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February

Unaccredited Trainee

NSW Health Service - Orange, NSW

Health, Medical & Pharmaceutical
Source: uWorkin

Source: uWorkin

JOB DESCRIPTION

Position Title
Unaccredited Trainee

Position Number
24545

Employment Status
Full Time - Exempt

Applications Close
03/03/2021

Maximum length of training contract
06/02/2022

Local Health District
Western NSW Local Health District

Facility
Orange Base Hospital

Specialty
Intensive Care Medicine

Sub Specialty
None

Award
Public Hospital Medical Officers (State) Award

Classification
Resident Medical Officer
Registrar

Salary Band
$81,884.00 to $127,922.00

Main Purpose of Position
Due to COVID-19 and the changes to college requirements during the pandemic, NSW Health may make changes to the recruitment process. Formal interviews may be conducted electronically rather than face to face however, candidates will be notified as soon as practical of any changes.

Six months accredited ICU experience and six months accredited medicine experience. The trainee will gain experience in the management of acute general medical, cardiology and critically unwell patients. This would suit BPTs as well as CICM & ACEM trainees requiring accredited time in General Medicine. Trainees will be given responsibilities and opportunities for autonomous practice commensurate with their experience.

Position Requirements
Qualifications:
  • Successful completion of PGY1 and PGY2 years.

  • Eligible for registration with the Medical Board of Australia. Australian Medical Board registration is to be current at all times.

  • Minimum 12 months employment within the Australian Health System in the previous 24 months.

  • Satisfactory report of clinical performance from Supervisor of Training

  • ALS and or ATLS/EMST Course completed or enrolled.

  • Intention to or already registration with a nationally recognised training body (e.g. CICM, RACGP, ACEM or RACP).


  • Personal Qualities:
  • Ability to work in a multi-disciplinary team.

  • Excellent written and verbal communication skills are essential.

  • Demonstrated interest in general medicine and/or critical care training.


  • Clinical:

    Intensive Care:
  • Orange is a level 5 Intensive care Unit and looks after a variety of complex medical and surgical patients. A supportive approach to the hospital at large is encouraged and the HDU is also incorporated in the ICU.

  • The trainee will learn an ABC approach to the critically ill patient and develop a systematic assessment process for the Intensive Care patient.

  • They will learn to develop a problem list and deliver a clear, comprehensive handover.

  • They will gain experience in arterial line placement, and ultrasound guided central venous access and intercostal catheter placement. They will also be exposed to use of vasoactive drugs, haemofiltration, intraaortic balloon pump, cardiac output measurement and bedside echo.


  • Medicine
    Orange Health Service is very fortunate to have strength and depth of the medical department, with acute specialists in renal, cardiology, haematology, respiratory and gastroenterology. There are also local specialists in radiation oncology, palliative care, neurology, medical oncology and dermatology. The cardiology department has grown to provide interventional services for the district, the hospital is the regional ERCP referral centre and the busy dialysis unit sustains 14 chairs. Trainees will be exposed to a broad range of patients and have access to state of the art equipment. The on call roster involves general on call cover where the trainee will frequently encounter undifferentiated patients, will have the opportunity to liaise closely with local GP’s and will have ready access to 24 hour consultant advice and presence when required. Trainees will have the opportunity to participate in the organisation of the FRACP clinical exam, which is held annually at Orange Health Service.

    ALS:
    Trainees are expected to learn ALS skills and become proficient to lead a Rapid Response. They are expected to participate in the hospital’s simulation program to develop teamwork and crisis management skills.

    Research and Teaching:
    There are regular departmental meetings including protected weekly teaching, monthly morbidity and mortality meetings in Trauma and ICU. Trainees are expected to attend, present and participate at these meetings.
    There are a number of ongoing research and audit projects going on in the department. Trainees are encouraged to be involved, and have recently presented at national meetings.
    Orange Health Service supports medical students from the University of Sydney and nursing students from Charles Sturt University. Trainees may be asked to assist with RMO, medical student or nursing student teaching.

    Continuing Medical Education and Professional Development:
  • Attending Hospital Grand Rounds and relevant Trainee weekly meetings.

  • Obtaining and maintaining Basic and Advanced Life Support accreditation.

  • Undertaking the training requirements set out by RACP and/or CICM or other relevant professional body.

