Unaccredited Trainee Job at NSW Health Service in Blue Mountains NSW
Position Number 21776
Employment Status Full Time – Exempt
Applications Close 29/11/2019
Maximum length of training contract 31/01/2021
Local Health District Nepean Blue Mountains Local Health District
Facility Nepean Hospital
Specialty Obstetrics and Gynaecology
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) The position may be required to work within other facilities which are in an approved arrangement with your employer, including rural locations. These facilities may include other NSW public and private hospitals, and facilities in other States. You may be required to assist with limited surgical duties at other hospitals in the LHD including Blue Mountains District ANZAC Memorial Hospital, Springwood Hospital and Hawkesbury Hospitals. You may be required to rotate to Blue Mountain
Main Purpose of Position To provide effective medical services to patients under supervision, while developing expertise in medical practice, in a complex clinical environment in inpatients and outpatient areas in the public health organisation. Responsibilities include:
The O & G Unaccredited Trainee is responsible for the initial assessment of patients and ongoing day to day management under the direction of the appropriate attending medical officer who has legal responsibility for the patient. The O & G Unaccredited Trainee has a responsibility for ensuring appropriate communication and documentation takes place as well as a responsibility for the training and supervision of junior medical staff.
- Coordinating the admission, management and discharge planning of patients seen in or admitted to his / her Unit within the public health organisation, and ensuring that the admission and plans are documented in the medical record.
- 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 and team.
- Participation in the afterhours and relief roster.
Position Requirements 1. Qualifications
- MBBS or equivalent, currently registered or eligible for registration with the Medical Board of Australia.
- Basic knowledge of working with team members at all levels or an organisation and as a member of an interdisciplinary team
- A commitment to clinical practice improvement.
- A commitment to teaching and previous teaching experience, both Medical Students and Junior Medical Officers.
- Demonstrated interpersonal and communication skills, with the ability to interact appropriately, ethically and responsibly with patients from varied ethnic backgrounds, their families and all members of the health care team.
- Undertaking medical education and research
- An understanding of the nature of the varying workloads in obstetrics and gynaecology.
- Demonstrated problem-solving skills.
- Demonstrated organisational skills, including time management.
- Insight into their own strengths and weaknesses, together with a willingness to accept positive and negative feedback from others and learn from experiences.
- Understanding of possible ethical, medico-legal, inter-disciplinary and cross-cultural conflicts that may arise in the course of training.
To comply with Nepean Hospital procedures and protocols for managing common
obstetric & gynaecological problems.
- To develop competency in the outpatient management of pregnant women
- To develop competency in the medical care of women admitted with complications of pregnancy within a team under Consultant supervision. This would include daily ward rounds, arranging appropriate investigations and carefully documenting clinical assessments and management plans
- To develop effective assessment and investigative skills in women presenting with acute complications of pregnancy
- To review postnatal patients and coordinate appropriate inpatient and post discharge management, including liaison with general practitioners, addressing issues of contraception and any future Obstetric concerns appropriately
- To acquire competency in basic delivery suite and operative O&G skills.
- To develop effective gynaecological assessment and investigative skills in women presenting to outpatient and emergency departments with Gynaecological presentations
- To coordinate the care of women admitted for gynaecological care within a team and under the supervision of Consultants including daily ward rounds, arranging appropriate investigations and carefully documenting clinical assessments and management plans
- To acquire competency in basic Gynaecological surgical procedures through regular theatre attendance / participation
- To develop positive team working skills with Midwifery, Nursing and ancillary staff
- To take responsibility for supervising more junior medical staff working within the unit
Competency is expected in the following as a minimum:
1)Basic medical officer competencies:
Reading X rays
Interpretations of basic blood results
2)Obstetric and Gynaecological Competencies:
Competency in Obstetric and Gynaecological history taking
Competency in pelvic examination including speculum examination and PAP smears
Basic understanding of Obstetric antenatal care
Basic competency in normal delivery and assessment of progress in labour
Basic interpretation of CTGs
Basic understanding of Obstetric and Gynaecological ultrasound reports.
3. Research and Teaching
- Experience and willingness to teach junior medical staff and medical students.
- Participate in unit/departmental and divisional quality activities.
- Participate in research, peer review and audit projects.
- Teaching of appropriate multidisciplinary team members (e.g. Allied Health Staff) and Nursing staff.
- Attending relevant weekly meetings
- Obtaining and maintaining Basic and Advanced Cardiac Life Support accreditation
- Providing evidence of continued professional development and commitment to self-education.
Specific orientation to the department of Obstetrics and Gynaecology will be held during the first week of the clinical year.
The Doctor 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 needlestick 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 of NBMLHD Employees.
- 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 NBMLHD Employee Assistance Program (EAP).
- Gain education and training in the minimisation and management of aggression, Work Health and Safety, Fire Safety and quality improvement processes.
