9 Aug 2018

Full-Time Career Medical Officer (CMO) – Wyong

NSW Health Service – Anywhere

Job Description

Position Title Career Medical Officer (CMO)
Position Number 18597
Employment Status Full Time – Exempt
Applications Close 20/08/2018
Local Health District Central Coast Local Health District
Facility Wyong Hospital
Specialty General Medicine
Sub Specialty None
Award Public Hospital Career Medical Officers (State) Award
Classification Career Medical Officer
Main Purpose of Position Supervision of prevocational trainees by the CMO in normal hours of work.
The primary clinical responsibility for the position is the provision of the day to day
clinical management of general medicine patients in the Medical Assessment Unit at
Wyong Hospital.
The CMO will manage their acute sub-specialty and general medical patients with
advice and supervision of their consultants in order 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:
– Taking a leadership role in coordinating the admission, management and discharge
planning of patients seen in or admitted to his/her team, and ensuring that the
admission and plans are documented and communicated effectively.
– The day to day assessment and management of the patients in his/her team,
communicating with them and their family the nature of their conditiona nd 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 ther community based care modalities.
-Communicating effectively and efficiently decisions concerning the patient(s) in
consultation with their immediate supervisor and admitting medical officers.
– Participation in the afterhours and relief roster under the supervision of the on call
physician.
– Provision of a leadership role in the development of quality programs for General
Medicine and sub-specialty teams. In particular, the role will have a high level of
involvement in coordinating and effective handover at each of its points, and a high
level of involvement in clinical governance sponsored activities inclusive of root cause
analysis, and other related investigations.
-Provision of clinical leadership in current organizational priorities inclusive of
antimicrobial stewardship, hand hygiene, VTE prevention, the risk minimization of high
risk medications, the introduction of a medication management plan and the implementation of the Eurotam Directive to reduce unnecessary radiation exposure to our patients.
Provision of high quality education, supervision and support to prevocational and basic
physician trainees.
– Presentation at grand rounds to a level as detailed within the section Position
requirements that follows.
Position Requirements 1. Clinical – The CMO is clinically responsible for:
Management and coordination of the clinical team in the diagnosis and management of
the patient’s condition, including the requests for tests, medication, interventional
treatment and consults. Initiation of changes to management plan with limitations set
out by agreement with the Attending officer.
Management of unstable patients and ensuring an adequate hand-over to afterhour’s
medical staff.
Assessment of all patients admitted under the team from the emergency department or
otherwise, including assessment during services when rostered after hours.
Assessments and management of the team outpatients clinics, under supervision,
including an active role in a roster of involvement in rapid review clinics once
established at Wyong Hospital.
Communicating with the patient about his/her condition and management, or with the
immediate family of the patient is unconscious or otherwise unable to comprehend or
consent. Ensuring ongoing support and information to the patient, carers and family as
appropriate.
Communicating and coordinating effectively with nursing and other staff in regard to
management plans, diagnostic requests, consultations and the management of unstable
patients, inclusive of ensuring that a member of the team are present at the M3 bed
board ward rounds.
Ensuring that review of all pathology, radiology and other diagnostic reports is
undertaken and the Admitting Medical Officer is advised of relevant results.
Communicating any significant change in the patient’s condition to the Admitting
Medical Officer and undertaking appropriate action. This may include initiating
immediate treatment as appropriate in consultation of nursing staff. This may include cardio- pulmonary resuscitation of the patient.
Ensuring that all admissions, changes in clinical condition and deaths of patients are
notified to the Admitting Medical Officer and to the General Practitioner. This may
require notification during normal working hours when the consultant or general
practitioner is not immediately available.
Ensuring the arrangements for autopsy, death and cremation certificates are made
expeditiously and appropriate support to other staff and family is given including the
completion of any incomplete documentation.
Reviewing patients in the Emergency Department at their request or at the admitting
medical officers ensuring appropriate referral to the relevant team and ensuring that
the transfer of patients to the wards within four hours is not impeded.
Ensuring the clinical team has prepared and complete all patient related documentation
to ensure an effective, timely and accurate discharge plan for the patient, family and
other caregivers and an adequate and timely discharge summary is provided to those
involved in after care including the General Practitioner and the Attending Medical
Officer. Including liaising with the bed management and patient flow teams/units.
Ensuring appropriate liaison occurs with the general practitioner (or other primary care
personnel).
Responding to cardiac arrest, clinical review, medical emergency team and Clinical
Aggression Response related calls immediately on being paged, whenever a member of
these teams.
In the case of a Clinical Aggression Response related call, remaining at this call until
discharged by the team leader.
2. Quality and Clinical Governance Related Activities – The CMO is responsible for the
following key quality related activities:
Secretarial duties associated with the Medcally led Medical Assessment Unit Meetings,
where relevant.
Active involvement in departmental quality activities including clinical trials, research,
peer review and audit projects. The trainee is expected to complete a minimum of two
clinical audits within twelve months of commencement.
Active management of the handover process, inclusive daily management of case load
discussed at these meetings, development and improvement of the structure used
within these meetings, and creation of additional tools to support the handover process.
Routine weekly review of patients who have suffered unplanned readmissions within 28
days, and patients who have had a rapid response call within one week.
Research of the impact of early follow up strategies on recovery and readmission.
Research of the impact of early intervention strategies on recovery and readmission.
Research of the impact of goal directed discharge in patients with respiratory disease.
3. Supervision
The CMO will be required to provide supervision support to Basic Trainees, 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.
Some of these duties include the following:
To perform and/or supervise junior medical staff in procedures as approved and/or
supervised by the Attending Medical officer.
Ensure that the junior medical officers complete an accurate history and examination,
review management plans, investigations and action taken are recorded in the patient’s
medical record including regular progress notes and arranging procedural lists as