  • Providing evidence of continued professional development and commitment to self-education.


  • Orientation:
    The trainee 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.

  • Provide guidance on ways to perform their job in an efficient and effective manner. Review the code of conduct including the behaviours and standards expected of Health Service 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 the Health Service 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.


  • Local Background & Environment
    Just three and a half hours from Sydney, Orange is one of Australia’s leading wine growing regions, with a love of fine food and coffee, and a burgeoning café culture. With good schools, and thriving farming and mining communities young professionals and families alike are drawn to this unique Australian Country Town. Perhaps unexpected is Orange’s involvement in the Arts with a vibrant musical and theatrical scene and is a fixture for touring international and Australian theatre and orchestral companies. Orange is rich in festivals highlighting local produce and featuring celebrity chefs from Sydney and Melbourne, while also having 3 “Hatted” restaurants in the area. The hospital is very much at the heart of the town, and new staff will find themselves welcomed by a friendly, cosmopolitan community.

    Orange Health Service is a 270-bed major non-metropolitan referral hospital, serving a population of 300,000. Since the move to the Bloomfield Campus, it constitutes the largest Rural Campus in the Southern Hemisphere. It is the regional trauma centre for Western NSW and has a fully FACEM staffed ED. The Intensive Care Unit is the referral unit for the Local Health District. It is a Level 5 Unit and is staffed accordingly. There are a comprehensive range of specialist services including almost all medical and surgical services, with the exception of spinal, burns, cardiothoracic and neurosurgical. Of note, there are services such as interventional cardiology, an endovascular suite, and excellent on-site digital radiology, including a 3T MRI and 2 LINACs for radiation oncology. Orange Health Service also has acute specialists in cardiology, renal, gastroenterology, respiratory medicine, haematology, neurology, ophthalmology and specialists in medical and radiation oncology. There are also local specialists in palliative care, nuclear medicine and dermatology.

    Orange Health Service is a teaching hospital associated with the University of Sydney and Charles Sturt University. There is an excellent record of success in the ACEM professional exams and also future placement with metropolitan hospital training programs.

    Key Internal and External Relationships
    The trainee reports to the Supervisors of Training of Emergency Medicine and Intensive Care. Other Consultant physicians and staff engaged in medical and critical care disciplines will also provide supervision.
    Trainees will be expected to work collaboratively within the critical care range of specialties. There will be a close working relationship with nursing and ancillary staff within the Emergency Department, critical care areas, operating theatres, and general wards.

    Key Internal Relationships
  • Clinical streams

  • Multidisciplinary teams

  • Consumers/Carers

  • Other Clinical Divisions

  • Hospital Administration

  • Universities and clinician undergraduates


  • Key External Relationships
  • Consumers/Carers

  • Primary Care Clinicians

  • Psychiatric Liaison Services

  • Community services and Community Practitioners

  • Police, Ambulance


  • Supervision Arrangements
    The Consultants and Senior Trainees working within the Medical and Intensive Care services will provide supervision and advice. The Supervisor of Training will provide formal assessment and feedback during the rotation.

    Supervision of the trainee in normal hours of work:
  • The trainee will receive full direct supervision and support from the Department Consultant. As such daily supervision is available at any time.

  • The trainee will have access to a senior supervisor at all times.


  • Supervision of the trainee after hours:
  • The trainee will be able to call the Consultant on call for support and supervision after hours at any time via Switchboard, or by mobile telephone.


  • The trainee will have limited supervision responsibilities with regard to the Junior Medical Officers.

    Challenges/Problem Solving
  • Developing clinical skills in critical care and developing an appropriate procedural skill set.

  • Involvement in the management of sensitive issues in relation to critically unwell patients, including discussions around end of life care.

  • 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 resources of the Health Service.

  • Being flexible with the work required in a range of Health Services and locations.

  • Supervision and teaching of more junior medical staff (i.e. Junior Medical Officers) attached to the medical team.

  • Equitable participation in a rotating rotating 24 hour / 7 day on-site roster


  • Decision Making
  • The trainee will be encouraged to work independently and to develop skills with adequate consultant support.

  • Close and effective liaison with consultants will allow trainees to demonstrate their level of ability and understanding of patient care and enable expansion of your areas of responsibility.