The Medical Officer will be required to provide supervision support to Resident Medical Officers and/or Interns allocated to his/her clinical team during normal hours as well as providing supervision support and guidance whilst undertaking duties after hours.
6. Other responsibilities
In addition to the core competency standards, the doctor is expected to comply with legislative, policy/protocol requirements as they relate to:
- The supervision requirements as set out by the Medical Board of Australia;
- The Local Health District’s Performance Management Policy;
- Work, health and safety requirements as an employee;
- The NSW Health Code of Conduct.
7. Medical leadership
- Participate in RCA, QA, M&M, incident review, complaint management.
- Contribute to hospital wide patient flow and meeting ETP targets through timely review of consults in ED and the wards, early identification of discharges including pre 09am discharges, completion of discharge paperwork and participating in Whole of Hospital strategies to ensure the appropriate and timely care of patients.
- Demonstrates the ability to effectively manage staff and hospital resources including:
c)using time management skills appropriately
d)assigning tasks and delegating
e)prioritising and re-prioritising clinical tasks in the ‘on-take’ day and during medical disasters
f)ensuring tasks are progressing as planned
- Communicate with and co-ordinate specialty teams to achieve an optimal environment for patient care.
- Effectively use resources to balance patient care and systemic demands.
In addition to the core competency standards, the Medical Officer is expected to comply with legislative, policy/protocol requirements as they relate to:
1.Compliance with all applicable public health organisation and hospital policies and protocols, and with applicable Policy Directives and Guidelines issued by the NSW Ministry of Health, as amended and as in force from time to time, including the Ministry of Health Code of Conduct
2.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;
3.Maintenance of adequate hospital clinical records, including completion, within a reasonable time period following the patient’s discharge, of patient discharge letters;
4.Observance of general conditions of clinical practice applicable at the Public Health Organisation where you will be working from time to time;
5.Demonstrating at all times courteous and professional behaviour towards patients, their relatives and other staff.
Local Background & Environment Nepean Hospital is a major referral and teaching hospital of the University of Sydney. The Obstetrics and Gynaecology unit has 48 beds: 24 antenatal and 24 post-natal with surge capacity of 8.
Nepean Hospital is recognised as comprising one of the largest and busiest maternity care facilities in Western Sydney. The tertiary level public hospital provides care for approximately 4000 births per year, including high risk antenatal care, and services the state’s highest population of high- risk groups such as aboriginal and Pacific Islander women.
The Nepean Clinical School, based at Nepean Hospital, is one of the eight Clinical Schools of the University of Sydney. Since becoming a teaching hospital of the University of Sydney In 1990, Nepean Hospital has experienced continued growth in its teaching and research. The role will be based in the Nepean Clinical School Building for teaching, research and antenatal clinics and Nepean Hospital for other clinical work.
Nepean Blue Mountains Local Health District is responsible for the provision of health services to the local government area comprised of Penrith and Blue Mountains and tertiary care to the entire western region for an estimated population of 2 million people. These services are provided through a number of hospital and community-based facilities located strategically across the Local Health District.
Nepean Blue Mountains Local Health District is committed to achieving continuous quality improvement in client services within a Quality Management framework, with a supporting Strategic Plan aimed at the continuous improvement of all facilities. The Area Health Service has individual facilities located at Penrith, Springwood, Katoomba, Lithgow and Portland.
All hospitals provide a range of both in-patient and outpatient services to clients both from within the boundaries of the LHD and cross border flows.
In addition to this, there are a number of facilitates strategically located across the LHD that provide primary health care services to the community.
Nepean Blue Mountains Local Health District (NBMLHD) consists of both urban and semi-rural areas, covering almost 9,179 square kilometres. The LHD is responsible for providing primary and secondary health care for people living in the Blue Mountains, Hawkesbury, Lithgow and Penrith local government areas (LGAs) and tertiary care to residents of the Greater Western Region.
The main hospitals in Nepean Blue Mountains Local Health District are Nepean Hospital, Blue Mountains District ANZAC Memorial Hospital, Springwood Hospital, Lithgow Hospital and Portland Tabulam Health Centre. Hawkesbury Hospital (for public patients) is operated under contract with Hawkesbury District Health Service, as part of Catholic Healthcare. Community Health Centres are located throughout the District. Services based outside the Hospitals and Community Health Centres include Aboriginal Health, Allied Health, Drug and Alcohol, Mental Health, Multicultural Health, Oral Health and Population Health.
Key Internal and External Relationships
Key Internal Relationships
- Neonatology/Paediatrics: JMOs and Trainee.
- O&G: Residents, trainees, consultants, VMO’s and USYD Academics.
- Department of Perinatal Ultrasound.
- Emergency Department.
- Medical staff from other facilities.
- Nursing and Midwifery staff.
- Allied Health Staff.
