is an acute major metropolitan hospital providing inpatient, outpatient and emergency services to residents in the northern part of the NSW Central Coast. Wyong Hospital has approx 300 inpatient beds and provides a range of medical and surgical services, and rehabilitation. Specialty services include Drug and Alcohol, Renal, Coronary Care, Stroke, Mental Health and Cancer services. It is anticipated that Wyong Hospital will further develop its role as a district general hospital for a growing population with well established patient transport and referral links with Gosford Hospital for patients with a need for more complex or intensive clinical services.
Gosford Hospital is part of Central Coast Local Health District and the central point of administration for the Central Coast community. Gosford Hospital is the principal referral hospital and a trauma centre for the Central Coast, with approximately 500 inpatient beds and 24-hour access to its Emergency Department and Operating Theatres. Inpatient services include Coronary and Intensive Care, General Medicine, Neurology, Renal, Geriatrics, General Surgery, Obstetrics, Mental Health, Paediatric and Emergency services. Outpatient and community services include Allied Health, Dental, Podiatry, Nursing, Child and Adolescent and Family Health, Drug and Alcohol, and Cardiac Rehabilitation.
Key Internal and External Relationships The Unaccredited Trainee General Medicine is a key person who works closely with all members of staff and must work as part of, and contribute to a multi-disciplinary team; deal with matters of an urgent or sensitive nature; must have the ability to exercise discretion, sensitivity and maintain confidentiality; work co-operatively within a team environment and actively contributes to team activities. The position holder needs to display sound communication skills to deal effectively with administrative and medical staff.
Key Internal Relationships
- Clinical streams
- Multidisciplinary teams
- Other Clinical Divisions
- Hospital Administration
Key External Relationships
- Police, Ambulance
Supervision Arrangements Supervisor
As a leader you are expected to support the organisation achieve the aims of the safety management system, to establish and maintain a positive health and safety culture in the workplace and to consult with workers and others when making decisions that may impact upon the health, safety and welfare of those in the workplace.
You must take all reasonable care for yourself and others and comply with any reasonable instruction, policies and procedures relating to work health safety and wellbeing
Supervision of the Unaccredited Trainee General Medicine in normal hours of work:
- Will receive supervision and support from the Trainees more senior and the Consultant within the department they are rotating through. As such daily supervision is available at any time.
- Will benefit from the additional supervision of the Director of Training (Medical Skills Program) and the Director of Prevocational Training and Development within the hospital.
- Additional supervision is available by the department the Medical Officer is rotating through by telephone.
Supervision of the Trainee General Medicine after hours:
- Immediate supervision by the Trainee (Including Advanced Trainee, Basic Trainee) on duty;
- The unaccredited Trainee General Medicine will be responsible for other Resident Medical Officers working after hours.
- Will be able to call the Consultant on call to for support and supervision after hours.
Challenges/Problem Solving • Balancing mandated 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 District.
- Being flexible with the work required in a range of specialties and locations.
- Maximising the efficient use of the physical resources of the Health District
- Responsibility for supervision and teaching of more junior medical staff (i.e. junior medical officers and Basic Trainees) attached to the medical team.
Decision Making The Unaccredited Trainee General Medicine will have a moderate level of clinical independence. All patient related decisions which are clinically, organisationally or socially significant should be discussed with the consultant.
This will require close and effective liaison with consultants will allow the Unaccredited Trainee General Medicine to demonstrate their level of ability and understanding of patient care and enable you to expand your areas of responsibility.
Communication The position holder needs to display sound communication skills to deal effectively with administrative and medical staff. The Medical Officer is a key person who works closely with all members of staff and must:
- Work as part of, and contribute to a multi-disciplinary team.
- Deal with matters of an urgent or sensitive nature.
- Must have the ability to exercise discretion, sensitivity and maintain confidentiality.
- Works co-operatively within a team environment and actively contributes to team activities including pro-actively participates in team meetings and decision making processes.
Performance Monitoring Unaccredited Trainee General Medicine will be allocated a Term Supervisor at the beginning of the term. Assessment forms to be completed by Term Supervisor or delegate. The completed forms are to be given to the DPET Assistant or ED Secretary. Emergency Department have a requirement for 3 assessments per term. At the end of the term your nominated Supervisor will review assessment forms before completing your end of term assessment.
The Medical Officer is responsible for:
- 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 AHPRA; and
- Maintaining his/her professional competence.
The Unaccredited Trainee General Medicine is required to maintain a continuing level of satisfactory performance.
- Supervision reporting to AHPRA as per conditional registration guidelines by the Director of Prevocational Education & Training.
- End of term reports with the Director of Prevocational Education & Training.
- Participation in continuing medical education and professional development.
If performance is judged to be below the level of requirement of Position Description a standard process applies PD2013_034 Managing for Performance
Responsibilities of the role includes the provision of early clinical decision making as well as the immediate documentation and implementation of a management plan which achieves patient outcomes with the most efficient use of resources
https://nswjmo.erecruit.com.au/Default.aspx, select Central Coast Local Health District, Gosford Hospital.
Additional Documents no addditional documents have been provided
Organisation Chart Junior Medical Officer Organisation Chart Clinical and Managerial.PDF
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: 2. Australian & New Zealand Graduates or Competent Authority;completion of two postgraduate years. Standard Pathway candidates; completion of two post graduate years or more, working as a medical officer in a hospital within the last three years.
3: 3. Demonstrated ability of the required level of clinical skills including courses such as or similar to DETECT (management of the deteriorating patient course).
4: 4. Demonstrated excellent communication skills (verbal and written), and computer skills with the ability to work effectively as part of a multidisciplinary team.
5: 5. A professional attitude and flexibility in work role with a preparedness and ability to participate in after-hours overtime and on-call rosters and the required rotations both between services and geographical location to deliver patient care.
6: 6. Demonstrated good organisational, time management skills and commitment to Continued Professional Development, quality improvement, patient safety and risk management.
7: 7. Demonstrated ability to work within a supervised complex clinical environment utilising excellent clinical skills (at the required level of competency) and judgment and expertise.
8: 8. Demonstrated commitment to Caring for the Coast vision, goals and strategies, with demonstrated behaviours which align with the NSW Health CORE values and CCLHD Values and behaviours charter.
Company: NSW Health Service
Company Location: Central Coast NSW