  • The trainee will be encouraged to work independently and to develop skills with adequate consultant support.

  • All patients managed within the hospitals of the health service 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.


  • Communication
    The trainee will be expected to:
  • Communicate sensitively and professionally with other clinical staff, with patients and their families.

  • Work collaboratively with other staff in a multi-disciplinary team.

  • Deal with matters of an urgent or sensitive nature.

  • Have the ability to exercise discretion, sensitivity and maintain confidentiality.

  • Work co-operatively within a team environment and actively contributes to team activities including pro-actively participating in team meetings and decision making processes.

  • Demonstrate an ability to initiate and undertake discussions with patients and their families regarding their hospitalisation or outpatient management, treatment and progress.

  • Communicate effectively and in a timely fashion with consultants regarding the patients under their care or those seen in the clinics.


  • Performance Monitoring
    The trainee is required to maintain a continuing level of satisfactory performance and successful compliance with the requirements of the training program, including progression through the program at the expected rate.
  • Satisfactory progress with College/SAC (Specialist Advisory Committee) requirements.

  • Attendance at Departmental training sessions and Unit meetings.

  • Annual Performance Evaluation and Development Review (e.g. in-training assessments).

  • Reviewed by the Supervisor of Training on each rotation.

  • Maintenance of Basic and Advanced Life Support Accreditation.


  • All employees:
  • Abide by the Work Health and Safety Act 2011

  • Take reasonable care of the health and safety of others.

  • Co-operate with the health service management in the maintenance of a safe working environment by reporting all injuries, hazards and hazardous incidents to their immediate supervisor or to the Work Health and Safety Committee.

  • Comply with any Safe Work Practice, which has been established, including wearing any Personal Protective Equipment. Employees must not interfere with or misuse anything provided in the interests of health, safety and welfare.

  • Are required to abide by the Code of Conduct, maintain confidentiality and act professionally and within ethical boundaries.

  • Are required to participate in the Performance Management process. Evaluation of performance will be based on achievement of performance goals and / or overall performance.

  • Are required to adhere to all policies, procedures and legislative requirements in relation to Anti-Discrimination and Equity in Employment Opportunity requirements.

  • Are required to adhere to all policies, procedures and legislative requirements in relation to Ethnic Affairs Priority Statement of Multiculturalism Act 2000.

  • Are to be aware of the Department of Health Environmental Policy and be committed to the District Waste Management Policy for reduction and minimisation of waste.

  • Must co-operate with the requirements of the Occupational Screening and Vaccination against Infectious Diseases policy, or where this is refused, must acknowledge in writing their non-participation and understanding of the risks consequent upon non-participation.

  • Are to abide by the WLHD non-smoking policy at all facilities.

  • Are to attend mandatory training that is appropriate to their position.


  • Additional Information

    Additional Documents
    no addditional documents have been provided

    College
    College of Intensive Care Medicine of Australia and New Zealand

    Organisation Chart
    7981 - Intensive Care Medicine - Organisational Chart - 2016.doc

    Job Demands Checklist
    Click Here to View

    Selection Criteria
    1: MBBS or equivalent, currently registered with the Medical Board of Australia.

    2: Successful completion of PGY1 and PGY2 years, including terms in General Medicine and ideally Intensive Care medicine, with a minimum of 12 months experience working within the Australian public health care system within the previous 24 months.

    3: Demonstrates commitment to pursuing a career in Medicine or Intensive Care Medicine with registration with an appropriate professional body (e.g. CICM, RACGP, ACEM or RACP).

    4: Demonstrated orientation to rural/regional practice through life experiences, medical school and/or residency, outlining evidence of commitment to the provision of health care in a rural setting, preferably with experience of rural or regional medicine.

    5: Demonstrated ability to work independently within a supervised complex clinical environment utilising excellent clinical skills (at the required level of competency) and judgment and expertise.

    6: Demonstrated teamwork, organisational, time management skills and problem solving skills as part of a multidisciplinary team.

    7: Demonstrated excellent verbal and written communication skills and computer literacy appropriate to clinical care.

    8: A professional attitude and flexibility in work role with a preparedness and ability to participate in after-hours overtime and on-call rosters.

    Orange, NSW

    Health, Medical & Pharmaceutical




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