- Clinical streams.
- Multidisciplinary teams.
- Other Clinical Divisions.
- JMW Management Unit.
- The doctor will be expected to work with other doctors, nurses, allied and clerical staff as part of his/her role.
- Quality assurance, peer review, education would be via medical team meetings.
- Multidisciplinary meetings are held and the incumbent would work with a multidisciplinary team with acute care work.
Key External Relationships
- Police, Ambulance.
Supervision Arrangements Supervision of the Doctor in normal hours of work:
- The Doctor will receive full direct supervision and support from the Consultants within the department. As such daily supervision is available at any time.
- The Doctor will benefit from the additional supervision of the Clinical Superintendent and the O&G Training Supervisor within the hospital.
- Additional supervision is available by the department by telephone.
Supervision of the Doctor after hours:
- The Doctor will have the immediate supervision of the consultant on duty.
- The Doctor will be able to call the Consultant on call for support and supervision after hours.
- After hours the Doctor will also have access to Supervisors within the Emergency Department for additional support.
Challenges/Problem Solving -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 Local Health District.
- Being flexible with the work required in a range of Local Health District and locations.
- Responsibility for supervision and teaching of junior medical officers attached to the medical team.
- Working in a complex environment where there are competing priorities and strict deadlines.
- Understands and is committed to organisational mission and goals.
- Demonstrating initiative to resolve issues.
- Sharing information and learning experiences with colleagues.
- Developing and exhibiting good communication skills.
- Demonstrating a commitment to personal development as a professional.
- Completing a comprehensive patient history by obtaining the history from the patient and from other relevant sources (e.g. medical record, family, nursing home, general practitioner, ambulance transfers sheet etc).
- Documenting the full history and physical examination within progress notes even if a covering doctor admits the patient.
- Legible, accurate and signed progress notes must be written every day and particularly after every ward round.
- Formulating a management plan for every patient in consultation with more senior medical staff.
- Ensuring that appropriate investigations are ordered and followed up and that the management plan is altered necessarily.
- Showing a commitment to the effective handover of patients.
- Designing then communicating a discharge plan containing an accurate history of their admission and a clearly identified and attainable management plan.
- Being first on call for the assessment and treatment of patients of any acute problems during the day.
- Appropriate liaison for advice/help with supervising medical staff.
- The completion of death certificates, cremation certificates, medical certificates and discharge scripts.
Decision Making The Medical Officer will be expected to adopt a progressively more independent approach to patient management according to their experience, under the guidance of and at the discretion of the appropriate supervising consultant.
The Medical Officer will be required:
- To exercise independent judgment, initiative and problem solving skills, but this should be exercised in consultation with supervising medical staff including patient escorts and transfers.
- Close and effective liaison with consultants to allow the Medical Officer to demonstrate their level of ability and understanding of patient care and enable an expansion responsibility.
- All patients managed within the hospitals of the Health District are under the direct care of a specialist medical practitioner. All decisions regarding their care are to be clearly communicated with the specialist responsible for that care to ensure appropriate input from key decision makers and achieve consensus when possible..
- To appropriately allocate teaching time according to evidence of learning need.
- To deal with matters in a confidential manner.
- To respect the professional values of staff
Communication The doctor 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 The Doctor will be required:
- To participate in ongoing review of their clinical practice as per conditional registration guidelines;
- To participate in continuing medical education and professional development as covered by the supervision arrangements stipulated by the Medical Board; and
- To maintain his/her professional competence.
The Medical Officer is required to maintain a continuing level of satisfactory performance and successful compliance with the requirements of the relevant training program, including progression through the program at the expected rate.
- Reviewed by the Admitting Medical Officer on each term rotation.
- Satisfactory progress with college examinations.
- Attendance at Departmental training sessions.
- Maintenance of Advanced Cardiac Life Support Accreditation.
- Annual Performance Evaluation & Development Review. (e.g. in-training assessments)
Additional Documents no addditional documents have been provided
Organisation Chart 2020 OG Unaccredited Trainee.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: Demonstrated clinical practice as a registered medical practitioner in the last 2 years in Obstetrics & Gynaecology.
3: The O&G Unaccredited Trainee should be a medical officer in their fourth (or greater) postgraduate year, with 12 months experience in obstetrics and Gynaecology. The position is envisaged as a pathway to progress to recognised ITP training.
4: Demonstrates ability to work independently within a supervised complex clinical environment utilising excellent clinical skills, judgment and expertise.
5: Demonstrates teamwork, time management and problem solving skills as part of a multidisciplinary team.
6: Demonstrated excellent communication skills (verbal and written) and computer skills.
7: A professional attitude and flexibility in work role.
8: Demonstrated good organisational, time management skills and commitment to quality improvement, patient safety and risk management.
Company: NSW Health Service
Company Location: Blue Mountains NSW