required.
Regularly reviewing the junior medical officer on the team to ensure the management
plan is carried out and outcomes assessed.
Ensuring that junior medical officers have completed a discharge summary in the case
of death, in order to provide a backup method of notification of the general practitioner.
Supervision of death certificate and related paperwork when this is being completed by
junior medical officers.
4. Teaching
The CMO role supports the transition of a doctor in training into their specialist role, and
as such a proactive approach to teaching is expected as befits a doctor that is about to
achieve their specialty qualifications. The CMO will pro-actively support, teach and
watch the performance of trainees, RMOs and interns on the team, including the
active support in order to allow for the junior medical officers to attend their scheduled
teaching sessions.
The CMO is responsible for the following teaching related duties:
The effective teaching of junior medical staff, medical students and multidisciplinary
team members (e.g. allied health staff) and nursing staff.
The presentation at Grand Rounds at a minimum of two occasions in twelve months,
with an intent to increase the quality of Wyong Hospital as an academic institution
according to the following expectations –
The presentations should have at a minimum at least one peer reviewed article of
relevance that is no older that six months.
The presentation should be accessible to all clinical staff within the organization,
inclusive of nursing, allied health and medical staff.
The presentation should be at a level that allows for consultant staff present to actively
learn as part of their own continuing medical education.
5. Continuing Education
Obtaining and maintaining Basic and Advanced Cardiac Life Support accreditation.
Provision of evidence of continued professional development and commitment to selfeducation.
6. Orientation
The CMO will be required to undertake the core mandatory orientation inclusive of both
mandatory modules listed under the HETI managed program, and additional modules
as detailed by Central Coast Local Health District.
Other responsibilities
In addition to the core competency standards, the CMO is expected to comply with
legislative, policy/protocol requirements as they relate to:
Compliance with all applicable public health organisation and hospital policies and
protocols, and with applicable Policy Directives and Guidelines issued by the
Ministry 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, the DPE or Head of Department 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. To perform and/or supervise junior medical staff in procedures
as approved and/or supervised by the Attending Medical officer.Ensure that the junior
medical officers complete an accurate history and examination, review management
plans, investigations and action taken are recorded in the patient’s medical record
including regular progress notes and arranging procedural lists as required.Regularly
reviewing the junior medical officer on the team to ensure the management plan is
carried out and outcomes assessed.Ensuring that junior medical officers have
completed a discharge summary in the case of death, in order to provide a backup
method of notification of the general practitioner.Supervision of death certificate and
related paperwork when this is being completed by junior medical officers.
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 part of the Central Coast Local Health District. The
Emergency Department sees approximately 65,000 patient presentations per year with
Dual Emergency Staff Specialist cover onsite from 8am to midnight 7days a week and
on-call thereafter. The hospital provides general medical, cardiology, general surgical,
mental health and drug and alcohol inpatient services. There is a low risk maternity unit
and paediatric ambulatory care unit. Other medical and surgical subspecialties are
provided at Gosford hospital, with cardiothoracic and neurosurgical emergencies
requiring transfer to Sydney. The hospital is on trauma bypass and there is 24-hour
imaging and pathology support.
Key Internal and External Relationships Key Internal and External Relationships: Patients and families presenting to the Medical
Assessment Unit. Staff Specialists and Director of Medical Assessment Unit Wyong
Executive Director Medical Services Other Medical Staff Nursing Staff Allied Health and
Support staff
Supervision Arrangements Supervision of the CMO will be by the Clinical Director of the Medical Assessment Unit.
The MAU CMO’s are expected to supervise Interns and RMOs within the MAU
Department.
Challenges/Problem Solving Major challenges for the CMO include:
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.
Workingcollaboratively 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 CMO will have a high 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 Advanced
Trainee to demonstrate their level of ability and understanding of patient care and
enable you to expand your areas of responsibility.
Communication The CMO is a key person who works closely with all members of staff and must:
– Deal with matters of an urgent or sensitive nature.
– Have the ability to exercise discretion, sensitivity and maintain confidentiality.
– Work co-operatively within a multi-disciplinary team environment and actively
contributes to team activities including pro-actively participates in team meetings and
decision making processes.
-Be accountable for sup0ervision and teaching of Junior Medical Officers attached to
the medical team.
Performance Monitoring The CMO will be regularly assessed “on the floor” by the Clinical Director of the
department. The CMO will be expected to participate in continuing medical education,
both of their own accord and in association with the formal education sessions provided
on-site at Wyong Emergency Department. The CMO will undergo a formal yearly
performance review encompassing clinical, interpersonal and organisational skills,
simulation performance.
Additional Information
Additional Documents no addditional documents have been provided

College Royal Australasian College of Physicians
Organisation Chart Organisational Chart Medical Assessment Unit Wyong 2019.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: 2. Must have a minimum of five years relevant post graduate clinical experience including time in internal medicine.

3: 3. Demonstrate commitment to assisting patients and their families/carers to achieve the patients health related goals. To achieve this the doctor must have high level of patients knowledge in acute, post acute and community service provision in NSW health system.

4: 4. Demonstrates ability to work independently within a supervised complex clinical environment utilising excellent clinical skills (at the required level of competency) with good clinical judgement.

5: 5. Demonstrates leadership, teamwork, time management and problem solving skills as part of a multidisciplinary team and a commitment to quality improvement, patient safety and risk management. Demonstrated excellent communication skills (verbal and written) and computer skills.

6: 6. 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.

7: 7. Must be able to demonstrate proficiency in managing acute and complex medical problems in a hospital setting.

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 CLHD Values and behaviours charter.
Contact Details Dr Cameron Hunter
0243208000
cameron.hunter@health.nsw.gov.au

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